Blog: DaisyNews

Workers' Comp News, Data, and Insights

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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...

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