TPA
Jul 23, 2025
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...
Jul 22, 2025
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...
Jul 16, 2025
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...
Jun 4, 2025
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...
May 27, 2025
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 ...
May 16, 2025
Diabolical Discounts: Ralphs Pays MD $44 to Treat Injured Worker
Our weekly “Diabolical Discounts” features the most atrocious examples of the low reimbursements doctors receive for treating California’s injured workers.<...
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...