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.
Medical 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.
Medical 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.
Private 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.
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.
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.
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.
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 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.
Member 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.
Online 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.