Subrogation Case Identification 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

Identify more leads that result in recoveries

When it comes to subrogation, you can only recover what you discover. Through automated systems and advanced technology, we’re able to evaluate your claims data to identify instances where another payer may be liable. We deliver leads along with all possible sources of reimbursement — increasing the likelihood of making a recovery.

Lines of business

•  Commercial
•  Medicare Advantage
•  Medicaid
•  Federal employee

curved lines graphic

How do we uncover actionable leads?

We are committed to your success. Together with your healthcare subrogation team, our subrogation services experts customize a program to uncover the most high-value opportunities for recovery. Leads are categorized by complexity, making your recovery efforts more efficient.

Accelerated path toward identification

Using sophisticated discovery techniques like predictive analytics and machine learning, we identify subrogation cases faster than ever before.

 

Better results and increased recoveries

You will only receive leads that have been validated by a data quality review. With reliable leads, your team will be more successful in making recoveries.

 

Enhanced member and provider experiences

Our approach is fully configurable to align with your member and provider engagement objectives.

 

Inside our Subrogation Case Identification Solution

Using state-of-the-art technology, we can identify more subrogation opportunities for you to pursue.

Highly secure data platform
Network of public and proprietary databases
End-to-end subrogation expertise
Online workflow collaboration tool
Nonresponder program
Data integrity review
Nonresponder program
Prioritized leads
Continuous, real-time data matching

How our solution works

Data integrity review
We evaluate your data for inconsistencies, reducing the impact of incorrect addresses, name changes, etc.

Identify
Using predictive analytics, we leverage public and proprietary databases to identify potential recovery opportunities. Our approach limits or even eliminates the need for member questionnaires.

Investigate
Our highly trained investigators gather relevant case information to determine liability.

Prioritize
Results are categorized based on the best opportunities for recovery — streamlining your team’s recovery efforts.


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.

Start your form here

 

Questions?

Have questions about your form or our subrogation process?

Access our FAQs

 

Case referral

Would you like to refer a new case to us?

Submit your information online and see additional options here.

Refer a case

 

Ask us about our Subrogation Case Identification 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.