Second Review

accūrō Solutions: Proactive Bill Review Improves Compliance for Payers

It’s not all bad news in the world of workers’ comp billing. While daisyNews regularly holds payers and their vendors accountable for their failures, some companies de...

CA Providers Recovered $22M in 2025

Improper denials and payment adjustments are inevitable for California providers who treat injured workers. But in 2025, California providers recovered over $22 million using...

How daisyBill Automates Workers’ Comp Fee Schedule Enforcement and Second Review Appeals

Workers’ compensation underpayments are not outliers. They are systematic, predictable, and too often unchallenged.For medical providers, the problem is not identifyin...

CA: Sedgwick’s Rampant Second Review Violations

For providers, Sedgwick Claims Management Services, Inc.’s routine violations of state law and regulations make it increasingly difficult to treat injured workers. For...

Helmsman Makes Ransom Demand for Refund Request (Part 3)

Helmsman Management Services, LLC, a Third-Party Administrator (TPA), has refused to process a Second Review appeal submitted by a California physician who treated an ...

Sedgwick’s Abuse of Providers Should Terrify Employers

A question for California employers: If Sedgwick Claims Management Services, Inc. (Sedgwick) treats doctors as poorly as our data reveal, what is the impact on your injured e...

$18 Million Battle: How California’s Rigged Workers’ Comp System Cheats Providers

The 2024 data are in, and they paint a grim picture for every California provider treating injured workers. The numbers prove beyond a doubt that California’s workers’...

Audit Complaint: Sedgwick - 5,415 Violations Reported

Once again, daisyBill has filed a formal Audit Complaint with the California Division of Workers’ Compensation (CA DWC) against Sedgwick Claims Management, Inc.The Thi...

Sedgwick "Duplicate" Bills Make A Mockery of CA Law, DWC & Providers

Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA) of workers’ comp claims, has set a horrifying new standard for how claims administrators c...

Payers Deny 48% of CA Physician's Bills

Attention California providers: it is extremely difficult to obtain reimbursement when you treat or provide services to an injured worker, because the Division of Work...

CA Interpreter Service DOUBLES Revenue With Second Review Appeals

For California workers’ comp providers, no billing strategy produces more revenue with less effort than consistently submitting Second Review appeals. This is especial...

Sedgwick: 17,225 Audit Complaints Sent to DWC

Sedgwick Claims Management, Inc. continues to defy California law and regulations for properly responding to Second Review appeals. And why wouldn’t they, without any consequ...