Frequently Asked Questions
Speciality Risk Services Acquired by Sedgwick
According to multiple news sources, in 2011 Sedgwick CMS acquired Speciality Risk Services (SRS) from The Hartford Financial Services Group.
Everest National Insurance
DaisyBill lists Everest National Insurance (Everest) as an invalid claims administrator.
DaisyBill lists Arch Insurance Group as an invalid.
An investigation by NBC’s California Bay Area affiliate reports that San Jose’s Human Resources Department has overturned Athens Administrators’ denial of treatment to dozens of San Jose firefighters.
State Compensation Insurance Fund
Per a representative, State Compensation Insurance Fund (SCIF) unveiled a “new program” with regard to billed Evaluation and Management codes (CPT codes 99201 – 99205 for new patients; 99211 – 99215 for returning patients). If the level of billed E/M service is not supported by the supporting documentation, the E/M code will now be denied and $0 will be sent as payment.
AIG / MedRisk Incorrect Denials
DaisyBIll providers report receiving incorrect and very confusing denials from MedRisk, a managed care provider network, for bills that were actually submitted directly to AIG. The MedRisk denials state: “Not currently a participating MedRisk provider. Please submit bill directly to insurance carrier.”
DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.
Drop us a line with any news you would like us to share or any issue that concerns you.