Nearly 50 Years as Industry Leaders
Founded in William. L. Tiner’s family home in 1979, WLT knows claims administration software — we’ve been perfecting it for nearly 50 years. As the technology and employee benefits industry evolved, so did we. Today, we stand as a leading provider of advanced benefits administration and claims adjudication systems for Insurance Companies, Government Employee Plans, TPA’s, Cost Containment Companies, and Self-Administered Groups. With WLT Software’s exclusive and proprietary suite of services, our clients are instantly connected – and stay connected – to the industry’s most comprehensive, compliant, and automated benefits administration solutions.
Mission
To provide the most comprehensive, automated, benefits administration solutions to meet our clients’ growing needs today, tomorrow, and far into the future.
Values
Through ongoing personal development of our staff and continuous improvement in our facility and systems, we will always exceed the highest expectations of our clients.
Vision
To be the clear choice for all benefit administration needs, from large to small, within a rapidly evolving marketplace.
Client testimonials
Why our services matter.
We could tell you more about the quality of our services, but we think it would be best to let our clients tell you themselves, in their own, unedited words.
Lori, Director of Operations
“WLT customer service has helped our organization countless times. They are very approachable and always willing to assist. It feels like family helping family.”
Frank, MHP/Health Plan Administrator
“I’ve worked with WLT for 15 years now. Every member that I have come across has always been very helpful and responsive with all the requests we’ve made due to this ever-changing industry. I feel like we’ve become a real ‘team’ and they’ve always gone over and beyond to help us achieve our goals. I really appreciate the follow-up from members to ensure we received what we requested and are happy with the outcome.”
Steven, IT & Vendor Relations Director
“The customer service from WLT is very polite and courteous. They don’t leave you hanging for hours, they talk to you like a real human being, and they actually care about how you are doing. For me, it’s refreshing to call in and talk to any of their staff because I always know I will end the call on a happy note-even if something is wrong. While it always seems like a testimonial contains all these ‘happy narratives’, I’m sure that once any client or potential client actually meets or talks to the staff at WLT, they would instantly know that this is an authentic one. Great Job!”
We are WLT
A team you can count on.
We could not serve our clients the way we do without an outstanding team that deeply understands claims adjudication and benefit administration, and who work hard to ensure our clients get the most out of their systems.
Join the team renowned for world-class client service and tech support.
Industry-leading partners
We partner and collaborate with several industry-leading organizations, firms, and providers. Doing so ensures our clients have consistent access to the broadest spectrum of features and capabilities possible, helping lead them to the most impactful and lasting results.
Naviquis is a leader in healthcare data analytics, specializing in payment integrity. Advanced data analysis proactively identifies and prevents potential fraud, waste, and abuse (FWA) before claims are paid. This automatically captures significant FWA savings, especially on high-volume, low-dollar claims.
Our unique communication module delivers clear denial information to providers minimizing friction and fostering positive relationships within your network. Improve efficiency, reduce costs, and enhance client and employee satisfaction with Naviquis.
ClaimsBridge provides best in class technology for the healthcare claims lifecycle and highly effective cost containment solutions. Our technology platform streamlines the fragmented claims process by providing a single source for clearinghouse functionality, contract hosting, repricing and routing services.
Cost containment includes:
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Largest portfolio of high-performance networks/direct contracts
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Unique RBP solution which includes member advocacy and legal defense providing industry leading savings offered at a low cost
As an industry market leader in subrogation, Intellivo empowers health plans and insurers to maximize financial outcomes by identifying and pursuing more reimbursement opportunities from alternative third-party liability (TPL) payers. Through innovative technology and unmatched access to TPL data, Intellivo accelerates the identification of reimbursement opportunities while completely eliminating the need to fill information gaps through ineffective and burdensome outreach to plan members. With a 25-year history of excellence, Intellivo proudly serves over 200 of the country’s most discerning health plans that prioritize a seamless member experience alongside superior financial outcomes. For more information about Intellivo, please visit www.Intellivo.com.
MDI NetworX is a leading global provider of business management solutions, committed to delivering exceptional services and solutions to health plans, benefit administrators, and networks to help them reduce operational costs, increase first-pass adjudication rates, and improve customer service.
Founded in 2010, Reliant Health Partners is an innovative medical claims repricing service provider, offering Fair Market Pricing solutions for self-funded employer health plans and claims. Tailoring services to each client’s needs, Reliant provides everything from individual specialty claims repricing to full plan replacement as a high-performance, open-access network alternative. Their proprietary repricing methodologies deliver consistent, defensible savings while minimizing administrative noise and provider pushback.
Founded by a team of sleep experts from companies, institutions, and organizations such as ResMed, Apple, Philips, and Harvard, SleepScore Labs is changing the world by empowering businesses to solve the world’s sleep problems at scale by driving sleep improvement powered by science and world-leading data and technology. After studying 470+ million hours of sleep, SleepScore Labs offers a suite of proven B2B2C services to help companies improve their health and wellness outcomes.
zakipoint Health is a company on a mission to bring transparency, direction and personalization to healthcare consumers, bringing all benefit services, data, insights and tools into one place for members on a self-insured plan. With a best-in-class platform, reporting, and engagement tools, we identify risks, drive action, connect with members and track success, empowering companies to reduce risk and costs while creating healthier, more engaged members.
ChoiceScripts innovative pharmacy benefits management provides best-in-class drug pricing, cutting edge data analytics, and a high-touch service model that delivers the best savings and value for the clients and members we manage. ChoiceScripts offers tailored plan designs, concierge service and support that result in improved cost management, quality outcomes and increased member satisfaction
Zelis Healthcare is a healthcare information technology company and market-leading provider of integrated healthcare cost management and payments solutions, including network analytics and design, network access and cost management, claims cost management, and electronic payments to payers, healthcare providers, and consumers in the medical, dental, and workers’ compensation markets nationwide.
Planwatch is a product of ProServe Health Informatics. It was developed in 2005 by company co-founders who recognized both the need and the solution for an economical, user-friendly, high-level data analysis, web-based reporting, benchmarking, disclosure, and plan modeling tool for the payor community. Planwatch examines historical, current, and future health plan dimensions, integrates, combines, and compares pharmacy and medical costs, identifies cost drivers and performance metrics, and provides tested solutions to minimize plan expenditures.
Ringmaster Technologies (“RMT”) has created Stop-Loss quoting and policy administration workflow solutions that are designed to dynamically integrate with mission-critical systems already in place. Their mission is to augment these systems and improve administrative capabilities using smart contracts, advanced data analytics, and customizable workflows.
FAIR Health is an independent, not-for-profit organization fielding the largest commercial healthcare claims data repository in the United States. Today, several of the largest payers in the marketplace use FH data as their primary resource to develop UCR for out-of-network claims.
Excelsior Solutions is one of the largest pharmacy consulting firms in the United States. With over 27 million covered pharmacy lives currently under management, Excelsior Solutions provides many industry services.
A&G Healthcare provides best-in-class features and solutions for Advanced Error Detection, Medicare Reference-Based Pricing, and Out-of-Network. Their expertise in the payment integrity industry since 1995 shows a proven track record of saving millions of dollars every year in medical claims billing.
ECHO® is an insurance technology company focused on removing complexity and costs from payment processing. We save our customers over $1 billion dollars per year through comprehensive management of the claim payment process and by providing access to the ECHO Payment Network, the industry’s largest network of insurers and service providers. ECHO settles over 330 million claims and distributes over $100 billion in payments securely across the ECHO Payment Network annually, and proprietary ECHO technology keeps policyholders and service providers covered by ensuring payments are sent in the manner they prefer.
Oracle Cloud is a cloud computing service offered by Oracle Corporation providing servers, storage, network, applications, and services through a global network of Oracle Corporation-managed data centers. The company allows these services to be provisioned on-demand over the Internet.
Prime Health Services is a leading national medical cost containment company that offers a full spectrum of services, including a Preferred Provider Organization ready for access, and other cost containment solutions.
Change Healthcare is a catalyst for a value-based healthcare system. They are a healthcare technology company that offers software, analytics, network solutions, and technology-enabled services to help create a stronger, more collaborative healthcare system.
BASELoad helps healthcare payers radically reduce costs and improve processes through services, tools, and programs in matching, correcting, and utilizing medical provider data. They help with EDI Adjudication, 1099 Filings, Market Data, and more.
Alegeus is an industry-leading benefit & payment solutions provider, helping their clients succeed in a rapidly changing marketplace, with the industry’s largest & most comprehensive consumer healthcare funding platform.
Recuro Health is an integrated digital health solutions company with a uniquely personalized, holistic, and proactive approach to virtual health. Recuro’s Digital Medical Home™ enables easy connectivity to virtual care, including primary and urgent care, behavioral health, at-home lab testing, and genomics testing, as well as a suite of supplemental benefits spanning pharmacy, care management, and care navigation all on one platform.
Healthcare Reporting is a tech-enabled employee benefit reporting ecosystem delivering smart, affordable services to Plan Sponsors, Brokers, TPAs, PBMs, Captives & the Stop-loss marketplace. Our solutions include:
Given the new atmosphere under the CAA, TPAs have an enhanced opportunity to convene and curate healthcare services for their employers. Upswing is a healthcare company founded by orthopedic surgeons to address one of the most expensive categories of an employer's total cost of care - musculoskeletal conditions (MSK). By rapidly and virtually assessing, triaging, and managing low- and medium-acuity MSK problems, Upswing generates savings and better outcomes promptly and predictably for plan sponsors and their members.
Homestead’s leading reference-based pricing solution provides claim auditing and repricing, PBM review and stop-loss to bear risk. As a fiduciary we prioritize member care and transparency, using dedicated care navigation with full protection against balance bills. Our program is designed to integrate easily with TPAs, delivering average savings of 30%.