Below are the most commonly-requested forms for members. Please be sure to send any required receipts or documents along with the completed form for the quickest processing by ClaimLinx or other parties. Documents can be sent by mail to the ClaimLinx office, fax at (800) 858-1913 or email at help@claimlinx.com.
Please send completed form to ClaimLinx for processing. No additional documents required.
Please send completed form to ClaimLinx for processing. No additional documents required.
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.

Managing your benefits just got a whole lot easier. Learn how to register to the ClaimLinx portal here. Click link for instructions.
Change is never one-size-fits-all, and we’re committed to making this transition as easy as possible. If you have questions about registration, need help logging into your portal, or want assistance reviewing a claim, our Member Services team is ready to help.
You can reach us at (800) 858-1772 or by email at claims@claimlinx.com.
Thank you for choosing ClaimLinx. We appreciate your continued trust in our team as we work to make your benefits experience clearer, faster, and more convenient.
At ClaimLinx, we’re committed to providing our members and providers with the best possible service. There’s no better way to take hold of your company’s health insurance benefit plan than to set up a customized MERP with ClaimLinx.