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What is MediClaims?

WLT's MediClaims platform offers a cost-effective, intuitive, and highly efficient approach to benefit and claims management. The incorporation of a rules-based structure, along with seamless EDI capabilities, guarantees that claims are processed quickly, easily, and accurately. This system accommodates a wide variety of benefits and claims, such as Medical, Dental, Vision, Prescription Drugs, Consumer-Driven Healthcare, Disability, and Capitation processing. Users of WLT's MediClaims can effortlessly tailor group configurations to support either straightforward coverage or complex benefit plans with multiple lines of coverage. To enhance operational effectiveness, a powerful information system is vital, and WLT consistently embraces state-of-the-art technologies, providing the most innovative and flexible solutions on the market. In today's rapidly changing healthcare environment, having access to such a versatile claims processing system is essential for sustaining a competitive edge and guaranteeing customer contentment. The adaptability of the system enables organizations to respond to emerging challenges and opportunities with greater agility.

What is Ebix FACTS?

The FACTS® product suite serves a diverse range of industries through a cohesive information system that encompasses Health, Indemnity, TPA, PPO, HMO, PHO, IPA, MSO, Group Administration, COBRA, Section 125-Integrated Flexible Benefits, and Workers' Compensation with Integrated Managed Care, providing comprehensive coverage around the clock. Since the introduction of HIPAA, the foundational design of the FACTS® system has focused on solutions that comply with HIPAA regulations. With a strong commitment to making the path to HIPAA compliance as smooth and efficient as possible, FACTS® emphasizes preparation well ahead of mandated federal deadlines. The fully integrated and interactive systems offered by FACTS®—which can be accessed through both the Internet and voice—empower healthcare professionals and administrators with 24/7 access to critical claims and benefit information, while also facilitating real-time transactions such as online EDI claim submissions. By leveraging these resources, organizations can greatly improve their risk management and insurance oversight processes. In addition, FACTS® is unwavering in its commitment to ongoing enhancement of its services to better meet the evolving needs of its users, ensuring that they are always equipped with the best tools available. This dedication to improvement underscores the company's mission to provide exceptional support tailored to the challenges faced by its clientele.

Media

Media

Integrations Supported

Gradelink SIS

Integrations Supported

Gradelink SIS

API Availability

Has API

API Availability

Has API

Pricing Information

$1 one-time payment
Free Trial Offered?
Free Version

Pricing Information

$25000 one-time payment
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

WLT Software

Date Founded

1979

Company Location

United States

Company Website

wltsoftware.com/mediclaims/

Company Facts

Organization Name

Ebix

Date Founded

1989

Company Location

United States

Company Website

www.ebix.com/facts

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

Categories and Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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