sedgwick

Sedgwick's Sloppy EDI Tech Goes Haywire
Dec 16, 2024
Sedgwick's Sloppy EDI Tech Goes Haywire
Sedgwick Claims Management, Inc. is daisyBill’s largest workers’ comp claims administrator, as measured by the volume of bills our clients send to the Third-Party Admi...
Audit Complaint: Sedgwick - 5,415 Violations Reported
Dec 10, 2024
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
Dec 4, 2024
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...
DWC Slumbers as Sedgwick Stiffs CA Ortho Practice
Oct 23, 2024
DWC Slumbers as Sedgwick Stiffs CA Ortho Practice
Recently, we shared how Sedgwick Claims Management Services repeatedly took inflated Preferred Provider Organization (PPO) discounts from a California orthopedic practice in ...
Sedgwick Stiffs CA Practice for Over $300,000
Oct 22, 2024
Sedgwick Stiffs CA Practice for Over $300,000
In California, claims administrators can siphon staggering amounts of revenue from practices using invalid Preferred Provider Organization (PPO) discounts—and doctors have no...
Sedgwick Removes 54% UR Denial Stat From Website
Oct 16, 2024
Sedgwick Removes 54% UR Denial Stat From Website
We knew it was only a matter of time. The question was how much time?Third-party administrator (TPA) Sedgwick Claims Management Services screamed the quiet part out lo...
CA DWC Fails Employers and Employees
Sep 24, 2024
CA DWC Fails Employers and Employees
Without enforcement, no amount of laws or regulations can improve or even maintain a functioning workers’ compensation system. California is a tragic example of...
Sedgwick Boasts 54% Denial Rate for Injured Worker Treatment
Sep 19, 2024
Sedgwick Boasts 54% Denial Rate for Injured Worker Treatment
Editor’s note: As predicted below, Sedgwick removed the 54% statistic from its marketing website, shortly after the publication of this article. Who coul...
Carlyle: How Private Equity Feeds on CA Workers' Comp
Sep 11, 2024
Carlyle: How Private Equity Feeds on CA Workers' Comp
California workers’ comp has a problem: investment in administrative entities by private equity firms.When private equity owns significant stakes in businesses special...
Sedgwick: Private Equity Makes Obscene Profits
Sep 9, 2024
Sedgwick: Private Equity Makes Obscene Profits
In California, injured workers stay injured longer and incur more administrative expenses to treat than in the rest of the nation. That’s bad news for injured workers ...
daisyNews Top 10 Articles January-June 2024
Aug 22, 2024
daisyNews Top 10 Articles January-June 2024
What mattered most to workers’ comp providers, billers, and other industry pros in the first two quarters of 2024? Let’s take a look at our most-read articles from January th...
Apricus Applies Massive, Invalid PPO Discount for Sedgwick
Aug 13, 2024
Apricus Applies Massive, Invalid PPO Discount for Sedgwick
Specialty network vendor Apricus, acting on behalf of Third-Party Administrator (TPA) Sedgwick, recently applied an invalid Preferred Provider Organization (PPO) discount to ...