WLT Software’s clients, including self-funded employer health plans and third-party administrators (TPAs), will now have access to Intellivo’s subrogation capabilities. This integration combines WLT’s advanced claims processing technology with Intellivo’s proprietary case identification technology, designed to automate and accelerate financial recovery for accident claims without disrupting the member experience.
“Working with WLT provides customers with a modern, uninterrupted approach to subrogation that makes it faster and easier to identify responsible third parties and maximize reimbursements for health plans,” stated Laura Hescock, CEO of Intellivo.
Processing health insurance claims for accidents, such as workers’ compensation, has historically been a complex and time-consuming endeavor. A significant challenge lies in accurately determining the responsible payer. This process, known as subrogation, involves identifying all responsible third parties and must be precise and efficient to ensure health plan providers meet their fiduciary responsibilities. Intellivo’s subrogation platform, supported by its client services, assists benefits administrators, employers, and health plans in recovering substantial funds that might otherwise remain unclaimed.
Shelley Van Etten, president & CEO of WLT Software, commented, “Delivering real value to our clients means continuously seeking out innovative partners who share our commitment to performance and transparency. By integrating Intellivo’s proven subrogation technology with WLT’s advanced claims administration platform, we’re empowering our clients to maximize accident claim recoveries while simplifying complex processes.”
Intellivo specializes in empowering health plans and insurers to optimize financial outcomes by identifying and pursuing additional reimbursement opportunities from alternative third-party liability (TPL) payers. The company utilizes technology and TPL data access to accelerate the identification of reimbursement opportunities, minimizing the need for manual information gathering from plan members. With a 25-year operational history, Intellivo serves over 200 health plans across the country.
WLT Software Enterprises, Inc., headquartered in Clearwater, Florida, provides advanced benefits administration and claims adjudication systems. Its core system, MediClaims, supports various benefit and claim types, including medical, dental, vision, prescription drug, FSA, HSA, HRA, COBRA, disability, and HMO capitation, for insurance companies, government employee plans, TPAs, and self-administered groups.
