In an effort to make health coverage more affordable and accessible to all eligible clients that live in Washington, the HCA contracts with MCOs. PO Box 13216 In those cases, the managed care plan becomes the primary payer and we become secondary for any non-covered services. Itasca, IL 60143, Toll Free: 1-866-223-9974Direct: 1-224-265-0015Fax: 1-224-220-5017, Coordinated Care of Washington data mining, provider audit solutions, etc. Report this profile; About. The Health Care Authority (HCA) seeks reimbursement for claims paid by Medicaid when Apple Health (Medicaid) clients receive medical care due to an injury caused by the action, inaction, or negligence of third parties and another insurance should have paid. It is important that you notify us of any change of address for your firm or insurance company as soon as possible. If your policy doesn’t specifically state that subrogation is allowed, the insurance company probably can’t file a claim. 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. The combined FRG and Equian solution will significantly increase the combined company's annual subrogation … Allow at least 10 business days for a response. Healthcare Subrogation Customer Service Representative at Equian Louisville, Kentucky 12 connections. The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. Southfield, MI 48076, Direct: 1-248-443-4800Fax: 1-248-443-4804, Molina Healthcare of Washington, Inc. Indianapolis (HQ), IN. * Indicates a required field. 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. Every person should know what is … Optum combines innovative technology, best practices, and specialized expertise to help drive recovery outcomes to the highest levels. Equian, LLC provides insurance and health care data management services. equian.com 5975 Castle Creek Pkwy, Suite 100 Indianapolis, Indiana 46250 United States marketing@equian.com 800-962-6831. 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. ... President, Subrogation Services at Equian. After receiving medical treatment for an injury, it’s normal to receive a letter from a third-party subrogation company, such as Equian (or The Rawlings Company, Optum, First Recovery Group, etc. Don't get delayed: We highly recommend that you include only one client per correspondence. 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. Copy of your fee agreement and the actual fee charged. APOS Customer Success - Equian. Equian, LLC has 1310 total employees across all of its locations and generates $855.71 million in sales (USD). C/O Discovery Health Partners The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. USAble Administrators has selected Trover Solutions, Inc. to help in recovering subrogation claims. C/O Optum​ Equian reviews claims using data analysis and clinical review to identify inappropriate or unnecessary claims. If the completed medical treatment did not relate to an accident or incident, please explain in section A on the front of the form and section D on the back of the form. Kim Stafford Board Member USAA kimberly.stafford@usaa.com. The HCA Casualty Unit recovers money from the at-fault parties when a Medicaid member has been involved in an accident or incident. If the client received any treatment or required any emergency transportation such as ambulance or airlift, there will likely be subrogation at some point. What can I do if our client has been or is going to be, sent to collections by one of their providers? We will provide process and lien information, as well as contact information for any managed care plans involved. Latitude Subrogation Services jcoscia@latitudesubro.com. After a case settles, can I pay HCA’s subrogation balance and the MCO’s subrogation balance all in one check? Latitude Subrogation Services jcoscia@latitudesubro.com. Equian is known for its expertise in all aspects of subrogation and our ability to provide creative solutions for our clients, but most importantly our commitment to client satisfaction. Please follow up at: https://www.facebook.com/myOptum to stay up to date with news. UnitedHealthcare Community Plan Optum: 866-728-9854 Fax: 800-842-8810. BCBSIL and Equian have partnered to review the medical claim listed on your letter to determine if another person or insurance company. "Dana L. Myers, President Quanta Financial Services, LLC Any requests for reductions beyond our proportionate share should include the documents listed above and be sent directly to our Torts Recovery Advisors. 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 If there are any questions regarding this privacy policy, you may contact us using the information below. Filter locations by country . C/O Equian PO Box 32100 Louisville, KY 40232-2100. You will work with HCA every time a client has Medicaid. If more than one claimant settled, identify which costs are related solely to our Medicaid client, and which are joint costs. 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. Identify costs related to any defendant who has not yet settled or was dismissed without recovery in your client’s favor. ALL Medicaid clients will have a blue ProviderOne ID card in addition to the card provided by their managed care plan. The MCO or HCA denied a claim or applied a take-back after a claim has already paid. ), on behalf of your health insurance company. ... C/O Equian PO Box 32100 Louisville, KY 40232-2100. If Equian determines another party was responsible for your injuries, it may seek reimbursement from the responsible party or insurance. Equian’s services include post-payment solutions (e.g. C/O Equian 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. Thank you for visiting our page. Equian will likely be rolled into the OptumInsights suite of services and enhance the capabilities offered by OptumIQ for payors and Optum360 for providers. Top 10 subrogation interview questions with answers 1. That’s why the HCA may have a subrogated interest in addition to the managed care plan’s subrogated interest. Instead, Equian set unsupported, unmanageable goals. Home Got a letter ? A free inside look at Equian salary trends based on 126 salaries wages for 88 jobs at Equian. 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. All Rights Reserved. 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. Equian replaced a substantial annual bonus system with a nominal hardly attainable monthly system. HCA should be your first point of contact. First timers' guide to Washington Apple Health, WAC 284-30-330 Specific unfair claims settlement practices defined, RCW 41.05A.080 Attorney representing recipient—Duties, Website feedback: Tell us how we’re doing, Personal injury, casualty recoveries, and special needs trusts, Client’s ProviderOne identification number from their blue ID card, Details of the injuries sustained by our recipient, Source of accident (i.e. C/O Equian Equian, LLC provides insurance and health care data management services. Toll Free: 1-888-449-4805 Fax: 1-248-443-4804. HCA pays the client’s monthly premium and any carve-outs not covered by their managed care plan. This information helps us determine if we have a subrogated interest. It’s why a majority of Fortune 100 companies and over 500 governments depend on us when it matters most. Find contact's direct phone number, email address, work history, and more. Any checks received without following the above process, will be placed on hold until the required documentation is received. Equian|Trover Solutions, Inc. is an independent company that operates separately from Arkansas Blue Cross and is solely responsible for assisting in the recovery of subrogation claims. Joseph Willis Board Member Equian JWillis@equian.com. 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. Compensation Committee. Financial Services in Chandler, AZ. Subrogation is usually listed as a clause in your insurance policy. Equian, LLC is a West Virginia Foreign LLC | Limited-Liability Company filed on April 14, 2017. Successful Cases. COVID-19: Masks For Nurses San Diego - Donate Today . Company Equian. Location | San Diego, CA. Email. The information we are requesting is important. Those checks will be returned to your office for reprocessing. It was and still is fitting square pegs in round holes. § 1024(b)(4). © 2020 Tokio Marine HCC Medical Insurance Services Group. This also includes any changes to the firm's name, attorney's name, e-mail, and phone or fax numbers. Sitemap (619) 333-5555 Available 24/7. 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. 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. Access Gary's Contact Information . 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. See BBB rating, reviews, complaints, request a quote & more. Does ERISA apply to the Health Care Authority? To expedite your request, include the following information on your letter of representation. Salaries posted anonymously by Equian employees. The Registered Agent on file for this company is Corporation Service Company and is located at … You will contact plan(s) directly regarding their subrogated interest. Lawyers caution not to reveal too much information in response to a subrogation letter in case a lawsuit results later on. Mark … Equian purchased FRG in the summer of 2017. Sue Murray Secretary State Farm Insurance sue.murray.ap2v@statefarm.com. United States. APOS Customer Success - Equian. Our main focus is providing health care organizations increased subrogation revenue. Export. The date of your consultation or treatment and the name of the healthcare provider will be listed on the letter and the investigation will be allocated an Event Number. complex clinical coding review, bill review, network solutions, Rx, etc. You have three options for sending your letter of representation and current HIPAA compliant authorization. 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