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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 payor 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, MultiPlan 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.
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.
As we work to identify the full scope of recovery opportunities for your health plan, 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.
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.
Our case management system provides 24/7 ability to track cases and outcomes, with auditability and accountability. Delivery model includes insights into: activity history, planned activity (case diary), phone calls, letters and notes.
Recover and restore value to get the revenue you deserve and make healthcare more affordable.