Full-Service Subrogation Solution
To complete a questionnaire or refer a case, please use our forms below.
To view your subrogation reports, please use the Sign in button below.
Access your subrogation reports
Maximize health claim recoveries seamlessly
Subrogation makes a critical difference to your health plan’s bottom line. Our staff and solutions efficiently and effectively identify and recover claims payments that were not your plan’s responsibility. Our approach reduces — and can even eliminate — the impact to your members, associates, and providers. We partner with you to design a turnkey subrogation services program that helps meet your specific needs.
Lines of business
• Commercial
• Medicare Advantage
• Medicaid
• Federal employee
What are the benefits of full-service healthcare subrogation?
We can manage your subrogation from start to finish. Together, we’ll partner to design a program that meets your unique needs. Our structured, scalable implementation process allows for a quick activation time to accelerate claim recoveries.
Maximum recoveries
Through sophisticated discovery techniques, our highly successful nonresponder program, and market-leading expertise, our team identifies and investigates recovery opportunities and negotiates settlements.
Enhanced experiences
Your engagement strategy is fully customizable to create an improved experience for your members and providers.
Reliable expertise and reporting
Our seasoned staff acts as your in-house subrogation team, and our robust reporting suite lets you track your program’s results throughout our engagement.
Inside our Full-Service Subrogation Solution
Help protect your plan’s bottom line. Look to our subrogation services to help you recover claims dollars when other parties are liable.
Data integrity review
Continuous, real-time data matching
Tenured specialists
Nonresponder program
Tech-driven case management
How our solution works
Identification
Using predictive analytics, we leverage public and proprietary databases to identify potential recovery opportunities. Our automated approach limits or even eliminates the need for member questionnaires.
Investigation and notice
Our highly trained investigators gather relevant case information to determine liability and engage the responsible party for reimbursement.
Case management
Specialized analysts monitor ongoing cases and ensure your recovery rights are protected at the time of settlement. For a cohesive and streamlined experience, all of our case management data is stored on one dedicated platform.
Recovery
We negotiate the settlement and obtain reimbursement from all available sources of recovery.
Explore related solutions
Subrogation questionnaire and case referral tools
Use the links below to submit a questionnaire or get answers to your questions about one you received in the mail.
You can also refer a case to us where a third party may be liable.
Questionnaire
Have you received a questionnaire through the mail?
Submit your information online – a quick, secure option. Start your form here and see additional submission options.
Case referral
Would you like to refer a new case to us?
Submit your information online and see additional options here.
Ask us about our Full-Service Subrogation Solution
Health plan leaders, contact us to learn more about the possibilities and impact of our subrogation solutions.
Are you a health plan member?
If you are a health plan member and have a question about your benefits or coverage, please call the number on the back of your ID card.
Subrogation support
For questions about an existing subrogation case:
Call 1-800-645-9785
Business hours: 7:30 a.m. – 6 p.m. CST
Federal HIPAA regulations prohibit us from releasing PHI (protected health information) by email.
