Medical Subrogation

The Third Party Liability-Medical Subrogation Detail page is used for capturing information when there is a possibility to recover medical expenses from a third party. This is when an entity outside of Medicaid or another health insurance is responsible for a consumer’s medical costs. Completing the Third Party Liability-Medical Subrogation Detail page allows a task to be sent to the Medical Subrogation/TPL unit to research if any other entity is responsible to pay a consumer’s medical costs.

The Injury section of the Third Party Liability-Medical Subrogation Detail page allows the user to enter the information regarding the person injured, the type of incident, whether the consumer has an attorney, the attorney information, and any insurance information for the potentially liable insurance company.

Within the context of the case:

1. Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Open the financial data pages by clicking on the + beside Financial from Task navigation. Select Medical Subrogation from Task Navigation.  The Third Party Liability - Medical Subrogation List page displays.

2. Click the Add button. The Medical Subrogation Detail page displays.

3. Select the consumer from the Name drop-down menu.

4. Select Injury from the Adoption or Injury drop-down menu. This removes the Adoption section from the page.

5. Under the Injury section enter the Injured Consumer’s Name, and enter all information known in fields provided.

6. Select Verified from the drop-down menu.

7. Click the Save and Return button on the Third Party Liability-Medical Subrogation Detail page to retain the data.