---
description: MediClaims : qu'en pensent les utilisateurs ? Lisez les avis sur MediClaims, consultez ses différents prix, tarifs et abonnements ainsi que ses fonctionnalités.
image: https://gdm-localsites-assets-gfprod.imgix.net/images/getapp/og_logo-94fd2a03a6c7a0e54fc0c9e21a1c0ce9.png
title: MediClaims - Prix, tarif, abonnement et avis | GetApp France 2026
---

Breadcrumb: [Accueil](/) > [Logiciels de gestion des avantages sociaux](/directory/254/benefits-administration/software) > [MediClaims](/software/2035631/mediclaims)

# MediClaims

Canonical: https://www.getapp.fr/software/2035631/mediclaims

Page : 1/2\
Suivant: [Page suivante](https://www.getapp.fr/software/2035631/mediclaims?page=2)

> MediClaims est un logiciel de gestion des réclamations qui aide les organismes à gérer les avantages sociaux pour les FSA, les accords HRA et les HSA dans plusieurs secteurs de la santé, y compris les soins médicaux, dentaires et oculaires.
> 
> Conclusion : 18 utilisateurs lui ont donné la note de **3.9/5**. Figure au meilleur classement pour **Probabilité de recommander le produit**.

-----

## Statistiques et notes

| Métrique | Notation | En détail |
| **Note globale** | **3.9/5** | 18 Avis |
| Simplicité d’utilisation | 3.9/5 | D'après l'ensemble des avis |
| Support client | 4.4/5 | D'après l'ensemble des avis |
| Rapport qualité-prix | 4.0/5 | D'après l'ensemble des avis |
|  Fonctionnalités | 3.8/5 | D'après l'ensemble des avis |
| Pourcentage de recommandation | 70% | (7/10 Probabilité de recommander le produit) |

## À propos de l'éditeur

- **Société**: WLT Software
- **Pays**: Clearwater, É.-U.
- **Entreprise fondée en**: 1979

## Contexte commercial

- **Prix à partir de**: 1,00 $US
- **Type de licence**:  (pendant l'essai gratuit)
- **Public cible**: 2–10, 11–50, 51–200, 201–500, 501–1 000, 1 001–5 000, 5 001–10 000, 10 000+
- **Déploiement et plateformes**: Cloud, SaaS, web, Windows (ordinateur)
- **Langues**: anglais
- **Pays disponibles**: Canada, États-Unis

##  Fonctionnalités

- API
- Administration COBRA
- Administration FMLA
- Administration d'assurance vie
- Administration de l'assurance invalidité
- Administration de l'assurance maladie
- Base de données des employés
- Claims Adjuster Management
- Conforme HIPAA
- Déclarations de sinistre électroniques
- EDI
- Facturation
- Gestion de la conformité
- Gestion des HSA/FSA (États-Unis seulement)
- Gestion des avantages
- Gestion des avantages des employés
- Gestion des cas
- Gestion des clients
- Gestion des documents
- Gestion des flux de travail

## Ressources d'aide

- Service client/e-mail
- Support téléphonique
- Support 24/7 (réponse directe)
- Chat

## Category

- [Logiciels de gestion des avantages sociaux](https://www.getapp.fr/directory/254/benefits-administration/software)

## Catégories connexes

- [Logiciels de gestion des avantages sociaux](https://www.getapp.fr/directory/254/benefits-administration/software)
- [Logiciels de traitement des réclamations](https://www.getapp.fr/directory/1277/claims-processing/software)
- [Logiciels de facturation pour le secteur médical](https://www.getapp.fr/directory/64/medical-billing/software)
- [Logiciels d'assurances](https://www.getapp.fr/directory/1333/insurance-policy/software)

##  Logiciels similaires

1. [HealthAxis](https://www.getapp.fr/software/134139/healthaxis) — 3.0/5 (1 reviews)
2. [Connecteam](https://www.getapp.fr/software/105401/connecteam) — 4.6/5 (5058 reviews)
3. [Wellness360](https://www.getapp.fr/software/2043575/wellness360) — 4.7/5 (13 reviews)
4. [Rise](https://www.getapp.fr/software/2051151/rise) — 4.1/5 (134 reviews)
5. [Anagram](https://www.getapp.fr/software/113565/anagram) — 4.7/5 (56 reviews)

## Avis

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

> **Jason** | *6 décembre 2023* | Hôpitaux et soins de santé | Taux de recommandation : 8.0/10
> 
> **Avantages**: 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.
> 
> **Inconvénients**: 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** | *7 décembre 2023* | Bureau exécutif | Taux de recommandation : 9.0/10
> 
> **Avantages**: Ease of learning and using MediClaims with all departments
> 
> **Inconvénients**: 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** | *2 février 2022* | Assurance | Taux de recommandation : 6.0/10
> 
> **Avantages**: visibly easy on the eyes, does have some good improvements in the time that i have been here, less than a year.
> 
> **Inconvénients**: 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 février 2022* | Assurance | Taux de recommandation : 6.0/10
> 
> **Avantages**: 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.
> 
> **Inconvénients**: 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 décembre 2021* | Assurance | Taux de recommandation : 7.0/10
> 
> **Avantages**: 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
> 
> **Inconvénients**: 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\
Suivant: [Page suivante](https://www.getapp.fr/software/2035631/mediclaims?page=2)

## Liens

- [Afficher sur GetApp](https://www.getapp.fr/software/2035631/mediclaims)

## Cette page est disponible dans les langues suivantes.

| Langue | 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> |

-----

## Données structurées

<script type="application/ld+json">
  {"@context":"https://schema.org","@graph":[{"name":"GetApp France","address":{"@type":"PostalAddress","addressLocality":"Courbevoie","addressRegion":"IDF","postalCode":"92400","streetAddress":"20 avenue André Prothin Tour Europlaza 92400 Courbevoie - France"},"description":"Comparez et évaluez des logiciels métiers pour PME. GetApp France propose des offres de logiciels, des applications SaaS et cloud, des évaluations indépendantes et des avis d'utilisateurs.","email":"info@getapp.fr","url":"https://www.getapp.fr/","logo":"https://dm-localsites-assets-prod.imgix.net/images/getapp/getapp-logo-light-mode-5f7ee07199c9b3b045bc654a55a2b9fa.svg","@id":"https://www.getapp.fr/#organization","@type":"Organization","parentOrganization":"Gartner, Inc.","sameAs":["https://twitter.com/GetApp","https://www.facebook.com/GetAppcom","https://www.linkedin.com/company/getapp-com-a-gartner-company/"]},{"name":"MediClaims","description":"MediClaims est un logiciel de gestion des réclamations qui aide les organismes à gérer les réclamations dans plusieurs secteurs de la santé, y compris celui du médical, dentaire, de la vue, de l'invalidité, de la prescription de médicaments et des soins de santé axés sur les consommateurs. Il permet aux superviseurs de rationaliser les processus d'administration des avantages sociaux pour les FSA (Flexible Spending Account), les HRA (Health Reimbursement Arrangement) et les HSA (Health Savings Account). \n\nMediClaims aide les membres du personnel à gérer les précertifications de réclamations et la capitation, à suivre les recommandations et les commissions des agents et à traiter les paiements sur une plateforme centralisée. Le module de gestion de la conformité permet aux chefs d'entreprise de gérer les opérations liées aux formulaires W-2 et au classement électronique, le suivi de la conformité HIPAA EDI, le mappage du code 835 RARC, le reporting de transition et PCORI, etc. Il permet également aux administrateurs de définir des rôles d'utilisateur et de configurer les droits d'accès, empêchant ainsi les personnes de consulter et de mettre à jour des informations spécifiques.\n\nLes organismes de soins de santé peuvent utiliser les fonctionnalités EDI (Electronic Data Interchange) intégrées pour envoyer et recevoir des informations, telles que les données des accumulateurs, les fichiers des fournisseurs, les réclamations et les détails d'éligibilité. Grâce aux portails utilisateur web, les clients peuvent automatiser l'inscription, le suivi des appels et d'autres processus de gestion des avantages ou des réclamations.","image":"https://gdm-catalog-fmapi-prod.imgix.net/ProductScreenshot/79fd39cc-c079-4961-a9f2-07939866d3cb.png","url":"https://www.getapp.fr/software/2035631/mediclaims","@id":"https://www.getapp.fr/software/2035631/mediclaims#software","@type":"SoftwareApplication","publisher":{"@id":"https://www.getapp.fr/#organization"},"applicationCategory":"BusinessApplication","aggregateRating":{"@type":"AggregateRating","ratingValue":3.9,"bestRating":5,"ratingCount":18},"offers":{"price":"1","@type":"Offer","priceCurrency":"USD"},"operatingSystem":"Cloud, Windows"},{"@id":"https://www.getapp.fr/software/2035631/mediclaims#breadcrumblist","@type":"BreadcrumbList","itemListElement":[{"name":"Accueil","position":1,"item":"/","@type":"ListItem"},{"name":"Logiciels de gestion des avantages sociaux","position":2,"item":"/directory/254/benefits-administration/software","@type":"ListItem"},{"name":"MediClaims","position":3,"item":"/software/2035631/mediclaims","@type":"ListItem"}]}]}
</script>
