Below are the most commonly requested forms and documents for plan administrators. Send completed forms by fax to ClaimLinx at (800) 858-1772 or email at service@claimlinx.com.
Administrator Forms
How a Claim is Processed Diagram
Visual overview of the steps a claim goes through from the date of service to payment. Used as a reference for both administrators and members.
Primary Medical Provider Form
To be filled out by employees at the time of enrollment or for any new medical providers. Send completed form to ClaimLinx for processing.
Health Information Release Form
To be filled out by employees at the time of enrollment. Send completed form to ClaimLinx for processing.
We’re Here to Support You
Change is never one-size-fits-all, and we’re committed to making this transition as easy as possible. If you have questions about paper work needed, 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 sevice@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.
