Difference Between Subrogation And Recovery In Contra Costa
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Paper Claims Submission Please send your paper claims to: CCHP Claims Department, Post Office Box 1599, San Leandro, CA 94577.
Claims must be submitted within 12 months of the date of service. If multiple services are performed on the same day, include all services on one claim.
CCHP is the primary managed-care provider for Medi-Cal beneficiaries in Contra Costa and we also manage smaller plans for county employees and IHSS homecare workers. Our members have access to hundreds of family medicine doctors and specialists in our provider networks.
1-877-661-6230 Call if you have a medical problem or if you have a medical question. The Advice Nurse can tell you if you need to go to urgent care or the emergency room, give you self-care instructions, schedule a telehealth appointment with a doctor, and more!
Submitting Claims Claims received after 180 days will be denied for untimely filing.
Timely filing is when an insurance company put a time limit on claim submission. For example, if a insurance company has a 90-day timely filing limit that means you need to submit a claim within 90 days of the date of service.
When you file a claim, your insurer can try to recover costs from the person responsible for your injury or property damage. This is known as subrogation.
The right of subrogation belongs to the insurance company, not the insured. The insured only waives or releases (the insurance company's) potential claims. An insurer's right to recover is entirely dependent on the insured's right to recover.
Subrogation claims can be broadly categorized into two main types: contractual and equitable. Understanding the distinction between these two is crucial for insurance companies to determine their legal standing when pursuing reimbursement.
The Anti-Subrogation Rule (“ASR”) is a common law defense to subrogation. It states that a subrogated insurance company standing in the shoes of its insured cannot bring a subrogation action against or sue its own insured.
