ClaimLinx featured on My City Podcast

ClaimLinx’s National Benefit Consultant, Tom Quigley, was featured on the My City Podcast with Bob Friedenthal. They talked about Tom’s success with clients in helping them save 20% or more on health insurance.

Watch the full video interview now.

Bob Friedenthal: What percentage of the companies that you work with, do you ultimately save them money?
Tom Quigley: 100 percent.

BF: Wow, that’s a relatively big number.
TQ: It’s mathematically impossible not to save the way we do it.

BF: So the key to this is to get in front of people … because I think you’re absolutely in the right market for this.
TQ: Right now it’s very simple to save money, regardless of the size of your company. It’s a matter of … we work on what we save companies. Most insurance agents are working on how much you pay.

BF: That’s an interesting statement. Yes, I know people that, quote unquote, compete with you. But it’s [all about] what they bill, not what they save their clients. That can have a huge, huge impact. So tell us what the process is. How do you do that?
TQ: The first things is to look at what you’re currently doing. Most people buy what’s called a group health insurance plan. I’ll give you an example:

I have several companies, one in particular. … They had roughly 8 people and they were paying roughly $8,000 a month for health insurance.

With the same insurance carrier, we showed them that because of the Affordable Care Act, their employees were eligible for subsidies … So instead of paying the insurance company $8,000, they started paying the insurance company $1,500 a month.

Then what we showed them was: “Why not create a plan with a $0 deductible and have copays for everything and give your employees the best benefits in the area?” So they ended up net saving after 6 months roughly $30,000. And their employees have better benefits than they’ve ever had.

BF: Wow, wow, It’s almost mind boggling what you can do.
TQ: That’s also the problem. People — when I tell them I can save them 20% easily … They don’t believe it.

BF: Valid statement, valid statement. So really it’s about getting the word out and finding people who will say yes before they say no. The ‘no’ people: they’re creating their own demise. They’re so frozen.
TQ: What my line to them is: “What objection do you have to listening to me for 5-10 minutes?” I can help you increase the value of your company.

It really has nothing to do with insurance. It’s how you purchase the benefits, and that’s what everyone is missing. Benefits are what you pay when you go to the doctor or the pharmacy and how much [you pay] out of pocket if you have a surgery or a hospitalization.

The insurance is the piece that covers the risk that the company shouldn’t take.  In essence, what everyone is doing, if you compared it to car insurance, is they’re buying oil change, gasoline and tuneup insurance.

BF: That’s the problem today. You get so many people that feel like they’re always being sold and instead if you can get in the door, you can prove to them that they’re going to benefit.
TQ: I’m not really selling anyone anything. I’m showing them how to take a liability and shift it to an asset. And I get rewarded based on how much assets I create.

BF: So what do you do? You go into a company and they show you what they’re doing. And you can see, probably almost instantaneously, that you’re going to save them money. Period.
TQ: I ask one question: What insurance carrier are you using? They say, “United Healthcare, Aetna, Anthem …” Whoever they’re using. I say to them, “Do you buy office visit copays and drug copays with the insurance company?” And they say, “Yes.” I instantly know that there’s 20% of savings just by showing them how to rearrange the group plan.

BF: Interesting. Well, we gotta get this video out to a lot of people so they can see what you’re all about. Because hands down if people are tunnel visioned enough, they won’t do anything. But if they’re willing to look at something. … That’s all it takes.
TQ: If they have an open mind, and they’re willing to change, and they’re truly looking out for the employees. Because you’re providing better benefits and you’re asking the employees to pay less, not more.

Contact Tom Quigley directly to talk about your options for saving.
Email: tquigley@claimlinx.com
Phone: 513-470-9440

ClaimLinx is Changing the Employer Portal

The service team is upgrading the ClaimLinx Employer Portal. The new system is easy to use and includes many added features clients have been looking for. We know how important it is for administrators to have easy access to company health plan documents.

The new portal is a secure way to download these documents. Those in charge of the health plan can also upload enrollments, terminations, changes and more. It will be the best way to share information with the ClaimLinx Service Team.

When the change is happening

The switch to the new employer portal will take place on Wednesday, February 23. On that day, all client administrators will receive an email invitation to set up a username and password in the new system. Please look for your invitation on that date. It will come from ClaimLinx Portal at the email address member@clinked.com.

Once the username and password has been set up administrators can access the portal at any time by going to ClaimLinx.clinked.com. Please use these instruction sheets for assistance on how to download and upload documents.

What administrators can do in the system

Just like the old employer portal, the new system is a secure way to download and upload documents. It can also help with plan administration. Through the employer portal, administrators can:

  • Submit New Enrollment paperwork
  • Download plan brochures
  • Submit Employee Termination paperwork
  • Send Changes of Address forms
  • Submit Plan Change documents
  • Download Schedule(s) of Benefit
  • Review contract details
  • See updates from ClaimLinx
  • and more!

The new system also allows for more collaboration between our team and administrators. You can ask questions about documents within the portal. You may also see who to contact for questions. The new system includes a lot of new features we are sure employers will find useful.

Upgrades in the new employer portal

The employer portal has many new features we know administrators will enjoy. We hope this enhances your service experience with ClaimLinx and makes it a little easier to manage your company plan. These features include:

  • Notifications automatically sent to ClaimLinx when documents, such as enrollments and terminations, are uploaded
  • More than one administrator can have access to the portal
  • Comment and/or ask questions directly on documents
  • A custom home page with your Service Team information
  • Notifications automatically sent to you when ClaimLinx updates documents
  • Manage your username and password on your own

When access to the old portal ends

Once ClaimLinx has made the switch to the new employer portal, the old Portal Express system will only be available for a limited time. Access to the old system will end on Friday, March 4. Please download any documents you want for your reference before that date.

Keep in mind all company plan documents will already be uploaded and available in the new portal. That includes the company’s contract, Summary Plan Description, Schedule of Benefits, plan brochures, custom enrollment form, etc.

Who to contact with questions

If you did not receive your email invitation to the new system or if you are having trouble navigating the page, contact service@claimlinx.com. Our team members are happy to assist.

ClaimLinx claims report schedule

2022 Claims Report Schedule Available

The Claims Report Schedule for 2022 is ready for administrators to review. Click to download the report: ClaimLinx report_schedule2022.

What is the Claims Report Schedule?

This is the schedule the billing department uses when invoicing clients for claims. Once ClaimLinx receives the funds for the claims processed within the period detailed in the report, the billing department begins processing payment for those claims.

Administrators should refer to this document throughout the year to see when to expect an invoice for claims. Administrators can also use it as a basic outline for the beginning of the claims payment process. Remember, ClaimLinx invoices based on the Process Date, not on the Received Date nor on the Date of Service. That is why it’s very important for members to send claims documentation as soon as possible.

What is a claim’s Process Date?

The Process Date is the date a claims processor reviewed and adjudicated a claim. It is the date the claims is processed into the ClaimLinx system. Members and administrators should allow 5-10 business days for processing after the date the claim was received. The maximum time a claim can take for processing is 90 days.

Members should send all claim documentation as soon as possible to ensure timely processing and payment, if applicable. For the best results, members should send the Explanation of Benefits from their primary insurance carrier AND the bill from the providers office. You may contact our claims team for questions regarding a claim or proper documentation. Contact help@claimlinx.com or start chatting now by clicking the button in the bottom right corner of the page.

What happens after ClaimLinx sends the Invoice?

After administrators receive the invoice, ClaimLinx awaits payment before paying claims. Our billing team expects payment for claims in the form detailed in your company’s contract. We accept payment via ACH, credit card, wire transfer, check and prefunding. If you would like to change how you pay your claims invoice, contact service@claimlinx.com. We are happy to talk to administrators about what the best option is for their company.

Please remember, any delays in payment for a claims invoice causes a delay in sending payment to providers and/or members. See more about the entire claims process, from start to finish.

New Client Service Manager Amy McDonald

We are excited to announce a new addition to the ClaimLinx team!

Amy McDonald is our new Client Services Manager. She has over 26 years of experience primarily working with clients in the Professional Employer Organization Industry as Director of Client Relations. She brings a wealth of knowledge on education, problem solving and best practices to ClaimLinx.

Amy oversees all operations of the Service Department and is in charge of all escalated issues, client retention and customer experience. She also supervises the Field Managers, Eligibility Specialist and Client Coordinator. Your Field Manager will still be the first point of contact in servicing your account. Amy will be reaching out personally to introduce herself.

Amy’s contact information is below. Feel free to reach out to her.

Amy McDonald

Client Service Manager
Phone: 513-985-4466
Email: amcdonald@claimlinx.com

Member portal is unavailable, sorry for the inconvenience

Member Portal unavailable

The ClaimLinx member portal is no longer available. We are currently working to return this service to all of our members. We know how important it was to our members to have the portal, so we are very sorry for the inconvenience. The company that originally created the old member portal discontinued this service as of May 2020. The process to create a new portal with all the features members need is a long one. We are working hard to make sure members will have a portal to access in the future and that it will be better than ever.

Once the member portal is available, the ClaimLinx service team will contact company administrators to let them know how members will be able to access the site. We are very sorry the process of replacing the system has taken longer than expected.

What to do without the member portal

For now, members will have to contact our office to receive items or answers they used to get through the member portal. Start a conversation with a team member now by clicking the orange button in the bottom right corner of the website. Remember, our team is only available during regular business hours, that is Monday through Friday from 9 a.m. to 5 p.m. EST.

You may also email help@claimlinx.com and someone will get back to you as soon as possible. Call our office during regular business hours at (800) 858-1772. Using either of these options, you can request an update on a claim. You may also request a copy of any explanation of benefits for a previously processed claim.

Request Documents

For those that using the member portal in the past, you might miss downloading copies of commonly used forms and/or explanations of benefits (EOBs). You can always download copies of commonly used forms on the ClaimLinx website. You can request copies of specific EOBs from the Claims Department by sending an email to help@claimlinx.com, calling (800) 858-1772, or starting a chat conversation now. Start chatting with a representative by clicking the orange button in the bottom right corner of the website.

If you are used to downloading a regular claims usage report, you can make a request for this to be sent to your email on a regular basis. Contact the service team to make this request by sending an email to service@claimlinx.com. This is a temporary service we are providing to make up for the inconvenience of the missing portal. We appreciate your patience with this change.

Check on Claims

Members can check claim status at any time with the claims team by sending an email to help@claimlinx.com, calling (800) 858-1772, or starting a chat conversation now. Start chatting with a representative by clicking the orange button in the bottom right corner.

ClaimLinx processes claims within 10-15 business days of their receipt. Please keep in mind a claim can take between 15-90 days for it to be processed with insurance and then sent to ClaimLinx. For the best results, check that your primary insurance processed the claim before contacting ClaimLinx. See how to file a claim with ClaimLinx and how the claim is processed for more information.