ClaimLinx Individual Marketplace Available for Open Enrollment

ClaimLinx is pleased to announce to all of its clients that we have added a resource for individuals looking for coverage on the insurance market –

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This site is a one-stop shop for those looking to purchase an individual plan for themselves to:

  • See off-exchange insurance plans, which can have broader hospital and physicians networks and additional benefit options.
  • Easily compare pricing and plan options available through the individual market and through the federal exchange.
  • Speak to an insurance agent to complete the application process and discuss options.
  • Find additional insurance coverage such as vision, supplemental and life insurance.

Please feel free to share this resource with any friends or family looking for individual coverage during this year’s open enrollment period. Just tell them to go to to get started.

Related Post: Many State Health Insurance Marketplaces Will Exceed Requirements

As a member or administrator for a ClaimLinx plan, you will continue to receive the personalized service and/or benefits through the employer-sponsored plan. This is an additional resource for those who do not receive coverage through an employer.

Members Can View EOBs on the ClaimLinx Portal

Did you know ClaimLinx members can check their medical claims’ status online? All they have to do is login to the private portal:

  1. Click the green “Member Login” button at the top of this page
  2. Follow the instructions on the left of the page for login information

Related Post: How to file a medical claim

The portal is the perfect place for members to get real time access to the claims processing system. Once logged in, they can view current versions of any Explanation of Benefits (EOB) for a claim.

We encourage all of our members to take an active role in making sure their claims are processed, and this is a good way to check on their progress. If a member does not see an EOB, he or she can contact the claims department at to check on its status.

Related Post: Step-By-Step How a Claim Is Processed at ClaimLinx

Use The ClaimLinx Prescription Savings Card

We have seen how much prescriptions costs are rising for all of our members. So we have been sending prescriptions savings cards (see above) to members along with their Explanation of Benefits (EOB).

Related Post: ClaimLinx Prescription Drug Card Services

See the sample of the insert members have been receiving with the ClaimLinx Prescription Savings Card.

Why does this savings card benefit members?

  • Big discounts – The price for 80% of the most used generic drugs is lower with the card than insurance copays of $10 or more.
  • Easy to use – Members just have to give the card to the pharmacist to start receiving discounts.

Related Post: See ClaimLinx’s Complimentary Elite Services for Clients

The exclusive ClaimLinx prescription savings card can be ordered by emailing or by following the instructions on the insert.

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.

Avoid Surprises On Medical Bills By Preparing For Visits

Preparing for a physician visit is the best way to begin becoming a responsible healthcare consumer. Like any transaction, it’s vital that you do research before arriving for your appointment. Similar to when buying large furniture or a car, you will need to know how the visit will be paid for in the end.

The first step before any health provider visit is to verify that your physician, urgent care office, lab location, hospital or other facility is listed as in-network on your plan each time you go to an appointment.

Related Post: ClaimLinx Glossary: Secondary Coverage

Primary insurance networks can be altered at any point, especially during this time when there have been so many changes in the industry. That is why it is a best practice to check this information before every appointment.

To check if your doctor or facility is in-network, go to your primary insurance company’s website and use the “Find a Doctor” or “Find a Provider” tool. This tool’s location on the website will vary depending on the primary insurance company.

If you have any problems finding this tool, contact your primary insurance carrier. Contact information will be listed on your primary insurance ID card.

There are also additional steps for preparation if you are visiting a facility or hospital for any procedure. You will need to check with your primary insurance carrier before the procedure to verify your eligibility and to find out if you will need any kind of prior authorization.

Some hospitals and physician offices will check this information before the visit, but that is becoming increasingly rare. It’s best to take full responsibility for this task, as it can directly affect your insurance coverage and therefore your final bill.

Related Post: Billing errors cost members and employers on services

Please contact ClaimLinx by email at phone at 800-858-1772 if you have additional questions on how to prepare for your office visit .