All MediClaims Reviews

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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.

Joseph

Insurance, 51-200 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:

4

EASE OF USE

5

VALUE FOR MONEY

3

CUSTOMER SUPPORT

4

FUNCTIONALITY

4

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.

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.

Reason for choosing MediClaims

Price and recommendations

Reasons for switching to MediClaims

New owners wanted to move in a different technology direction

Lori

Insurance, 11-50 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:

4

EASE OF USE

4

VALUE FOR MONEY

4

CUSTOMER SUPPORT

5

FUNCTIONALITY

4

Reviewed January 2022

ARM_MediClaims

Reporting is robust in MediClaims, Benefit Design can be detailed and unique, MediClaims is being upgraded quarterly and we appreciate the response when a request is suggested.

PROS

The MediClaims process allows our plan designs to be unique and proprietary. We can work with Employers and Brokers and make promises and moreover deliver on those promises. Benefit exceptions can be considered because MediClaims offers outstanding flexibility when building plan designs.

CONS

I think Documentation of the system could be upgraded slightly. When I need a very specific report, I sometimes have to click around on the Headings to find what I need. Offering the option to fax from MediClaims would be ideal. Providers are constantly calling for EOB information, it would be efficient to be able to email or fax an EOB straight from WLT.

Lori

Insurance, 11-50 employees

Used daily for more than 2 years

Review Source: Capterra

OVERALL RATING:

4

EASE OF USE

4

VALUE FOR MONEY

4

CUSTOMER SUPPORT

5

FUNCTIONALITY

4

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.

PROS

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

CONS

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

Vendor Response

Lori, Thank you for your feedback. We value your partnership and look to get the specifics on your change request. As you know at WLT we pride ourselves being adaptive to our customer's needs. Sincerely, Your friends at WLT

Replied December 2023

Brenda

Insurance, 51-200 employees

Used daily for less than 2 years

Review Source: Capterra

OVERALL RATING:

3

EASE OF USE

3

CUSTOMER SUPPORT

3

FUNCTIONALITY

3

Reviewed February 2022

Director Of Operations

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

Anonymous

51-200 employees

Used weekly for less 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:

4

EASE OF USE

4

VALUE FOR MONEY

4

CUSTOMER SUPPORT

4

FUNCTIONALITY

4

Reviewed January 2022

Decent Product

Overall, decent software for our needs

PROS

Easy to use and user friendly software that meets our needs

CONS

Enhancements are not that easy to implement

Robin

Insurance, 51-200 employees

Used daily for more than 2 years

Review Source: Capterra

OVERALL RATING:

4

EASE OF USE

4

CUSTOMER SUPPORT

4

FUNCTIONALITY

4

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.

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

Shannon

Insurance, 201-500 employees

Used daily for more than 2 years

Review Source: Capterra

OVERALL RATING:

4

EASE OF USE

4

VALUE FOR MONEY

4

CUSTOMER SUPPORT

4

FUNCTIONALITY

4

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.

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.

Frank

Insurance, 11-50 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:

4

EASE OF USE

3

VALUE FOR MONEY

3

CUSTOMER SUPPORT

5

FUNCTIONALITY

3

Reviewed January 2022

MediClaims is a solid Mid-range product

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.

Chad

Insurance, 11-50 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:

4

EASE OF USE

3

VALUE FOR MONEY

3

CUSTOMER SUPPORT

5

FUNCTIONALITY

3

Reviewed January 2022

Review

Customer Service is amazing!

PROS

Billing integration is what I like most about this software.

CONS

Integration and report abilities are what I like least about the software.

Karen

Insurance, 51-200 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:

3

EASE OF USE

3

VALUE FOR MONEY

4

CUSTOMER SUPPORT

4

FUNCTIONALITY

4

Reviewed January 2022

Medi Claims Review

PROS

adjustments and resetting a claim are user friendly

CONS

coverage codes, assignment of benefits to CPT codes

Betsy

Hospital & Health Care, 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:

3

EASE OF USE

3

CUSTOMER SUPPORT

4

FUNCTIONALITY

2

Reviewed January 2022

Review

PROS

It is the program that came with the job.

CONS

COB and other applications are not very useful.

Jeffrey

Insurance, 11-50 employees

Used daily for less than 6 months

Review Source: Capterra

OVERALL RATING:

5

EASE OF USE

4

VALUE FOR MONEY

4

CUSTOMER SUPPORT

5

FUNCTIONALITY

5

Reviewed December 2023

WLTSMHA Review

We have been satisfied so far, [sensitive content hidden] has been incredible at helping us onboard our 1st few clients.

PROS

Has lots of the features we needed to do business

CONS

It is a lot, training has been great, but lots to learn

Vendor Response

Jeffrey, Thank you for your review. Your feedback is very important to us. In 2024 end user experience and training are our top priorities, which we expect to ease the burden on our end users. Stay tuned for our updates in 2024. Sincerely, Your partners at WLT

Replied December 2023

Donna

Insurance, 11-50 employees

Used weekly for more than 2 years

Review Source: Capterra

OVERALL RATING:

4

EASE OF USE

3

VALUE FOR MONEY

4

CUSTOMER SUPPORT

4

FUNCTIONALITY

3

Reviewed February 2022

WLT Software Review

Very good.

PROS

Customer Service is very responsive and easy to work with.

CONS

The billing upgrade was a total nightmare.

yamiled

Pharmaceuticals, 2-10 employees

Used monthly for less than 12 months

Review Source: Capterra
This review was submitted organically. No incentive was offered

OVERALL RATING:

5

EASE OF USE

5

VALUE FOR MONEY

5

CUSTOMER SUPPORT

5

FUNCTIONALITY

5

Reviewed April 2022

It is a reliable, efficient and profitable company.

PROS

I liked it a lot, for the trust, responsibility and service they provide when obtaining the product. satisfies customer needs and expectations.

CONS

complies with all the characteristics, and ease of use, in addition to meeting the quality standards.

Showing 1 - 19 of 19 Reviews