Why did I receive a letter from Optum?
I received a letter from Optum. What do I do?
After you get medical treatment for an injury rather than a chronic illness, it’s not uncommon to receive a letter from a third-party subrogation company, such as Optum (or The Rawlings Company, Equian, First Recovery Group, etc.), on behalf of your health insurance company. Optum (or one of these other companies) is probably calling you to find out how you got hurt. If your injuries possibly give rise to a personal injury claim or a potential lawsuit (for example, a car accident, a work injury, a slip-and-fall accident, etc.), Optum wants to know, because it’s their job to find out if your health insurance company might have a right to be reimbursed out of your settlement. If you received a letter from Optum after a Pennsylvania car accident or personal injury, you should call our law firm immediately at 1-800-999-0750.
Should I reply to Optum’s letter or call them back?
Optum cannot make you sue somebody if you don’t want to sue them! That being said, you should still talk to a personal injury attorney before talking to Optum. You need to know your rights (and responsibilities) regarding this accident, your health insurance policy, your medical treatment, and your medical bills. Our personal injury law firm offers a free consultation that can be either over the phone or in person! Give us a call today at 814-452-6232.
DO NOT FORGET: If you were hurt because of someone else’s negligence, you should immediately give Optum’s letter to your attorney! If you have a lawyer, you should not be contacting Optum directly. You want your personal injury lawyer to know about Optum’s letter, because failure to properly consider your health insurance’s lien against your settlement could potentially have devastating consequences to both your case and your finances. The last thing you want is to settle your case for so little that you can’t pay back Optum, should they be entitled to some of the money!
If you were hurt in an accident but don’t have a lawyer, you should hire a personal injury attorney to contact Optum on your behalf. Our personal injury lawyers work on contingency and only get paid if we get you a financial recovery. We represent injured victims throughout Western Pennsylvania, from Pittsburgh, to Erie, and all the way to Bradford and Smethport.
What if I don’t want to sue the person who hurt me?
In Pennsylvania, Optum can’t make you sue somebody if you don’t want to sue them! That said, it is still a good idea to talk to a personal injury attorney before talking to Optum. You need to know your rights and responsibilities regarding this accident, your health insurance policy, your treatment, and your medical bills. Our law firm offers a free consultation that can be either over the phone or in person—you decide! Give us a call today at 814-452-6232.
Optum also includes OptumRx, which focuses on managing the prescription drug benefits of commercial, Medicare, Medicaid, and other governmental health plans as well as those of employers and unions. That’s why this optum is good.
I hurt myself when I fell on sidewalk after tripping my self with dog leash. I do not need an attorney,nor am I owed any funds from my accident.
They have asked me questions 4 times. Same questions. Now they sent me a letter talking about getting paid back for my claim. I’m not owed money. I hurt myself!
What if I never received or a demand letter or was not even aware of a demand letter. And by default I pick up the I got a judgement on my name
Is there a statute of limitations as to how far back medicare can go to get reimbursed. If I had an accident, say, 5 years ago, but still treating, can they go back that far or is there a cutoff?
I have searched but cannot find statute of limitations for subrogation in PA.
I wasn’t hurt in an accident. During that real bad cold spell my heater stopped working and my daughter put me in her room with her. About 3 days later when I took off my heavy socks, both feet were frost bitten. I have no feeling in my feet because of neuroperthy and had no I idea that my feet got that cold. The toes on my left foot was able to save. The toes on my right foot had to be amputated.That was why I had to have medical attention.
I hurt myself when I fell on sidewalk after tripping my self with dog leash. I do not need an attorney,nor am I owed any funds from my accident.
I just received a “second attempt” letter. I already answered that my wife’s medical records would indicate a “pulmonary embolism” rather than an accident for the indicated date.
It’s obvious that 1) they do not trust me.2) they refuse to check my wife’s medical records.3) they seem to believe that by harassing me, I will agree that an “embolism’ is a form of accident and that a third party should pay for her trouble. I am in the process of responding to that “second attempt” for senseless that the situation may be. How can any intelligent creature can refuse the evidence of a medical record now spreading over six months including controlled recovery, medication adjustment, whatsoever is required from a responsible medical outfit that was The Polyclinic of Seattle before being taken over by a money-grabbing outfit. We have been patients there for some 32 years!!!