TPA

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) ...

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...

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

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

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

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

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

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

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....