Claims management software for healthcare organizations

About 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).

MediClaims 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.

Healthcare 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.


Business size



United States, Canada

Supported Languages



Total features of MediClaims: 36

  • ACH Payment Processing
  • Access Control
  • Accounting Integration
  • Administrative Reporting
  • Benefits Management
  • Billing & Invoicing
  • COBRA Administration
  • CRM Integration
  • Case Management
  • Claims Management
  • Commission Calculations
  • Commission Management
  • Compliance Management
  • Configuration Management
  • Contact Database
  • Contact Management
  • Customizable Reporting
  • Data Import
  • Data Import/Export
  • Document Management
  • Electronic Data Interchange
  • Electronic Payments
  • Forms Management
  • HIPAA Compliance
  • Permission Management
  • Real Time Data
  • Real Time Notifications
  • Real Time Reporting
  • Real Time Updates
  • Referral Tracking
  • Registration Management
  • Reporting & Statistics
  • Role Management
  • Role-Based Permissions
  • Secure Data Storage
  • Workflow Management


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MediClaims FAQs

Below are some frequently asked questions for MediClaims.

MediClaims offers the following pricing plans:

  • Starting from: US$1,00
  • Pricing model: Subscription
  • Free Trial: Available

MediClaims is available at $1. It also offers a free trial.

MediClaims offers the following features:

  • ACH Payment Processing
  • Accounting Integration
  • COBRA Administration
  • CRM Integration
  • Case Management
  • Compliance Management
  • Data Warehousing
  • Forms Management
  • Workflow Management

MediClaims has the following typical customers:

Small Business, Large Enterprises, Mid Size Business

MediClaims supports the following languages:


We do not have any information about what devices MediClaims supports

We do not have any information about what integrations MediClaims has

MediClaims offers the following support options:

Phone Support, Online Support

Related categories

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