Your Expertise Elevated.
Stop-Loss policy administration is not for the faint heart. With Smart-LinQ your team of experts can streamline the complex management of Specific and Aggregate contracts.
Replace the manual reports, spreadsheets and share-drive with a modern and secure cloud-based solution. Scale your business, ensure every process is followed, automate reporting and reduce the friction of reimbursement requests.
The Ringmaster Difference
Your efficiency is our priority. Smart-LinQ’s automated workflow is purpose-built to slash the time and effort your Stop-Loss team spends on wrangling and sharing information.
Our product uses claims and eligibility integrations to track Specific and Aggregate accumulators, triggering pertinent events at appropriate times. This frees up administrators to focus on time-sensitive work all while having a line of sight at what’s likely coming next.
Experience enhanced cost control. Stay informed without the hassle. Expand your capacity to take on more contracts.
Transform Your Workflow
Reduce Cost/Time
Work smarter not harder. With Smart-LinQ’s intelligent automation your team no longer has to crunch data and build reports just to identify their focus of the day.
Strengthen Your Partnerships
Provide the right information at the right time in a common format. Your trading partners will love getting complete and timely information for notices and filings.
Insight at Your Fingertips
Benefit from comprehensive, accurate on-demand and schedule reports including Trigger Diagnosis, Spec Analysis, Aggregate Summary and more.
Eligibility & Claims Integrations
Leverage a solution that marries eligibility, medical and Rx claims data via integration; eliminating the headache of hunting through reports or getting lost in spreadsheets. We partner with our clients to establish normalized data feeds that support the smart contract automation, reporting and reimbursement oversight. With Smart-LinQ, you’re always on top of your Stop Loss policies with up-to-date, reliable info that’s just a click away.
Smart Contract Automation
Our software performs the heavy lifting by transferring contract terms into intuitive workflows, directly pushing work to your teams’ queue. Smart-LinQ streamlines your process so you can concentrate on delivering excellence to your clients.
Standardized Filings
Welcome to a world where Specific Reimbursement Requests are no longer a clutter of documents across shared drives. Smart-LinQ guides the administrator to collect pertinent supporting documentation and automatically packages Filing Cover Sheets and Member Claim Line Detail for direct submission to the carrier.
Work Status Eligibility
Navigating the intricacies of eligibility can be tricky, often leading to filing rejections due to minor oversights like a missing date or incomplete documentation. With Smart-LinQ’s work status feature, you’re equipped to get it right the first time – and get paid quickly.
