Complimentary Elite Services

The below services are included as a part of ClaimLinx’s benefits. As a consultant, full-service insurance agency and third-party administrator, we work hard to cater to clients needs in many ways. Set up a consultation today to start receiving these services. On top of saving money, ClaimLinx offers its clients one-of-a-kind service.

Claim Negotiation IconMedical Claim Negotiation

As a third-party administrator, ClaimLinx sends high dollar claims to a partner to review. They check for errors and/or negotiate with the provider billing office. That way members and employers receive the best rates.

Reporting and Analysis IconMedical Claim Reporting & Analysis

ClaimLinx keeps a series of reports on actual plan usage. Then they analyze them for administrators. It’s an important tool for deciding on changes to benefits in the future.

Member Portal IconPrivate Member Portal

All members get access to the ClaimLinx private member portal. In the portal, they can download commonly-used forms and see up-to-date copies of EOBs. That way they can track their own claims.

Admin Portal IconAdministrator Portal

Clients get their own private portal to assist with using the plan. Through the portal, administrators can find enrollment forms, copies of the schedule of benefits, and other plan documents.

Prescription Rebates IconPrescription Rebates

ClaimLinx works with pharmacy benefit managers (PBM) that return drug rebates to clients. This is a service only offered through smaller PBMs, rather than large insurance companies.

Prescription Consulting IconPrescription Consulting & Coupons

ClaimLinx analyzes drug usage through each company to find cost-cutting measures. First, it saves employers money. Most importantly, it helps workers be able to afford the medications they need consistently.

Customized SOB IconCustomized Schedule of Benefits

Every ClaimLinx client receives a custom Schedule of Benefits. ClaimLinx experts design it to fit the company’s needs, usage and budget. That is flexibility in plan design you can’t find anywhere else.

Online App IconOnline Benefit Application

To help with enrollment and the annual renewal process, ClaimLinx has an online application system. That way members can fill out important health and background information on the web at their own convenience.

Education Meeting IconMember and Employer Education Meetings

The ClaimLinx service team does many education meetings in order to help people transition to the ClaimLinx Solution. We take workers from healthcare customers and turn them into educated consumers.

Marketplace IconOnline Insurance Marketplace

ClaimLinx has a marketplace, where people can look for a health insurance plan. Once a person applies, an agent will help the person shop for a plan, either on the federal exchange or with private companies.

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