Start-up Healthcare IT Company Targets Third-Party Recoveries

Targeting the business of third-party recoveries and health subrogation operations, healthcare IT start-up SubroShare (Richmond, Va.) uses patent-pending software called Collaborative Subrogation, a technology predicated upon a health provider or release-of-information vendor taking a portion of a legal record request on a patient and making that information available to the patient's health insurer. This information improves the health payer's efficiency and success in finding third-party recoveries, according to the vendor.

The solution focuses on the fact that health payers generally are not privy to the release-of information (ROI) data, which is a unique exchange made between health providers and lawyers. Lawyers typically request medical records and billings from all providers who gave care to their injured clients as part of injury claim preparation. The ROI substantiates and in part values the extent of a patient's injuries for his or her legal claim. SubroShare's data exchange receives part of an ROI from a health provider or ROI vendor, where the data identifies the patient, his or her attorney, and the health insurance company of the patient.

Katherine Burger is Editorial Director of Bank Systems & Technology and Insurance & Technology, members of UBM TechWeb's InformationWeek Financial Services. She assumed leadership of Bank Systems & Technology in 2003 and of Insurance & Technology in 1991. In addition to ... View Full Bio