MediClaims

RATING:

4.0

(19)

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...

MediClaims Pricing

MediClaims is available at $1. It also offers a free trial.

Starting price: 

$1.00 one time

Free trial: 

Available

Free version: 

Not Available

No Screenshot Available

MediClaims Reviews

Overall Rating

4.0

Ratings Breakdown

Secondary Ratings

Ease-of-use

4

Customer Support

4.5

Value for money

4

Functionality

4

Most Helpful Reviews for MediClaims

1 - 5 of 18 Reviews

odalys

Insurance, 2-10 employees

Used daily for more than 2 years

Review Source: Capterra
This reviewer was invited by us to submit an honest review and offered a nominal incentive as a thank you.

OVERALL RATING:

5

EASE OF USE

5

VALUE FOR MONEY

5

CUSTOMER SUPPORT

5

FUNCTIONALITY

5

Reviewed January 2022

Commitment to Client Support and Great Customer Service

PROS

The software is easy to use. The company has a commitment to their clients to always listen to their client's needs and great customer service.

CONS

Would like to see more automation happening with the software.

Jason

Hospital & Health Care, 11-50 employees

Used daily for more than 2 years

Review Source: Capterra

OVERALL RATING:

4

EASE OF USE

4

VALUE FOR MONEY

5

CUSTOMER SUPPORT

5

FUNCTIONALITY

4

Reviewed December 2023

Mediclaims is a great platform for administration of group benefit plans

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.

Reason 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

Annette

Insurance, 2-10 employees

Used daily for more than 2 years

Review Source: Capterra

OVERALL RATING:

3

EASE OF USE

4

VALUE FOR MONEY

3

CUSTOMER SUPPORT

5

FUNCTIONALITY

4

Reviewed February 2022

Workers' Comp user

Very satisfied with the overall customer service. Love working with the people at WLT.

PROS

Ease of use, reliability, and the customer service provided when issues arise.

CONS

The request for enhancements to the software to meet the requirements of the NYS Workers' Compensation Board. Lengthy processes

Denise

Executive Office, 11-50 employees

Used daily for more than 2 years

Review Source: Capterra

OVERALL RATING:

4

EASE OF USE

5

VALUE FOR MONEY

5

CUSTOMER SUPPORT

4

FUNCTIONALITY

4

Reviewed December 2023

WLT Review

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

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

Victoria

Insurance, 11-50 employees

Used daily for more than 2 years

Review Source: Capterra

OVERALL RATING:

4

EASE OF USE

5

CUSTOMER SUPPORT

4

FUNCTIONALITY

4

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.

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.