Requests for Information (RFIs) are submitted by current and prospective payors for the purposes of obtaining PPO network information to sell new business and/or to perform an internal analysis of the HealthLink network.

RFIs may be sent to Payor Relations at HealthLink for requests pertaining to the following PPO networks:

HealthLink
National Capital PPO

Requests should be submitted with the requesting contact party indicated (with title) and the contact party’s e-mail address, mailing address and phone number. Requests should specify the purpose of the request, intended uses of the information and the proposed date the information is needed.

Payors or payor’s vendors without active contracts (prospective payors, TPAs for which the network contracts directly with the self-funded group client, reinsurers, claims management vendors or consulting houses) will need to sign a confidentiality agreement to obtain information that we consider is proprietary in nature (which includes overall network savings rates). Contracted payors who need the information to disclose to a third party (the third party may be a prospective group, actuarial firm or consultant) will need to sign a special confidentiality agreement, at times that includes the signature of the third party receiver of the information. Payor Relations will work with payors and the related entities to obtain the signed confidentiality agreement.

Standardized marketing materials may already be available to assist a payor or prospective payor with their network or network product analyses. For example, a standardized GeoAccess accessibility report is available (without an RFI) by contacting your Payor Relations Specialist. This report includes the entire network area maps and accessibility charts which use the “default” parameter of one member in each zip code of the geographical area the network serves. Many payors use this standardized “GeoAccess maps and reports” document in order to internally produce and rapidly turnaround their own group quotations and proposal requests. These reports are updated twice annually in March and September.

Contracted insurance companies receive Premium Pricing Packets for their actuarial staff. Premium Pricing Packets are designed as a reference to retrieve common CPT codes and their fee maximums, which are common portions of data requests for medium and large group prospective clients.

RFI requests should be sent to:

HealthLink – RFI Unit
12443 Olive Blvd.
St. Louis, MO 63141
Or by e-mail to: RFI@healthlink.com