Workers’ Compensation Recovery 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
Applying automation for speed and exceptional results
Workers’ compensation recoveries are complex. Each state has differing rules and procedures for payment recoveries. To be successful, subrogation programs need to be built explicitly for the states where a health plan operates. That’s where we come in. Using nuanced knowledge of legislative and regulatory parameters, we develop a tech-driven workers’ compensation recovery program specific to your business.
Lines of business
• Commercial
• Medicare Advantage
• Medicaid
• Federal employee
How can you increase your identifications and recoveries?
Your recoveries are our top priority. We have the experience, tools, and expertise to pursue workers’ compensation opportunities others won’t. Even after a recovery is made, we’ll continue to monitor the case for new claims.
Faster recovery cycles
Leveraging refined processes, we identify and validate eligible workers’ compensation claims within days — not weeks.
Enhanced experiences
With our automated approach, you no longer have to rely on questionnaires and manual processes to get the information you need to make a recovery.
Straightforward dispute resolutions
What if you could put a stop to a labor-intensive back and forth? We use automation to resolve disputes and make the process more effective and efficient.
Inside our Workers’ Compensation Recovery Solution
You can feel confident knowing our Workers’ Compensation Recovery Solution can be customized to each state’s specific rules and procedures.
Highly secure data platform
Network of public and proprietary databases
End-to-end subrogation expertise
Online workflow collaboration tool
Nonresponder program
State- and plan-specific configurations
Continuous, real-time data matching
Nonresponder program
Tech-driven case management
On-demand status reports
How our solution works
Data integrity review
We evaluate your data for inconsistencies, reducing the impact of incorrect addresses, name changes, etc.
Identification
Using predictive analytics, we leverage public and proprietary databases to identify potential recovery opportunities. Our automated approach limits — and can even eliminate — the need for member questionnaires.
Case management
Specialized analysts monitor ongoing cases and ensure your recovery rights are protected at the time of the settlement. For a cohesive and streamlined experience, all case management data is stored on one dedicated platform.
Recovery
We see claims through to a successful resolution. We negotiate the settlement and obtain reimbursement. Even after recovery, we continuously monitor for new claims associated with the case.
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 Workers’ Compensation 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.
