Equian replaced a substantial annual bonus system with a nominal hardly attainable monthly system. If a special needs trust has been or will be established , or. Southfield, MI 48076, Direct: 1-248-443-4800Fax: 1-248-443-4804, Molina Healthcare of Washington, Inc. Financial Services in Chandler, AZ. Tim Anderson Board Member Markel timander@markelcorp.com. For information, send an email to the attention of "Casualty Unit Supervisor" at HCACasualtyUnit@hca.wa.gov. Sign up to get notified as soon as new Equian jobs are posted. Toll Free: 1-888-449-4805 Fax: 1-248-443-4804. Equiant provides flexible, high touch service. ... Equian JWillis@equian.com Joseph Rich Board Member Cozen O'Connor JRich@cozen.com. United States. 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. NH … Green Bay, WI 54307-3216, Toll Free: 1-888-246-6290Fax: 1-844-709-3392, Community Health Plan of Washington 200 Southfield, MI 48076 Member Services Manager. The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. How can I find out what services are included in my client’s Medicaid health coverage? If the client received any treatment or required any emergency transportation such as ambulance or airlift, there will likely be subrogation at some point. Equian, LLC is a West Virginia Foreign LLC | Limited-Liability Company filed on April 14, 2017. ALL Medicaid clients will have a blue ProviderOne ID card in addition to the card provided by their managed care plan. Bethesda, MD. Providers have a limited amount of time to complete this process—usually one year from the date of service. Last Edited on 2016-09-21 Conduent delivers mission-critical services and solutions on behalf of businesses and governments – creating exceptional outcomes for our clients and the millions of people who count on them. If you don't have a lawyer, contact … 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. Equian, part of Optum, is a Healthcare subrogation and payment integrity service that healthcare providers rely on to improve accuracy and transparency in the billing and payment lifecycle.. Equian’s Challenges. United States. accident or services dates related to the subrogation case are prior to September 1, 2019. Tokio Marine HCC - MIS Group international insurance products are underwritten by Lloyd's. 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. MCOs are separate from HCA. complex clinical coding review, bill review, network solutions, Rx, etc. C/O Equian PO Box 32100 Louisville, KY 40232-2100. Joseph Willis Board Member Equian JWillis@equian.com. Compensation Committee. Equian purchased FRG in the summer of 2017. Magnolia Health HMS: 877-835-7068 Fax: 866-389-2706. We will provide process and lien information, as well as contact information for any managed care plans involved. See the full list at Craft. Any checks received without following the above process, will be placed on hold until the required documentation is received. More information is available for providers on our claims and billing webpages. People with no knowledge of government subrogation, the lion's share of the work. This also includes any changes to the firm's name, attorney's name, e-mail, and phone or fax numbers. To stay up-to-date with news please connect with us at Optum.com. Amerigroup 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. You will work with HCA every time a client has Medicaid. BBB accredited since 9/28/2007. The company's filing status is listed as Active and its File Number is 365761. Any requests for reductions beyond our proportionate share should include the documents listed above and be sent directly to our Torts Recovery Advisors. Multiple clients on the same communication may result in a delay. Equian Equian has over 1,100 professionals serving more than 300 healthcare and insurance customers across the U.S., including nine of the top 10 healthcare payors. 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. 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. The combined entity focuses on containing cost in healthcare and P&C insurance by ensuring that its customers pay correct amounts for appropriate services and levels of care. Provides Innovation and Operational leadership for all functions that support recovery activities for Subrogation Division. If your policy doesn’t specifically state that subrogation is allowed, the insurance company probably can’t file a claim. Where do I send my letter of representation? Our main focus is providing health care organizations increased subrogation revenue. Subrogation in the Property & Casualty industry fulfills a specialized role in reducing losses and directly impacting the bottom line. Filter locations by country . The MCO or HCA denied a claim or applied a take-back after a claim has already paid. Top 10 subrogation interview questions with answers In this file, you can ref interview materials for subrogation such as, subrogation situational interview, subrogation behavioral interview, subrogation phone interview, subrogation interview thank you letter, subrogation interview tips … Louisville, KY 40232-2100, Toll Free: 1-888-449-4805Fax: 1-248-443-4804, UnitedHealthcare Community Plan Providers can also contact our customer service center for assistance: Additional contact information for providers is available on our Contact HCA webpage. There are 2410 companies in the Equian, LLC corporate family. Jonathan Coscia Board Member Latitude Subrogation Services jcoscia@latitudesubro.com. Last Update. That’s why the HCA may have a subrogated interest in addition to the managed care plan’s subrogated interest. Equian is headquartered in Indianapolis, IN and has 15 office locations across 1 country. Throughout the integration process, Equian and Trover will continue to provide their current solutions and services to customers. ), and subrogation solutions for healthcare, property & casualty and other risk-bearing entities. Itasca, IL 60143, Toll Free: 1-866-223-9974Direct: 1-224-265-0015Fax: 1-224-220-5017, Coordinated Care of Washington There are currently no open jobs at Equian listed on Glassdoor. C/O Optum 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 Note: If you prefer to forgo the aforementioned documentation and choose to remit the full amount due, then a written statement waiving the reduction is required. Tokio Marine HCC - Medical Insurance Services Group (MIS Group) is a service company and a member of the Tokio Marine HCC group of companies. Top 10 subrogation interview questions with answers 1. Home. Equian is a end-to-end payment integrity organization. Location. There are certain times during the handling of a case when you are required to contact the HCA. PO Box 26649​​ APOS Customer Success - Equian. Please contact the appropriate provider concerning lien information or any potential claim. Equian, LLC is a fast-paced, innovative technology company ranked among the nation’s fastest growing healthcare companies by Inc 500. 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. Copy of your fee agreement and the actual fee charged. Company Equian. Location | San Diego, CA. You will be asked to provide your Event Number, which was provided in the correspondence, so please have it ready to reference. Equian took over and completely dismantled the FRG culture of quality, highly successful subrogation work. 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. Welcome to the Optum Subrogation Referral Portal Thank you for submitting your New Case Referral or Request for Case Information electronically. To submit a request, complete your letter of representation and HIPAA compliant medical release, and return it to HCA. The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. 7101 Wisconsin Ave #1050. Phone: (800) 877-6876 Fax: (248) 443-4804 Email. Allow at least 10 business days for a response. 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. Thank you for visiting our page. Mark Demian Board Member Rathbone Group mdemian@rathbonegroup.com. Toll Free: 1-888-449-4805 Fax: 1-248-443-4804. All Rights Reserved. Please contact Molina or its subrogation agent for further information.). 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. 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. Medicaid is not an insurance company or employee benefits plan, so will not respond to requests for ERISA plan documents. COVID-19: Masks For Nurses San Diego - Donate Today . Lawyers caution not to reveal too much information in response to a subrogation letter in case a lawsuit results later on. accident or services dates related to the subrogation case are prior to September 1, 2019. 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. Fee for service accident/subrogation claim contact information What if my client has been incarcerated and received treatment? Direct Phone (502) ***-**** Get Email Address Get Phone Number. See BBB rating, reviews, complaints, request a quote & more. Kim Stafford Board Member USAA kimberly.stafford@usaa.com. Kim Stafford Board Member USAA kimberly.stafford@usaa.com. Send these documents to the assigned case manager directly via email or fax to 360-753-3077. 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. "Dana L. Myers, President Quanta Financial Services, LLC PO Box 13216 Business Process Solutions. equian.com 5975 Castle Creek Pkwy, Suite 100 Indianapolis, Indiana 46250 United States marketing@equian.com 800-962-6831. Local: (317) 262-2132, 251 North Illinois Street BCBSIL and Equian have partnered to review the medical claim listed on your letter to determine if another person or insurance company. 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. 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. Third-party lien subrogation inquiry / request, How to report legal firm or insurance company changes. It has a nine-digit number that starts with a 1 or a 2 and all of our ID numbers end with WA. View Company. United States. Welcome to the Optum Subrogation Referral Portal. If more than one claimant settled, identify which costs are related solely to our Medicaid client, and which are joint costs. 2 Pierce Place Ste 1900 Equian will likely be rolled into the OptumInsights suite of services and enhance the capabilities offered by OptumIQ for payors and Optum360 for providers. 873 likes. Email: HCACasualtyUnit@hca.wa.govFax: 360-753-3077Phone: 360-725-9580Mail: To expedite a response, select only one. Why would this happen and how can I fix it? Does the client need to complete this form and sent it to HCA? * Indicates a required field. Export. Is that your agency? § 1024(b)(4). Franklin, TN. ... President, Subrogation Services at Equian. Subrogation is usually listed as a clause in your insurance policy. If a client has a managed care plan, they will have an additional insurance card with an ID number for that MCO. Customer Service hours in the U.S. are as follows: Monday through Thursday 8:30 am until 9:00 pm, Eastern Standard Time ; Friday 8:30 am until 7:00 pm, Eastern Standard Time Customer Service hours in the U.S. are as follows: By providing Tokio Marine HCC - Medical Insurance Services Group and Equian with the requested accident-related information, you are able to take an active role in helping to control your healthcare costs. Equian is headquartered in Indianapolis, IN and has 15 office locations across 1 country. Please follow up at: https://www.facebook.com/myOptum to stay up to date with news. C/O Equian In health insurance, subrogation is the process through which an insurance company seeks to recover medical costs from another party’s insurance. C/O Equian The Health Care Authority Indianapolis (HQ), IN. Kelly Micheletti Board Member Yost & Baill, LLP kmicheletti@yostbaill.com. However, some services are still paid by Medicaid even when the client has a managed care plan. These types of claims could be car accidents, slip and fall claims, negligence claims, or product liability claims. Mark … When a Washington resident needs state Medicaid—known in Washington as Washington State Apple Health (Medicaid), or Apple Health—they apply for coverage through the Health Care Authority (HCA). Healthcare Subrogation Customer Service Representative at Equian Louisville, Kentucky 12 connections. No. Equiant provides flexible, high touch service. You will also have the ability to request information on an existing case. UnitedHealthcare Community Plan C/O Optum PO Box 26649 Wauwatosa, WI 53226. In addition to HCA, you must contact MCOs directly for payment of their lien amounts. When the agency has paid claims on behalf of a Medicaid member, we are required by law to identify and seek reimbursement from the responsible parties. 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|Trover Solutions, Inc. is an independent company that operates separately from BlueAdvantage and is solely responsible for assisting in the recovery of subrogation 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. Equian’s services include post-payment solutions (e.g. The following are the five MCOs currently contracted with Washington State Apple Health (Medicaid). Molina Healthcare Equian: 800-877-6876 Fax: 248-443-4804 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. This MPW is your invoice and includes all of the payment instructions needed. Equian|Trover Solutions, Inc. is an independent company that operates separately from USAble Administrators and is solely responsible for assisting in the recovery of subrogation claims. Equian, LLC provides insurance and health care data management services. Please contact the appropriate provider concerning lien information or any potential claim. 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