Access Fee Payments for Carriers

Carrier Access fees are generally based on a “per employee per month” fee (PEPM).

Access fee rates are determined by the line of business (PPO, HMO and Open Access) and complexity of the block of business.

Some affiliated insurance carriers “self-bill” at the close of each month, supplying payment to HealthLink in an automated manner based upon the current, active subscriber counts. The insurance carrier submits group name, group subscriber counts and total counts with their payment to HealthLink.

Carriers receive an invoice from HealthLink's Finance department indicating the last billed number of employees and the access fee rate. The payor indicates the current membership with HealthLink and submits access fees for all active members.

Access fees vary due to:

• Carrier volume (the greater the volume the lower the unit cost to manage the block of business).
• Type of network access (e.g. PPO with UR or PPO without UR).
• Degree of electronic capabilities for eligibility and claims.
• Degree to which the block of business is standardized or requires special handling.

Access fees are due by the fifteen of the month of the following month (e.g. by April 15 th for March access).

Carriers submit access fee payments on a monthly basis to HealthLink's lockbox:

HealthLink, Inc.
P.O. Box 790129
Dept. HK
St. Louis, MO 63179-0129

The payment detail (i.e. number of groups and subscribers by group) should be sent with the payment to the lockbox at the address above.

Payors interested in submitting payment via wire transfer need to contact HealthLink's Finance department and provide the following information: company from which the payment will be received, the group or groups to which the payment should be applied (including the payor's group number for each), and indicate for which month payment is being made. Payment details are sent to HealthLink's Finance department to correspond with the wire transfer payment.

For Access Fee Billing Questions or Wire Transfer Instructions call HealthLink Finance at 877-284-0101, extension 6027 or 6368.

HealthLink®, Inc., is an Illinois corporation.  HealthLink, Inc. is an organizer of independently contracted provider networks, which it makes available by contract to a variety of payors of health benefits, including insurers, third party administrators or employers.  HealthLink has no control or right of control over the professional, medical judgment of contracted providers, and is not liable for any acts or failures to act, by contracted providers.  HealthLink, Inc. is not an insurance company and has no liability for benefits under benefit plans offered or administered by payors.  HealthLink® is a registered trademark of HealthLink, Inc. and a separately incorporated and capitalized subsidiary of WellPoint, Inc. Any reference in the material to other organizations or companies, including their Internet sites, is not an endorsement or warranty of the services, information or products provided by those organizations or companies. Discount offerings made available by third-party vendors.