Below are the most commonly requested forms and documents for plan administrators. Send completed forms by fax to ClaimLinx at (800) 858-1913 or email at firstname.lastname@example.org.
Detailed information about being the administrator for your company’s Medical Expense Reimbursement Plan (MERP).
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.