Your health plan requires that benefits paid for claims where another party is responsible — automobile accident, accident on someone else's property, on-the-job injury (i.e., workers' compensation claim), medical malpractice, etc. — be recovered from that party. SRP has been retained by your plan to assist with this process. Reimbursement to your health plan for expenses that may otherwise be payable from another source help keep the cost of your healthcare benefits down.
The treatment for the injury or incident referenced in the letter you received indicates that another party may be responsible for payment.
Regardless of whether another party was responsible for the injury or incident on the date referenced in the letter you received, please complete the form and return it as requested.