sedgwick
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.<...
May 12, 2025
Sedgwick Stiffs Doctors, County of LA Taxpayers Pick Up the Tab
Sedgwick Claims Management Services, Inc. has made it a business practice to defy California workers’ compensation laws, and public entities like the County of ...
May 1, 2025
Please Advise: An Open Letter to the CA DWC (cc: CA Attorneys)
We have a question for California’s Division of Workers’ Compensation (CA attorney comments are always welcomed, too): What should a medical practice do in the followi...
Apr 29, 2025
What Employers Choose When They Choose Sedgwick
When California employers select Sedgwick Claims Management Services, Inc. to manage their workers’ compensation claims, they choose a Third-Party Administrator (TPA) ...
Apr 24, 2025
Sedgwick Pays WRONG Fee Schedule Amount (Again, per Annual Tradition)
Another fee schedule update, another Sedgwick screw-up. Like clockwork, Sedgwick Claims Management Services, Inc. ignores California's fee schedule updates, shortchang...
Apr 10, 2025
Sedgwick’s Shell Game: From Coventry to CareWorks, the Chicanery Continues
Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA), appears to be throwing any available spaghetti at the wall to continue funneling e...
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Apr 2, 2025
Sedgwick Owes Practice Over $570K…Has Paid Just $12K
Readers may recall last year’s daisyNews report on how Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. underpaid a California orthopedic provider by...