Subrogation

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

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What is subrogation?

Subrogation – to seek payment from another.

Do I owe money?

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

What do I do now?

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 Community at 1.888.760.2600 or 713.295.2294.

Need to talk to someone about this?

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 Community?

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

“Community Health Choice 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.”
– Cecily
Member of Community Health Choice