Subrogation Overflow Solution

Extend your team’s capacity and strengthen recovery performance with flexible, scalable subrogation support.

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To complete a questionnaire or refer a case, please use our forms below.

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Are you leaving valuable claim dollars on the table?

Limited resources can make it harder to identify and pursue every recovery opportunity. Carelon helps you extend your subrogation program with scalable support that can identify, investigate, and pursue eligible claims while complementing your existing operations.

 

As an experienced subrogation vendor and partner, we bring advanced technology, analytics, and specialized expertise to help strengthen recovery performance and operational efficiency.

Lines of business:

  • Commercial
  • Medicare Advantage
  • Medicaid
  • Federal employee

Audience:

  • Payers

A trusted subrogation outsourcing partner for health plans

Extend your team's capacity without rebuilding your subrogation operation. Our subrogation solutions help health plans, third-party administrators (TPAs), and payer organizations strengthen recovery programs with flexible support and specialized expertise.

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Extend your subrogation operations

 

Add scalable support that works alongside your in-house team and aligns with your recovery goals and existing operations.

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Expand recovery expertise

 

Bring added technology, automation, and specialized recovery capabilities to identify and pursue additional recovery opportunities.

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Strengthen healthcare payment recovery

 

Increase recovery performance with experienced subrogation specialists who can investigate claims, negotiate settlements, and pursue recoveries where support is needed.  

Inside our Subrogation Overflow solution

Our Subrogation Overflow solution combines advanced technology, automation, and recovery expertise to extend your existing subrogation program.

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Data integrity review

Help improve recovery accuracy with reviews designed to identify data gaps and inconsistencies.

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Continuous, real-time data matching

Identify potential recovery opportunities through ongoing data matching and analysis.

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Tenured specialists

Gain support from experienced specialists who understand the complexities of subrogation cases.

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Tech-driven case management

Support efficient workflows, case visibility, and performance insights with technology-enabled management tools.

How our subrogation outsourcing process works

Assess your needs
We work with you to understand your current subrogation processes, recovery performance, operational gaps, and outsourcing goals.

 

Design the approach
We design an approach aligned to your workflows, business rules, and recovery priorities.

 

Execute the services
We integrate with your operations to deliver targeted services, from identifying opportunities and managing investigations to pursuing recoveries.

 

Adapt and optimize
As your needs evolve, we adapt our support to strengthen recovery performance and operational efficiency.

Connect with a trusted subrogation outsourcing partner

Contact us to add subrogation expertise and scalable support that can help you pursue more recovery opportunities and ease demands on your internal team.

Complete a questionnaire or refer a case

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Questionnaire

Did you receive a questionnaire in the mail?

 

Submit your information securely online or review other response options.

 

Start the questionnaire 

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Case referral

Want to refer a new case to us?

 

Submit your information online and find additional options here.

 

Refer a case 

 

Frequently asked questions about Subrogation services

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