MediClaims Extensions

  • Document Management Solution – The Document Management Solution (DMS) gives you the ability to scan and attach documents and other images directly to an entity within the benefit administration system for easy indexing and access. You can attach documents to payer groups, locations, members, providers, and claims where they can be conveniently located and viewed at a later time when needed.
  • Document Image Solution - Document Image Solution (DIS) is a paper-to-EDI scanning solution that integrates directly into the benefit administration system. You can scan your claim documents and upload them directly into the system for OCR conversion into HIPAA-compliant EDI files that can be imported back into the system, with the images automatically attaching to the claim in the database.
  • MICR Check Encoding– MICR Check Encoding (MCE) reduces your overhead and increases productivity by using blank security check stock instead of higher priced pre-printed check stock. With Secure fonts, everything that needs to be printed on a check will be generated by the system, including the MICR line.
  • MediCard – WLT’s MediCard is a Healthcare Payment Card that is compatible with most point-of-service systems. The card can be used to access funds from a Consumer Driven Healthcare account such as Flexible Spending, and gives members the ability to automatically settle medical bills at the checkout counter.
  • Benefit Plan Modeling – The Benefit Plan Modeling (BPM) solution makes renewals easier with a real-time analysis of the previous year’s claims data. You will be able to quickly know the impact of changing any of the benefit levels within your plans.
  • EDI Trading Partner Connections – Automated EDI Trading Partner Connections are used in the integrated EDI routing system that allows you to automatically send and receive eligibility and accumulator data, claims, provider files, and more, directly to and from your trading partners (e.g. PPO, PBM). We can work with your trading partners to establish a real-time, automated process.
  • Benefit Plan Informatics – Benefit Plan Informatics (BPI) is a robust web-based reporting and analytics tool, providing customized health plan data analysis. BPI is designed to help administrators maximize the performance and minimize the cost of employer-funded plans. It identifies cost drivers and specifies how, when and where the money is being spent.
  • Repricing Solution – WLT’s Repricing Solution was designed with cost-containment and other repricing organizations in mind. With the Repricing Solution enabled, you will be able to manage claims from a payor for repricing services and be able to produce invoices based on a percent of savings or an allowed amount.
  • Eligibility Import Management – Eligibility Import Management is a utility used in conjunction with EDI eligibility import functions to manage and monitor eligibility changes received electronically. It allows you to view / edit imported eligibility data in the EDI tables before you actually move the data into production. Data is imported using the HIPAA 834 5010 layout, a WLT proprietary enrollment layout, or a custom layout.
  • 1094 / 1095 Reporting Solution – The 1094 / 1095 Reporting Solution produces the ACA reporting forms 1094-C and 1095-C. In addition, you will be able to produce the 1094 / 1095 electronic file for submission to the IRS.
  • Multiple Out-of-Pocket Processing – Multiple Out-of-Pocket Processing is used for managing and tracking plans with more than one out-of-pocket accumulator per individual benefit offered under the plan.

CompClaims Extensions

  • Document Management Solution – The Document Management Solution (DMS) gives you the ability to scan and attach documents and other images directly to an entity within the workers’ compensation system for easy indexing and access. You can attach documents to payer accounts, divisions, claimants, providers, and payments where they can be conveniently located and viewed at a later time when needed.
  • Document Image Solution – Document Image Solution (DIS) is a paper-to-EDI scanning solution that integrates directly into the workers’ compensation system. You can scan your payment transaction documents and upload them directly into the system for OCR conversion into HIPAA-compliant EDI files that can be imported back into the system, with the images automatically attaching to the claim in the database.
  • MICR Check Encoding – MICR Check Encoding (MCE) reduces your overhead and increases productivity by using blank security check stock instead of higher priced pre-printed check stock. With Secure fonts, everything that needs to be printed on a check will be generated by the system, including the MICR line.
  • EDI Trading Partner Connections – Automated EDI Trading Partner Connections are used in the integrated EDI routing system that allows you to automatically send and receive claims, provider files, and more, directly to and from your trading partners (e.g. PPO, PBM). We can work with your trading partners to establish a real-time, automated process.
  • Occupational Accident Solution – WLT’s Occupational Accident Solution provides administrators with the ability to track and process payments based on policy limitations for work-related injuries and illnesses.
  • Premium Billing / Agent Commissions – Premium Billing / Agent Commissions is a solution used to define premium rates for workers’ compensation and / or occupational accident benefit plans. The administrator can bill and collect premiums and administrative fees as well as pay commissions to agents and brokers.
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