Accident Information Questionnaire Optum
Accident Information Questionnaire
Subrogation / Right of Reimbursement

Frequently Asked Questions

Welcome to Optum We are investigating to determine if any other party or insurance carrier may have responsibility to pay for the medical treatment noted on the letter directing you to this website. The information we are requesting relates only to the incident referred to in that letter.

Who is Optum?

Optum Subrogation Services assists health insurers and health plans in recovering health care expenses that result from accidents in which a third party is responsible. Optum has more than 16 years' experience in the third-party liability business and is one of the industry's largest health information companies.

For more information about our company, please visit our website at

What is subrogation?

Subrogation is a procedure undertaken by your insurance company or health plan to recover from responsible third parties the full, or some proportionate part of, benefits paid to you. In other words, if another individual or organization contributed to or caused your injury, that party may be obligated to reimburse your health plan for the medical payments.

Why are we asking for this information?

Your employer, insurer, and/or health plan has retained Optum Subrogation Services to pursue a recovery for the medical benefits which have been, or may be paid, arising out of the injury noted on the letter we mailed to you. Your insurer or health plan may have a right to be reimbursed for the medical benefits that it has paid if another party is responsible.

What information do we need?

The information we need relates to the incident referred to in the letter directing you to this website. Please provide the information below and submit the information to us by clicking on the “Submit” button.

How is my data protected?

Optum is very sensitive to privacy issues. We respect your right to privacy and feel it is important for you to know how we handle the information we receive from you via the Internet. However, it may be necessary in some cases for us to provide your information to our contractors, agents, or other insurers in order to respond to your case, but only to the extent permitted by law.

We have taken precautionary measures to make all information received from our online visitors as secure as possible against unauthorized access and use.

We do not sell your information. We will only share information with outside entities as permitted by state and federal law and only to the extent that it is necessary to investigate and resolve this subrogation claim. Additionally, our online and offline business practices are in full compliance with the privacy requirements under the Health Insurance Portability and Accountability Act (HIPAA). To read more about our Privacy Practices, please visit our website at