sedgwick

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...

Sedgwick Hits 298,034 Violations (and Counting)

Sedgwick Claims Management Services, Inc. continues to violate a critical California payment requirement with apparent impunity. The Third-Party Administrator (...

Sedgwick (Still!) Owes CA Practice $500k+ After Bogus PPO Discounts

Sedgwick Claims Management Services,Inc. has withheld hundreds of thousands of dollars in reimbursement from a single California orthopedic practi...

Labor: “Predatory” Sedgwick Is “a Menace to Workers”

Labor representatives are finally saying it out loud: Sedgwick Claims Management Services, Inc. is a “menace” to injured workers.Transport Workers Union (TWU) Local 100 isn’t...

Careworks Hurts Employers, Providers, and Payers

Employers buy workers’ comp insurance expecting their premium dollars to pay for their injured employees’ treatment. Providers expect timely, accurate payment for treating in...

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...

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...

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.

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’...

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...

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...

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...