# MediClaims Reviews 2026. Verified Reviews, Pros & Cons | Capterra > Is MediClaims the right Claims Processing solution for you? Explore 18 verified user reviews from people in industries like yours to make a confident choice. Source: https://www.capterra.com/p/25450/MediClaims/reviews --- MediClaims 3.9 (18) Provider data verified by our Software Research team, and reviews moderated by our Reviews Verification team. [Learn more](https://www.capterra.com/our-story/) * * * Last updated March 13th, 2026 # Reviews of MediClaims Ease of use 3.9 Customer Service 4.4 ## Showing most helpful reviews Showing 1-18 of 18 Reviews Sort by: Most Helpful Rating Company Size Reviewer's Role Length of Use Frequency of Use JY Jason Y. President Hospital & Health Care Used the software for: 2+ years ### "Mediclaims is a great platform for administration of group benefit plans" December 6, 2023 4.0 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. Switched from [TeamUp](https://www.capterra.com/p/150357/Teamup/) 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. Review Source Response from WLT Software December 19, 2023 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 DS Denise S. COO Executive Office Used the software for: 2+ years ### "WLT Review" December 7, 2023 4.0 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. Switched from [FACTS](https://www.capterra.com/p/148464/FACTS/) What WLT had to offer. Web Based. Was 19 years ago. Dont' recall all reasons Review Source Response from WLT Software December 19, 2023 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 BS Brenda S. Director of Operations Insurance Used the software for: 1-2 years ### "Director Of Operations " February 2, 2022 3.0 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 Review Source VD Victoria D. Claims Supervisor Insurance Used the software for: 2+ years ### "Know the System" February 23, 2022 4.0 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. Review Source JB Joseph B. IT Business Analyst Manager Insurance Used the software for: 2+ years ### "90 degree benefits review of Mediclaims" December 28, 2021 4.0 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 Review Source FH Frank H. IT Generalist Insurance Used the software for: 2+ years ### "MediClaims is a solid Mid-range product" January 12, 2022 4.0 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. Review Source RF Robin F. PLAN BUILDER Insurance Used the software for: 2+ years ### "A good system and fairly easy to integrate." February 2, 2022 4.0 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. Review Source LN Lori N. Director Insurance Used the software for: 2+ years ### "ARM Ltd Review" December 12, 2023 4.0 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. Review Source SS Shannon S. Eligibility/Claims Processing Insurance Used the software for: 2+ years ### "MediClaims Review" February 4, 2022 4.0 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. Review Source VR Verified Reviewer Senior Director Hospital & Health Care Used the software for: 1-2 years ### "Decent Product " January 4, 2022 4.0 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 Review Source oH odalys H. VP OF ENROLLMENT SERVICES Insurance Used the software for: 2+ years ### "Commitment to Client Support and Great Customer Service " January 6, 2022 5.0 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. Review Source CD Chad D. Director of Operations Insurance Used the software for: 2+ years ### "Review" January 6, 2022 4.0 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. Review Source JW Jeffrey W. Partner Insurance Used the software for: Less than 6 months ### "WLTSMHA Review " December 6, 2023 5.0 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 Review Source Response from WLT Software December 19, 2023 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 KK Karen K. Assistant Claims Manager Insurance Used the software for: 2+ years ### "Medi Claims Review" January 10, 2022 3.0 Pros adjustments and resetting a claim are user friendly Cons coverage codes, assignment of benefits to CPT codes Review Source AB Annette B. WC Coordinator Insurance Used the software for: 2+ years ### "Workers' Comp user" February 2, 2022 3.0 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 Review Source BJ Betsy J. Claims Specialist Hospital & Health Care Used the software for: 2+ years ### "Review" January 4, 2022 3.0 Pros It is the program that came with the job. Cons COB and other applications are not very useful. Review Source DP Donna P. VP Administration Insurance Used the software for: 2+ years ### "WLT Software Review" February 2, 2022 4.0 Very good. Pros Customer Service is very responsive and easy to work with. Cons The billing upgrade was a total nightmare. Review Source yR yamiled R. tecnico farmaceutico Pharmaceuticals Used the software for: 6-12 months ### "It is a reliable, efficient and profitable company." April 29, 2022 5.0 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. Review Source Similar Products Featured ## Send me user reviews about this product ### Fill out the form and we'll send a list of the top-rated software based on real user reviews directly to your inbox.