TPA

Sedgwick (Still!) Owes CA Practice $500k+ After Bogus PPO Discounts

Sedgwick Claims Management Services,Inc. has withheld hundreds of thousands of dollars in reimbursement from a single California orthopedic practi...

Accelerated Claims Breaks CA Law, Only Accepts Bills by Mail

A Third-Party Administrator (TPA) has one relatively straightforward job: to handle injured workers’ claims on behalf of an employer or insurer.Accelerated Claims Serv...

Labor: “Predatory” Sedgwick Is “a Menace to Workers”

Labor representatives are finally saying it out loud: Sedgwick Claims Management Services, Inc. is a “menace” to injured workers.Transport Workers Union (TWU) Local 100 isn’t...

IBR Chicken: ESIS Denies Common CPT Codes as "Invalid"

Third-Party Administrator (TPA) ESIS’s apparent lack of basic knowledge about California workers’ comp billing should concern insurers like Safety National Casualty Corporati...

Sedgwick’s Dismal EDI Grade Disaster

Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. has earned a solid “D” for its Electronic Data Interchange (EDI) performance, a dismal grade that si...

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

A California workers’ comp physician recently received eight checks totaling $110,858 from Careworks, a vendor affiliated with Third-Party Administrator (TPA) Sedgwick.

Alert: Innovative Claim Solutions' Misleading “ePay” Message

Third-Party Administrator (TPA) Innovative Claim Solutions (ICS) sent a misleading message to providers, counterfactually claiming to be “phasing out” paper checks—and potent...

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...

Sedgwick: CA Doctors Still Waiting for Purloined PPO Reimbursement

In January, Sedgwick Claims Management Services, Inc. admitted to shortchanging a California orthopedic practice by hundreds of thousands of dollars—thanks to bogus Preferred...

Gallagher Bassett Threatens Provider Over daisyNews "Slander"?

Attention All Claims Administrators: We urge you to read the letter below, which daisyBill CEO Catherine Montgomery sent to Gallagher Bassett. Thi...

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 ...