TPA

Sedgwick Continues to Fail FedEx (and CA Providers)

FedEx is a massive American company with over half a million employees. The shipping giant has chosen to entrust Sedgwick Claims Management Services, Inc...

Sedgwick’s Sloppy Handling of Starbucks Claims

Is Sedgwick Claims Management Services, Inc. even trying?The Third-Party Administrator (TPA) is the largest in workers’ comp, managing claims for a massive portfolio o...

Safeway: Sedgwick & Apricus Create Billing Havoc

For providers treating injured workers, it’s often hard enough to deal with Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc., whose consistent non-co...

daisyData: The 5 Worst Workers’ Comp TPAs

As we discussed in our look at the top-performing Third-Party Administrators (TPAs), TPAs are a critical component of workers' comp systems in most states. When a TPA upholds...

daisyData: Top 5 TPAs Helping Workers’ Comp Work Better

Across the nation, many doctors avoid taking on workers’ comp patients for one simple reason: obtaining payment can be a nightmare. Electronic billing (e-billing) has ...

ESIS and Its Unreachable Adjuster Fail to Respond to e-Bills

Third-Party Administrator (TPA) ESIS completely failed to respond to multiple electronic bills (e-bills) for an injured Allied Universal employee’s treatment by the legally m...

CA Billing Alert: Alisal Union Schools’ TPA Pays Below Medicare Rates

California’s fee schedule for workers’ comp treatment pays physicians more than Medicare rates (currently 55% more) to account for the extraordinary time, work, and administr...

CA Billing Update: FUSD Hires TPA Athens

Public employer Fontana Unified School District (FUSD) has hired Third-Party Administrator (TPA) Athens Administrators to handle its workers’ comp claims, effective January 1...

CorVel Tech Failure Leaves Hundreds of Providers Unpaid

A technical failure at Third-Party Administrator (TPA) CorVel led to thousands of wrongful e-bill rejections and payment denials. Months later, CorVel has not fully re...

Gallagher Bassett Denies Payment for Non-Authorization (Despite Proof of Authorization)

California has a workers' compensation system in which payers can't lose.In practice, there are no penalties for refusing to pay a legitimate bill; no consequences for...

Billing Alert: CA State Fund Drops TPA

Attention California providers: Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS) is no longer handling workers’ comp claims for employees of t...

Adminsure Billing Nightmare: Public Pays the Price for Friction (Part 2)

In Part 1 of our exposé on Adminsure, we detailed the painful odyssey providers must endure just to confirm payment for the treatment of injured workers.Below, we spot...