ClaimLinx Changes Claims Negotiator

A vital part of ClaimLinx’s claims processing services is that all high dollar claims are sent for review and/or negotiation through a third party.

This is a seamless process we provide for all our clients to make sure all claims are filed correctly and that our clients are receiving the maximum savings possible.

Related Post: We are the full-service insurance benefit solution

ClaimLinx recently transitioned this task from Copatient to our new partner, Medical Cost Advocate (MCA). This change has already become effective, with no interruption or change to clients’ claims processing. Please see how a claim is processed for how MCA is involved in the claims process.

We are very happy to be working with MCA. They have more than 10 years of experience in negotiating medical expenses and we are excited to share those savings with you.

If I have regular health coverage do I need any other insurance?

Having regular health insurance coverage is a good start. But when examining your overall personal profile, it is best to cover all the bases. ClaimLinx partners with consultants and brokers in the area who also offer products designed to enhance your existing health insurance coverage. Such products include supplemental insurance coverage, long-term care insurance, life insurance, tax consulting, and financial planning.

Related Post: ClaimLinx Glossary: Secondary Coverage

Contact the ClaimLinx sales team today to learn more:

What is a deductible?

A deductible is the specific dollar amount an individual must pay before a health insurance plan begins to reimburse a patient for medical expenses. The higher the deductible, the lower the up-front premium cost for a health insurance plan. The ClaimLinx Simple Option Solution teaches employers and employees how to utilize a health insurance plan for the best possible cost savings.

Related Post: Higher Deductibles Shift Health Costs to Employees

Is my information privacy protected?

Yes. Our employees strictly adhere to all HIPAA privacy regulations. Upon enrollment into the MERP plan, employees are asked to sign a HIPAA release form that ensures ClaimLinx follows all protected health information guidelines related to self-insured health plans. In addition, no proprietary information will be released to your employer without your notification. ClaimLinx maintains all personal information onsite and performs strict electronic security measures. Specific HIPAA regulations can also be found in the MERP document kept onsite through your plan administrator.

Related Post: What Does a Third-Party Administrator Do?

What is a Section 105 Plan?

Section 105 is a part of the U.S. tax code that allows employers to reimburse premiums and/or any health insurance costs tax-free to the employees. This part of the tax code has been around for more than 50 years. Many large companies have implemented a Section 105 plan, but this cost-savings measure is also available to smaller employers. For more information, contact the Internal Revenue Service (IRS) directly or consult your tax attorney. The ClaimLinx Simple Option Solution can show you how to take advantage of tax-free disbursements to your employees to lower your costs.

Related Post: Section 105 Plans After Obamacare