), pre-payment solutions (e.g. The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. The MCO or HCA denied a claim or applied a take-back after a claim has already paid. Please contact the appropriate provider concerning lien information or any potential claim. Export. 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. BCBSIL and Equian have partnered to review the medical claim listed on your letter to determine if another person or insurance company. FRG set the bar for quality, knowledgeable subrogation work. PO Box 26649​​ Equian (or one of these other companies) is contacting you to find out how you got hurt. ealthcare Subrogation About Equian: Equian delivers payment integrity solutions through proprietary content, enabling technology, and highly responsive customer service. Identify costs related to any defendant who has not yet settled or was dismissed without recovery in your client’s favor. Every person should know what is … Equian . Email: HCACasualtyUnit@hca.wa.govFax: 360-753-3077Phone: 360-725-9580Mail: Indianapolis, IN 46204. PO Box 45561 Last Edited on 2016-09-21 Equian is not FRG. ), and subrogation solutions for healthcare, property & casualty and other risk-bearing entities. The information we are requesting is important. BBB accredited since 9/28/2007. 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. United States; Filter locations by country. Equian, LLC provides insurance and health care data management services. Why did your response to my request have a different last name than what I submitted? Last Update. complex clinical coding review, bill review, network solutions, Rx, etc. 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 Confirm whether PIP / MedPay is available. C/O Discovery Health Partners 200 Southfield, MI 48076 Member Services Manager. opens in a new window. 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. 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. Equian reviews claims using data analysis and clinical review to identify inappropriate or unnecessary claims. 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. United States; Filter. We encourage you to utilize our self service options below and we appreciate your patience. See the listing of MCOs on this page under the heading Managed care organizations (MCO). If you are a lawyer and become aware of an Apple Health client who may have had a personal injury, you are required by statute to report the information to Medicaid. Equiant provides flexible, high touch service. Direct Phone (502) ***-**** Get Email Address Get Phone Number. Mark … Note: Providers have up to one year from their treatment date of service to bill the agency for any charges. Don't get delayed: We highly recommend that you include only one client per correspondence. Equian, LLC is a fast-paced, innovative technology company ranked among the nation’s fastest growing healthcare companies by Inc 500. ... Equian JWillis@equian.com Joseph Rich Board Member Cozen O'Connor JRich@cozen.com. 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. Find contact's direct phone number, email address, work history, and more. MVA, slip and fall). If your policy doesn’t specifically state that subrogation is allowed, the insurance company probably can’t file a claim. While certainly a strategic consideration for UnitedHealthcare, the cross-selling opportunity will be fruitful as Equian services 9 of the 10 largest healthcare insurers and more than 70% of health plans nationally use Optum … Jonathan Coscia Board Member Latitude Subrogation Services jcoscia@latitudesubro.com. 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. I received a letter from Equian on the letter to answer the claim some HMO plans allow you to get health care services from a Blue Cross and Blue Shield. Our client's MCO insurance card says Apple Health on it. Contact. If the client received any treatment or required any emergency transportation such as ambulance or airlift, there will likely be subrogation at some point. © 2020 Tokio Marine HCC Medical Insurance Services Group. Business Process Solutions. 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. Equian purchased FRG in the summer of 2017. Wellcare of Kentucky (Equian) Name: Tara Raske-Liles, Address: Equian 26555 Evergreen Rd., Ste. Equian replaced a substantial annual bonus system with a nominal hardly attainable monthly system. 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. Services and Solutions; 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. HCA is required to follow HIPAA and privacy guidelines. We process requests in the order of date received. 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. Equian’s services include post-payment solutions (e.g. Like any legal document, the subrogation letter can be confusing if you aren’t familiar with the term or the process. From the beginning, our only activity has been health care subrogation. 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. For compliance, we must redact all correspondence referencing more than one client. Tokio Marine HCC - MIS Group international insurance products are underwritten by Lloyd's. 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. 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. Robert Stern Treasurer Clausen Miller, PC rstern@clausen.com. How can I reach the managed care organization (MCO) for questions? 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. In health insurance, subrogation is the process through which an insurance company seeks to recover medical costs from another party’s insurance. 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 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. Click here to learn more about it! Southfield, MI 48076, Direct: 1-248-443-4800Fax: 1-248-443-4804, Molina Healthcare of Washington, Inc. Please contact the appropriate provider concerning lien information or any potential claim. Green Bay, WI 54307-3216, Toll Free: 1-888-246-6290Fax: 1-844-709-3392, Community Health Plan of Washington 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. Why would this happen and how can I fix it? With recent accidents, there may not been enough time for insurance companies, MCOs, and HCA to receive and process claims from providers. Equian, LLC is a West Virginia Foreign LLC | Limited-Liability Company filed on April 14, 2017. If the funds were or will be dispersed to the client directly. Molina Healthcare Equian: 800-877-6876 Fax: 248-443-4804 Instead, Equian set unsupported, unmanageable goals. Bethesda, MD. Does ERISA apply to the Health Care Authority? 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. Willamette Dental Group of Washington, Inc. 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