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What is it? Subrogation is TennCare's right to be reimbursed any funds it has spent for medical care for a TennCare enrollee when an insurance company or another person owes money to the TennCare enrollee because of the injury or illness.
A Release says your estate does not owe TennCare any money. To find out if the estate owes money to TennCare, you must complete and submit a Request for Release Form. The form may be downloaded at: Release Form.
This right is called subrogation and is an equitable doctrine. A person can satisfy his/her loss that is created by the wrongful act or omission of another person by stepping into the shoes of another and recovering on the claim from the wrongdoer.
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. For example: Your insurance company pays your doctor for your treatment following an auto accident that someone else caused.
If the plaintiff or plaintiff's attorney collects the judgment, each has the obligation to promptly remit the net subrogation interest, and attorneys' fees and costs to any counsel employed by the state or its assignee, as required by the final judgment.
Section 8-27-903 - Subrogation - Reimbursement (a) A plan shall not recover a medical payment paid to, or on behalf of, a plan participant under a plan unless: (1) The medical payment has been incorrectly paid; or (2) The plan participant recovers, or is entitled to recover, from a third-party tortfeasor or third-party ...
Subrogation is a term describing a right held by most insurance carriers to legally pursue a third party that caused an insurance loss to the insured. This is done in order to recover the amount of the claim paid by the insurance carrier to the insured for the loss.