sedgwick

Sedgwick's UR Obstacle Course Delays Care
Nov 8, 2023
Sedgwick's UR Obstacle Course Delays Care
Welcome to California workers’ comp, where the law requires two doctors to do the job of one:A treating physician to heal the injured worker A Utilization Revie...
Sedgwick: 13,248 Audit Complaints Filed With CA DWC
Oct 18, 2023
Sedgwick: 13,248 Audit Complaints Filed With CA DWC
In keeping with years of consistent violations of California laws and regulations, Sedgwick Claims Management Services continues to fail to send mandatory electronic Explanat...
Provider Alert: Sedgwick Can't Pay Bed Bath & Beyond Bills
Aug 31, 2023
Provider Alert: Sedgwick Can't Pay Bed Bath & Beyond Bills
FYI, providers: if your practice treats injured employees of the newly bankrupt Bed Bath & Beyond, you may have trouble getting paid.A daisyCollect provider recently b...
Sedgwick Roundup: TPA Remains Non-Compliant
Aug 25, 2023
Sedgwick Roundup: TPA Remains Non-Compliant
We write a lot here and elsewhere about California’s failure to adequately enforce workers’ comp payment laws and regulations. This failure has created an environment that’s ...
Sedgwick Ignores Medical-Legal Bills
Aug 17, 2023
Sedgwick Ignores Medical-Legal Bills
Some claims administrators treat California workers’ comp laws and regulations as optional — and there may be no more egregious example than Sedgwick Claims Management Servic...
Sedgwick Must Be Fined: An Open Letter to the CA DWC
Jul 25, 2023
Sedgwick Must Be Fined: An Open Letter to the CA DWC
To: California Division of Workers’ Compensation (DWC)From: daisyBillSubject: 102,498 Sedgwick Audit ComplaintsWe hope this message finds you well. We wr...
Sedgwick Racks Up 79,318 DWC Audit Complaints
Apr 27, 2023
Sedgwick Racks Up 79,318 DWC Audit Complaints
Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. continues to ignore California workers’ comp billing regulations with impunity.Currently, Sed...
Sedgwick: Sham MPN Impedes Care?
Apr 18, 2023
Sedgwick: Sham MPN Impedes Care?
If you need proof that California’s Medical Provider Network (MPN) system is catastrophically flawed, look no further than the case of the injured worker below.Third-P...
Sedgwick, Please Accept a Free Gift From daisyBill
Apr 6, 2023
Sedgwick, Please Accept a Free Gift From daisyBill
Sedgwick Claims Management Services, daisyBill is here for you.We notice that you struggle mightily with correctly calculating reimbursements under California’s...
ACE / Sedgwick Low Payments Reveal PPO Problem
Mar 23, 2023
ACE / Sedgwick Low Payments Reveal PPO Problem
If you’ve ever wondered why so many California doctors avoid treating injured workers, stop wondering.  Three separate bills from the same provider to the same insurer...
Mirage Provider Networks: Sedgwick Can't Identify MPN
Mar 20, 2023
Mirage Provider Networks: Sedgwick Can't Identify MPN
At this point, Medical Provider Networks (MPNs) can feel like little more than a cruel joke, offering seemingly ephemeral benefits to providers while exacting a heavy toll in...
Med-Legal IBR Data: A Bad Look for Sedgwick & CA
Jan 30, 2023
Med-Legal IBR Data: A Bad Look for Sedgwick & CA
California appears to turn a willfully blind eye to what seems like an abuse of the Independent Bill Review (IBR) system for Medical-Legal disputes.Data ...