Third-party Administrator

Starbucks, Are You Paying Attention? Sedgwick’s Numbers Don’t Match
Aug 6, 2025
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
Aug 4, 2025
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.
NY Provider Alert: Sedgwick Creates Chaos for MTA Claims
Jul 22, 2025
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...
Helmsman Makes Ransom Demand for Refund Request (Part 3)
May 27, 2025
Helmsman Makes Ransom Demand for Refund Request (Part 3)
Helmsman Management Services, LLC, a Third-Party Administrator (TPA), has refused to process a Second Review appeal submitted by a California physician who treated an ...
Diabolical Discounts: Ralphs Pays MD $44 to Treat Injured Worker
May 16, 2025
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
May 12, 2025
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 ...
Helmsman Botches NBC Injury Claim—Underpays Doctor, Demands Refund Anyway (Part 2)
May 8, 2025
Helmsman Botches NBC Injury Claim—Underpays Doctor, Demands Refund Anyway (Part 2)
As daisyNews reported yesterday, Helmsman Management Services, LLC attempted to claw back payment from a California provider for plainly bogus reasons. We debunked those reas...
Helmsman's Ridiculous Refund Request (Part 1)
May 7, 2025
Helmsman's Ridiculous Refund Request (Part 1)
Why do so many doctors avoid treating injured workers? We have a perfect illustration from Helmsman Management Services LLC. This Third-Party Administrator (TPA) recently:
CA: USC Switches Workers' Comp TPA
Nov 11, 2024
CA: USC Switches Workers' Comp TPA
The University of Southern California (USC), a self-insured employer, has switched the Third-Party Administrator (TPA) it uses to handle workers’ comp claims for its injured ...
CA Alert: ESIS e-Bill Rejections (and What to Do)
Oct 29, 2024
CA Alert: ESIS e-Bill Rejections (and What to Do)
Third-party administrator (TPA) ESIS is improperly rejecting valid e-bills from California providers, citing an inexplicable, seemingly random (and definitely non-compliant) ...
Sedgwick <> Data Dimensions - Married or Divorced?
Jul 9, 2024
Sedgwick <> Data Dimensions - Married or Divorced?
Sedgwick Claims Management Services, a Third-Party Administrator (TPA), and Data Dimensions, a clearinghouse vendor, may have gotten hitched.Imagine our surprise when ...
C'mon, Sedgwick: TPA Tries PPO Discount for Med-Legal (Again)
Apr 18, 2024
C'mon, Sedgwick: TPA Tries PPO Discount for Med-Legal (Again)
We’ll say it as often as we have to: Preferred Provider Organization (PPO) discounts do not apply to bills for Medical-Legal services. It’s a lesson that Sedgwick Clai...