What if my client has been incarcerated and received treatment? It was and still is fitting square pegs in round holes. See the listing of MCOs on this page under the heading Managed care organizations (MCO). 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. Why would this happen and how can I fix it? In an effort to make health coverage more affordable and accessible to all eligible clients that live in Washington, the HCA contracts with MCOs. Where do I send my letter of representation? accident or services dates related to the subrogation case are prior to September 1, 2019. Every person should know what is … 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. 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. Robert Stern Treasurer Clausen Miller, PC [email protected]. Lawyers caution not to reveal too much information in response to a subrogation letter in case a lawsuit results later on. Why did your response to my request have a different last name than what I submitted? Join to Connect. opens in a new window. Equian reviews claims using data analysis and clinical review to identify inappropriate or unnecessary claims. You have three options for sending your letter of representation and current HIPAA compliant authorization. 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. We analyze healthcare and insurance data to ensure payments are fair, accurate, and paid by the correct party— Allow at least 10 business days for a response. Phone Number (614)890-3581 ; Location ... Trover Solutions has been providing Property & Casualty subrogation solutions since 1999. All plans have hired a vendor for their subrogration work. 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. If there was an accident, but no one else caused it, complete the form with the circumstances explained in detail in section D. If a client has further questions regarding a TQ, have them contact: Visit our Benefits and services webpage to learn more about Apple Health coverage. 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. 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 a West Virginia Foreign LLC | Limited-Liability Company filed on April 14, 2017. 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. Send these documents to the assigned case manager directly via email or fax to 360-753-3077. 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. Equiant provides flexible, high touch service. Note: Providers have up to one year from their treatment date of service to bill the agency for any charges. 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. To expedite a response, select only one. The company's filing status is listed as Active and its File Number is 365761. This information helps us determine if we have a subrogated interest. Equiant provides flexible, high touch service. Learn more about your customer service options. Confirm whether PIP / MedPay is available. ealthcare Subrogation About Equian: Equian delivers payment integrity solutions through proprietary content, enabling technology, and highly responsive customer service. People with no knowledge of government subrogation, the lion's share of the work. 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. Please contact the appropriate provider concerning lien information or any potential claim. To submit a request, complete your letter of representation and HIPAA compliant medical release, and return it to HCA. Equian replaced a substantial annual bonus system with a nominal hardly attainable monthly system. If there are any questions regarding this privacy policy, you may contact us using the information below. You will work with HCA every time a client has Medicaid. Last Edited on 2016-09-21 Equian (or one of these other companies) is contacting you to find out how you got hurt. You will also have the ability to request information on an existing case. Indianapolis, IN 46204. 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. C/O Optum If you don't have a lawyer, contact your insurance agent for advice. My client has received a blue Treatment Questionnaire (TQ) regarding a visit with their provider. Please follow up at: https://www.facebook.com/myOptum to stay up to date with news. It’s why a majority of Fortune 100 companies and over 500 governments depend on us when it matters most. Access Gary's Contact Information . No. 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. We encourage you to utilize our self service options below and we appreciate your patience. United States. Tokio Marine HCC - MIS Group international insurance products are underwritten by Lloyd's. 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