SubroShare^® is a new ADD-ON data program, uniquely connecting policyholder and attorney TPL involvement to the health payer. Delivered via a web-based data repository, SubroShare® securely stores and exchanges legal release of information (ROI) requests made upon a health plan policyholder, where such a request would indicate the presence of first or third party injury claims.

Health providers, either from a payer-based or contracted outsourced PPO network, securely submit HIPAA compliant data to SubroShare, which is subsequently made available to health payer, TPA and self-insured plan sponsor members. The patent-pending technology allows for payers to greatly reduce injury claim payments and waste by many millions of dollars.

PAYERS HAVE THE RIGHT TO RUN AN EFFICIENT AND PROFITABLE BUSINESS. NOW MORE THAN EVER, IT IS IMPORTANT TO FIND THE 'LOW HANGING FRUIT' THAT WILL YIELD NEW AND SUSTAINABLE REVENUE. OUR LOW-COST AND HIGHLY REVEALING ADD-ON RECOVERY TOOL WAS DESIGNED TO AID THE LIMITATIONS OF CLAIMS DATA ALONE.

The SubroShare network stemmed from an observation and understanding that utilizing claim form data for identifying third party recovery claims is less of a science and more of a "best guess". With today's technology, there had to be a better method and data source available.

Our fresh approach has determined that a legal release of information (ROI), occuring between patient, attorneys and health providers is a far better and more timely marker for knowing about third party liabilities and resulting injury claim payments.

This is because ALL types of injury claims, not just auto accidents, typically require an attorney to obtain request a release of information on the patient, who becomes the plaintiff or injured party involved.

Ultimately, our web-based tool is invaluable in finding those TPL claims, which would have been missed by a payer's existing claim operations, vendors and software. Additionally, provider agreements already stipulate a need to provide COB/TPL information to the payer through claims data; our information is the missing piece of that same COB/TPL information.

Payer clients, also known as "Subscriber Entities" include commercial, federal and state payers, as well as Third Party Administrators (TPAs) and self-funded plan sponsors, utilizing their own proprietary provider network or outsourced provider organization.

Any type of healthcare provider or healthcare business should participate, so long as they are able to legally bill a health payer AND they have recieved and worked with Release of Information requests in the past. Such examples include:

• Ambulatory Surgical Centers
• Cancer Hospitals
• Children’s Hospitals
• Chiropractors
• Chronic Disease Hospitals
• All Clinics and Offices of Physicians, Specialists and Surgeons
• General Medical and Surgical Hospitals
• Home Health / DME Sales
• Medical Testing Centers / Laboratories
• MRI / CT / Imaging Centers
• Neurological Testing Facilities
• Ophthalmologists
• Orthopedic Hospitals
• Osteopathic Physicians
• Outpatient/Comprehensive Outpatient Rehabilitation Centers
• Paramedics
• Physical / Occupational / Speech Therapy Clinics
• Plastic Surgeons
• Podiatrists
• Psychiatric Hospitals
• Psychologists/Psychiatrists
• Radiologists
• Respiratory Centers
• Sleep Centers
• Tuberculosis/Respiratory Illness Hospitals
• Urinalysis Laboratories

Upon login, SubroShare provides for the participating health provider to freely download a specially barcoded single page form, known as an ROI DATA COVER SHEET. Once logged into their online account, health providers download and print off, up to a quantity of 500 of these proprietary PDF forms at a single time, for implementation.

When a records request is made to a health provider, the records department or ROI vendor for the health provider handles the request as usual, except that they fill out only the top 1/4 of this form with the date, patient's legal name, date of birth, last 4 digits of patient's social security number and the patient's home state of residence. A copy of the received legal ROI request,identifying the requesting attorney and the patient is attached as well.

The rest of the ROI DATA SHEET is to be completed by the patient ONLY if it is the patient, and not an attorney requesting the records. Here, the patient or their legal guardian will attest to whether or not the records will be used for a worker's comp or third party injury claim submission.

Under 45-164.501 of the Health Insurance Portability and Accountability Act (HIPAA), the ROI data that is collected and shared between health providers and our payer clients, through the SubroShare network, is specific to insurance subrogation operations and falls under HIPAA's provision of "Payment", in its automatic exclusion of "Treatment", "Payment" and "Operations". This means that patient authorization is not necessary, nor can the patient request to withhold the limited disclosure of their PHI to SubroShare and eventually, to their health insurance company.

As a part of a normal provider-payer agreement, health insurance plans typically stipulate that any data relating to third party liability (TPL) or Coordination of Benefits (COB) provisions may be asked for and must be provided to the payer, in order for proper identification relating to recoverable claims. This is a legal right of many commercial, state and self-insured health insurance plans under the Employee Retirement Income Security Act of 1974 (ERISA).

Although not yet formally promulgated by Congress, SubroShare has taken a conservative and proactive approach to the new Health Information Technology for Economic and Clinical Health Act (HITECH) provisions in Title XIII of the American Reinvestment and Recovery Act of 2009. We sign a business associate agreement with every Subscriber Entity (SE) and their in-network health providers, as well as use operations, software and technology, which limit Information in Identifiable Form (IIF), Personally Identifiable Information (PII) and Protected Health Information (PHI) relating to patients, to the minimum necessary requirements to accomplish our vendor task.

There are two (2) requirements for ALL health payer client members:

First, these companies must be able to contact in-network providers (via their own network or a related PPO), so as to affect their join SubroShare. Moreover, the payer or outsourced provider network must affect compliance, both initially and through subsequent provider communication.

Second, the payer (or their contracted claims vendor) must have access to policyholder demographic data, as well as those policyholders, who have already been segregated as having possible TPL claims.

Today, health payers identify recovery opportunities through generating leads via data mining the health provider claims they receive. Because the current data medium is limited, large amounts of outsourcing and follow-up are a part of finding a bonafide recovery opportunity. Moreover, there are many false positives and dead end results from that processing.

SubroShare's CRRs are GUARANTEED to be 'direct winners', pointing your claims operations directly to the policyholder and the attorney, who requested the patient records. Moreover, our timing is vastly superior to traditional identification methods, in that it is far more timlier.

The enrollment of health payer clients of SubroShare is quick and easy. Simply click on the orange 'Get Started Today' button, seen throughout the website. The entire process takes only a few minutes and includes an online signature of our master and HIPAA Business Associate agreements.

Upon finishing registration, SubroShare gives the "Subscriber Entity" a login name and password. Thereafter, an email is sent with a proprietary client ID number.

TPAs, PPOs, Carve-out and Re-pricing networks cannot join as payer members, but are strongly suggested to suggest enrollment to their payer clients, so that both may collaborate for joint value and benefit.

Whether the providers are in a health payer's proprietary plan or through an outsourced provider network, there are typically two approaches.

The first, is that the payer makes joining and participating a mandatory requirement as part of providing TPL and COB data, typically stipulated within payer-provider agreements.

The second is that the outsourced network requires joining of its provider members, thereby affecting valuation within health payer client relationships.

This data is gold! Remember, you are not getting data that indicates solely an injury, but rather, its direct identification of a policyholder who has filed or plans to file an injury claim - along with the related attorney and their contact information. This information, which is guaranteed to be unique from your existing results, eliminates the form letters, phone calls, false positives and dead ends.

You are responsible to pay two unique and distinctly separate fees: a small upload fee of $3.49 for every CRR, which we create, specifically relating only to any of YOUR policyholders involved in a third party action and a processing fee of $99.00 for every downloaded Certified Recovery Report^™ (CRR).

The upload fee is mandatory and will be charged on a monthly basis. The processing fee relating to downloading CRRs is only charged for the unique, non-duplicative CRRs, which you choose to download and use.

As for your cost basis, how about less than 3%? And we never charge a contingency fee...therefore your download fee is the same, whether you find and recover a claim of $3,000 or $300,000.

We are able to avoid high dollar and contingency fees, due to the health payer or outsourced network's ability to affect compliance amongst their in-network health providers. Additionally, we are able to provide the health payer with:

• NO Setup Fees
• NO Registration Fees
• NO software to buy; and
• NO upgrades to purchase

One of the great benefits of SubroShare^reg; is the ease of its search and the ability for you as the payer, to only use the least amount of identifiable information possible. Health payer clients search for and identify unique CRRs by the use of a specialized 'match and scrub'search engine. This function is what truly provides the payer with finding opportunities they would have otherwise missed.

We recognize that recovery data is most valuable when either the health insurer or their outsourced recovery vendor is able to quickly get to the attorney and/or policyholder prior to the injury claim being settled.

Finally, the client member can self-tailor their submitted policyholder search data, which they filter by plan type, location, ability to subrogate, claim dollar and/or group number.>

TERRIFIC! WE WANT YOU TO KEEP DOING WHAT YOU ARE DOING...please don't change a thing.

Once you learn about our new data tool, it will become so obviously that the data we keep is so very important to add to your existing methods and resources. Why search with less when you can have it all working together?

By adding SubroShare to your existing vendors and claims recovery operations, you will find far more recovery opportunities, including many more non-auto claims and higher dollar finds, previously hidden from your sights.

SubroShare is currently positioned as a free-to-join and free-to-search add-on tool; it is a compliment, rather than a competitor to your current subrogation and recovery operations.

The SubroShare network is operational 24/7/365 and managed through a type II SAS 70 certified data center, having:

• Redundant Power Feeds From Separate Power Grids
• Redundant Power Distribution Units
• Redundant UPS Battery-Backup Systems
• 1500 Kilowatt Generator Backup With Automatic Transfer Switch
• Redundant Liebert Temperature/Humidity Control Units
• State-Of-The Art Fire Suppression Systems
• A redundant gigabit (1,000 Mbps) Switched Ethernet Backbone Network with a separate gigabit backup network

Our protection includes:

• A secure, 128-bit firewall having Distributed Denial Of Service (DDoS) Protection.
• A Digicert SSL certificate, supporting 128 and 256-bit encryption, compatible with most platforms, browsers, mail clients and mobile devices.
• We sign a business associate agreement with every Subscriber Entity (SE) AND their in-network health providers, as well as use operations, software and technology, which limit Information in Identifiable Form (IIF), Personally Identifiable Information (PII) and Protected Health Information (PHI) relating to patients, to the minimum necessary requirements to accomplish our vendor task.
• Our operations work through a continually evolving Privacy Impact Assessment (PIA), developed and managed by experts in the area of health information privacy.

PPOs have a unique ability to affect their member health providers, by making mandatory their participation with SubroShare^®. This increases the value chain of the PPO network as a whole, because it brings to the payer a tremendous benefit of improving claims operations through methods they could otherwise not employ.

Imagine having an entire army of providers, mandated to bring billions of dollars of recovery potential to your payer clients. Moreover, it adds a unique positive in the PPO looking to secure business with new payer, TPA and self-funded plan sponsor clients, who are looking for any type of sustainable revenue in this tightening healthcare market.

In the future, we believe that you will see PPO networks bringing provider bases that offer better quality data to their payer clients, thus improving provider reimbursement rates and relations between payers and providers.Call (804) 750-1389 or email us through the 'contact us' page.