ATLANTA and CLEARWATER, Fla., Nov. 15 /PRNewswire/ -- Coalition America, Inc. (CAI), the leader in medical claim savings, and WLT Software of Florida, an international leader in providing software for employee benefits, managed care, workers’ compensation, and claims editing, announced a new integrated product called “The EDI Connector.”
“The EDI Connector” is a solution that enables direct electronic communication from the Benefit Administrator (such as a TPA) to CAI. Specifically, the TPA can now use their WLT system to pull eligible in-network and out-of-network claims and transmit them via EDI directly to CAI for repricing. The bills are efficiently and quickly returned electronically to the client for auto-adjudication. The process will also provide key edits to the claims prior to sending to CAI resulting in improved workflow and a reduction in costs associated with “ineligible” claims.
“The EDI Connector enables a simple, effective transfer of claim and repricing data between WLT users and Coalition America,” stated Tom Brooks, President of WLT Software of Florida. “With this new integrated capability we now offer our customers the ability to effectively re-price and communicate this niche segment.”
“We have several clients currently using the WLT Software adjudication platform. This new relationship and state-of-the-art connectivity will enable us to significantly improve the repricing and adjudication process for payors by eliminating many of the current manual processes involved with sending claims for repricing, while also allowing them to discount more claims faster,” said Scott Smith, President, Coalition America, Inc.
ABOUT WLT Software of Florida, Inc.
WLT Software of Florida ( http://www.wltsoftware.com/ ), based in Clearwater, FL, provides administration software systems, data, and support for Health Claims, Workers’ Compensation Claims, Flexible Spending Accounts, COBRA, Disability Plans, Premium Billing, Agent Commissioning and Eligibility, Managed Care, 24-Hour Coverage, and Medical and Dental Claims Editing. For more information contact us at 877-807-4730 to speak with a company representative.
ABOUT Coalition America, Inc.
Coalition America, Inc. (CAI) ( http://www.coalitionamerica.com/ ) is the leader in medical claim savings utilizing proprietary technology, PPOs and negotiations to deliver significant discounts on group health and workers’ compensation medical bills.
CAI directly services over 300 clients representing more than 12,000 businesses nationwide, offering a one-stop solution for discounting in-network and out-of-network medical bills. CAI has saved its clients over 600 million dollars since 1995.
For more information contact Libby Roper, Director of Marketing at 404-459-7201, ext. 5265 or libbyroper@coalitionamerica.com
Coalition America, Inc.
CONTACT: Libby Roper, Director of Marketing of Coalition America, Inc.,+1-404-459-7201, ext. 5265, or libbyroper@coalitionamerica.com