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I too received the same intrusive letter. What they don't make clear is exactly who wants this information, nor do they explain in human terms anyone can understand, why they want it. Of course we're afraid of giving out our personal medical information, out of the blue, to some company who doesn't truthfully identify themselves.
I refuse to respond to their letters of inquiry because everything they need to know is in my medical record. I've already stated how/why my injury occurred. It's from a lifetime of breaking my back so you birdbrains can get rich. Leave me alone.
Here's something that makes it a bit clearer. It did for me anyway.
Here's some gobbly [censored] for your edification: "With health care costs on the rise, most employers are looking for ways to better manage their employee’s insurance and medical expenses. In support of this effort, Blue Cross Blue Shield administers a provision that will encourage the reduction of health care costs without reducing health benefits; that provision is known as Reimbursement or Subrogation and applies when Blue Cross and Blue Shield has paid claims that might be the responsibility of another party.
Our partnership with Healthcare Recoveries, Inc. (HRI) will assist in this administration of the Reimbursement/Subrogation provision through the review of paid health care claims that could potentially be the responsibility of another party (e.g., claims processed for a member who had been in an auto accident).
Source(s):
Blue Cross and Blue Shield of Illinois Customer Advocate."
Then why doesn't your company identify itself as Trover Solutions Inc. in their mailings? Could it be the name doesn't sound 'medical' enough?
I know all I need to know about your company, and mine.
Just received "3rd notice" from your company. Listen idiots, I've already given accurate information at time of admission to ER. I, repeat, I, already know WHO is responsible for my care. Kaiser, the company I, repeat, I, pay through the nose for. So what, you want to find a way to make the state pay? Go f*ck yourself!
Nope. I'm not legally obligated to waste my time answering their questions. Not gonna happen.
Well, apparently, according to Gibson & Sharps, PSC, on behalf of Kaiser/Healtcare Recoveries, I am legally obligated to answer the vultures inquiries. I received a letter today telling me so. Frankly, this is extremely upsetting to me. Last March my back gave out, I missed 6 weeks of work throwing me into a financially bog. I'm now making payments to Kaiser because I 'd foolishly opted for their deductible plan through my job. Now: I owe Kaiser $500, behind financially, and they hire firm to bother me about details, details already given at time of treatment of my injury.
Here's what part their scare letter says:
"Dear Member, This firm represents Kaiser Northern California and Heathcare Recoveries. You may wish to review your health plan contract to determine any legal obligation you might have to provide certain information in connection with the claim referenced above."
BTW, I no longer have Kaiser. Had to cancel due to money problems. I will never, under any circumstances, use Kaiser healthcare again. I'd rather die. P.S. Cheri Hall, I have zero intention of answering duplicate questions to your company or any other firm you deal with. What? Am I going to be arrested and sent to jail failing this?
Interesting. Just googled the law firm, found an interesting tid bit:
"I got the same letter. This is purely speculation on my part!
I don't think they are actually hired by BCBS. I suspect that they found a loophole in HIPAA that allows BCBS to sell contact information that a claim was paid out but not give details of the medical condition. Healthcare Recoveries probably pays BCBS a fee to obtain the list in hopes that they can receive a bounty for any recovered funds. A recovery may not come from the individual, but maybe a insurance payout for workman comp.
It seems similar to 3rd party debt collection efforts.
The wording of the letter is slickly crafted to make you think you need to take action. I'm sure that BCBS verified they are "legit" because Healthcare Recoveries pay a fee and is a customer of BCBS.
Very creative but still slimy."
Yes! Spread the word!
IGNORE THEM! JC, did some of their weasel employees find their way here? Honest, hardworking Americans have no time for money grubbing shenanigans like that. Vultures!
![Teachers Insurance and Annuity Association [TIAA]](/images/business/48-48/132202/teachers-insurance-and-annuity-association-tiaa.){kind=small}
I got the letter and like a good idiot I called and gave them the info they wanted. Like another person said they didn't ask for anything that one would think a phishing scam would want but I still had a weird feeling. The person taking my info wasn't friendly. Maybe that was what caused me to research (after the fact-duh on me). I will say that if any issues come up I will know the first place to look. But I changed insurance companies anyway because they paid nothing last year anyway. Humana was the most useless insurance "coverage" I ever had. I'm glad to be rid of them!
Got one of these letters too. I did call but when asked some personal questions I said forget it. I dont know who you are. and hung up.
Just called Blue Cross, they told me even though I may have received a letter stating this outfit works for them, they have no record of this.
I was told to ignore the letter.
Well if they collect from a third party ...DO I GET MY MONEY BACK TOO ...COST OF ER, MEDICATION, X*RAYS AND SO ON.
ALL OF THOSE THINGS I PAY FOR OUT OF POCKET TILL I REACH MY $6500 DEDUCTABLE
I too am offended by the tone used in this letter. And the point to my case, it does not involve a company, "I" am responsible! Don't threathen me with the "take appropriate action". Good thing I researched before they scared me! Idiots!
I, too, received a 2nd attempt letter from Trover Solutions, even though I had never received a first one from them. I did try calling the number listed but only got a recording stating that the number didn't allow messages, and never identified the company at all. I will call my insurance company tomorrow about this because I don't trust Trover, after having read numerous other reports here on them, after checking them out online.
I received a letter from Trover Solutions with partners Blue Cross Blue Shield of Illinois to review medical services provided and/or paid claims that may have been the result of an accident or injury. Trover Solutions, working on behalf of BCBSIL, needs to obtain detailed to determine whether another party is responsible for the medical treatment provided. Please call Trover Solutions today and have your event number, listed above, along with your BCBSIL identification card ready for reference. Please call regardless of how or where this injury or illness occurred.
Blue Cross Blue Shield of Illinois contacted you clowns, get the information from BCBSIL ! I have bone spurs who fault is that?
Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an independent licensee of the Blue Cross and Blue Shield Association
Another one here, just ripped up and threw away the third letter - from Gibson & Sharps, after the first two came from Trover Solutions, Inc - regarding a routine chiropractic visit three months ago after reading the multitude of comments here. I've come to the conclusion, based on all of the myriad voices here, that this system is NOT a fraud, NOT illegal, however it is "bottom-feeding", condescending and generally anti-consumer. Remember, if it's "pro-consumer", it should follow the wishes of the consumer, not bully him/her with patronizing and/or vaguely threatening "legal action" with respect to the consumer's healthcare insurer. Suggesting or insisting (with lack of concrete proof that I realize would be confidential and proprietary accounting data, but there you go) that this saves us "millions" or any large # with -llions following is not a validating reason to support this ungainly and unpleasant policy.
To those with negative, snide and overall disrespectful comments towards those with anti- view of this subrogation issue, every company/industry has a party line that defends their point of view, which is understandable. What is NOT understandable is how you would choose to ignore the base complaint - "why?" and post ad hominem attacks as if the existence for this business was an answer to itself. The "why?" is ever present because there are at least a few dozen repeat complaints here stemming from the exact thing. Very few people outside of some legal training even know what "subrogation" means (and it has the tell-tale squiggly red line as I type this, meaning the spellcheck doesn't even recognize it ;). I myself had to google this whole business to find out what was going on.
So why have I not chosen to take part? My experience was that the phone# was busy/on hold, so right there, they could improve their answering system. I am a consumer and do not feel I should wait one millisecond to supply more information that should have been reported initially (and I do not care if that is the process currently - it is a BAD process that could be improved by the way healthcare is reported to the provider). Then I tried the online method and found that they asked VERY invasive questions (and YES, my SSN _was_asked_for (among other things)! Absolutely no reason for this (and I wonder about those of you professing that this was a very "easy, non-invasive" process... sure wasn't the case for me), it's very anti-consumer. All good reasons to refer to the post from "Jenniferclsm" above, who hits the nail on the head regarding US health care.
(And I am going to switch to another health care provider at the end of the year, so I'm not just whining here - I am taking action ASAP)
I responded to each letter that Trover Solutions sent (three, in all). Finally, I called the number they had on one of the letters, because they obviously don't actually read their mail. I was informed that it would be a 20 minute wait, or I could leave my phone number and receive a callback, without losing my "position in line." They didn't call back, either.
Then, I received a letter from "Gibson & Sharps, Attorneys at Law." What reputable company has a letterhead with no return address or contact information? They want me to contact Trover again (for the 5th attempt), to determine if this was an accident that someone else should have to pay for (it was part of an on-going cancer treatment, and very obvious, that's what it was).
Frankly, these people are giving BCBS a very bad name, if this is how they deal with their internal processes and procedures that roll over to their customers.
I have Kaiser Northern California health care. Just got a letter from Trover about a treatment I had back in September. It's pretty easy folks...call the number and refuse to answer any, and I mean any, personal information, including health care number and birthday (what they asked me). I then told the person that my treatment was due to age and that was that...she updated (I hope) my file and we hung up.
Should I ever hear from them again, I will refer to my grizzly bear attack and the fact that I lost both legs, both arms and my head, thus necessitating the cortisone shot in my shoulder. Let them figure that one out...I look forward to it with glee.
I am SO SICK and tired of scammers and thieves making money off of unsuspecting people. Last year, I got a recorded message on my land line, claiming to be the IRS stating a law suit was filed in my name LOL! Sadly, lots of people took the bait from that scam. Now THIS freaking letter you have GOT to be kidding me! What the hell is wrong with our Country? Trump could be our next President, threatening letters to your HOME address claiming to be a rep of YOUR health insurer? WHO ARE YOU!? Give me a break. Give everyone a break. Look deep inside your soul and come up with a way to earn your money in a respectful and dignified manner cause right now you are just a donkey!