Identify incorrect payments on accident-related claims
Identifying and recovering inaccurate payments on accident-related claims while respecting member sensitivity can be challenging. Optum® Subrogation services combine pre- and post-payment processes to help you identify, recover and prevent unnecessary payment of third-party claims.
Maximize savings with Pre-Pay Subrogation services
By combining pre- and post-pay subrogation processes, health plans can avoid unnecessary payment of third-party claims while minimizing member abrasion.
Our experts investigate and pursue potential accident claims before payment. We verify other coverage and provide the necessary information for the primary carrier to accurately pay the claim.
Partner with the largest provider of health care subrogation
With more than 35 years of experience, we provide subrogation and recovery services in all 50 states and internationally, generating nearly $1 billion in annual recoveries for health plans. Our results:
- $5–15 PMPY (per member, per year) estimated post-pay savings
- Additional $3–9 PMPY estimated savings when Pre-Pay Subrogation is added to existing post-pay program
- 66% fewer member touches