Broadspire Employers: Audit Complaint Filed With DWC
Oct 21, 2020
In a recent article, Broadspire Defies CA Law and Denies Appeals Sent by Providers, we described Broadspires’ success in defying California workers’ comp laws without consequ...
DaisyBill Automates Zurich Second Review Appeals
Oct 21, 2020
DaisyBill recently broke the story (after receiving multiple reports from the DaisyBill community and beyond) that Zurich has improperly denied California providers’ bills fo...
When Zurich Speaks, Garbled Noncompliance Comes Out
Oct 20, 2020
We are writing about Zurich again, as the claims administrator’s conduct continues to be a symptom of the deep unfairness that permeates California’s workers’ comp system. Th...
Zurich: Triples Down on Foul Play
Oct 15, 2020
Clearly Zurich fears no recourse as it continues to systematically ignore rules while stripping California providers of proper reimbursement. In this latest development, Zuri...
Broadspire Defies CA Law and Denies Appeals Sent by Providers
Oct 6, 2020
Broadspire, A Crawford Company, is another example of a claims administrator that disregards California regulations with impunity. After accepting a compliant and time...
Zurich: CORRECT Appeal Instructions for Zurich Denials
Oct 5, 2020
Today, we explain the COMPLIANT protocol for California providers to dispute the noncompliant denials that Zurich recently issued, and that were based on its completely nonco...
Zurich Further Jeopardizes Providers' Payment With Incorrect Appeal Instructions
Oct 2, 2020
Even when there is potential payer fraud, California requires the provider -- not the payer -- to shoulder the burden of correcting claims administrator “mistakes.” For the t...
Gallagher Bassett Sinks Second Review Appeals
Sep 21, 2020
For California workers’ comp providers, we encourage submitting Second Review appeals when the claims administrator incorrectly adjusts or denies payment. Below we sho...
$47 Million and Counting: Second Review Saves Provider Revenue
Mar 6, 2020
California workers’ comp providers face an inexcusable amount of hassle, red tape, and outright abuse in the struggle to collect correct reimbursement. Take it from us...
CA Interpreters: No Second Review = No Payment
Dec 2, 2019
Providers — interpreters in particular — be advised: a California appeals court ruled that claims administrator Meadowbrook Insurance is not required to pay a disputed fee fo...
Berkshire Hathaway Fails to Process Second Review Appeals
Aug 1, 2019
Berkshire Hathaway Homestate Companies (BHHC) is failing to process electronic second review appeals, leaving providers in an unacceptable payment limbo. The insurer incorrec...
Claims Admins Deny Second Review Appeals as Duplicate Bills
Jul 2, 2019
Two claims administrators, York and Sedgwick, denied hundreds of compliant second review appeals on the grounds that the appeals were “duplicates” of the Original Bills in qu...