---
description: Learn how MediClaims can help your business. GetApp provides users in South Africa with the most detailed information on software tools, prices and features.
image: https://gdm-localsites-assets-gfprod.imgix.net/images/getapp/og_logo-94fd2a03a6c7a0e54fc0c9e21a1c0ce9.png
title: MediClaims Reviews, Prices & Ratings | GetApp South Africa 2026
---

Breadcrumb: [Home](/) > [Benefits Administration Software](/directory/254/benefits-administration/software) > [MediClaims](/software/2035631/mediclaims)

# MediClaims

Canonical: https://www.getapp.za.com/software/2035631/mediclaims

Page: 1 / 2\
Next: [Next page](https://www.getapp.za.com/software/2035631/mediclaims?page=2)

> MediClaims is a claims management software that helps organizations manage benefits administration for flexible spending accounts (FSA), Health Reimbursement Arrangements (HRA), and Health Savings Accounts (HSA) across several healthcare sectors, including medical, dental, and vision.
> 
> Verdict: Rated **3.9/5** by 18 users. Top-rated for **Likelihood to recommend**.

-----

## Quick Stats & Ratings

| Metric | Rating | Detail |
| **Overall** | **3.9/5** | 18 Reviews |
| Ease of Use | 3.9/5 | Based on overall reviews |
| Customer Support | 4.4/5 | Based on overall reviews |
| Value for Money | 4.0/5 | Based on overall reviews |
| Features | 3.8/5 | Based on overall reviews |
| Recommendation percentage | 70% | (7/10 Likelihood to recommend) |

## About the vendor

- **Company**: WLT Software
- **Location**: Clearwater, US
- **Founded**: 1979

## Commercial Context

- **Starting Price**: US$1,00
- **Pricing model**: Per Feature (Free Trial)
- **Pricing Details**: MediClaims is available at $1. It also offers a free trial.
- **Target Audience**: 2–10, 11–50, 51–200, 201–500, 501–1 000, 1 001–5 000, 5 001–10 000, 10 000+
- **Deployment & Platforms**: Cloud, SaaS, Web-based, Windows (Desktop)
- **Supported Languages**: English
- **Available Countries**: Canada, United States

## Features

- API
- Accounting Integration
- Benefits Dashboard
- Benefits Management
- Billing & Invoicing
- COBRA Administration
- Case Management
- Claims Adjuster Management
- Claims Management
- Claims Tracking
- Co-Pay & Deductible Tracking
- Compensation Management
- Compliance Management
- Compliance Tracking
- Configurable Workflow
- Customer Management
- Customizable Reports
- Data Import/Export
- Disability Insurance Administration
- Document Management

## Support Options

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

## Category

- [Benefits Administration Software](https://www.getapp.za.com/directory/254/benefits-administration/software)

## Related Categories

- [Benefits Administration Software](https://www.getapp.za.com/directory/254/benefits-administration/software)
- [Claims Processing Software](https://www.getapp.za.com/directory/1277/claims-processing/software)
- [Medical Billing Software](https://www.getapp.za.com/directory/64/medical-billing/software)
- [Insurance Policy Software](https://www.getapp.za.com/directory/1333/insurance-policy/software)

## Alternatives

1. [Plum Insurance](https://www.getapp.za.com/software/2059418/plum-insurance) — 5.0/5 (1 reviews)
2. [Pazcare](https://www.getapp.za.com/software/2066123/pazcare) — 4.5/5 (11 reviews)
3. [HealthAxis](https://www.getapp.za.com/software/134139/healthaxis) — 3.0/5 (1 reviews)
4. [V3locity](https://www.getapp.za.com/software/2067652/v3) (0 reviews)
5. [Connecteam](https://www.getapp.za.com/software/105401/connecteam) — 4.6/5 (5058 reviews)

## Reviews

### "Mediclaims is a great platform for administration of group benefit plans" — 4.0/5

> **Jason** | *06 December 2023* | Hospital & Health Care | Recommendation rating: 8.0/10
> 
> **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.

-----

### "WLT Review" — 4.0/5

> **Denise** | *07 December 2023* | Executive Office | Recommendation rating: 9.0/10
> 
> **Pros**: Ease of learning and using MediClaims with all departments
> 
> **Cons**: Turn around in customer service members. Alot of delay in responses.
> 
> Over the 19 years. Pretty good.  Within the last year, notice a different in customer service response time.

-----

### "Director Of Operations" — 3.0/5

> **Brenda** | *02 February 2022* | Insurance | Recommendation rating: 6.0/10
> 
> **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

-----

### "Know the System" — 4.0/5

> **Victoria** | *23 February 2022* | Insurance | Recommendation rating: 6.0/10
> 
> **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.
> 
> 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.

-----

### "90 degree benefits review of Mediclaims" — 4.0/5

> **Joseph** | *28 December 2021* | Insurance | Recommendation rating: 7.0/10
> 
> **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.
> 
> 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.

-----

Page: 1 / 2\
Next: [Next page](https://www.getapp.za.com/software/2035631/mediclaims?page=2)

## Links

- [View on GetApp](https://www.getapp.za.com/software/2035631/mediclaims)

## This page is available in the following languages

| Locale | URL |
| en | <https://www.getapp.com/healthcare-pharmaceuticals-software/a/mediclaims/> |
| en-AE | <https://www.getapp.ae/software/2035631/mediclaims> |
| en-AU | <https://www.getapp.com.au/software/2035631/mediclaims> |
| en-CA | <https://www.getapp.ca/software/2035631/mediclaims> |
| en-GB | <https://www.getapp.co.uk/software/2035631/mediclaims> |
| en-IE | <https://www.getapp.ie/software/2035631/mediclaims> |
| en-NZ | <https://www.getapp.co.nz/software/2035631/mediclaims> |
| en-SG | <https://www.getapp.sg/software/2035631/mediclaims> |
| en-ZA | <https://www.getapp.za.com/software/2035631/mediclaims> |
| fr | <https://www.getapp.fr/software/2035631/mediclaims> |
| fr-BE | <https://fr.getapp.be/software/2035631/mediclaims> |
| fr-CA | <https://fr.getapp.ca/software/2035631/mediclaims> |

-----

## Structured Data

<script type="application/ld+json">
  {"@context":"https://schema.org","@graph":[{"name":null,"address":{"@type":"PostalAddress","addressLocality":null,"addressRegion":null,"postalCode":null,"streetAddress":null},"description":"Review, Compare and Evaluate small business software. GetApp South Africa has software offers, SaaS and Cloud Apps, independent evaluations and reviews.","email":"info@getapp.za.com","url":"https://www.getapp.za.com/","logo":"https://dm-localsites-assets-prod.imgix.net/images/getapp/getapp-logo-light-mode-5f7ee07199c9b3b045bc654a55a2b9fa.svg","@type":"Organization","@id":"https://www.getapp.za.com/#organization","parentOrganization":"Gartner, Inc.","sameAs":["https://twitter.com/getapp","https://www.facebook.com/GetAppcom","https://www.linkedin.com/company/getapp-com-a-gartner-company/","https://www.instagram.com/getappcom/","https://www.youtube.com/c/GetAppCom"]},{"name":"MediClaims","description":"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). \n\nMediClaims allows staff members to 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.\n\nHealthcare organizations can utilize the built-in electronic data interchange (EDI) capabilities to send and receive information, such as accumulator data, provider files, claims, and eligibility details. With the web-based user portals, clients can automate enrollment, registration, call tracking, and other benefit or claims management processes.","image":"https://gdm-catalog-fmapi-prod.imgix.net/ProductScreenshot/79fd39cc-c079-4961-a9f2-07939866d3cb.png","url":"https://www.getapp.za.com/software/2035631/mediclaims","@type":"SoftwareApplication","@id":"https://www.getapp.za.com/software/2035631/mediclaims#software","applicationCategory":"BusinessApplication","publisher":{"@id":"https://www.getapp.za.com/#organization"},"aggregateRating":{"@type":"AggregateRating","ratingValue":3.9,"bestRating":5,"ratingCount":18},"offers":{"price":"1","@type":"Offer","priceCurrency":"USD"},"operatingSystem":"Cloud, Windows"},{"@type":"BreadcrumbList","itemListElement":[{"name":"Home","position":1,"item":"/","@type":"ListItem"},{"name":"Benefits Administration Software","position":2,"item":"/directory/254/benefits-administration/software","@type":"ListItem"},{"name":"MediClaims","position":3,"item":"/software/2035631/mediclaims","@type":"ListItem"}],"@id":"https://www.getapp.za.com/software/2035631/mediclaims#breadcrumblist"}]}
</script>