WLT’s MediClaims for Windows system offers a cost-effective, straightforward and efficient approach to claims administration. WLT’s user friendly interface and EDI processes, in conjunction with our processing engine, allow claims to be processed in real-time, quickly, accurately and easily.
MediClaims’ processing and editing capabilities encompass a range of claim functions including:
- Medical, Dental, Vision and Prescription Drug
- FSA, HSA, HRA, COBRA, Disability
- Premium Billing & Agent Commissioning
- HMO Capitation
- Paper to EDI Conversion
- Capitated Risk Management
- Stop Loss Pricing
- Disaster Recovery
- EDI Routing
- Unbundling of Medical and Dental procedures
- Out of Network Repricing
- Precertification and Case Management
- Eligibility
- PPO Administration
- Full-Featured Letter Writing
- Call Tracking
- Ad Hoc Reporting
- Managed Care Savings Reporting
- Specific & Aggregate Reporting
- Claims Lag Reporting
For more information or to schedule a personal demo, please feel free to contact a WLT representative today.
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WLT Software's CompClaims for Windows System tracks and pays workers' compensation claims. It is used by third party administrators, corporations, associations, government entities, multiple employer trusts, and insurance companies to process partially insured or fully insured workers' compensation claims. Its sophisticated design offers the most comprehensive, fastest, and most user-friendly workers' compensation claims administration system available today.
- Payment and reserve processing for indemnity, medical, and expense cost categories
- Automatic indemnity payment issuance
- Multiple state fee schedules for multiple years
- Ability to utilize industry standard UCR tables
- Automatic PPO and hospital discounts
- Processing of special or one-time assessments
- User-defined indemnity, medical and expense payment codes
- User-defined accident, injury, body location and source codes
- Duplicate payment checking
- On-screen claim totals
- Inquiry by claimant name or social security number
- Inquiry by provider name or identification number
- Complete trust and fund accounting
- Check processing
- Laser check printing
- Specific and aggregate tracking
- Automatic diary system
- Litigation tracking
- Billing
- Financial accounting
- 1099 generation
- Letter writer with 99 standard letter formats
- Extensive reporting
For more information or to schedule a personal demo, please feel free to contact a WLT representative today.
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MediClaims V2 is a Customer Relations Management tool (CRM) that allows your members to view information concerning their health benefits, real time, directly from your MediClaims for Windows system. This comprehensive and user friendly web-based system allows plan participants to view claims history, FSA account information, eligibility, view and download EOBs, and much more. Providers can also utilize V2 to view eligibility, claims statuses, and download and view EOBs. This system also has the capability to administer online enrollment and has a secure Outlook-style email system that allows you to send secure email throughout the website. This website can also be branded with your company’s logos and information, providing apparently seamless integration with your company’s website. The many features of this system will reduce your customer service workload.
MediClaimsV2 gives users an innovative, streamlined approach to claims management while continuing the tradition of excellence our Clients have come to expect. V2 takes our core system to the next level, utilizing Real Time Data Updates to give you access to the most up-to-date information, on the fly, any time you need it.
With Full System Integration and Automation, you have one centralized database that provides you with a complete view of your data all from one location. This allows for more dynamic automation of Enrollment, Member Registration, Call Tracking and much more.
- Reduce customer service costs by lowering call center workload.
- Provide a communications tool to link you, your employers, members, PBMs, Stop Loss Carriers, Providers and Brokers, for such items as ID card requests, enrollment, changes, secure e-mail messaging and more.
- Build and send EDI data to trading partners with a single click.
- Send and receive secure e-mails, including attachments.
- Pre-populated forms are available, such as stop loss claim forms and enrollment forms which can be routed to the appropriate party.
- Real-time reports available to users who have been granted access.
- Distribute information to a large audience with the integrated announcement feature.
V2 also offers more robust security, and search and messaging features give users a more productive, efficient environment. In addition, with V2 you will continue to receive the unparalleled service and support you have come to expect from WLT Software.
For more information or to schedule a personal demo, please feel free to contact a WLT representative today.
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Supplemental Products
In addition to the core features that our sytems offer, we offer a wide range of add-on solutions to further enhance the functionality of our systems.
- Benefit Plan Informatics
- Provider Data Management
- Integrated Care Management
- Data Recovery Solutions
- Electronic Funds Transfer
- Benefit Plan Modeling
- Real Time Fax Back
- Electronic Data Interchange
- Document Management
- Healthcare Benefit Cards
For more information and a complete list of all our supplemental products, click here.
All WLT Systems include:
- Training
- Free system documentation, reports, and procedures manuals
- On-line help
- Ability to fully integrate with other WLT systems
- Custom programming options
- Quality bilingual support via telephone, fax, and the Internet
- Annual training sessions
- Annual client conference
System Hardware Requirements
- IBM compatible personal computers
- Novell NetWare or Windows NT/2000 solutions available
- MediClaims & CompClaims for Windows Hardware Specifications(View PDF)
Contact WLT
WLT Software26133 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