Subrogation

Subrogation

Understanding 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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Subrogation – to seek payment from another. 

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.

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. 

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

General Information
Local: 713.295.2222
Toll-Free: 1.877.635.6736

Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m

Member Services
Local: 713.295.2294 | Toll-Free: 1.888.760.2600
Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m.

Provider Services Hotline
Call 713.295.2295, 8:00 a.m. - 5:00 p.m., Monday – Friday

Additional Contact Numbers

Subrogation – to seek payment from another. 

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.

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. 

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

General Information
Local: 713.295.2222
Toll-Free: 1.877.635.6736

Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m

Member Services
Local: 713.295.2294 | Toll-Free: 1.888.760.2600
Monday through Friday (excluding State-approved holidays) 8:00 a.m. to 6:00 p.m.

Provider Services Hotline
Call 713.295.2295, 8:00 a.m. - 5:00 p.m., Monday – Friday

Additional Contact Numbers

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.

“I always tell people to choose Community Health Choice. I tell them it’s the best health insurance they will ever be with.”

– Chandolyn
Community Health Choice Member