Our solution

Discovery’s healthcare Subrogation solution increases recoveries, enhances the member experience, and provides payers with complete transparency and insight into program status and performance.

Driven by advanced technologies including data mining, analytics, and machine learning, our Subrogation solution focuses on finding, prioritizing, and verifying the right cases for recovery and minimizing interactions with members. Our technology- and data-driven approach, combined with a focus on customer service and deep recovery expertise, is what sets us apart from traditional subrogation solutions.

  • Accurately identify the right cases with a data-driven approach
  • Increase recoveries with proactive, member-sensitive methods
  • Improve settlements with expert legal oversight
  • Avoid paying claims that are the liability of a third party

Data

We leverage every possible data source to identify subrogation cases quickly and accurately and minimize member contact

Technology

From our Discovery Case Manager to dashboards and reports, we rely on technology to improve process, transparency, and security

People

Our legal and recovery teams are skilled in subrogation techniques and negotiation tactics. They work tirelessly to recoup dollars on your behalf

Process

We have perfected processes and procedures that drive consistent results and superior quality audit scores

Proactive cost avoidance and recovery

PRE-PAYMENT cost avoidance

Multiple sources of data, combined with advanced data integration, data mining, and machine learning algorithms, can inform pre-payment decisions

POST-PAYMENT recovery

Identify paid claims that may be the responsibility of a third party and engage the subrogation process from validation through settlement

Subrogation your way

Full-service

Discovery manages your subrogation process beginning to end. We identify, investigate, negotiate, recover, and remit claims payments on your behalf

Software-as-a-service

Use our web-based Discovery Case Manager to proactively manage your subrogation program internally on a pay-as-you-go model

Hybrid

Strategically outsource part of your subrogation inventory to our team and work the cases you want to manage internally, using our Discovery Case Manager

Discovery Case Manager

You’ll get 24×7 transparency of your subrogation inventory and program performance with our HITRUST CSF® certified Discovery Case Manager.

This web-based application guides the case investigation and recovery process, maintains a record of all activity and correspondence, and provides complete visibility of your subrogation program. Whether you have 50,000 or 500,000 members, Discovery Case Manager is used for:

  • Fast access to high-level and detailed case data
  • Embedded diary management for timely case follow-up
  • Workflow and work queues for work distribution and case assignment
  • Generating outgoing letters and uploading incoming letters and viewing letter detail
  • Capturing information about relevant parties, including insurers, providers, and attorneys

Solution features

  • Our experienced in-house legal team provides oversight and case support, including mass tort claims
  • Our contact center is staffed 12 hours per day to handle member responses and questions
  • Our quality/audit program evaluates performance on all investigations and settlements
  • Our dedicated account management team ensures a smooth implementation and ongoing delivery excellence

Our technology

Discovery’s solutions are built on the Healthcare Analytics Platform, integrating powerful data, analytics, and business process capabilities.

HIPAA compliant

Advanced analytics

Industry-leading security

Insightful reporting

Cloud-based platform

Automated workflow

Learn more

Case study: How Discovery is increasing healthcare subrogation recoveries

Discovery Health Partners leverages people, process, data, and technology to improve subrogation results for healthcare payers.

3 bad habits that are good for healthcare subrogation

Three bad habits that help health payers identify, investigate, and settle healthcare subrogation cases faster and more accurately.

Subrogation overview

Discovery Health Partners’ Subrogation solution leverages the powerful technology and optimized processes of our Healthcare Analytics Platform to deliver stronger results than traditional subrogation approaches.

Should health plans expect more from their subrogation efforts? It’s worth a look!

Health plans are experimenting with information technology and analytics to help improve the identification of claims with subrogation potential.

Subrogation solution delivers millions in recoveries for healthcare clients

This case study shows how Discovery generated millions in subrogation recoveries with Discovery’s analytic-driven, member-sensitive approach

9 Steps to optimized healthcare payer subrogation

Through the use of next-generation tools, such as predictive analytics and optimized workflows, health plans can now increase recoveries faster and with lower costs.

Recover more with next-generation healthcare subrogation

A health plan’s successful recovery of injury-related claims depends upon a finely tuned subrogation process, detailed metrics, and transparent reporting. Learn about the advanced tools and tactics developed by Discovery.

Video: A new perspective on healthcare payer subrogation

Discover three tactics you can apply to your subrogation program to generate better results and more recoveries.

The business case for SaaS in subrogation

Software-as-a-Service (SaaS) solutions allow healthcare payers to improve their productivity by controlling the entire subrogation process, while leveraging existing operations, expertise, and experience.

5 Best practices for maximizing mass tort recoveries

Mass tort litigation represents a substantial cost recovery opportunity for health plans. Learn about the best practices we have developed to help health plans identify, pursue, and increase recoveries from mass tort opportunities.

Proven subrogation strategies and tactics

Join Elizabeth Longo, Discovery’s subrogation expert, as she shares leading-edge strategies and tactics for maximizing healthcare subrogation recoveries.

5 Strategies for maximizing subrogation recoveries

Is your subrogation process optimized with the right tools, utilizing all data resources and equipped with the best technology? Learn 5 cutting-edge strategies that will help you generate more subrogaton recoveries.

Discovery Health PartnersSubrogation resources for healthcare payers and health plans