TPA

No, Doctors Aren't the Culprits in CA Workers' Comp
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...
Sedgwick: Private Equity Makes Obscene Profits
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 ...
TPA and Clearinghouse Updates - July 2024
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.<...
99¢ Stores: Athens Halts Processing Bills
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...
CA: Del Taco Fails to Pay for Injured Employees
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 ...
Gallagher Bassett Claims Not to Accept e-Bills
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 ...
CA: Lockheed Martin Fails to Pay for Injured Employees
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....