MediClaims 2026: Benefits, Features & Pricing

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Overview
Pricing and Plans
Features
User Reviews

Overview

MediClaims

3.9

(18)

Pricing

Starting at $1.00 one time

About MediClaims

MediClaims is a comprehensive claims management software for small to large-sized medical and dental practices. MediClaims lets staff members handle claim pre-certifications, track referrals, process payments, manage capitation and track agent commissions on a centralized platform.

The compliance management module lets business leaders manage operations related to W-2 forms and electronic filing, HIPAA EDI compliance tracking, 835 RARC code mapping, PCORI and transitional reporting and more. It also enables administrators to define user roles and configure access rights, restricting individuals from viewing and updating specific information. The platform can be adapted to handle your organization’s day-to-day business needs and allows you to track agent commissions on an employee-by-employee basis.

MediClaims Screenshots

MediClaims Pricing and Plans

Starting price: $1.00 one time

Free Trial

Free Version

Basic

$1.00

per feature, one time

No plan information available

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MediClaims Features

Popular features found in Benefits Administration
ACA Reporting
Compliance Management
Deduction Management
Employee Benefits Administration
Employee Database
Health Insurance Administration
Payroll Management
Provider Management
Self Service Portal
More features of MediClaims
Accounting Integration
API
Benefits Dashboard
Benefits Management
Billing & Invoicing
Case Management
Claims Adjuster Management
Claims Management
Claims Tracking
COBRA Administration
Compensation Management
Compliance Tracking
Configurable Workflow
Co-Pay & Deductible Tracking
Customer Management
Customizable Reports
Data Import/Export
Disability Insurance Administration
Document Management
Document Storage
EDI
Electronic Claims
Employee Onboarding
Employee Portal
Employee Self Service
FMLA Administration
Forms Management
HIPAA Compliant
HSA/FSA Administration
Life Insurance Administration
Online Benefits Enrollment
Paper-Based Claims
Payor Management
Real-Time Analytics
Real-Time Data
Real-Time Reporting
Real-Time Updates
Reporting/Analytics
Reporting & Statistics
Task Scheduling
Third-Party Integrations
Workflow Management

MediClaims User Reviews

Overall Rating

3.9

Ratings Breakdown

17%

61%

22%

Secondary Ratings

Ease of Use

3.9

Value for money

4.0

Customer support

4.4

Functionality

3.8

Jason Y.

Verified reviewer

Hospital & Health Care

11-50 employees

Used daily for more than 2 years

Reviewed December 2023

Mediclaims is a great platform for administration of group benefit plans

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

The team behind MediClaims is second to none when it comes to customer service and engaging with you directly to solve your problems. The value and voice that WLT gives to the user community in the continued development and improvement of the platform is second to none when it comes to SAAS services.

Cons:

The system interface has a lot of dropdowns and menu items that can become overwhelming for personnel who has not operated in a similar database type program.

Reasons for choosing MediClaims

The price point weighed heavily but even more so were the people behind the product and their engagement and investment in our success as a business unit.

Reasons for switching to MediClaims

Our previous system was proprietary and the programmers were on staff. As the programmers aged out we went to market and analyzed what was available and found Mediclaims and WLT to be the best fit for our TPA.

Vendor Response

Jason, Thank you for your review. Your feedback is very important to us. We wanted to let you know we heard you and in 2024 our top priority is to improve our end user experience. We will provide more details throughout the year as we progress. Sincerely, Your friends at WLT

Replied December 2023

Denise S.

Verified reviewer

Executive Office

11-50 employees

Used daily for more than 2 years

Reviewed December 2023

WLT Review

Over the 19 years. Pretty good. Within the last year, notice a different in customer service response time.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

Ease of learning and using MediClaims with all departments

Cons:

Turn around in customer service members. Alot of delay in responses.

Reasons for switching to MediClaims

What WLT had to offer. Web Based. Was 19 years ago. Dont' recall all reasons

Vendor Response

Your feedback is very important to us. We value your partnership. As you may have seen during our recent updates we have grown our customer service team and strengthen it with new management. These changes will ensure our customer service response times to get back to the levels you are accustomed to getting from WLT. Sincerely, Your partners at WLT

Replied December 2023

Brenda S.

Verified reviewer

Insurance

51-200 employees

Used daily for less than 2 years

Reviewed February 2022

Director Of Operations

Ratings Breakdown

Ease of use

Customer support

Functionality

Pros:

visibly easy on the eyes, does have some good improvements in the time that i have been here, less than a year.

Cons:

takes long to get updates in place. we have job fails at our warehouse at least once a week

Reasons for switching to MediClaims

company decision as GBAS was no longer being supported

Victoria D.

Verified reviewer

Insurance

11-50 employees

Used daily for more than 2 years

Reviewed February 2022

Know the System

GBS offers customized health plans to our clients and WLT has been able to keep up with most of our demands. The frequent updates allow us to continue to refine our processes and be more efficient - although the roll out could be smoother.

Ratings Breakdown

Ease of use

Customer support

Functionality

Pros:

I have worked on the claims side for about 4 years and use the system extensively for claims process, auto-adjudication, reporting, FSA, and fee scheduling. There is a learning curve when it comes to setting up the system to your specifications, but once you get enough time using it, it becomes intuitive finding issues and making the system work better for your process. We rarely have issues with claims processing and we generally find the auto-adjudication and the fee scheduling to be highly useful.

Cons:

There are some aspects that could be fine tuned to be better utilized. The three that come to mind is Provider Maintenance, FSA, and Reports. While there is some customization available with Provider Maintenance as far as provider types go, there could be further customization when it comes to group level. Having options in Group Edit Specifications to pend tax ID numbers or only pend certain provider types instead of all providers types would go a long way in boosting our efficiency. FSA claims processing always seems to have issues. The syncing process is lengthy and must be done daily and even then there seems to be claims that get held up with Alegus. Most issues cause us to have to force pay claims and deal with grumbling members who are waiting on their checks. The Reports application leaves a lot to be desired. The reports that are available are pretty clunky and no reports can be converted to excel easily. It is best to run customized reports in excel or have a data manager build customized reports for you.

Joseph B.

Verified reviewer

Insurance

51-200 employees

Used daily for more than 2 years

Review source

Reviewed December 2021

90 degree benefits review of Mediclaims

Overall I have had a good experience working with MediClaims. The software does most of what we need and only lacks in flexibility and reporting options.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

A very strong feature of the software lies in the easy access to data department. You can usually tell from one, or just two, screens the overall performance and life of a member and their claims

Cons:

There are two: More robust voluntary benefit administration and EDI resources (I would consider EDI to be the weakest aspect of the system.) EDI is one I am most familiar with and I find the system to lack proper flexibility when it comes to both in and out EDI claims/eligibility. More options are required in order to put forth a professional face when implementing 834, 835 and 837 files. Examples would be the ability to control the major segments, such as using subgroup OR master group for Ref*1L in an export. Or the ability to term and report by absence as well as report on such occurrences. The canned reports are barely useful for the level of reporting we, as well as our clients, require. We have had to spend considerable development time and resources to mange EDI reporting (such as discrepancy reporting) in a proper professional manner.

Reasons for choosing MediClaims

Price and recommendations

Reasons for switching to MediClaims

New owners wanted to move in a different technology direction

Frank H.

Verified reviewer

Insurance

11-50 employees

Used daily for more than 2 years

Review source

Reviewed January 2022

MediClaims is a solid Mid-range product

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

Customer Service is good, staffing is low but improving. They are always willing to help out with any issues that crop up.

Cons:

Built on old platform and has no interest in upgrading to a more modern GUI style interface.

Robin F.

Verified reviewer

Insurance

51-200 employees

Used daily for more than 2 years

Reviewed February 2022

A good system and fairly easy to integrate.

We have been overall happy with this product. It is fairly easy to train on and has many options available.

Ratings Breakdown

Ease of use

Customer support

Functionality

Pros:

Claims administration on this system is very accurate and easy to use. WLT updates the system yearly based upon what their clients need which is a great feature. WLT is up to date with all compliances being enforced.

Cons:

Plan Building portion of the system needs to have more work arounds or fixes to be able to enter in complicated or even some simple plans. We have several manual processes which is not good in our industry. Obtaining auto adjudication seems to be difficult with all of the tables/programs which need to be updated. Voiding procedures are not up to date nor easily done.

Reasons for switching to MediClaims

Company was going out of business

Lori N.

Verified reviewer

Insurance

11-50 employees

Used daily for more than 2 years

Reviewed December 2023

ARM Ltd Review

The customer service is impeccable. It is obvious that the culture at WLT is positive, and the personal tutorial interaction is greatly appreciated.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

The opportunity to be unique in plan building by client needs.

Cons:

It would be helpful to logging historical changes in Group Maintenance.

Shannon S.

Verified reviewer

Insurance

201-500 employees

Used daily for more than 2 years

Reviewed February 2022

MediClaims Review

I do like working in WLT. I need to study the manual and study up on more of the features.

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

The product is easy to use and navigate for the most part. If I have questions or concerns, customer service is great to work with.

Cons:

When I'm not working in the site and am logged in, I am quickly disconnected. I'd like to see the time extended before I'm disconnected.

Verified

Reviewer

Hospital & Health Care

51-200 employees

Used weekly for less than 2 years

Review source

Reviewed January 2022

Decent Product

Overall, decent software for our needs

Ratings Breakdown

Ease of use

Value for money

Customer support

Functionality

Pros:

Easy to use and user friendly software that meets our needs

Cons:

Enhancements are not that easy to implement

Showing 1 - 10 of 18 Reviews

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MediClaims 2026: Benefits, Features & Pricing

Overview

About MediClaims

MediClaims Screenshots

MediClaims Pricing and Plans

MediClaims Features

MediClaims User Reviews

Popular MediClaims Alternatives

Other Top Recommended Benefits Administration Software

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