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MediClaims
3.9
(15)

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Claims management software for healthcare organizations

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MediClaims Pricing, Features, Reviews and Alternatives

MediClaims product overview

Price starts from

1

One-time payment

Per Feature

What is MediClaims?

MediClaims is a claims management software that helps organizations manage claims processing across several healthcare sectors, including medical, dental, vision, disability, prescription drugs, and consumer-driven healthcare. It enables supervisors to streamline benefit administration processes for flexible spending accounts (FSA), Health Reimbursement Arrangements (HRA), and Health Savings Accounts (HSA).

Typical customers

Freelancers
Small businesses
Mid size businesses
Large enterprises

Platforms supported

Web
Android
iPhone/iPad

Support options

Chat
24/7 (Live rep)
Phone Support
Email/Help Desk

Training options

Live Online
Webinars
In Person
Documentation

MediClaims pricing information

Value for money

3.8

/5

15

Starting from

1

One-time payment

Per Feature

Pricing options

Free plan
Subscription
Free trial
Pricing range

Value for money contenders

MediClaims features

Functionality

3.7

/5

15

Total features

44

2 categories

Most valued features by users

HIPAA Compliant
Reporting & Statistics
Billing & Invoicing
Document Management
Self Service Portal
Third Party Integrations
Workflow Management
Customizable Reports

MediClaims users reviews

Overall Rating

3.9

/5

15

Positive reviews

Rating breakdown
  • Value for money
  • Ease of use
  • Features
  • Customer support
  • Likelihood to recommend6.87/10
Rating distribution

5

4

3

2

1

2

9

4

0

0

Pros
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.
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.
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.
Most issues cause us to have to force pay claims and deal with grumbling members who are waiting on their checks.
Voiding procedures are not up to date nor easily done.

Overall rating contenders

Overall Rating
  • Value for money
  • Ease of use
  • Features
  • Customer support
  • Likelihood to recommend10/10

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Commitment to Client Support and Great Customer Service

Reviewed 9 months ago
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.

Overall Rating
  • Value for money
  • Ease of use
  • Features
  • Customer support
  • Likelihood to recommend6/10

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Know the System

Reviewed 7 months ago

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...

Overall Rating
  • Value for money
  • Ease of use
  • Features
  • Customer support
  • Likelihood to recommend7/10

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Workers' Comp user

Reviewed 8 months ago

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

Overall Rating
  • Value for money
  • Ease of use
  • Features
  • Customer support
  • Likelihood to recommend7/10

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90 degree benefits review of Mediclaims

Reviewed 9 months ago

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...

Overall Rating
  • Value for money
  • Ease of use
  • Features
  • Customer support
  • Likelihood to recommend9/10

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ARM_MediClaims

Reviewed 9 months ago

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.

MediClaims FAQs and common questions

Q. What type of pricing plans does MediClaims offer?

MediClaims has the following pricing plans:
Starting from: $1.00
Pricing model: One Time License
Free Trial: Available


Q. Who are the typical users of MediClaims?

MediClaims has the following typical customers:
Large Enterprises, Mid Size Business, Small Business


Q. What languages does MediClaims support?

MediClaims supports the following languages:
English


Q. Does MediClaims offer an API?

No, MediClaims does not have an API available.


Q. What level of support does MediClaims offer?

MediClaims offers the following support options:
Chat, 24/7 (Live rep), Phone Support, Email/Help Desk

Common MediClaims comparisons

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