Third-party Administrator
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...
Mar 12, 2024
daisyBill Takes Sedgwick Complaints to CA DWC Administrative Director
It may be a new year, but it’s the same ol’ Sedgwick. However, the California Division of Workers’ Compensation (DWC) has indicated it may take a different (and hopefu...
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...
Sep 7, 2022
MGM Resorts Claims Administrator Guide
Billing for the treatment of injured MGM Resorts employees can get complicated. That’s because MGM uses a combination of insurance companies and Third-Party Administrators (T...
Aug 18, 2022
Employers Beware: LWP Is a Bad Look
Most California self-insured employers utilize a Third-Party Administrator (TPA) to handle injured workers’ claims on their behalf. But not all TPAs are equally competent in ...
Aug 4, 2022
City of LA Claims Administrator Guide
The City of Los Angeles is a public-sector self-insured employer. As such, billing for the treatment of its injured workers can be complicated. For injured worker claims, the...
Jul 20, 2022
CA TPA Resolves e-EOR Data Errors
When it comes to California workers’ comp payment requirements, there is no such thing as half-compliance.Recently daisyBill reached out to a major Third-Party Adminis...
Jul 19, 2022
City of Oxnard Changes TPA
Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS) is having a rough summer, as various self-insured employers switch from AIMS, choosing instea...
Jul 19, 2022
City of Hayward Changes TPA
Self-insured employers in California are apparently reconsidering their use of Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS). Several emplo...
Jul 19, 2022
CA Judicial Branch Changes TPA
Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS) has lost another employer client. As of July 1, 2022, the California Judicial Branch Workers’...
Jul 14, 2022
City of LA Switches TPAs to Sedgwick and Intercare
The City of Los Angeles changed the Third-Party Administrators (TPAs) that handle workers’ compensation claims for its various departments and offices. Sedgwick Claims...
Jan 24, 2022
Gallagher Bassett Bounces Foster Farms Check
You read that headline right.Doctors may need to pin a notice on the wall next to the cash register, as a warning that Gallagher Bassett, a third-party claims administ...