WLT Software is a leader in world-class customer service and innovative insurance software.

WLT's Certified Business Partner Program

WLT is setting the standards for quality on behalf of its Clients. As such, WLT has adopted strict guidelines for its Certified Business Partner Program.

Certified Business Partners have agreed to go through a rigorous process of development, testing and quality assurance.

Many companies have approached WLT, offering their product(s) and services. After careful consideration and discussion, WLT has come to the conclusion that there are only a few companies willing to put forth the effort and resources required. WLT's goal is to provide its Clients with the best services available to encourage and facilitate growth within our industry by helping our Clients increase revenue while reducing their costs.

Adminisource

AdminiSource provides a fully integrated and comprehensive system to effectively address the challenges inherent in the healthcare payment and remittance distribution process. AdminiSource has become the largest independent healthcare payment and remittance advice distribution company in the country.

The knowledge and expertise of AdminiSource dates back to 1989 when its executive management were providing systems and output support services as an internal supplier to Fortune 500 insurance and health carriers. In 1992, this team began providing outsourcing services commercially to the healthcare, insurance and financial industries as an enterprise of Anthem.

After a number of successful years, a group of five executives who are still involved in the daily operation of the company today, purchased a block of business managed by Anthem's Dallas facility and relabeled it as AdminiSource in 1998.

AdminiSource is a privately held corporation located in Carrollton, Texas and has become the premier print and mail outsourcing vendor for the healthcare industry in areas of quality, price, and customer service. AdminiSource services clients nationwide and produces payments for over 6,000,000 claims per month, distributing more than 300,000 transactions per day.



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PHX

PHX delivers advanced cost management solutions for health plans. The company combines claim processing automation with professional services to deliver a centralized approach to cost management, increasing savings in both the near and long term while dramatically reducing errors and turnaround time. The firm´s solutions are used by a number of the industry´s leading insurance companies, Health Maintenance Organizations (HMOs), and Third Party Administrators (TPAs). Services included in the PHX solution include bill review and audit, secondary repricing/claims negotiations, fraud and abuse detection, and health benefits trend analysis and reporting. All services are handled in-house for maximum privacy and legal and regulatory compliance. PHX also supplies full technology implementation, training and support for quick, seamless integration into any organization.

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Bases Loaded

BLI is a service bureau company that cleanses and converts network provider, facility, and fee schedule data into our client's software specifications. BLI can perform a full provider cleanup from current data residing on your system and in turn manage your network data monthly. This is accomplished through cross-reference tables built per client network entity. BLI has a unique duplicate provider detection algorithm. This algorithm flags duplicate providers, which are immediately deleted and never forward on to our clients. We currently work with more than 320 networks monthly and have processed in excess of 200,000,000 demographics and billions of CPT codes since conception. Our newest, innovative service "Sure Hit" gives our client the cutting edge in auto-adjudication by guaranteeing a 98% provider hit ratio on all EDI claims. Read more

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Other WLT Partners

A&G Healthcare Services is an industry leader in the provision of cost effective claims management services. We are part of one of the largest medical networks in the U.S. with access to 100,000 hospitals and clinics, and more than 1-million healthcare providers. We specialize in out-of-area/network repricing through medical bill reviews, negotiated discounts, and medical audits to achieve the ultimate goal – savings on medical claims.

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Ancillary Care Services is the only nation-wide ancillary healthcare system serving the 120 million-life mid-market and regional member community. As the nation's ancillary care experts, ACS connects and serves patients, ancillary care providers and regional payors. Read more

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The C:H Solution transforms healthcare data into actionable information customized for the individual user based on their health issues, location and plan. The C:H Solution is continuously mining your company's claims data for savings opportunities that frequently change based on utilization, health plan contract rates and provider pricing strategies.

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EMC Captiva´s Healthcare Reimbursement and Coding Suite of Products are now a part of Context 4 Healthcare, Inc.

These products include CodeLink®, ClaimsEditor®, FirstPass™, RACAuditor™, UCR Fee Database products and the Knowledge Product healthcare databases.

Our UCR (Usual, Customary and Reasonable) Fee databases (Medical, Dental, Anesthesia, HCPCS, Outpatient Facility) and RBRVS data fit seamlessly into your WLT Software.

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Our mission is to combine our knowledge of insurance, risk management and medical best practices in order to assist our clients to evaluate and assess risk from a business and medical perspective. We demonstrate this by acting as a liaison between patients, healthcare providers and health plans to promote high quality medical treatment and wellness.

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Provides service for the Oracle database and supplemental Oracle consulting and support services.

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Provides flexible, dependable, and cost-effective solutions for the handling, printing, and distributing of claims communication.

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Envision Pharmaceutical Services, Inc is a full service pharmacy benefits management company that delivers proven savings and proven customer satisfaction. Proven savings as our business model is based on transparency and full disclosure, guaranteeing 100% pass through pricing of all pharmaceutical manufacturer rebates and administrative fees at the point of sale. Proven customer satisfaction as Envision has received the highest customer satisfaction rating from the Pharmacy Benefit Management Institute’s Annual PBM Customer Satisfaction Survey three years in a row. Additionally, our affiliate Envision Insurance Company, has a national Prescription Drug Plan which enables us to offer you a Medicare Part D product as well as an Employer Group Waiver Plan for your retirees. Envision is truly a “different” PBM!

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EPlan partners with self-insured payers, third party administrators, multi-employer groups, insurance carriers, and PPO’s that desire effective and customizable solutions to combat the rising costs of out of network claims.

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Fair Health's MDR Payment System is a powerful relational database of Relative and Actual Charge Data (RACD) that helps you manage your costs and payments for fee schedule development for out-of-network and non-negotiated services.

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JMS provides "Simple Solutions for Complex Problems" to the Health Care Payor Industry. Our solutions begin with receiving EDI and Paper Caims, Converting Paper to EDI, Claim Validation & Correction of Eligibility and Provider Data, Network Routing, Web Claim Viewer Systems, and Remote Adjudication Services.

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MDLiveCare is the newest and most advanced healthcare delivery system in America where you will engage in real time interactive consultations with healthcare providers over the Internet with the use of a webcam and your computer, or telephone.

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Moody Review is a national health care cost containment company specializing in group health and workers' compensation bill review. For more than 15 years, Moody Review has helped health care payors combat rising health care costs. Clients include third-party administrators, large and mid-sized insurers, Preferred Provider Organizations, self-insured companies, non-subscribers and other entities that pay claims.

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Provides risk analysis, disclosure reporting, health plan analysis, historical plan modeling and web based reports.

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Contact WLT

WLT Software
26133 US Hwy 19 North, 4th Floor, Clearwater, FL 33763 USA
Phone: (727) 442-9296
Toll Free: (877) 807-4730
Fax: (727) 443-4936 email us for more information