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Sedgwick Agrees to Pay $1.129 Million for UR Violations

By Greg Jones (Senior Editor)

Tuesday, January 5, 2016 | 24

Sedgwick Claims Management Services agreed to pay a fine of $1,129,600 to settle allegations of Labor Code violations stemming from a targeted inspection of utilization review practices the California Workers' Compensation Appeals Board ordered in 2013 after an injured worker who was denied hospitalization died from an infection contracted during surgery. According to information provided by the Division of Workers' Compensation, the Audit and Enforcement Unit investigation resulted in 75 "mandatory administrative penalties" against the third-party administrator. The invest...

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