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.
Forms
ID Card Request Form
Please send completed form to ClaimLinx for processing. No additional documents required.
Change of Address Form
Please send completed form to ClaimLinx for processing. No additional documents required.
Medical Reimbursement Form
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Prescription Claim Reimbursement Form
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Dental Reimbursement Form
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Vision Expense Reimbursement Claim Form
Please send completed form to ClaimLinx for processing. Documentation and/or receipts required.
Register for Member Portal
Managing your benefits just got a whole lot easier. Learn how to register to the ClaimLinx portal here. Click link for instructions.
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 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.
