What You Need to Know About Subrogation

Blue Cross and Blue Shield of Texas is always on the lookout for ways to help control the rising costs of health care. It’s important that we do this for our members — and our company. So, from time to time, we may look a little bit more deeply into a medical claim you filed. Often, we start by sending a subrogation letter.

What Is Subrogation?

If this is the first time you’ve heard of subrogation, you may wonder what it means. The Legal Information Institute  at Cornell University explains it this way: “It's the process where one party takes on the rights of another.” In the case of a health insurance claim, we will send a letter to help us gather facts about who should pay it.

We Have Questions, You Have Answers

BCBSTX has partnered with Equian to find answers. You may have received a letter from Equian asking about details of a particular claim. It might have been about care you received for a job-related injury. Or care following a car wreck you were involved in. 

We use this information to see if an employer, another individual or insurance company other than BCBSTX should pay the claim. If another party is responsible, we can ask them to pay or repay charges as needed.

Please Reply to Our Letter

If you receive a letter from Equian asking for details about a claim, please answer the letter right away. The information you give us can help us recover money for medical care that should have rightly been paid by someone else.

To respond to questions quickly, call the number listed on the letter or go to Equian.

By working together, we can help keep health care costs in check.