Integrated solution combines administrative efficiency with intelligent member navigation to help Third-Party Administrators (TPA) improve service delivery, reduce administrative burden, and empower members with better healthcare decisions.
CLEARWATER, FL — April 20, 2026 — WLT Software Enterprises announced today a strategic partnership with Opyn Health Inc., a healthcare technology company specializing in AI-driven member engagement and benefits administration. The collaboration brings together WLT’s industry-leading claims adjudication platform with Opyn’s Engage platform and AI agents for call centers, creating a seamless ecosystem that helps TPAs deliver a more modern, efficient, and member-focused benefits experience.
As self-funded plans face growing complexity—from rising healthcare costs to fragmented digital tools—TPAs are increasingly seeking solutions that strengthen claims processing operations while improving member engagement and outcomes.
The WLT and Opyn partnership bridges the gap between claims processing and real-time benefit navigation. By providing TPAs with configurable AI tools, the partnership reduces the cost and complexity of custom development. This collaboration also grants clients access to Opyn’s integrated virtual care suite and TiC-compliant price transparency solutions—all within a single ecosystem.
“In partnering with Opyn Health, we are expanding the capabilities available to our clients to better serve members and plan sponsors,” said Shelley Van Etten, President and CEO of WLT Software. “This collaboration allows TPAs to offer advanced digital engagement and care navigation tools while maintaining the operational efficiency they rely on within the WLT platform.”
Key platform components include:
- 24/7 AI Member Navigation: Instant, personalized support to help members navigate care and resolve complex healthcare questions in real-time.
- Unified Benefits Hub: A single digital interface that consolidates all services and benefits to eliminate confusion and drive higher utilization.
- Price Transparency & Smart Search: Clear cost data and provider insights that empower members to make high-value, cost-effective care decisions.
- Native WLT Integration: Pre-built connectivity with WLT systems to accelerate implementation and reduce the need for custom development resources.
- Automated Provider Support: Voice and web AI agents that resolve up to 80% of routine inquiries related to eligibility, benefits, and claim status.
“Our mission has always been to make healthcare easier for both members and administrators,” said Richard Fuchs, CEO of Opyn Health. “By partnering with WLT, we can extend powerful AI capabilities into the operational backbone of the TPA ecosystem—helping administrators take advantage of this new wave of operational efficiency and service excellence.”
By combining WLT’s trusted claims adjudication infrastructure with Opyn’s AI-driven engagement platform, the collaboration positions both organizations to help TPAs modernize the benefits experience, improve member satisfaction, and better control healthcare costs for self-funded employers.
About WLT Software
WLT Software Enterprises, Inc. has been a trusted provider of Claims Adjudication software and Claims Administrative Processing Solutions (CAPS) since 1979. Based in Clearwater, Florida, WLT’s flagship CAPS platform, MediClaims, powers accurate Claims Adjudication and efficient Claims Processing across medical, dental, vision, prescription drug, consumer-directed accounts, disability, COBRA, Worker’s Compensation, capitation, MEC, and level-funded plans. WLT partners with TPAs, labor unions, employer-sponsored plans, insurance organizations, and government employee plans to deliver flexible, scalable adjudication technology backed by nearly five decades of industry expertise.
About Opyn Health, Inc.
Opyn is a healthcare technology company redefining the industry through an agentic platform designed to make care simpler to navigate and manage. By uniting a best-in-class member experience, multi-modal AI, price transparency, and virtual care, Opyn empowers health plans, TPAs, and employers to move past manual complexity and unlock significant operational efficiencies. We do more than streamline benefits—we provide autonomous virtual teammates that help administrators reduce costs and deliver a new generation of personalized service excellence at scale.