sedgwick
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 ...
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...
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...
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...
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...
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...
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 ...
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...
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 ...
Jul 9, 2024
Sedgwick <> Data Dimensions - Married or Divorced?
Sedgwick Claims Management Services, a Third-Party Administrator (TPA), and Data Dimensions, a clearinghouse vendor, may have gotten hitched.Imagine our surprise when ...
Jul 2, 2024
Sedgwick Stiffs AME for IBR Filing Fee
In California, when Independent Bill Review (IBR) overturns a Sedgwick erroneous reimbursement denial, Sedgwick owes the provider $180 (the cost of the f...
Jun 14, 2024
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...