Comprehensive Support for Health Plans and Payors

Since 1995, INTERLINK has provided health plan partners with exceptional customer and claims support for one flat access fee. We provide the guidance needed to find best-outcome centers for patients while ensuring contract protections for the plan.

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The INTERLINK Advantage

  • Access pre-negotiated contracts that provide cost assurance for the plan.
  • Optimize your plan language to better manage risk and improve member outcomes.
  • Gain direct access to medical and legal experts to support complex clinical and contracting decisions.
  • Live account management and same-day or 24-hour response times for all inquiries.

Integrated Plan Services

Experience. Protection. Integrated Solutions.

Transplant Performance Narrowed-Networks

INTERLINK offers transplant-specific benefit language that guides members to progressively narrowed, high-performing transplant networks based on a holistic assessment of overall performance. By aligning anticipated utilization with top-tier clinical performance, health plans can better manage risk, enhance member outcomes, and strengthen their overall transplant strategy.

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Performance Assessment

Programs are credentialed annually using NCQA-aligned guidelines and ranked via a proprietary performance model. Using SRTR and CIBMTR data, we tier programs as Quality, Select, or Elite so you can identify top performers at a glance.

Specialty Network Access

Health plans gain access to specialized networks beyond transplant, including 31 Cellular Immunotherapy centers, 20 Cancer centers, and 25 Destination VAD centers. We also provide dedicated contracting for Congenital Heart Defects and high-cost Gene Therapy.

Claims & Repricing

Our analysts, possessing 9–20 years of transplant experience, provide repricing within 1–3 business days. We partner with specific facilities to manage complex billing, including organ acquisition, inclusions/exclusions, and case rate negotiations.

Education & Resources

We offer complimentary education programs for case managers that provide Certified Case Management (CCM) credits. These resources include Medical Round Tables and our year-long Reinsurance Integration Training (RIT) program.

How It Works: Our Support Process

1

Strategic Consultation: Assistance with plan design, consulting, and facility selection to ensure your members are directed to the highest-performing programs.

2

Expert Contracting: INTERLINK manages the entire contracting process, including standing network contracts and out-of-network single case negotiations for high-dollar medical events

3

Streamlined Claims & Repricing: Our team reprices claims within 1–3 business days and provide detailed savings reports.