In today’s healthcare system, subrogation plays a critical role in ensuring payment integrity. Whether the cause is an accident or serious illness, health plans stand to lose millions paying claims when a third-party payer is responsible. These claims amount to as much as $25 per member per year. However, many health plans lack the tools and resources to identify and pursue recovery opportunities for high-cost, complex claims.
As your subrogation partner, Discovery Health Partners offers deep subrogation expertise, advanced technologies, and a data-driven approach—all with proven results you can trust. With analytics and alternative investigation methods, we find more recovery opportunities, validate more cases, and reduce member contact, ultimately maximizing recoveries for your health plan.
Whether used as an outsourced service or in-house technology model, our Subrogation solution has a proven track record of delivering measurable results for health plans. This case study showcases the millions of dollars our clients added to their bottom line as a result of our services.
Our flexible delivery model is supported by web-based applications that help streamline the subrogation process to your needs while offering the transparency you expect.
Legal and recovery teams are highly skilled in subrogation techniques and negotiation tactics—working tirelessly to recoup money on your behalf.
Sophisticated processes and procedures supported by technology and experience drive consistent results and superior quality audit scores.
Data analytics, machine learning, and rules-based analysis help identify and validate subrogation cases. We continuously refine our case identification methodology and determine the most effective validation methods, ultimately reducing false positives and increasing yield.
Creating a positive member experience is key to your overall success. We combine data, technology, people, and processes to uncover opportunities while making member outreach as intuitive and user-friendly as possible.
As we work to identify the full scope of recovery opportunities for your health plan, we complement data analysis and machine learning with the expertise of key technology and information partners. This collaboration powers improved results in mass torts, product liabilities, and medical practice claims.
Avoiding inaccurate claims payments upfront creates true cost avoidance, allowing you to completely avoid the claim cost. Coupled with traditional subrogation recovery, pre-payment subrogation creates a holistic approach while maximizing savings, eliminating rework, and quickly identifying cases.
Avoid inaccurate claims payments up front
Improve case identification and validation methods
Get better results from case identification through recovery
