$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...
Second Review Loopholes Hurt Providers
Mar 27, 2019
Our previous articles highlighted claims administrators’ processing speed for original bill submissions. Now, we turn our attention to average days to process Second Review a...
📬 Payer Responses: Guile, Waiting, and Crickets 🏏
Mar 1, 2019
Today we report on the responses from Sedgwick, Liberty Mutual, York, and State Compensation Insurance Fund (SCIF), following our posts detailing their systematic underpaymen...
Maximus Confirms Using Second Review Appeals to Correct Billing Errors
Feb 12, 2019
Correcting a coding error is as simple as submitting a Second Review appeal explaining the error. Last year, we discussed the convoluted process to correct billing err...
No Response to Second Review Request? A Lien Is the Only Option
Oct 11, 2018
A recent refusal by Travelers Insurance to respond to a provider’s second review appeal, and subsequent denial of the provider’s request for Independent Bill Review (IBR), pe...
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CA Providers: Do Not Alter Bill When Submitting Second Review Appeal
Sep 14, 2018
To appeal incorrect reimbursements or bill denials, California providers must submit timely and compliant requests for second review. To date, DaisyBill clients have recovere...
CA Providers: Appeal Denials for Treatment Preceding Liability Decision
Jun 27, 2018
Recently, we pointed out that California employers are liable for treatment that precedes the claims administrator’s decision to accept or deny a workers’ comp claim. Before ...
Workers’ Comp Billing Error: Resubmit or Request Second Review Appeal?
Jun 7, 2018
Mistakes happen. When a provider accidentally submits an original bill that contains an error, taking the appropriate action is key to avoiding further delay in reimbu...
Data Reveals Importance of Second Review Appeal for Providers
May 25, 2018
The claims administrator’s Bill Review does not always recommend the correct reimbursement on the first try. Our second review appeal data reveals a staggering amount of reve...