sedgwick
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Aug 18, 2025
Sedgwick’s Dismal EDI Grade Disaster
Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. has earned a solid “D” for its Electronic Data Interchange (EDI) performance, a dismal grade that si...
Aug 6, 2025
Starbucks, Are You Paying Attention? Sedgwick’s Numbers Don’t Match
California employers should be suspicious of Third-Party Administrator (TPA) Sedgwick’s record-keeping.A doctor (a daisyCollect client) treated a Starbucks injured wor...
Aug 4, 2025
Sedgwick’s Shell Game? 139 CA Employers Exposed
A California workers’ comp physician recently received eight checks totaling $110,858 from Careworks, a vendor affiliated with Third-Party Administrator (TPA) Sedgwick.
Jul 31, 2025
California's MPN Cesspool: Impossible by Design?
California’s Medical Provider Network (MPN) system is broken beyond repair, to the point where finding an MPN doctor is simply impossible for many injured workers. We’...
Jul 22, 2025
NY Provider Alert: Sedgwick Creates Chaos for MTA Claims
A heads-up to New York providers treating Metropolitan Transportation Authority (MTA) employees: Sedgwick Claims Management Services, Inc. is reportedly creatin...
Jul 16, 2025
Sedgwick: CA Doctors Still Waiting for Purloined PPO Reimbursement
In January, Sedgwick Claims Management Services, Inc. admitted to shortchanging a California orthopedic practice by hundreds of thousands of dollars—thanks to bogus Preferred...
Jul 1, 2025
Sedgwick: Careworks' Bulk Payments - Employers Take Note (Part 2)
Yesterday daisyNews reported on a California provider inexplicably receiving three large checks from Preferred Provider Organization (PPO) Careworks, purporting to bulk-pay 1...
Jun 30, 2025
Sedgwick: Non-Compliant Bulk Payments From Careworks (Part 1)
In California, claims administrators—and apparently, Preferred Provider Organizations (PPOs)—are effectively free to create their own payment rules. A provider submitt...
Jun 11, 2025
Sedgwick’s New Website: Shaky Stats Tout Provider Exploitation
Sedgwick Claims Management Services, Inc. has a new website. True to brand, the new site makes one thing abundantly clear: marketing provider abuse is easier th...
Jun 4, 2025
Gallagher Bassett Threatens Provider Over daisyNews "Slander"?
Attention All Claims Administrators: We urge you to read the letter below, which daisyBill CEO Catherine Montgomery sent to Gallagher Bassett. Thi...
May 30, 2025
CA Employers: Your Premiums Fuel Private Equity Profits, Not Care
This week’s Diabolical Discount exposes MedRisk—the private equity-backed network infamous for siphoning off provider reimbursements while delivering zero care or services to...
May 16, 2025
Diabolical Discounts: Ralphs Pays MD $44 to Treat Injured Worker
Our weekly “Diabolical Discounts” features the most atrocious examples of the low reimbursements doctors receive for treating California’s injured workers.<...