ClaimLinx is a full-service insurance company. We take care of everything from finding the best employer-paid benefits to securing competitive health insurance rates. But at the core of the ClaimLinx Solution our consultants use is the MERP processing we provide for employers. Today’s blog from ClaimLinx explains what a claim processor does for businesses.
Definition of a Claim Processor
A claim processor accepts and reviews medical insurance claims from healthcare entities and patients. Think of this as a service that ensures everyone’s paperwork aligns with what’s covered, what isn’t, and who is responsible for various costs under a health insurance plan. Claim processors connect and communicate among health insurance providers, employers, healthcare companies, and individuals who file claims for payment. They are experts in their field and typically work exclusively with insurance-related data and procedures.
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Duties of a Claim Processor
Many employers choose to self-fund employee healthcare plans, and technology now makes it easier to streamline payments to healthcare providers. However, MERP processing removes the complexity from this system. ClaimLinx ensures all required forms are completed correctly and that each participant receives the appropriate reimbursement or payout.
Employers and employees can log in to our convenient online system to access forms, check claim status, and review financial information tied to their health plan. Our team reduces paperwork and educates members on how to properly file claims for coverage.
What ClaimLinx Does
ClaimLinx accepts claims from employees and providers and processes them to determine the correct payout for the employer and the member. We maintain each client’s customized schedule of benefits and track every member’s usage—for example, who has met their deductible and through which claims.
All of this data allows our team to identify new ways to help employers save. Our system supports medical, prescription, dental, and vision coverage. We process claims and issue payments to providers and members while adhering to strict HIPAA privacy guidelines.
Our team works for you—not for insurance companies. With ClaimLinx handling your MERP processing, you and your employees remain our top priority.
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Hire ClaimLinx for MERP Processing
ClaimLinx does far more than handle MERP processing. We offer the convenience and security of having all your healthcare resources in one platform. Our employer benefits consultants teach employees how to maximize their health insurance benefits.
Contact ClaimLinx or call toll-free 1-800-858-1772 to learn more about the ClaimLinx Solution for your small business.
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