How subrogation tools make discovery simpler

When you discover more, you recover more

Subrogation discovery is a challenge for health plans. Many cite difficulty identifying promising leads due to low questionnaire response rates, manual processes, and incorrect or unsubstantiated data.

Having the right advanced technology to pinpoint high-value leads can significantly increase the number of cases you discover — and recover.

Inside our advanced technology

Our experts and pioneering technologies can streamline and accelerate subrogation processes that were previously cumbersome.

Continuous, real-time data matching uses advanced proprietary algorithms to continuously, accurately, and efficiently match data and identify opportunities. The system operates in real-time, dramatically reducing the time and resources needed for manual searches while improving the accuracy of case identification and increasing recovery rates.

Nonresponder program automates the process of targeting and engaging non-responders. If initial outreach fails, the technology autonomously searches for alternative data points to validate leads without requiring direct member interaction. This reduces member abrasion and ensures that potential recoveries are not ignored or missed due to lack of initial response.

Predictive scoring employs sophisticated proprietary algorithms and machine learning to predict and prioritize high-value recovery opportunities. It enhances resource allocation by focusing efforts on the most promising cases, which optimizes the overall recovery strategy and increases potential recoveries.

Our impact

Through these advanced technologies, our proprietary process can address and overcome operational efficiencies, optimize resource allocation, target and rank viable cases, and, ultimately, improve your plan’s overall financial health

Optimization Streamlines discovery.
Automation Identifies, sorts, and prioritizes opportunities.
Validation Verifies viable recovery leads

The outcome: More promising, high-value leads are identified to increase recovery rates.