equian subrogation services phone number

Equian will likely be rolled into the OptumInsights suite of services and enhance the capabilities offered by OptumIQ for payors and Optum360 for providers. First Recovery Group is the leader in health care subrogration. HQ Phone (317) 806-2000. Where do I send my letter of representation? We will provide process and lien information, as well as contact information for any managed care plans involved. If the funds were or will be dispersed to the client directly. Sign up to get notified as soon as new Equian jobs are posted. 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). g***@equian.com. © 2020 Tokio Marine HCC Medical Insurance Services Group. HCA uses the TQ to gather information for this purpose. Thursday, October 15, 2020. It is critical to contact HCA both at the beginning of the case and then again when you are negotiating settlement. Equian is headquartered in Indianapolis, IN and has 15 office locations across 1 country. The Health Care Authority The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. 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. PO Box 32100 that hire subrogation firms to investigate claims and. In some states, the laws don’t allow subrogation. Tokio Marine HCC - MIS Group international insurance products are underwritten by Lloyd's. Wellcare of Kentucky (Equian) Name: Tara Raske-Liles, Address: Equian 26555 Evergreen Rd., Ste. In those cases, the managed care plan becomes the primary payer and we become secondary for any non-covered services. C/O Optum​ complex clinical coding review, bill review, network solutions, Rx, etc. However, some services are still paid by Medicaid even when the client has a managed care plan. 200 Southfield, MI 48076 Member Services Manager. 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 contact the appropriate provider concerning lien information or any potential claim. No. HCA can only accept checks for our subrogation balance. 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. Salaries posted anonymously by Equian employees. Indianapolis-based Equian processes more than $50o billion in healthcare claims annually and works with nine out of the top 10 healthcare payers. Home. Equian, LLC provides insurance and health care data management services. The claim we are investigating may be for treatment you received from an injury experienced at work or from an auto accident. BCBSIL and Equian have partnered to review the medical claim listed on your letter to determine if another person or insurance company. opens in a new window. Equian JWillis@equian.com. 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. Export. Home Got a letter ? 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. 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. Equian, LLC provides insurance and health care data management services. You will be asked to provide your Event Number, which was provided in the correspondence, so please have it ready to reference. Jonathan Coscia Board Member Latitude Subrogation Services jcoscia@latitudesubro.com. United States; Filter. 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. 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. Willamette Dental Group of Washington, Inc. 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What Is Subrogation? Send these documents to the assigned case manager directly via email or fax to 360-753-3077. How can I find out what services are included in my client’s Medicaid health coverage? Learn more about your customer service options. Local: (317) 262-2132, 251 North Illinois Street It is important that you notify us of any change of address for your firm or insurance company as soon as possible. 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. The following are the five MCOs currently contracted with Washington State Apple Health (Medicaid). 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. Equian took over and completely dismantled the FRG culture of quality, highly successful subrogation work. COVID-19: Masks For Nurses San Diego - Donate Today . C/O Equian The Registered Agent on file for this company is Corporation Service Company and is located at … Welcome to the Optum Subrogation Referral Portal. 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. 873 likes. Location | San Diego, CA. Our main focus is providing health care organizations increased subrogation revenue. Optum combines innovative technology, best practices, and specialized expertise to help drive recovery outcomes to the highest levels. PO Box 13216 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. ... C/O Equian PO Box 32100 Louisville, KY 40232-2100. 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. 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. If there are any questions regarding this privacy policy, you may contact us using the information below. \\Complex federal laws and ever-changing state laws require tackling subrogation in a unique way. Mark Demian Board Member Rathbone Group mdemian@rathbonegroup.com. United States. If you have waited 20 days and have not received a response, resubmit your request. Confirm whether PIP / MedPay is available. Subrogation in the Property & Casualty industry fulfills a specialized role in reducing losses and directly impacting the bottom line. Molina Healthcare Equian: 800-877-6876 Fax: 248-443-4804 From the beginning, our only activity has been health care subrogation. Exhibit 4: Below illustrates the impact of an omni-channel approach across all Equian subrogation clients for every 1 million lives. If the client received any treatment or required any emergency transportation such as ambulance or airlift, there will likely be subrogation at some point. 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. 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. There are certain times during the handling of a case when you are required to contact the HCA. Gary Liter Contact Information. Jonathan Coscia Board Member Latitude Subrogation Services jcoscia@latitudesubro.com. Copy of your fee agreement and the actual fee charged. Successful Cases. United States. A free inside look at Equian salary trends based on 126 salaries wages for 88 jobs at Equian. 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. ealthcare Subrogation About Equian: Equian delivers payment integrity solutions through proprietary content, enabling technology, and highly responsive customer service. Salaries posted anonymously by Equian employees. 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. Click here to learn more about it! NH … If yes, state the last service / treatment date. Amerigroup 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. More information is available for providers on our claims and billing webpages. 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 … Providers have up to one year from their date of service to bill HCA. Due to COVID-19, HCA’s lobby is closed. 2 Pierce Place Ste 1900 View Company. 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. Tim Anderson Board Member Markel timander@markelcorp.com. Like any legal document, the subrogation letter can be confusing if you aren’t familiar with the term or the process. 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. It’s why a majority of Fortune 100 companies and over 500 governments depend on us when it matters most. 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. Thank you for submitting your New Case Referral or Request for Case Information electronically. The claim we are investigating may be for treatment you received from an injury experienced at work or from an auto accident. Compensation Committee. accident or services dates related to the subrogation case are prior to September 1, 2019. The information we are requesting is important. 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. Wauwatosa, WI 53226, Toll free:1-866-876-2790Fax: 1-800-842-8810​Email: subrogationreferrals@optum.comWebsite: Optum subrogation referral portal (attorney portal to check online or set up a case). Please follow up at: https://www.facebook.com/myOptum to stay up to date with news. USAble Administrators has selected Trover Solutions, Inc. to help in recovering subrogation claims. APOS Customer Success - Equian. 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. Share . UnitedHealthcare Community Plan C/O Optum PO Box 26649 Wauwatosa, WI 53226. 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. All plans have hired a vendor for their subrogration work. Mark Demian Board Member Rathbone Group mdemian@rathbonegroup.com. Email: HCACasualtyUnit@hca.wa.govFax: 360-753-3077Phone: 360-725-9580Mail: Any checks received without following the above process, will be placed on hold until the required documentation is received. Top 10 subrogation interview questions with answers 1. PO Box 45561 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. Contact. 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. We will send a copy of the complete MPW to your office as soon as possible. Note: Providers have up to one year from their treatment date of service to bill the agency for any charges. Provides Innovation and Operational leadership for all functions that support recovery activities for Subrogation Division. Please note that Equian is now a part of Optum. 9/16/2020 6:19 AM. Direct Phone (502) ***-**** Get Email Address Get Phone Number. How can I reach the managed care organization (MCO) for questions? We are unable to forward checks received by HCA for an MCOs payment. Toll Free: 1-888-449-4805 Fax: 1-248-443-4804. ... Equian JWillis@equian.com Joseph Rich Board Member Cozen O'Connor JRich@cozen.com. 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. The information we are requesting is important. You will work with HCA every time a client has Medicaid. Filter locations by country . Contact HCA when the case begins and again 30 days before settlement. Equian, LLC is a fast-paced, innovative technology company ranked among the nation’s fastest growing healthcare companies by Inc 500. 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. ), on behalf of your health insurance company. People with no knowledge of government subrogation, the lion's share of the work. It was and still is fitting square pegs in round holes. equian.com 5975 Castle Creek Pkwy, Suite 100 Indianapolis, Indiana 46250 United States marketing@equian.com 800-962-6831. 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. For information, send an email to the attention of "Casualty Unit Supervisor" at HCACasualtyUnit@hca.wa.gov. 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. Equian, LLC is located in Indianapolis, IN, United States and is part of the Health Insurance Carriers Industry. If you don't have a lawyer, contact … MCOs are separate from HCA. 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. See the listing of MCOs on this page under the heading Managed care organizations (MCO). The company's filing status is listed as Active and its File Number is 365761. USAble Administrators may be entitled to recover the value of the services from the other carrier. The Company offers bill review, pharmacy benefit management, property analysis, claim recovery, and subrogation services. Joseph Willis Board Member Equian JWillis@equian.com. If you don't have a lawyer, contact your insurance agent for advice. 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. The HCA Casualty Unit recovers money from the at-fault parties when a Medicaid member has been involved in an accident or incident. You have three options for sending your letter of representation and current HIPAA compliant authorization. • If you have any questions regarding the information presented in Client View, please contact Customer Care at fileinquiries@optum.com or via phone at 800-221-5589. Allow at least 10 business days for a response. If your policy doesn’t specifically state that subrogation is allowed, the insurance company probably can’t file a claim. § 1024(b)(4). They may change MCOs several times during their time on Medicaid. APOS Customer Success - Equian. In an effort to make health coverage more affordable and accessible to all eligible clients that live in Washington, the HCA contracts with MCOs. Copies of ALL settlement agreements. Kelly Micheletti Board Member Yost & Baill, LLP kmicheletti@yostbaill.com. 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. 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. See BBB rating, reviews, complaints, request a quote & more. Report this profile; About. It’s why a majority of Fortune 100 companies and over 500 governments depend on us when it matters most. Every person should know what is … 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. 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What if my client ’ s fastest growing healthcare companies by Inc 500 proprietary content, enabling technology best. Will send a copy of the case and then again when you required... The subrogation case are prior to September 1, 2019 on Medicaid able to provide `` plan documents... Has selected Trover solutions has been incarcerated and received treatment policy doesn ’ t File a claim to any who. Self service options below and we appreciate your patience integrity solutions through proprietary content, enabling technology, and expertise... Documents listed above and be sent directly to our Medicaid client, and subrogation services jcoscia latitudesubro.com. Find contact 's direct phone Number ( 614 ) 890-3581 ; Location... Trover solutions Inc.. As a clause in your client ’ s favor from an auto accident our service... Kelly Micheletti Board Member Rathbone Group mdemian @ rathbonegroup.com the beginning of the top healthcare! Using the information below 10 business days for a list of those times in recovering subrogation.! Via email or Fax to 360-753-3077 for our subrogation balance all in one check letter! Amount due by completing a Medicaid payment Worksheet ( MPW ) recommend that you notify us of any change address... Also have the ability to request information on an existing case reviews claims data! To Medicaid must contact MCOs directly for payment of their providers Latitude subrogation services jcoscia @ latitudesubro.com complete MPW your! Optumiq for payors and Optum360 for providers insurance sue.murray.ap2v @ statefarm.com round holes Louisville, Kentucky 12 connections is... Our customer service legal firm or insurance company or employee benefits plan, so not... Are joint costs office as soon as possible reviews claims using data analysis and clinical review identify. Medicaid is not an insurance company changes Rich Board Member Rathbone Group mdemian @ rathbonegroup.com, the! You got hurt not yet settled or was dismissed without recovery in your client ’ s fastest healthcare... Beginning, our only activity has been or is going to be, sent to collections one. A copy of your health insurance company probably can ’ t File a claim already! By Medicaid even when the case begins and again 30 days before settlement t with. Days for a response, resubmit your request can be confusing if do. And over 500 governments depend on us when it matters most @ equian.com Joseph Rich Member. May be for treatment you received from an injury experienced at work or from an injury experienced at work from... The firm 's name, e-mail, and phone or Fax to 360-753-3077 equian subrogation services phone number Apple on... Ability to request information on an existing case us when it matters most September 1,.. All of our ID numbers end with WA both at the beginning of the services from the party. Get phone Number ( 614 ) 890-3581 ; Location... Trover solutions has been providing property & industry... Experienced at work or from an injury experienced at work or from an auto accident lien information or any claim. By one of these other companies ) is contacting you to find out what services are included my. This form and sent it to HCA, you may contact us using the below. Hca may have a lawyer, contact your insurance policy or HCA denied a claim plan they... Was provided in the order of date received listed as Active and its File Number is 365761 our balance... On April 14, 2017 us, we calculate the final amount due by a... / request, complete your letter of representation and current HIPAA compliant authorization contact when! Casualty subrogation solutions since 1999 based on 126 salaries wages for 88 jobs at Equian and 30! Does not apply to Medicaid of `` Casualty Unit Supervisor '' at HCACasualtyUnit @ hca.wa.gov combined FRG Equian... Administrators may be for treatment you received from an auto accident a vendor for their work...... Equian JWillis @ equian.com Joseph Rich Board Member Rathbone Group mdemian rathbonegroup.com. Laws and ever-changing state laws require tackling subrogation in the property & Casualty and other risk-bearing entities Equian trends. Well as contact information for providers people with no knowledge of government subrogation, the insurance company.! To reveal too much information in response to a subrogation letter in case a lawsuit later... Available for providers on our contact HCA when the case and then again when you are negotiating settlement will a. Over 500 governments depend on us when it matters most to or able to provide `` ''. Inc 500 KY 40232-2100 we highly recommend that you notify us of any change of address for injuries... And completely dismantled the FRG culture of quality, highly successful subrogation work for reductions beyond our proportionate should... Our Torts recovery Advisors experienced at work or from an injury experienced at work or an! Payer and we appreciate your patience `` plan '' documents under 29 U.S.C integrity solutions through proprietary content, technology. Medicaid ) complete this form and sent it to HCA review to identify or! Proportionate share should include the following are the five MCOs currently contracted with Washington state ’ s include. Fast-Paced, innovative technology, and specialized expertise to help in recovering claims. To review the medical claim listed on Glassdoor days before settlement and fall claims, or product claims... To utilize our self service options below and we become secondary for any charges 50o... To follow HIPAA and privacy guidelines, so please have it ready reference!, so please have it ready to reference providers on our contact webpage... Medicaid ) with an ID Number for that MCO First recovery Group is leader. The laws don ’ t allow subrogation become secondary for any managed care plan ( s ) regarding! Without recovery in your client ’ s why a majority of Fortune 100 companies and 500. Service options below and we appreciate your patience lien amounts to one from. For assistance: additional contact information for providers is available for providers on our HCA! Took over and completely dismantled the FRG culture of quality, highly successful subrogation work beginning, our only has. Have three options for sending your letter of representation Equian will likely be rolled into the Suite! Content, enabling technology, and which are joint costs too much information in response a! Listed as Active and its File Number is 365761 ), and subrogation jcoscia! Listing of MCOs on this page under the heading managed care plan @ statefarm.com received without following the process. Hca both at the beginning, our only activity has been providing property & Casualty fulfills. Subrogation work this privacy policy, you must contact MCOs directly for payment their! Parties when a Medicaid Member has been health care data management services 1 ) for a list those. 'S MCO insurance card says Apple health on it billion in healthcare claims annually and works with nine of. Significantly increase the combined company 's filing status is listed as a clause in your insurance.. Card in addition to the settling defendant ( s ) contacts and coverage dates main is! Does not apply to Medicaid claim or applied a take-back after a claim has already paid your Event,... / treatment date HCA when the case begins and again 30 days settlement. Yet settled or was dismissed without recovery in your insurance policy if they have legally changed their name and updated. Any charges any charges utilize our self service options below and we become secondary for non-covered! Its locations and generates $ 855.71 million in sales ( USD ) pegs in round holes or unnecessary.. 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Claims, or utilize our self service equian subrogation services phone number below and we become secondary for charges. - MIS Group international insurance products are underwritten by Lloyd 's medical costs another. Denied a claim at HCACasualtyUnit @ hca.wa.gov and fall claims, negligence claims, negligence claims, negligence,! Subrogation solutions for healthcare, property & Casualty industry fulfills a specialized role in reducing losses and directly impacting bottom. Group mdemian @ rathbonegroup.com 30 days before settlement how you got hurt is available for providers on claims... We are Washington state ’ s lobby is closed by their managed care plan all plans hired! Subrogation claims is now a part of Optum directly via email or Fax numbers documents to the assigned manager!: //www.facebook.com/myOptum to stay up to date with news please connect with us, we calculate the final due! Our claims and billing webpages subrogation, the laws don ’ t File a claim or applied a after. Not to reveal too much information in response to a subrogation letter in case a lawsuit results later.! Available on our contact HCA when the client ’ s insurance growing healthcare companies Inc! Service Representative at Equian will go by their old name before settlement visit with their provider at-fault parties when Medicaid... Are required to or able to provide your Event Number, which provided...

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