Free Webinar: 2017 Lien Declaration Requirement (Repeat), 06/06/17
Billaroo badge mobile

Information Guide and Disclaimer

Although the information displayed on this page is accurate and reliable to the best of our knowledge, we do not assume any liability for its reliability, completeness, or accuracy. Furthermore, DaisyBill shall not be liable for any loss or damage, direct or indirect, resulting from the use of information on this page, or the failure to use same. This data is for informational purposes only, and is not certified by any other party. Rather, it represents the average days to payment for only those California workers’ compensation bills submitted using DaisyBill software and posted by DaisyBill users.

Bill Volume

The total number of bill submissions submitted to a particular claims administrator through DaisyBill.

Average Working Days

California Labor Code § 4603.4 requires payment for medical treatment bills within 15 working days from the date of receipt of the electronic bill. Payment for other services is regulated by Labor Code § 4603.2. Payment for medical-legal services is regulated by Labor Code § 4622.

Filter Options

Use the filter option to obtain detailed average working days to payment data by claims administrator on any of the bill service or submission types defined below.

Bill Service Types

Physician Treatment

Bills for medical treatment submitted using the Form CMS 1500 or the electronic equivalent.

Medical Legal

Bills for qualified medical-legal evaluation services.

Interpreter

Bills for qualified interpreter services.

Copy Service

Bills for copy services.

Pharmacy

Bills for pharmacy services submitted using the NCPDP Form or the electronic equivalent.

Submission Types

Original

The initial bill submitted for payment.

Second Review

The appeal submitted to contest the reimbursement amount allowed for the original bill

IBR

Independent Bill Review (IBR) is the final appeal submitted to contest the reimbursement amount allowed for the Second Review.

* Single asterisks

The single asterisk in the Filter View denotes instances in which the bill count for a claims administrator makes up less than 1% of total filtered bill submissions. In cases like this, the sample size is too small to be of statistical significance. If you have a question about a particular claims administrator, please contact us – we’d be happy to share our data directly.

Bill Volume Percent

The Bill Volume Percent changes to reflect a percentage of only those bills captured by the current filter view.

Chat bubble