Subrogation
Are you a ÐßÐßÊÓÆµ Member or an Attorney working on behalf of a client? Did you get a letter or e-mail about subrogation?
Subrogation – to seek payment from another.Â
If ÐßÐßÊÓÆµ Members are involved in an accident or if someone else may pay for their claims, they must let ÐßÐßÊÓÆµ know what happened. ÐßÐßÊÓÆµ will try to find out if anyone else should pay for the claims.
Medicaid must be the Payer of last resort. That means Medicaid must always be the last one to pay.
If the date of your accident or injury occurred before September 1, 2017, please contact OPL toll free at 1.800.827.8276, Monday – Friday 8:30 a.m. – 5:00 p.m. CST or on the Other Party Liability (OPL) Web site.
If the date of your accident or injury occurred after September 1, 2017, please contact the Texas Health and Human Services Commission at 1.800.252.8263.
If you have any other questions regarding your subrogation claim, please contact ÐßÐßÊÓÆµ at 1.888.760.2600 or 713.295.2294.Â
Call OPL toll-free at 1.800.827.8276; Monday – Friday; 8:30 a.m. – 5:00 p.m. CST.
Email the following to our department:
Call us to check the status of a request
As a local nonprofit health plan, ÐßÐßÊÓÆµ gives you plenty of reasons to join our ÐßÐßÊÓÆµ. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, ÐßÐßÊÓÆµ is always working life forward for you and your family.
“ÐßÐßÊÓÆµ is always there to answer my questions and help me and my family with our medical needs. I truly appreciate and value their customer support and service.â€
– Cecily
Member of ÐßÐßÊÓÆµ
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