TPA
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 ...
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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...
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:
Apr 29, 2025
What Employers Choose When They Choose Sedgwick
When California employers select Sedgwick Claims Management Services, Inc. to manage their workers’ compensation claims, they choose a Third-Party Administrator (TPA) ...
Dec 16, 2024
Sedgwick's Sloppy EDI Tech Goes Haywire
Sedgwick Claims Management, Inc. is daisyBill’s largest workers’ comp claims administrator, as measured by the volume of bills our clients send to the Third-Party Admi...
Sep 16, 2024
No, Doctors Aren't the Culprits in CA Workers' Comp
It’s time to take a sledgehammer to one of the most pernicious myths about workers’ comp in California. For decades, the Division of Workers’ Compensation (DWC) has fed legis...
Sep 9, 2024
Sedgwick: Private Equity Makes Obscene Profits
In California, injured workers stay injured longer and incur more administrative expenses to treat than in the rest of the nation. That’s bad news for injured workers ...
Aug 19, 2024
TPA and Clearinghouse Updates - July 2024
Providers throughout the United States cannot sustainably treat injured workers without reliable, up-to-date billing information for insurers and self-insured employers.<...
Jun 20, 2024
99¢ Stores: Athens Halts Processing Bills
In April of this year, 99 Cents Only Stores LLC declared bankruptcy, leaving the self-insured employer with no way to pay its Third-Party Administrator (TPA), Athens Administ...
May 21, 2024
CA: Del Taco Fails to Pay for Injured Employees
Need (yet another) illustration of what happens when a state establishes a consequence-free environment for workers’ comp claims administrators? There is currently no ...
Apr 8, 2024
Gallagher Bassett Claims Not to Accept e-Bills
In California and other states, claims administrators are required by law to accept electronic bills for the treatment of injured workers. Yet providers repeatedly report to ...
Mar 13, 2024
CA: Lockheed Martin Fails to Pay for Injured Employees
Currently, California providers do not have a clear way to obtain reimbursement for treatment furnished to injured employees of aerospace and defense company Lockheed Martin....