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.

Employers: call us for help cutting costs to get through “stay at home” orders

As of Monday, March 23, 2020, the Ohio Governor issued a mandatory “stay at home” order. It comes on the heels of previous business closures because of social distancing guidelines. Like in many states, the order will continue until the beginning of April. It’s all in hopes of stopping the spread of the novel Coronavirus.

But for many businesses it’s already causing severe financial pain.

Remember, ClaimLinx’s primary concern is savings clients money on health insurance. We know how important health coverage is, especially at a time like this. Our consultants are ready to talk you through how to cut employers’ health insurance costs. We know it’s more important now than ever.

Please contact service@claimlinx.com or call (513) 985-4465 to set up a meeting if you are considering laying off employees or cutting their hours.

Changes to Claimlinx’s Service

The mandatory “stay at home” order in Ohio, where Claimlinx’s main office is located, began on Monday, March 23 and will continue until April 6. Claimlinx employees are able to continue working remotely, but we are making some adjustments to our mailing services.

Because we are an Insurance Institution, we are considered an essential business, as outlined in the order. So we will still have some employees going to our office to maintain services. But we are limiting this as much as possible. For that reason, we do anticipate some delays in mailing. 

We expect this primarily to impact mailing explanations of benefits (EOBs) and member ID cards. Temporarily, we will be sending all member ID cards digitally first and sending a hard copy later. Members can always contact help@claimlinx.com if they need a copy of an EOB.

Related post: Changes for members during Coronavirus “stay at home” order

Contact us before cutting employees’ hours

Already we have had clients who are considering placing employees on furlough or moving them to part time. Our consultants already have strategies for how to use this time to cut costs while still providing benefits.

We are here to help companies get through this trying time. Many employers are worried about how long the pause in the economy will last and what affect it will have on their bottom line. We know, too, they are worried about their workers.

Contact service@claimlinx.com or call (513) 985-4465 to set up a meeting. Our consultants will go over your immediate options and any other long-term planning that may be needed.

Some employers may be able to take advantage of already existing rules on coverage to save on insurance premiums in the coming months. Some employers may need to stop providing insurance for any employees who are laid off. We would like to be there to offer our services to help these people navigate the marketplace so they don’t experience any lapses in coverage.

ClaimLinx is here for all of its clients, especially when trying to cut costs because of financial strains.

 

Changes for members during Coronavirus “stay at home” order

As of Monday, March 23, 2020 a mandatory “stay at home” order was issued for the state of Ohio, where ClaimLinx’s main office is located. To help prevent the spread of the novel Coronavirus, Governor Mike Dewine has mandated all nonessential businesses close their offices until Monday, April 6, 2020. Claimlinx employees are able to continue working remotely, but we are making some adjustments to our services.

Because we are an Insurance Institution, we are considered an essential business, as outlined in the order. So we will still have some employees going to our office to maintain services. But we are limiting this as much as possible. For that reason, we do anticipate some delays in mailing. 

Mailing is Changing

It’s a priority for us that our clients and members can access their health coverage services, especially during this time. But it’s also a priority for us to protect our employees. So at this time, we expect delays when it comes to mailing out member ID cards and explanations of benefits (EOBs).

When it comes to member ID cards, we will be sending first a digital copy for the member to use. Then we will send a printed version later. If any member would like a copy of his or her member ID, please contact help@claimlinx.com or start a conversation with a team member now using our Live Chat feature.

Because we do not want too many people in our offices at once, we do expect to have some delays when it comes to mailing documents to members. If you have any questions about a claim or would like to receive a copy of your EOB, you can email help@claimlinx.com or start a conversation with a team member now using our Live Chat feature.

Contact and Processing Will Continue

As employees are able to work remotely and take turns going to our office, we are not anticipating any delays in claims processing at this time. We have worked hard in the last two years to make this process mostly digital. So our claims processors are expected to be able to continue without much interruption.

Related post: Claims processing continues during Coronavirus outbreak precautions

There will continue to be service team members available if you have questions about coverage, a prior claim or if you need a copy of your member ID. As is always the case, if you are sick or in need of medical attention, please contact your provider first.

We would also like to remind our members that local cases of the virus may be putting a strain on the healthcare system in your area. This may have an affect on your regular care. Please be proactive about checking with your provider about changes to any necessary upcoming appointments.

Your local pharmacy may also be experiencing limited hours or delays in filling regular prescriptions. Please check your stock of any regular prescriptions. Be sure to have them filled as early as possible to avoid any interruptions.

Please also remember that members still have access to the member portal for the remainder of March. That means you can still check on claims or print any important EOBs. Starting April 1, 2020, all members will need to reach out to our team directly to get these documents.

Related post: Member portal will be unavailable temporarily

ClaimLinx will continue to communicate with members via email and through our website. Please look for any updates there. Stay healthy and we hope these interruptions in service for all of us are as short as possible.