This form for use in litigation against an insurance company for bad faith breach of contract. Adapt this model form to fit your needs and specific law. Not recommended for use by non-attorney.
Subrogation For Claim In Hennepin
Category:
State:
Multi-State
County:
Hennepin
Control #:
US-000279
Format:
Word;
Rich Text
Instant download
Description
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FAQ
What are the claims submission payer ID's? Please use payer ID 60058 to send claims directly to Hennepin Health's claims preprocessor, Availity.
Subrogation is the process where one party assumes the legal rights of another, typically by substituting one creditor for another. Subrogation can also occur when one party takes over another's right to sue.
Insurance companies don't have forever to make a subrogation claim. While the statutory limitations period can vary depending on the type of subrogation claim made—and in which jurisdiction it is made—the standard statute of limitations ranges from one to six years.
During the subrogation process, your insurance company expects your cooperation. Notify your insurer if you intend to agree to a settlement with the at-fault person or their insurance company. Notifying them in advance ensures you don't risk your company's right to subrogation.
MHCP claims, including original claims, replacement claims (frequency code 7) and void claims (frequency 8) must be submitted to Blue Cross using payer ID 00726.
The payer ID is generally five characters, but it may be longer. It may also be alpha, numeric, or a combination. The payer ID is often located on the back of the insurance card in the Provider or Claims Submission section.
Hennepin Health is an ACO made up of 4 county-affiliated organizations that jointly contract with the Minnesota Department of Human Services to provide Medicaid and social services to a population of 8700 members with incomes below 133% of the federal poverty level.
Effective Jan. 1, 2022, the Payer ID for all UCare plans will shift to Payer ID 55413 for electronic claims submitted with dates of service (DOS) on and after Jan. 1, 2022.