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Subrogation

Subrogation

Subrogation

Are you a ³Ô¹ÏºÚÁÏÍø Member or an Attorney working on behalf of a client? Did you get a letter or e-mail about subrogation?

Apply Today

Ready to Apply for CHIP? Applying is easy. 

Subrogation – to seek payment from another. 

If ³Ô¹ÏºÚÁÏÍø Members are involved in an accident or if someone else may pay for their claims, they must let ³Ô¹ÏºÚÁÏÍø know what happened. ³Ô¹ÏºÚÁÏÍø 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 ³Ô¹ÏºÚÁÏÍø at 1.888.760.2600 or 713.295.2294. 

Call OPL toll-free at 1.800.827.8276; Monday – Friday; 8:30 a.m. – 5:00 p.m. CST.

I am an attorney requesting information on behalf of my client

Email the following to our department:

  • Letter of Representation
  • Inquiry/Request for Claims Form Request for Claims Form

Call us to check the status of a request

Why Choose ³Ô¹ÏºÚÁÏÍø?

As a local nonprofit health plan, ³Ô¹ÏºÚÁÏÍø gives you plenty of reasons to join our ³Ô¹ÏºÚÁÏÍø. From the benefits and special programs we offer to the way our Member Services team helps you make the most of them, ³Ô¹ÏºÚÁÏÍø is always working life forward for you and your family.

“³Ô¹ÏºÚÁÏÍø 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 ³Ô¹ÏºÚÁÏÍø

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