You have three options for sending your letter of representation and current HIPAA compliant authorization. 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. The Registered Agent on file for this company is Corporation Service Company and is located at … Any checks received without following the above process, will be placed on hold until the required documentation is received. We will let you know whether HCA has subrogation and we will respond with a letter that: We will always follow how the client name is listed in the ProviderOne system. UnitedHealthcare Community Plan Optum: 866-728-9854 Fax: 800-842-8810. 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 Does the client need to complete this form and sent it to HCA? Why did your response to my request have a different last name than what I submitted? Magnolia Health HMS: 877-835-7068 Fax: 866-389-2706. Please contact Molina or its subrogation agent for further information.). 873 likes. It was and still is fitting square pegs in round holes. 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. For compliance, we must redact all correspondence referencing more than one client. You will be asked to provide your Event Number, which was provided in the correspondence, so please have it ready to reference. Any requests for reductions beyond our proportionate share should include the documents listed above and be sent directly to our Torts Recovery Advisors. Equian, LLC is located in Indianapolis, IN, United States and is part of the Health Insurance Carriers Industry. View Company. Wellcare of Kentucky (Equian) Name: Tara Raske-Liles, Address: Equian 26555 Evergreen Rd., Ste. 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 ... C/O Equian PO Box 32100 Louisville, KY 40232-2100. 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. To expedite your request, include the following information on your letter of representation. 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. 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. My client has received a blue Treatment Questionnaire (TQ) regarding a visit with their provider. Please contact the appropriate provider concerning lien information or any potential claim. 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. 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. 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. What Is Subrogation? § 1024(b)(4). Equian, LLC provides insurance and health care data management services. Fee for service accident/subrogation claim contact information MCOs are separate from HCA. Latitude Subrogation Services jcoscia@latitudesubro.com. The Registered Agent on file for this company is Corporation Service Company and is located at … 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 Health Care Authority Equian took over and completely dismantled the FRG culture of quality, highly successful subrogation work. NH … Indianapolis, IN 46204. Business Process Solutions. Learn more about your customer service options. 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. The following are the five MCOs currently contracted with Washington State Apple Health (Medicaid). "Dana L. Myers, President Quanta Financial Services, LLC Welcome to the Optum Subrogation Referral Portal. 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. We are unable to forward checks received by HCA for an MCOs payment. That’s why the HCA may have a subrogated interest in addition to the managed care plan’s subrogated interest. Equian JWillis@equian.com. Successful Cases. Equian JWillis@equian.com. In cases where a claim for services in the United States is in question, Tokio Marine HCC - Medical Insurance Services Group is responsible for administering the claim. 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, 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. Report this profile; About. Welcome to the Optum Subrogation Referral Portal Thank you for submitting your New Case Referral or Request for Case Information electronically. Is that your agency? Equian, LLC is a West Virginia Foreign LLC | Limited-Liability Company filed on April 14, 2017. Our main focus is providing health care organizations increased subrogation revenue. If the funds were or will be dispersed to the client directly. This also includes any changes to the firm's name, attorney's name, e-mail, and phone or fax numbers. Jonathan Coscia Board Member Latitude Subrogation Services jcoscia@latitudesubro.com. USAble Administrators may be entitled to recover the value of the services from the other carrier. There are 2410 companies in the Equian, LLC corporate family. 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. The agency is not required to or able to provide "plan" documents under 29 U.S.C. If there are any questions regarding this privacy policy, you may contact us using the information below. Click here to learn more about it! Share . 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. ), pre-payment solutions (e.g. \\Complex federal laws and ever-changing state laws require tackling subrogation in a unique way. PO Box 45561 COVID-19: Masks For Nurses San Diego - Donate Today . The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. Home. 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. Salaries posted anonymously by Equian employees. 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. 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. The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. Send these documents to the assigned case manager directly via email or fax to 360-753-3077. If yes, state the last service / treatment date. Don't get delayed: We highly recommend that you include only one client per correspondence. Tim Anderson Board Member Markel timander@markelcorp.com. complex clinical coding review, bill review, network solutions, Rx, etc. Has the client completed treatment? Equian (or one of these other companies) is contacting you to find out how you got hurt. 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. We are Washington State’s Medicaid agency and ERISA does not apply to Medicaid. If you have trouble logging on please contact us at 800-598-2488. Bethesda, MD. Equian reviews claims using data analysis and clinical review to identify inappropriate or unnecessary claims. People with no knowledge of government subrogation, the lion's share of the work. that hire subrogation firms to investigate claims and. 2 Pierce Place Ste 1900 There are certain times during the handling of a case when you are required to contact the HCA. We encourage you to utilize our self service options below and we appreciate your patience. PO Box 32100 Last Update. Optum combines innovative technology, best practices, and specialized expertise to help drive recovery outcomes to the highest levels. If a special needs trust has been or will be established , or. Amerigroup Equian replaced a substantial annual bonus system with a nominal hardly attainable monthly system. Equian is headquartered in Indianapolis, IN and has 15 office locations across 1 country. These types of claims could be car accidents, slip and fall claims, negligence claims, or product liability claims. Company Equian. Subrogation is usually listed as a clause in your insurance policy. 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. If they have legally changed their name and not updated it with us, we will go by their old name. Like any legal document, the subrogation letter can be confusing if you aren’t familiar with the term or the process. One year from the date of service to bill HCA generates $ 855.71 million sales. The actual fee charged ready to reference subrogation agent for advice 14 2017... 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