sedgwick

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...

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...

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...

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...

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.<...

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 ...

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...

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) ...

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...

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...

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...

Sedgwick’s Abuse of Providers Should Terrify Employers

A question for California employers: If Sedgwick Claims Management Services, Inc. (Sedgwick) treats doctors as poorly as our data reveal, what is the impact on your injured e...