California workers’ comp case management billing —
after the 2004 repeal.

Your week, in California’s documents.

Appointments attended, adjusters updated, miles driven across a county — and a dispute process with real deadlines if the payment comes back light.

• 7:50 a.m.
  Two telephonic case calls before the first appointment.Logged at the moment they end, with the claim number and the referral source attached.
• 10:30 a.m.
  Appointment attended. Forty minutes, plus wait time, plus 38 miles.Three lines, because they are three different arguments to an adjuster.
• 2:15 p.m.
  Monthly progress report for the TPA.Written once from the entries already made; no reconstruction from a calendar.
• 4:40 p.m.
  EOR arrives. Two lines paid short.Flagged in dollars and cents the moment the payment is recorded, with the original bill ready to attach.

One check, four claimants, one short-pay caught at $16.14, $674.07 still owed. Invented names, real workflow — and the same screen whether you invoice a TPA in California or an MCO in Ohio.

Every one of those rows is typed once, as it happens. The daily log writes itself as you go, the weekly narrative log builds in your own Word template, the invoice fills with the right units and the right payer block, and the receivable exists the moment the bill leaves. The whole chain →

Who pays you in California.

SCIF is the largest single name, and Sedgwick and Gallagher Bassett administer an enormous share of the rest. Payers in California must accept electronic bills, which shapes what they expect an invoice to look like.

One check, many claimants. Whichever of these names is on the envelope, the check covers a dozen files at once. You record it once, tick the bills it pays, and anything short is flagged with the exact gap and the original form attached, ready to rebill. How that screen works.

Payer fax numbers and billing addresses go stale faster than any page can keep up, so we publish them only where we keep them current — today that is Ohio’s nine MCOs. Your California payers, their submission addresses and their quirks get set up during onboarding, from your own files.

Case files, adjusters, mileage, invoices.

Invoice-based case-management billing needs no state pack, which is why it works in California today: log the visit, the call, the wait time and the miles once, and the invoice, the report and the receivable build themselves.

It is the same week Dana works in Ohio with different nouns: case files instead of claimants, adjusters instead of MCO coordinators, billable hours and mileage instead of W-codes. The nurse case manager page has the whole workflow.

Questions, answered.