Equian JWillis@equian.com. Does ERISA apply to the Health Care Authority? ), on behalf of your health insurance company. Their billing department should contact the MCO directly or HCA provider services immediately upon receiving their remittance advice (RA) if they have any questions or are having difficulties getting a claim paid. Equian, LLC is located in Indianapolis, IN, United States and is part of the Health Insurance Carriers Industry. ... President, Subrogation Services at Equian. As a leader in full service payment integrity, Equian is known for driving technological advancements across all categories of payment integrity and has made significant investments in data analytics, claim scoring and robotics and machine learning to bolster its market leading position. A free inside look at Equian salary trends based on 126 salaries wages for 88 jobs at Equian. Is that your agency? Provides Innovation and Operational leadership for all functions that support recovery activities for Subrogation Division. Why did your response to my request have a different last name than what I submitted? Throughout the integration process, Equian and Trover will continue to provide their current solutions and services to customers. This also includes any changes to the firm's name, attorney's name, e-mail, and phone or fax numbers. The following are the five MCOs currently contracted with Washington State Apple Health (Medicaid). If more than one claimant settled, identify which costs are related solely to our Medicaid client, and which are joint costs. These types of claims could be car accidents, slip and fall claims, negligence claims, or product liability claims. If the incident is serious enough that you've retained an attorney, forward the subrogation letter to her so she can respond on your behalf. Mark Demian Board Member Rathbone Group mdemian@rathbonegroup.com. ... C/O Equian PO Box 32100 Louisville, KY 40232-2100. What Is Subrogation? If a person is placed in a managed care plan, Apple Health pays for the client's managed care premiums, and most of their health care services are paid through the plan. HCA should be your first point of contact. Please contact the appropriate provider concerning lien information or any potential claim. Please have the client call our customer service center right away to stop any collection action: Denials and take-backs can happen for a variety of reasons, including: If a provider has an unpaid balance for any reason, or a claim was not paid correctly, they have a responsibility to follow-up on the unpaid claim. ), and subrogation solutions for healthcare, property & casualty and other risk-bearing entities. Location. Kim Stafford Board Member USAA kimberly.stafford@usaa.com. The company's filing status is listed as Active and its File Number is 365761. opens in a new window. 2 Pierce Place Ste 1900 Any requests for reductions beyond our proportionate share should include the documents listed above and be sent directly to our Torts Recovery Advisors. Instead, Equian set unsupported, unmanageable goals. For compliance, we must redact all correspondence referencing more than one client. You can also call the toll free Customer Service number and provide the information to an Equian customer service representative at 1 (800) 395-5568. C/O Equian PO Box 32100 Louisville, KY 40232-2100. Kim Stafford Board Member USAA kimberly.stafford@usaa.com. Please contact the appropriate provider concerning lien information or any potential claim. Sitemap (619) 333-5555 Available 24/7. The claim we are investigating may be for treatment you received from an injury experienced at work or from an auto accident. If the incident is serious enough that you've retained an attorney, forward the subrogation letter to her so she can respond on your behalf. Bethesda, MD. Through Equiant’s interactive Business Intelligence Tool Set (BITS), I have the ability to create meaningful and directive analysis of my servicing and collateral portfolios. Home Got a letter ? Latitude Subrogation Services jcoscia@latitudesubro.com. If you don't have a lawyer, contact your insurance agent for advice. If they have legally changed their name and not updated it with us, we will go by their old name. In the months ahead, the company will introduce new offerings to help customers meet challenges posed by the continuing evolution of the healthcare and property & casualty industries. What if my client has been incarcerated and received treatment? Top 10 subrogation interview questions with answers 1. You will also have the ability to request information on an existing case. For information, send an email to the attention of "Casualty Unit Supervisor" at HCACasualtyUnit@hca.wa.gov. This MPW is your invoice and includes all of the payment instructions needed. Sign up to get notified as soon as new Equian jobs are posted. Optum combines innovative technology, best practices, and specialized expertise to help drive recovery outcomes to the highest levels. Our agents are available to assist you from 9:00 am - 5:00 pm, Eastern Time, Monday through Friday and 9:00 am - 6:00 pm Eastern Time, Saturday and Sunday. Equian, LLC is a West Virginia Foreign LLC | Limited-Liability Company filed on April 14, 2017. In those cases, the managed care plan becomes the primary payer and we become secondary for any non-covered services. However, some services are still paid by Medicaid even when the client has a managed care plan. ALL Medicaid clients will have a blue ProviderOne ID card in addition to the card provided by their managed care plan. complex clinical coding review, bill review, network solutions, Rx, etc. Indianapolis, IN 46204. After we receive the settlement documentation, we calculate the final amount due by completing a Medicaid Payment Worksheet (MPW). United States. PO Box 32100 You can also call the toll free Customer Service number and provide the information to an Equian customer service representative at 1 (800) 395-5568. See BBB rating, reviews, complaints, request a quote & more. Company Equian. BCBSIL and Equian have partnered to review the medical claim listed on your letter to determine if another person or insurance company should be responsible for the claim. Tokio Marine HCC - MIS Group international insurance products are underwritten by Lloyd's. C/O Discovery Health Partners "Dana L. Myers, President Quanta Financial Services, LLC The MCO or HCA denied a claim or applied a take-back after a claim has already paid. Our client's MCO insurance card says Apple Health on it. If the funds were or will be dispersed to the client directly. C/O Optum Equian is a end-to-end payment integrity organization. In addition to HCA, you must contact MCOs directly for payment of their lien amounts. It’s why a majority of Fortune 100 companies and over 500 governments depend on us when it matters most. Optum combines innovative technology, best practices, and specialized expertise to help drive recovery outcomes to the highest levels. As the attorney representing these clients you will need to contact both our office and the managed care organization (MCO) to satisfy everyone's interest. Find contact's direct phone number, email address, work history, and more. What can I do if our client has been or is going to be, sent to collections by one of their providers? Does the client need to complete this form and sent it to HCA? Joe Rich … Financial Services in Chandler, AZ. Last Update. Reduction in member touches since the deployment of our omni-channel approach will total 66% by the end of 2017 – From 132,000 to 44,000 member touches per every 1M lives WHILE increasing recoveries. BCBSIL and Equian have partnered to review the medical claim listed on your letter to determine if another person or insurance company. The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. Magnolia Health HMS: 877-835-7068 Fax: 866-389-2706. 26555 Evergreen Rd Ste 200 For Tokio Marine HCC - Medical Insurance Services Group, it refers to those times when you or your family may have submitted a claim for medical care for which a third party is responsible. Equian, LLC has 1310 total employees across all of its locations and generates $855.71 million in sales (USD). United States; Filter locations by country. Where do I send my letter of representation? As part of the investigation process, you may receive a letter or email directly from Tokio Marine HCC - Medical Insurance Services Group and Equian asking you to provide details regarding an incident or paid medical claim. In an effort to make health coverage more affordable and accessible to all eligible clients that live in Washington, the HCA contracts with MCOs. APOS Customer Success - Equian. Jonathan Coscia Board Member Latitude Subrogation Services jcoscia@latitudesubro.com. If you have waited 20 days and have not received a response, resubmit your request. It was and still is fitting square pegs in round holes. Subrogation solutions for healthcare, property & casualty and other risk-bearing entities; Throughout the integration process, Equian and Trover will continue to provide their current solutions and services to customers. This site will allow you to provide vital patient information and attach any necessary documentation so that we can determine eligibility and set up a case. It has a nine-digit number that starts with a 1 or a 2 and all of our ID numbers end with WA. Equian, LLC is a fast-paced, innovative technology company ranked among the nation’s fastest growing healthcare companies by Inc 500. This site will allow you to provide vital patient information and attach any necessary documentation so that we can determine eligibility and set up a case. We will send a copy of the complete MPW to your office as soon as possible. In health insurance, subrogation is the process through which an insurance company seeks to recover medical costs from another party’s insurance. Copies of ALL settlement agreements. If the client received any treatment or required any emergency transportation such as ambulance or airlift, there will likely be subrogation at some point. Amerigroup UnitedHealthcare Community Plan C/O Optum PO Box 26649 Wauwatosa, WI 53226. If there is a managed care plan, you will also have to work with the plan. 873 likes. Molina Healthcare Equian: 800-877-6876 Fax: 248-443-4804 Equian (or one of these other companies) is contacting you to find out how you got hurt. Midas Recovery Services provides Workers' Compensation, Short-term and Long-term Disability, and Third Party Recovery and subrogation services for health insurance, HMO, and other health organizations, self-insured employers, union trust funds, and third-party administrators. As you may recall, Optum acquired Equian in July of 2019, and we are happy to announce that the integration to Optum Workers’ Compensation and Auto No-fault has begun. Every person should know what is … HCA uses the TQ to gather information for this purpose. The combined FRG and Equian solution will significantly increase the combined company's annual subrogation … When you contact us regarding subrogation claims, and the client is in a managed care plan, we send you a letter to inform you which plan(s) the client is in. PO Box 45561 Any checks received without following the above process, will be placed on hold until the required documentation is received. Tokio Marine HCC - MIS Group has authority to enter into contracts of insurance on behalf of the Lloyd's underwriting members of Lloyd's Syndicate 4141, which is managed by HCC Underwriting Agency Ltd. Tokio Marine HCC - Medical Insurance Services Group, Toll Free: (800) 605-2282 In a world entwined with increasingly complex insurance contracts, Equian’s services ensure that accurate amounts are being paid, overpayments are identified, and that claims are subrogated to the appropriate payor. Medicaid is not an insurance company or employee benefits plan, so will not respond to requests for ERISA plan documents. Note: Providers have up to one year from their treatment date of service to bill the agency for any charges. Equian, LLC provides insurance and health care data management services. Contact. Identify costs related to the settling defendant(s). Access Gary's Contact Information . USAble Administrators has selected Trover Solutions, Inc. to help in recovering subrogation claims. If you have trouble logging on please contact us at 800-598-2488. Like any legal document, the subrogation letter can be confusing if you aren’t familiar with the term or the process. When a person signs up for Washington State Apple Health (Medicaid) they are placed in either fee for-service (FFS or Classic Medicaid) or are placed in a managed care plan. HCA pays the client’s monthly premium and any carve-outs not covered by their managed care plan. Equian, LLC is a West Virginia Foreign LLC | Limited-Liability Company filed on April 14, 2017. ealthcare Subrogation About Equian: Equian delivers payment integrity solutions through proprietary content, enabling technology, and highly responsive customer service. PO Box 26649 That’s why the HCA may have a subrogated interest in addition to the managed care plan’s subrogated interest. Columbia United Providers, Inc. (CUP) (CUP closed it's business and transferred it's assets to Molina Healthcare of Washington, Inc., effective 01/01/2016. § 1024(b)(4). HQ Phone (317) 806-2000. All Equian Locations. \\Complex federal laws and ever-changing state laws require tackling subrogation in a unique way. Export. We process requests in the order of date received. Suite 600 This information helps us determine if we have a subrogated interest. If yes, state the last service / treatment date. Joseph Willis Board Member Equian JWillis@equian.com. My client has received a blue Treatment Questionnaire (TQ) regarding a visit with their provider. The company's filing status is listed as Active and its File Number is 365761. BCBSIL and Equian have partnered to review the medical claim listed on your letter to determine if another person or insurance company should be responsible for the claim. We are Washington State’s Medicaid agency and ERISA does not apply to Medicaid. Jonathan Coscia Board Member Latitude Subrogation Services jcoscia@latitudesubro.com. ), pre-payment solutions (e.g. Equian’s services include post-payment solutions (e.g. Email: HCACasualtyUnit@hca.wa.govFax: 360-753-3077Phone: 360-725-9580Mail: When you contact us regarding subrogation claims, and the client is in a managed care plan, we send you a letter to inform you which plan(s) the client is in. • If you have any questions regarding the information presented in Client View, please contact Customer Care at fileinquiries@optum.com or via phone at 800-221-5589. Toll free:1-866-876-2790 Fax: 1-800-842-8810 Email: subrogationreferrals@optum.com Website: Optum subrogation referral portal (attorney portal to check online or set up a case) Previous carriers. From the beginning, our only activity has been health care subrogation. Subrogation is usually listed as a clause in your insurance policy. All plans have hired a vendor for their subrogration work. Multiple clients on the same communication may result in a delay. 200 Southfield, MI 48076 Member Services Manager. APOS Customer Success - Equian. MCO SUBROGATION CONTACT INFORMATION Below is the contact information for each of the three MCOs in New Hampshire: Well Sense Health Plan Phone Number: 1-617-748-6188, option 2 Fax Number: 1-617-897-0852 Address: BMCHP – Well Sense Attn: TPL Unit Equian JWillis@equian.com. You will be asked to provide your Event Number, which was provided in the correspondence, so please have it ready to reference. UnitedHealthcare Community Plan Optum: 866-728-9854 Fax: 800-842-8810. Through Equiant’s interactive Business Intelligence Tool Set (BITS), I have the ability to create meaningful and directive analysis of my servicing and collateral portfolios. C/O Optum We are unable to forward checks received by HCA for an MCOs payment. You will work with HCA every time a client has Medicaid. Magnolia Health HMS: 877-835-7068 Fax: 866-389-2706. If you have been contacted by Tokio Marine HCC - Medical Insurance Services Group and Equian, you can fill out the online subrogation questionnaire at the following link: https://selfservice.troversolutions.com. Equiant provides flexible, high touch service. * Indicates a required field. Please follow up at: https://www.facebook.com/myOptum to stay up to date with news. Learn more about your customer service options. Providers have up to one year from their date of service to bill HCA. You will contact plan(s) directly regarding their subrogated interest. Equian|Trover Solutions, Inc. is an independent company that operates separately from BlueAdvantage and is solely responsible for assisting in the recovery of subrogation claims. Equian took over and completely dismantled the FRG culture of quality, highly successful subrogation work. Tokio Marine HCC - Medical Insurance Services Group uses Equian, an independent company, to assist them with the investigation and recovery process for these subrogated claims. Green Bay, WI 54307-3216, Toll Free: 1-888-246-6290Fax: 1-844-709-3392, Community Health Plan of Washington C/O Equian If your client is under 65, we will need to know: If your client has been incarcerated and received injury related medical treatment there may be subrogation with Department of Corrections (DOC) as well. We will provide process and lien information, as well as contact information for any managed care plans involved. If there was an accident, but no one else caused it, complete the form with the circumstances explained in detail in section D. If a client has further questions regarding a TQ, have them contact: Visit our Benefits and services webpage to learn more about Apple Health coverage. Toll Free: 1-888-449-4805 Fax: 1-248-443-4804. 9/16/2020 6:19 AM. It’s why a majority of Fortune 100 companies and over 500 governments depend on us when it matters most. Equian is not FRG. Toll Free: 1-888-449-4805 Fax: 1-248-443-4804. United States; Filter. This may be a copy of the settlement, conformed copy of the arbitrator’s award, amended arbitrator’s award, or a verdict form in the case of a jury trial. Please note that Equian is now a part of Optum. Has the client completed treatment? Equian. There are certain times during the handling of a case when you are required to contact the HCA. Compensation Committee. Mark … Send these documents to the assigned case manager directly via email or fax to 360-753-3077. Subrogration work reviews, complaints, request a quote & more s services include post-payment solutions e.g. Amount of time to complete this process—usually one year from their date of service bill. Current HIPAA compliant medical release, and return it to HCA, will... 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Https: //www.facebook.com/myOptum to stay up-to-date with news during their time on Medicaid medical insurance services Group send these to. @ latitudesubro.com contact HCA webpage Coscia Board Member Latitude subrogation services should include the listed! Plans have hired a vendor for their subrogration work include only one.. Name, e-mail, and specialized expertise to help drive recovery outcomes to the subrogation letter in case a results. Information on an existing case you may contact us at Optum.com, claim recovery, and subrogation jcoscia... Directly for payment of their providers their date of service to bill the agency is an... To 360-753-3077 going to be, sent to collections by one of their providers Dana L.,! However, some services are included in my client ’ s insurance request case. Determine if we have a limited amount of time to complete this process—usually one year from their date service. Our client 's MCO insurance card says Apple health on it * get email address get Number... Offered by OptumIQ for payors and Optum360 for providers beginning, our only activity been! Any non-covered services prior to September 1, 2019 Casualty and other risk-bearing.. Case settles, can I do if our client 's MCO insurance card with an ID Number for MCO...
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