Complete Data. Complete Confidence. No Missed Cases.
How Reliance on Plan Member Responses Limits Case Identification
To identify reimbursement opportunities, health plans must know what caused an injury and whether another party is responsible to pay for it. For decades, sending questionnaires to injured plan members was the default way to gather this information.
These forms asked questions like: How did the injury occur? Was another person at fault? Was it tied to an auto accident or work injury? Have you hired an attorney?
In theory, the answers to those questions can reveal whether a third party should cover the costs. In practice, however, few questionnaires ever get returned. Those that do are often incomplete or inaccurate, leaving health plans without the details needed to validate recovery opportunities. As a result, cases are missed and recoverable dollars are lost.
Uncovering Cause and Liability Without Asking the Member
Intellivo takes a different approach to questionnaires. Instead of asking members to explain the cause of an injury, we uncover that information automatically — without ever contacting the member.
Through a rich data ecosystem fed by external data partnerships, we cross-reference medical claims with property and casualty records, court filings, accident reports, and other legal-adjacent sources. Together they render a clear picture of how the injury occurred and who is responsible.
This data-driven model turns subrogation from a manual, member-dependent process into one that is seamless and precise. Cases are identified faster, recovery rates climb, and members remain undisturbed, preserving their satisfaction and loyalty.
We Move Fast Because in Subrogation, Speed is Everything
Why Waiting on Member Questionnaires Limits Subrogation Recoveries
The sooner you identify a case, the better the outcome. Yet traditional member questionnaires rarely get returned — industry data shows response rates below 15%.
Delays in getting critical information from members can stall subrogation efforts for weeks or even months, shrinking recovery windows and increasing administrative overhead.
Intellivo’s Technology and Data Ecosystem Enables Faster Identification and Pursuit
Intellivo eliminates these delays entirely. By independently gathering and cross-referencing injury details from trusted external sources, we fast-track case validation and recovery efforts without ever depending on member input.
The result: faster identification and no wasted cycles chasing unreturned questionnaires.
Elevate the Plan Member Experience. Eliminate the Escalations.
How Subrogation-Related Complaints Strain Member Service Teams
Repeated subrogation outreach not only frustrates members — it also overwhelms customer service teams, who must spend valuable time fielding angry calls, explaining confusing letters, and mitigating damage to the member relationship.
The last thing you need is frustrated members going to HR for answers.
How Intellivo’s Seamless Subrogation Process Reduces Service Escalations
Our subrogation process eliminates member abrasion and strengthens the trust your plan was built on. Service teams stay focused on supporting members proactively, rather than reacting to avoidable frustration.
Plans maintain — and even enhance — member loyalty while optimizing financial recoveries quietly and effectively behind the scenes.
Recover More. Stress Less. Let’s Talk.
Subrogation doesn’t have to mean disruption. Intellivo delivers better results — for your plan, your team, and your members