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?? Claims Administrator Spotlight: Sedgwick At daisyBill, providers bill over 800 insurers, employers, TPAs, and networks for injured workers’ treatment. We track real-time data on how each claims admin performs—including which make it harder or easier for providers to take on workers' comp patients.? Here's how ???????????????? stacks up: ?? Claims Admin Type: ???????? ?? Average Payment Speed: ?? ???????? ???? ?? Electronic Bill Acceptance Rate: ????% ?? ?? Electronic EOR/EOB Compliance Rate: ????% ?? ?????? ????????:? ? Sedgwick pays quickly, in a matter of days. ? Sedgwick accepts nearly every e-bill—which helps explain those payment speeds. ?????? ??????:? ? Sedgwick often fails to send providers electronic Explanations of Review—forcing practice staff to waste countless hours manually posting payment details. daisyBill has reported Sedgwick for violating state regulations by failing to send e-EORs, but to no effect. ? Sedgwick has a bad habit of denying providers’ Second Review appeals by claiming the appeals are “duplicates” of the original bills—details here:?https://bit.ly/3DFkyuL For contact details, bill review and MPN info, and more for Sedgwick and other admins, see our ???????????? ?????????????????????????? & ?????????????? ?????????????????? [ ?? LINK IN COMMENTS ??]? The Directory is a free resource for providers, courtesy of daisyBill. #WorkersCompensation #MedicalBilling #RCM #RevenueCycleManagement #daisyBill??

Workers’ comp shouldn’t be a reason to turn patients away. Too many practices avoid treating injured workers—not because they don’t want to help, but because the billing and administrative headaches make it unsustainable. So we fixed it. With workers’ comp-specific tools and integrations, billing for injured workers can be as efficient as Medicare or group health—faster, easier, and less costly. ? Maximize revenue without chasing down payments ? Reduce admin friction with streamlined e-billing and appeals ? Get paid what you’re owed—on time Workers’ comp should be a value-add, not a financial drain. We can make it work for your practice. Learn more on our website at https://lnkd.in/eBcKcgCg or schedule a quick chat: https://lnkd.in/etTAxdyu Helping injured workers starts with empowering providers. #WorkersCompensation #MedicalBilling #daisyBill #RCM #RevenueCycleManagement

?? Claims Administrator Spotlight: Liberty Mutual Insurance ? daisyBill providers bill over 800 insurers, employers, TPAs, and networks for injured workers’ treatment. We track real-time data on how each claims administrator responds to those bills—revealing which are making it easier or harder for providers to take on workers' comp patients.? Here's how ?????????????? ???????????? stacks up: ?? Claims Admin Type: ???????????????? ?? Average Payment Speed: ?? ???????? ???? ?? Electronic Bill Acceptance Rate: ??????%???? ?? Electronic EOR/EOB Compliance Rate: ????% ??? ?????? ????????:? ? Liberty Mutual pays providers quickly? ? Liberty Mutual accepts nearly every e-bill—minimizing friction? ?????? ??????:? ? Liberty Mutual doesn't always send electronic Explanations of Review—forcing staff to manually upload payment details instead of automating the process. For contact, bill review, MPN and more info on Liberty Mutual and other claims admins, see our ???????????? ?????????????????????????? & ?????????????? ?????????????????? [ ?? Link in comments section??] The Directory is ???????? for all providers. #WorkersCompensation #MedicalBilling #RCM #RevenueCycleManagement #daisyBill??

Texas Orthopaedic Providers: Let’s Connect at TOA 2025! The Texas Orthopaedic Association 2025 Leadership Conference is happening March 27-29 in San Antonio. daisyBill will be there! This conference is a must-attend for Texas orthopaedic providers, featuring workshops and presentations on:? ?? Policy changes & their impact on medicine?? ?? AI in clinical workflows & treatment plans?? ?? Insurance (including commercial and workers’ comp)?? ?? Billing, coding, and optimizing practice operations?? ?? Anesthesia, patient outcomes & more? As proud TOA sponsors, daisyBill cofounders Catherine Montgomery & Sarah Moray will attend. If your practice treats injured workers—or is considering it—stop by and chat.? We’d love to hear about your challenges in workers’ comp, answer billing & revenue questions, and discuss how providers can maximize revenue and cut administrative hassle by billing electronically. ?? Where: JW Marriott San Antonio Hill Country Resort?? ?? When: March 27-29, 2025?? ???????? ?????????????? ?????? ???? ?????????????????? [ ?? ???????? ???? ??????????????????] Can’t make it in person? Reach out any time to [email protected] with your questions. See you there!? #TOA2025 #TexasOrthopaedics #MedicalBilling #WorkersComp #RevenueCycleManagement #daisyBill

Joe Paduda’s take on Republican healthcare cuts ignores how the system really works. In a recent article, Paduda predicted that doctors will recoup revenue by: ??"Jacking up prices" for treating injured workers ??Delivering unnecessary care ??Keeping workers out of work longer ??"Hoovering" more money from insurers and other payers. Reality check: doctors don’t control prices, treatment approvals, or claim durations—governments and claims administrators do. ???????? ?????? ?????? ??????????: ? Doctors don't determine reimbursements. Fee schedules dictate reimbursement rates (though payers undercut those rates with PPOs and other discount mechanisms). ? Doctors don’t game the system by inflating services. Treatment guidelines and UR dictate care, and claims administrators can deny any request. ? Doctors don’t decide how long workers stay off the job. Delays come from UR denials, claim disputes, and bureaucratic hurdles. ? Doctors aren’t the ones "hoovering" money from the system. That distinction belongs to private equity firms that own TPAs, bill review firms, PPO networks, and UR companies. ?????????????? ?????????????? ?????? ??????????????’ ???????? ?????????????????????? ???? ???????????????? ????????--?????? ?????????????????????? ???????? ?????? ???????? ????????????????. The workers' comp system benefits middlemen at the expense of providers, employers, and injured workers. Doctors don't save money by gaming workers' comp. Sadly, they more often save money by leaving it. ?????? ?????? ???????? ?????????????????? ???? ??????????’?? ?????????????????? [???????? ???? ????????????????] #WorkersComp #PPO #UR #Healthcare #daisyBill

daisyBill attended the WCRI ???????????? ???????????? & ???????????????? ???????????????????? last week in Phoenix—and it did not disappoint. The WCRI stands apart in an industry where data and analyses are often exclusively filtered through payer-side interests. Instead, this conference featured objective evidence-based insights, with transparency and impartiality. See the details on daisyNews [ ?? LINK IN COMMENTS ?? ] Highlights included discussions on: ? Policy trends? ? The impact of opioids? ? Legislative changes in different states ? Healthcare access challenges in rural America ? Data on provider shortages, comorbid conditions, and emerging treatment trends The WCRI team, led by President & CEO Ramona Tanabe, curated a forum that encouraged constructive dialogue among all stakeholders—a rare and welcome approach in workers’ comp. ?????????????????? ???? ?????????? ???? ???? ?? ?????? ???????? ???????????? ?????? ?????????? ?????????????? ???? ?????????????????????????? ???? ???????? ????????’?? ???????????????????? ???? ????????????. The more transparency and objectivity analysts bring to workers’ comp, the better the system functions for injured workers, providers, and employers. #WorkersComp #MedicalBilling #WCRI #Insurance #HealthPolicy #daisyBill

If your practice treats injured workers, there's a big chance you're leaving unclaimed revenue on the table. Without close tracking of key metrics, you may be getting paid less than you should—without even realizing it. In our recent ???????? ??????????????, we broke down essential financial benchmarks every provider should watch to ensure treating injured workers is financially sustainable. ?????????? ?????? ???????????? ???? ??????????: ? How to assess whether workers’ comp is helping or hurting your bottom line ? The impact of PPOs, network payers, and discount contracts on your revenue ? How to track payment timelines and ensure compliance with appeals deadlines ? How much revenue providers recover by consistently appealing underpayments Workers’ comp revenue management is simply too complicated to leave to chance. Practices that don't apply tech will bleed money. ?? Watch the webinar now and get a handle on the metrics that matter ?? https://lnkd.in/ecUhfziA #WorkersComp #MedicalBilling #RCM #RevenueCycleManagement #daisyBill

?? Callout: Liberty Mutual is making workers’ comp billing harder for doctors. California requires claims administrators to send ???????????????????? ???????????????????????? ???? ???????????? (??-????????) when providers submit e-bills. e-EORs automatically update providers’ billing systems with payment details—saving tons of time. Yet in January alone, Liberty Mutual failed to send e-EORs for 642 out of 5,856 e-bills. That’s an 11% non-compliance rate. This follows a year-long pattern. For each of those bills, the provider has to: ? Figure out whether Liberty Mutual paid at all ? Figure out whether Liberty Mutual paid timely and correctly ? Upload payment information to their billing systems This means wasting ???????????????? ???????? ?????? ?????????????????? that could be devoted to patients. For employers—including ????????????, ??????, ????????, and ???????? ??????????—Liberty Mutual’s inefficiency makes it harder for injured employees to access care. ?? ?????????????????? ?????????? ??????????????' ???????? ?????????????? ???? ?????????????? ???????? ???????? ???? ???????????????????????????? ???????????? ?????? ??????????????. ?? daisyBill has filed a second Audit Complaint with the California Division of Workers’ Compensation (CA DWC) calling on the agency to enforce e-billing requirements. If Liberty Mutual is your workers’ comp insurer, this affects your business. Employers should demand that Liberty Mutual follow the rules—because these inefficiencies drive up costs for everyone. ???????? ?????? ???????? ?????????????? ???? ?????????????????? [?????????? ???? ??????????????????] #WorkersCompBilling #MedicalBilling #RCM #RevenueCycleManagement #daisyBill #ebilling

Workers’ comp billing gets complicated. Here are the key players providers need to know: ? The ???????????? ?????????????????????????? is responsible for the provider's bill. The bill ???????????? goes to the claims admin. ? Insurers and self-insured employers may handle their own claims administration—or they might use a Third-Party Administrator (TPA). ? Knowing which entity is the claims administrator is step one for successful billing. ? The ???????????????? is responsible for making sure their employees have workers’ comp coverage. ? In every state except Texas, employers have to provide or secure workers' comp coverage for their employees. They may self-insure or use an insurer. ? If a self-insured employer also self-administers, the employer is the claims administrator. ? Many self-insured employers, however, hire a TPA to handle claims administration. ? The ?????????????? provides workers’ comp coverage for the employer. ? In many cases, the insurer is the claims administrator. ? In some cases, the insurer hires a TPA to handle claims administration. ? The ?????????????????????????? accepts e-bills on behalf of the claims administrator. ? Most insurers, self-insured employers, and TPAs lack the capability to accept e-bills—even though many state laws require them to. ? A clearinghouse acts as a digital middleperson, receiving e-bills and returning payment data electronically to the provider's system for easy revenue management. ? To e-bill the claims administrator, providers must send the bill through their designated clearinghouse. Another term often used: ?? "??????????" refers to the entity that funds provider reimbursement, i.e., the insurer or self-insured employer. The payer is often—but not always—the claims administrator. For example, a TPA is not technically the payer, but as claims administrator, the TPA will submit payment to the provider on the insurer or employer's behalf. Still have questions? Struggling with workers’ comp billing? We’re here to help. Drop a question or comment below. #workerscompmedicalbilling #medicalbilling #RCM #RevenueCycleManagement #daisyBill

?? e-Billing Clearinghouse Changes March 2025 ?????? ?????????????????? ???????????????? ?????????????? ??????????????, ?????????????? ?????????? ???? ???????? ?????? ???????? ?????? ???? ?? ???????????? ????????????. The relationships between employers, claims administrators, and clearinghouses shift constantly. To ensure fast reimbursement, providers must track: ? Which claims administrator handles a given employer’s workers’ comp bills ? Which clearinghouse that claims administrator uses for electronic billing Sending emails through the wrong clearinghouse is a fast-track to "lost" bills that are "not on file." daisyNews regularly updates providers on new clearinghouse assignments. ?????????????????????????? ?????????????? ?????????? ???????? In the past few months, several claims administrators switched clearinghouses, changing how providers must submit e-bills.?They include: - Tristar - FutureComp - Thomas McGee - County of San Bernardino - NYSIF - Cobb County School District If your practice submits bills to these entities, verifying the correct e-billing routes is essential. ?????? ?????? ???????? ???????? ???? ?????????????? ???????????????????????????? ?????? ?????????????????? ?????????? ???? ?????????????????? — [???????? ???? ???????????????? ?? ] Routing e-bills correctly shouldn’t be a logistical nightmare. daisyBill solves this by: ? Directly connecting with all major clearinghouses to ensure bills reach the correct destination. ? Transmitting e-bills directly to claims administrators that do not use a clearinghouse (like CorVel and the federal Department of Labor). ? Automating e-bill routing to eliminate delays caused by incorrect submissions. ?????? ????????????? ?????? ?????????????????? ?????? ???????? ???? ???? ?????????????? ???? ??.?? ????????. As clearinghouse relationships shift, staying updated is key to avoiding delays. Check daisyNews for ongoing updates! Have e-billing questions? Drop them in the comments. We're here for you! #WorkersComp #MedicalBilling #RCM #RevenueCycleManagement #Clearinghouses #daisyBill