Equian, LLC

Equian, LLC is a health care payment coordination company based in the US, providing efficient solutions for health plans to manage claims and enhance the accuracy of health care payments. Founded in 2004 and headquartered in Indianapolis, US, Equian, LLC specializes in health care payment solutions. The company was formed through a merger with Trover Solutions, Inc. in December 2015, both being portfolio companies of New Mountain Capital.

In June 2019, UnitedHealth Group acquired Equian, LLC for USD 3. 2 billion, completing the transaction in September 2019. Equian specializes in health care payment coordination, offering a secure platform that allows health plans to manage claims with precision. Their primary service includes an online self-service portal for members to access their health care claims information and respond to correspondence securely, thereby improving claims processing efficiency for health plans across the United States.

Equian's revenue model is based on collaboration with health plans, providing services for fees related to claims processing. The B2B transactions involve health plans subscribing to their online platform, which facilitates accurate and expedited claims resolution. Specific pricing plans are not disclosed, but engagements typically include contractual agreements for services and associated fees, with key offerings centered around their self-service portal and support services. Equian is focused on leveraging its recent acquisition by UnitedHealth Group to enhance its product offerings and expand its reach in the market.

The company does not have specific new products announced yet, but it aims to utilize the USD 3. 2 billion from the acquisition to enhance existing services and possibly explore market expansions. Given the merger's completion in September 2019, Equian is likely strategizing on entry into new health plan partnerships and services to further strengthen its position in the healthcare payment coordination sector.