sedgwick

Clearinghouse Error - WorkCompEDI Misdirects Bills

Recently, one of the six clearinghouses hired by claims administrators to accept electronic workers’ comp bills suffered a technical error which resulted in the clearinghouse...

Sedgwick Erroneously Rejects Provider Bills

Workers’ comp providers, be aware: insurer Sedgwick has recently incorrectly rejected multiple bills on erroneous grounds, necessitating that time and resources be spent inve...

Sedgwick – IBR Hall of Shame

All too often, insurance companies and claims administrators find unfair ways to deny, delay, and otherwise wiggle out of paying the workers’ compensation reimbursements that...

Huntington Hospital & City of Beverly Hills Change TPAs

Attention providers: two California employers switched third-party administrators (TPAs).Huntington Hospital transferred claims from Sedgwick to AthensCity of B...

York (aka Sedgwick) Fails Math: EORs Literally Don't Add Up

York Risk Services, which was acquired this month by Sedgwick, has significant math troubles. York recently returned Explanations of Review (EORs) which obfuscated the effect...

Blatant Disregard for IBR Law by Sedgwick, Gallagher, Athens, Helmsman

A disturbing pattern is emerging from the results of Independent Bill Review (IBR) decisions in the state of California. As usual, the problem encumbers workers’ comp provide...

Claims Admins Deny Second Review Appeals as Duplicate Bills

Two claims administrators, York and Sedgwick, denied hundreds of compliant second review appeals on the grounds that the appeals were “duplicates” of the Original Bills in qu...