They may change MCOs several times during their time on Medicaid. 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. Due to COVID-19, HCA’s lobby is closed. Access Gary's Contact Information . 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. 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. It is important that you notify us of any change of address for your firm or insurance company as soon as possible. You will also have the ability to request information on an existing case. 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 529 Main St. Charlestown, MA 02129. The HCA Casualty Unit recovers money from the at-fault parties when a Medicaid member has been involved in an accident or incident. Equian . 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. PO Box 13216 HCA can only accept checks for our subrogation balance. Equian, LLC provides insurance and health care data management services. Our client's MCO insurance card says Apple Health on it. Southfield, MI 48076, Direct: 1-248-443-4800Fax: 1-248-443-4804, Molina Healthcare of Washington, Inc. Mark … Even if HCA does not have a subrogated interest at the beginning of a case, claims may have received by the time the case is ready to settle, which must be paid from the settlement. accident or services dates related to the subrogation case are prior to September 1, 2019. What Is Subrogation? 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. Export. Thursday, October 15, 2020. Joseph Willis Board Member Equian JWillis@equian.com. Please contact the appropriate provider concerning lien information or any potential claim. 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. Local: (317) 262-2132, 251 North Illinois Street APOS Customer Success - Equian. Lawyers caution not to reveal too much information in response to a subrogation letter in case a lawsuit results later on. There are 2410 companies in the Equian, LLC corporate family. 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. 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. COMMUNITY FOOD DRIVE: Sunday 5/3/2020 11am - 4pm. The claim we are investigating may be for treatment you received from an injury experienced at work or from an auto accident. complex clinical coding review, bill review, network solutions, Rx, etc. The company manages over $250 billion in claims data on their innovative platform designed to assist clients by avoiding, identifying, pricing, analyzing clinical codes, and ultimately recovering inaccurate transactions in the complex environments of healthcare, workers compensation, and property & casualty markets. Optum combines innovative technology, best practices, and specialized expertise to help drive recovery outcomes to the highest levels. It was and still is fitting square pegs in round holes. Equian, LLC is a West Virginia Foreign LLC | Limited-Liability Company filed on April 14, 2017. Mark Demian Board Member Rathbone Group mdemian@rathbonegroup.com. Business Process Solutions. ... President, Subrogation Services at Equian. Equian, LLC is a fast-paced, innovative technology company ranked among the nation’s fastest growing healthcare companies by Inc 500. Location. It’s why a majority of Fortune 100 companies and over 500 governments depend on us when it matters most. Identify costs related to the settling defendant(s). Kim Stafford Board Member USAA kimberly.stafford@usaa.com. The combined FRG and Equian solution will significantly increase the combined company's annual subrogation … Medicaid is not an insurance company or employee benefits plan, so will not respond to requests for ERISA plan documents. Thank you for submitting your New Case Referral or Request for Case Information electronically. Healthcare Subrogation Customer Service Representative at Equian Louisville, Kentucky 12 connections. The information we are requesting is important. A Member of the Tokio Marine HCC group of companies. Equian is headquartered in Indianapolis, IN and has 15 office locations across 1 country. ealthcare Subrogation About Equian: Equian delivers payment integrity solutions through proprietary content, enabling technology, and highly responsive customer service. What can I do if our client has been or is going to be, sent to collections by one of their providers? 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 Top 10 subrogation interview questions with answers 1. UnitedHealthcare Community Plan Optum: 866-728-9854 Fax: 800-842-8810. Any checks received without following the above process, will be placed on hold until the required documentation is received. Equiant provides flexible, high touch service. Click here to learn more about it! You will work with HCA every time a client has Medicaid. 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. Has all of the managed care plan(s) contacts and coverage dates. 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. Salaries posted anonymously by Equian employees. If there are any questions regarding this privacy policy, you may contact us using the information below. Thursday, October 15, 2020. 26555 Evergreen Rd Ste 200 Please contact Molina or its subrogation agent for further information.). United States. In health insurance, subrogation is the process through which an insurance company seeks to recover medical costs from another party’s insurance. If you don't have a lawyer, contact your insurance agent for advice. Is that your agency? We will send a copy of the complete MPW to your office as soon as possible. Every person should know what is … Thank you for visiting our page. To submit a request, complete your letter of representation and HIPAA compliant medical release, and return it to HCA. Please have the client contact our customer service center: If the client was covered, even retroactively for the date of service, then a contracted provider may not seek payment from the client. HCA pays the client’s monthly premium and any carve-outs not covered by their managed care plan. If yes, state the last service / treatment date. * Indicates a required field. That’s why the HCA may have a subrogated interest in addition to the managed care plan’s subrogated interest. After we receive the settlement documentation, we calculate the final amount due by completing a Medicaid Payment Worksheet (MPW). 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. 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. Molina Healthcare Equian: 800-877-6876 Fax: 248-443-4804 5975 Castle Creek Pkwy N Dr #100. 873 likes. 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. Contact. Please contact the appropriate provider concerning lien information or any potential claim. If a special needs trust has been or will be established , or. In addition to HCA, you must contact MCOs directly for payment of their lien amounts. Amerigroup Copy of your fee agreement and the actual fee charged. 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 Equian will likely be rolled into the OptumInsights suite of services and enhance the capabilities offered by OptumIQ for payors and Optum360 for providers. If a client has a managed care plan, they will have an additional insurance card with an ID number for that MCO. United States; Filter locations by country. 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. C/O Discovery Health Partners NH … Don't get delayed: We highly recommend that you include only one client per correspondence. Compensation Committee. We are unable to forward checks received by HCA for an MCOs payment. Magnolia Health HMS: 877-835-7068 Fax: 866-389-2706. Like any legal document, the subrogation letter can be confusing if you aren’t familiar with the term or the process. Share . No. Please follow up at: https://www.facebook.com/myOptum to stay up to date with news. The MCO or HCA denied a claim or applied a take-back after a claim has already paid. COVID-19: Masks For Nurses San Diego - Donate Today . To expedite a response, select only one. Bethesda, MD. If you have waited 20 days and have not received a response, resubmit your request. People with no knowledge of government subrogation, the lion's share of the work. Franklin, TN. A free inside look at Equian salary trends based on 126 salaries wages for 88 jobs at Equian. However, some services are still paid by Medicaid even when the client has a managed care plan. Phone: (800) 877-6876 Fax: (248) 443-4804 Email. You will be asked to provide your Event Number, which was provided in the correspondence, so please have it ready to reference. Equian purchased FRG in the summer of 2017. Magnolia Health HMS: 877-835-7068 Fax: 866-389-2706. 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. Note: Providers have up to one year from their treatment date of service to bill the agency for any charges. Equian. C/O Optum Equian is a end-to-end payment integrity organization. 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. BCBSIL and Equian have partnered to review the medical claim listed on your letter to determine if another person or insurance company. Copies of ALL settlement agreements. View Company. data mining, provider audit solutions, etc. Third-party lien subrogation inquiry / request, How to report legal firm or insurance company changes. 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. In those cases, the managed care plan becomes the primary payer and we become secondary for any non-covered services. Kim Stafford Board Member USAA kimberly.stafford@usaa.com. Equian is not FRG. The company's filing status is listed as Active and its File Number is 365761. This MPW is your invoice and includes all of the payment instructions needed. See BBB rating, reviews, complaints, request a quote & more. After a case settles, can I pay HCA’s subrogation balance and the MCO’s subrogation balance all in one check? Report this profile; About. 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. Fee for service accident/subrogation claim contact information A free inside look at Equian salary trends based on 126 salaries wages for 88 jobs at Equian. Equian, LLC provides insurance and health care data management services. Sign up to get notified as soon as new Equian jobs are posted. How can I reach the managed care organization (MCO) for questions? It has a nine-digit number that starts with a 1 or a 2 and all of our ID numbers end with WA. The Registered Agent on file for this company is Corporation Service Company and is located at … ), on behalf of your health insurance company. You have three options for sending your letter of representation and current HIPAA compliant authorization. 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. With recent accidents, there may not been enough time for insurance companies, MCOs, and HCA to receive and process claims from providers. FRG set the bar for quality, knowledgeable subrogation work. PO Box 32100 The company's filing status is listed as Active and its File Number is 365761. 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. 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. Throughout the integration process, Equian and Trover will continue to provide their current solutions and services to customers. g***@equian.com. 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All Equian Locations. Learn more about your customer service options. 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. 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. Latitude Subrogation Services jcoscia@latitudesubro.com. The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. The claim we are investigating may be for treatment you received from an injury experienced at work or from an auto accident. 200 Southfield, MI 48076 Member Services Manager. Those checks will be returned to your office for reprocessing. Equian replaced a feisty dynamic management team/owner, with duds. Equian’s services include post-payment solutions (e.g. Subrogation in the Property & Casualty industry fulfills a specialized role in reducing losses and directly impacting the bottom line. ), pre-payment solutions (e.g. HCA is required to follow HIPAA and privacy guidelines. 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. 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 … In some states, the laws don’t allow subrogation. Financial Services in Chandler, AZ. If there is a managed care plan, you will also have to work with the plan. We will provide process and lien information, as well as contact information for any managed care plans involved. Home. To expedite your request, include the following information on your letter of representation. This information helps us determine if we have a subrogated interest. 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. The following are the five MCOs currently contracted with Washington State Apple Health (Medicaid). Providers have up to one year from their date of service to bill HCA. Willamette Dental Group of Washington, Inc. 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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 Home Got a letter ? 7101 Wisconsin Ave #1050. Molina Healthcare Equian: 800-877-6876 Fax: 248-443-4804 If the funds were or will be dispersed to the client directly. Latitude Subrogation Services jcoscia@latitudesubro.com. Last Edited on 2016-09-21 My client has received a blue Treatment Questionnaire (TQ) regarding a visit with their provider. MCOs are separate from HCA. Equian replaced a substantial annual bonus system with a nominal hardly attainable monthly system. Subrogation in the Property & Casualty industry fulfills a specialized role in reducing losses and directly impacting the bottom line. Any requests for reductions beyond our proportionate share should include the documents listed above and be sent directly to our Torts Recovery Advisors. All Rights Reserved. Sue Murray Secretary State Farm Insurance sue.murray.ap2v@statefarm.com. 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. Jonathan Coscia Board Member Latitude Subrogation Services jcoscia@latitudesubro.com. Itasca, IL 60143, Toll Free: 1-866-223-9974Direct: 1-224-265-0015Fax: 1-224-220-5017, Coordinated Care of Washington Welcome to the Optum Subrogation Referral Portal.