sedgwick

An Open Letter to Sedgwick Claims Management Services, Inc.

Dear Sedgwick Claims Management Services,This is a plea. In all sincerity, and all snark aside, California workers, providers, and employers need you to do bett...

Sedgwick Asserts CA "Loosened" Appeal Process

California workers' comp is — supposedly — governed by laws, enacted by the state legislature, and carried out by the Division of Workers’ Compensation (DWC). For disputes ov...

Data: Sedgwick Fails to Process 16,261 Second Review Appeals

Third-Party Administrator (TPA) Sedgwick Claims Management Services consistently ignores California workers’ comp requirements for properly responding to Second Review appeal...

Audit Complaint: Sedgwick 16,261 Noncompliant Second Review Responses

Using data generated by tens of thousands of electronic bills sent by our provider clients, daisyBill has demonstrated consistent non-compliance with California e-billing reg...

CA: Employer Authorization Is Ultimately Worthless

California law mandates that once an employer authorizes treatment for an injured worker, that authorization may not be rescinded “for any reason,” theoretically guaranteeing...

Sedgwick Late e-EORs: 13,999 Audit Complaints Submitted

Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...

Sedgwick Missing e-EORs: 25,970 Audit Complaints Submitted

Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...

Sedgwick: Gruesome and Abusive IBR Games

In California workers’ comp, providers cannot rely on authorization to guarantee payment — despite what the law says. Today’s article shows exactly how a claims administrator...

Sedgwick Resolves LA County Missing e-EORs

daisyBill contacted Sedgwick regarding e-bills for treatment rendered to employees of the County of Los Angeles (claims beginning with 5000 or ending in D), for...

Sedgwick EDI Alert: Correct Payer ID WX867

daisyBill is aware of confusion regarding the correct Payer ID providers should use when submitting e-bills to Sedgwick, a third-party administrator (TPA).<...

Dollar Tree/Sedgwick Won’t Pay for Authorized Treatment

Authorization is, by definition, a promise.It’s the promise that, once a doctor obtains authorization from an employer to treat an injured worker, the employer will pa...

Sedgwick: Sketchy EOR Math for LA Unified School District

Sedgwick recently returned an Explanation of Review (EOR) that failed to fulfill a crucial requirement: showing how Sedgwick actually calculated the reimbursement amount paid...