Welcome to Xerox Recovery Services Online Questionnaire.

Your healthcare plan contracted with Xerox Recovery Services to review claims and determine if other plans or parties could be responsible to pay your healthcare costs. Xerox Recovery Services will use the information you provide as explained in the letter and in accordance with the instructions provided to us by your healthcare plan. Our use of this information is authorized by and in compliance with Health Insurance Portability and Accountability Act (HIPAA).

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Security Check

To protect your privacy, your session will automatically end after 30 minutes of inactivity. Any information you have entered up to that point will not be saved. If this occurs, you will need to log back in and start from the beginning.