Insurance Guide
Comprehensive guide for insurance companies using Lnkr platform.
1Website
Go to our website: https://lnkrtech.com/
Navigate to Solutions then choose Insurer.
Then click on Web Portal, you will be redirected to Lnkr Insurer Platform: https://insurer.lnkrtech.com/
2Registration
This registration is only for managers, not accountants, and not approval employees.
For a manager to create a new account: Enter your personal information: Full name, mobile phone, and password then proceed by adding insurer information: Name and phone number.
Make sure to follow the instructions carefully when entering your password. It must be at least 8 characters long, contain at least one uppercase letter, one lowercase letter, one number, and one special character.
Once successfully registered, you will be redirected to the login page.
To log in, go to: https://insurer.lnkrtech.com/login
3Login and Choose Plan
Login is for managers, approval employees, and accountants.
Enter your registered mobile phone number and password.
If you have multiple plans, you will be prompted to select the plan you want to access.
It is very important to select the correct plan, as each plan operates independently with its own policy rules, contracts and settings.
4Settings
Under settings, there are three main sections: Account, Insurer, Plan.
Make sure to fill in all information correctly, so patients can easily find you.
Account Settings
Profile: update your personal information such as full name, national ID, gender and date of birth.
User: Update your password, email and mobile phone number.
Insurer Settings
Basic Information: Update your company's name, phone number, and other basic details
Contact: Update your company's contact information such as phone number, whatsapp, website, facebook page and more importantly working hours.
Address: Enter your company's address and location on the map. This is important for patients to find you easily.
Media: Upload your company's logo and cover image. This will be displayed to other stakeholders.
Legal: Enter your company's legal information such as tax number, commercial registration number, and any other relevant details.
Plan Settings
Basic Information: Access to your network's statistics e.g. number of patients, number of providers, and basic coverage limit.
5User Management
This is where the manager can add or delete users. The manager can add multiple users to the network, such as accountants and approval employees.
There are two types of users: Accountant: for handling billing. Allowed access to: Contracts, and Visits. Approval Employees: for handling claims and approvals. Allowed access to: Claims module
6Requests
There are multiple types of requests that the insurer can handle.
Patients: Beneficiaries requesting to join your network. Simply click on the request item to see the patient's basic information. To process the request, click Process Request, and choose the correct status. If approved, select appropriate expiration data. If applied, you can add the patient's current consumption according to provider entity i.e. current consumption. This allows easier tracking of consumption in real time.
Doctors: Doctors requesting to join your network. You will find doctor information, and clinic information. Proceed and update the request status. If accepted, add an expiration date, then select the list of services and agreed pricing accordingly. Once processed successfully, the provider will be found under Network - Doctors. The contract details will be automatically available for the doctor to view.
Laboratories/Radiology Centers: Laboratory/radiology centers requesting to join your network. You will find all relevant information about the center itself. Click Proceed to update the request status. If accepted, add expiration date and start adding as many services as you want. Once processed successfully, the provider will be found under Network - Laboratories/Radiology Centers. The contract details will be automatically available for the center to view.
Hospitals: Hospitals requesting to join your network. You will find hospital information. Proceed and update the request status. If accepted, add expiration date and start adding as many services as you want. Once processed successfully, the provider will be found under Network - Hospitals. The contract details will be automatically available for the hospital to view.
Pharmacies: Pharmacies requesting to join your network. You will find pharmacy information. Proceed and update the request status. If accepted, add expiration date and start adding as many medications as you want. Once processed successfully, the provider will be found under Network - Pharmacies. The contract details will be automatically available for the pharmacy to view.
7Beneficiaries
This is where all member information is located. The user can search by typing name, mobile phone number, or card numbers. This is a read-only section, meaning the user cannot add or remove members.
Simply click on the member item to see the member's basic information, card information, and consumption. There are three main sections:
Basic Information: Access full name, mobile phone number, some medical history that the patient entered themselves, etc.
Medical Records: Access all medical transactions between the patient and their network of providers are processed in real time. These are non-financial records. Each record added will have a reference code to track down the full visit details. Simply navigate to the Visits Module, and search by this code to retrieve full information on when this visit was conducted; including an itemized view of both medical and financial records.
Card: Access to Card details i.e. allowance permitted and also corresponding consumption; tracking patient consumption in real time as conducted at providers.
8Network
This module includes all detailed information about medical providers within the network. This is a read-only view, meaning there is no action needed from the user.
There are four main sections: Doctors, Laboratories/Radiology Centers, Hospitals, and Pharmacies.
Doctors: This is where all doctors within the network are listed. Simply click on the doctor item to see more details about the doctor. Under Basic Information, user can find more details about doctor professional information, clinic information. Under Billing, user can track down the aggregated number of visits conducted alongside the financial information.
Laboratories/Radiology Centers: This is where all laboratories/radiology centers within the network are listed. Simply click on the center item to see more details about the center. Under Basic Information, user can find more details about center information, contact information, and address. Under Billing, user can track down the aggregated number of visits conducted alongside the financial information.
Hospitals: This is where all hospitals within the network are listed. Simply click on the hospital item to see more details about the hospital. Under Basic Information, user can find more details about hospital information, contact information, and address. Under Billing, user can track down the aggregated number of visits conducted alongside the financial information.
Pharmacies: This is where all pharmacies within the network are listed. Simply click on the pharmacy item to see more details about the pharmacy. Under Basic Information, user can find more details about pharmacy information, contact information, and address. Under Billing, user can track down the aggregated number of visits conducted alongside the financial information.
9Claims
These are your real-time medical claims, as entered by the provider. This section is allowed to managers, approval employees, and accountants, yet only managers and approval employees can process claims.
This section is divided into: Prescriptions, Laboratory, Radiology and Hospitals. Under each section, you will find two sections: Pending (for cases awaiting approvals) and Completed (for cases already processed).
Prescriptions: These are mainly written by doctors to patients. A Prescription might include medications, laboratory tests, or radiology services. To process a prescription request, click on the item, and you will find a detailed description of the clinic visit, and what the doctor recommended. Simply click Process Claim, for each prescribed medication choose the appropriate status, whether accepted, substitution allowed, or rejected. Then proceed to select the approved quantity, and write any notes you may find useful. Same goes to other lab/radiology services. Once submitted, you will find the record under Completed. This processed claim is readily accessible by the patient and the provider.
Pharmacies: These are mainly requested by pharmacies. A Pharmacy request will include multiple medications. To process a pharmacy request, click on the item, and you will find a detailed description of the pharmacy visit, and what the pharmacy user has submitted. Simply click Process Claim, for each requested medication choose the appropriate status, whether accepted, substitution allowed, or rejected. Then proceed to write any notes you may find useful. Once submitted, you will find the record under Completed. This processed claim is readily accessible by the patient and the pharmacy.
Laboratory: These are mainly requested by laboratory centers. A Laboratory request will include multiple laboratory tests. To process a laboratory request, click on the item, and you will find a detailed description of the laboratory visit, and what the laboratory user has submitted. Simply click Process Claim, for each requested test choose the appropriate status, whether accepted, or rejected. Then proceed to write any notes you may find useful. Once submitted, you will find the record under Completed. This processed claim is readily accessible by the patient and the laboratory center.
Radiology: These are mainly requested by radiology centers. A Radiology request will include multiple radiology tests. To process a radiology request, click on the item, and you will find a detailed description of the radiology visit, and what the radiology user has submitted. Simply click Process Claim, for each requested test choose the appropriate status, whether accepted, or rejected. Then proceed to write any notes you may find useful. Once submitted, you will find the record under Completed. This processed claim is readily accessible by the patient and the radiology center.
Hospitals: These are mainly requested by hospitals. A Hospital request will include multiple services. To process a hospital request, click on the item, and you will find a detailed description of the hospital visit, and what the hospital user has submitted. Simply click Process Claim, for each requested service choose the appropriate status, whether accepted, or rejected. Then proceed to write any notes you may find useful. Once submitted, you will find the record under Completed. This processed claim is readily accessible by the patient and the hospital.
It is important to note that for auto-approved items, such as medications, laboratory tests, and radiology services, the system will automatically process the claim without requiring any manual intervention. This is based on the predefined rules set by the insurer.
In any case, once the claim is processed, the patient will be notified and the provider will be able to access the processed claim details.
10Visits
This is where the user can find all details related to all visits conducted by your beneficiaries within the network. This section is a read-only section, meaning the user cannot add or remove visits.
This can be accessible by managers, accountants, and approval employees.
By default, you will find all visits conducted from the beginning of the month. You can filter by date, patient name, or mobile phone number, or doctor name, or entity's name e.g. laboratory center or hospital. More importantly, you can search by Visit Code, which is displayed under Claims and Members' Medical Records
There are four main sections: Doctors, Pharmacies, Laboratories/Radiology Centers, and Hospitals.
To retrieve a visit, simply click on the visit item. You will find three main sections: Basic Information, Records, and Services.
Basic Information: Access the patient's basic information such as full name, mobile, and provider entity name.
Records: This is where the user will find all medical records related to this visit, in particular prescriptions and reports.
Services: This is a detailed financial view of the conducted services during the visit.
On the right hand side, there is a Print button, where you might need to print visit details.
11Integration and APIs
RESTful APIs for seamless integration
HL7 FHIR compliance for healthcare data exchange
EDI transaction processing (X12 standards)
Custom integration support for legacy systems
12Customer Service
Member portal for self-service inquiries
Provider portal for claims and authorization management
Multi-channel customer support (phone, email, chat)
Automated response and case management
13Compliance and Security
HIPAA-compliant data protection
SOC 2 Type II certified infrastructure
Regular security audits and penetration testing
Regulatory compliance reporting (ACA, state regulations)
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