Working with the winning team in claims adjudication - A team built for Long-Term Partnership

Working with the Winning Team in Claims Adjudication

A Team Built for Long-Term Partnership

For nearly five decades, WLT has operated as a multi-generational, family-owned company based in Clearwater, FL, dedicated to advancing claims adjudication technology. That history reflects consistency, accountability, and deep expertise in the standards that strong claims systems demand.

Our U.S.-based teams partner directly with TPAs, health plans, government employee plans, and labor unions to deliver structured implementations, responsive support, and continuous platform improvement. When you work with WLT, you partner with a team built around the integrity of every claim decision.

Claims adjudication affects real people, real employers, and real communities. That responsibility guides every system we develop and support. Our technology reinforces precision, strengthens operational control, and sustains long-term stability.

That standard defines the winning team.

 

MediClaims: A Core Administrative Processing Solutions (CAPS) Built the Right Way

WLT delivers claims adjudication software engineered for accurate, scalable claims processing systems.

MediClaims is our flagship Core Administrative Processing Solutions (CAPS), serving as the operational core of complex claims environments and diverse benefit models.

An Integrated CAPS Framework

  • MediClaims drives the adjudication engine.
  • MediConnX delivers real-time portal access to benefits, claim visibility, and eligibility for all stakeholders in the claims process.
  • WLTLytiX delivers real-time analytics and reporting that strengthen oversight and performance evaluation.

Together, these solutions operate as a unified framework for disciplined claims operations.

MediClaims supports medical, dental, vision, pharmacy, workers’ compensation, COBRA, disability, consumer-directed accounts, capitation, MEC, and level-funded plans. Deployment options include hosted SaaS or on-site installation.

We are not a TPA.

We do not administer benefits.

We are not a price transparency company.

We design and support the adjudication engine at the center of claims operations.

 

Technology That Strengthens the Adjudication Core

MediClaims, MediConnX, and WLTLytiX operate together to support disciplined, scalable claims operations.

Solution Primary Role What It Delivers Operational Impact
MediClaims Core adjudication engine Multi-line claims processing Consistent, controlled claims decisions across complex benefit structures
MediConnX Connectivity and workflow enablement Secure data exchange, enrollment workflows, and real-time claim status visibility Streamlined coordination and improved administrative efficiency
WLTLytiX Analytics and performance intelligence Real-time dashboards, reporting, and configurable analytics Actionable insight to monitor trends, performance, and operational results

 

Beyond the Platform

Working with the winning team extends beyond the technology itself. It includes ongoing dialogue about the realities shaping modern claims administration and the CAPS that support it.

Through the Behind the Claims podcast, Scott Borden, SVP of Marketing and Partnerships, and Ryan Van Etten, Director of Sales, explore operational realities, regulatory developments, and the evolving demands placed on CAPS technology, alongside conversations with healthcare innovators who are driving change, challenging the status quo, and building an ecosystem of partners with aligned incentives.

The dialogue reflects WLT’s active role in the industry and its commitment to disciplined expertise in claims adjudication.

 

Make the Right Move

Choosing the winning team means selecting a partner whose identity is clear.

Working with WLT means putting claims adjudication first. We:

  • Build and support Core Administrative Processing Solutions
  • Develop purpose-built claims adjudication software
  • Power the claims processing systems central to modern claims administration

Evaluating a new claims adjudication platform? Start with a system built around the adjudication engine itself.