![KLAS VP of Payer/Provider Collaboration - Boyd Stewart](https://klasresearch.com/files/assets/ourteam/Boyd-Stewart-456.jpg?preset=photo-employee-thumbnail-89)
Commentary Summary
If you don't have a login, getting started is easy.
User Commentary
Loyalty, Product
I am probably selling the vendor's new technology short because some of that new technology would...
Login or Create an Account to see details.
Loyalty
HealthEdge's product is good, but people need to have the right expectations. HealthEdge isn't...
Login or Create an Account to see details.
Relationship
I don't want to paint HealthEdge in a bad light because their product is great and the people who...
Login or Create an Account to see details.
Relationship
Whether we get our money's worth is mostly driven by the vendor's professional services team. That...
Login or Create an Account to see details.
Relationship
I would give the vendor a low rating for proactivity. That is an area where the vendor could...
Login or Create an Account to see details.
Product
We would like to have more control over the system. At the same time, using HealthRules Payer is a...
Login or Create an Account to see details.
Loyalty, Product
There are definitely a lot of good things in HealthRules Payer. The vendor will move things to the...
Login or Create an Account to see details.
Operations, Product
Our recent upgrade with HealthRules Payer was the worst one we have ever been through. It was a...
Login or Create an Account to see details.
Loyalty, Product
HealthRules Payer is the core of things, but we can build other components around it to give our...
Login or Create an Account to see details.
Relationship
We would buy HealthRules Payer again. The only reason I would hesitate would be that we need...
Login or Create an Account to see details.
Loyalty, Product
The system's user interface could use a bit of an upgrade to make it more web based and easier to...
Login or Create an Account to see details.
Product, Value
The operational efficiency improvements from HealthRules Payer really come in terms of the...
Login or Create an Account to see details.
Loyalty, Product, Value
There are files that are required for the transparency in coverage rule, and they are...
Login or Create an Account to see details.
Relationship
HealthEdge has really stepped up their executive involvement. However, I think everything comes down...
Login or Create an Account to see details.
Relationship, Operations
One area where we face challenges with HealthEdge is communication. HealthEdge created a new...
Login or Create an Account to see details.
Product
HealthEdge’s product is decent, but we had a bad upgrade that had a lot of issues, and that reduced...
Login or Create an Account to see details.
Product, Value
HealthRules Payer doesn't have a robust reporting system. We had to take the reporting offline. We...
Login or Create an Account to see details.
Product
HealthEdge is good on the Medicare commercial side. Medicaid is a bit of a weak area, and we had to...
Login or Create an Account to see details.
Value
HealthRules Payer is an expensive system that takes a lot to support and run. On the back end, it is...
Login or Create an Account to see details.
Operations
Regarding implementations, HealthEdge misses the mark in terms of quality and timeliness. Sometimes,...
Login or Create an Account to see details.
Product
Ease of use is probably one of HealthEdge’s strengths. HealthRules Payer is a modern system that...
Login or Create an Account to see details.
Relationship
HealthEdge is reactive. They could improve their testing processes and general promptness in...
Login or Create an Account to see details.
Loyalty
Sometimes, the vendor's plans get squashed. For example, HealthEdge said they were going to have a...
Login or Create an Account to see details.
Relationship
We have been with HealthEdge a long time, so the support might be a little bit better We have been...
Login or Create an Account to see details.
Loyalty
HealthEdge has a product called Care-Payer. We are upgrading our other HealthEdge products to make...
Login or Create an Account to see details.
Product, Value
We can configure our stuff into a ton of manual processes with HealthRules Payer, and HealthEdge...
Login or Create an Account to see details.
Product
Before we moved to HealthRules Payer, I couldn't break a certain number on the adjudication system...
Login or Create an Account to see details.
Loyalty, Value
We looked at one of HealthEdge's competitors. At that time, HealthEdge seemed to want our business...
Login or Create an Account to see details.
Relationship
HealthEdge innovates all the time, and they do everything to benefit their end users. There is...
Login or Create an Account to see details.
Relationship
HealthEdge has had some growing pains. When vendors grow too fast or too quickly, there are...
Login or Create an Account to see details.
Relationship
HealthEdge doesn't have enough time to do much of anything except bare-bones stuff, and their...
Login or Create an Account to see details.
Product, Value
HealthRules Payer is expensive and buggy, and it has a gigantic IT footprint with servers,...
Login or Create an Account to see details.
Operations, Product
HealthRules Payer is extremely configurable in a very tough market with very customized states,...
Login or Create an Account to see details.
Value
I could go on and on about why I wouldn't buy HealthRules Payer again. The industry is tough. The...
Login or Create an Account to see details.
Culture, Value
It feels like everywhere we turn, we get charged for something. The license fees cover no...
Login or Create an Account to see details.
Loyalty, Relationship
Hopefully our satisfaction has gone up in a year. I have a regular call with one of HealthEdge's...
Login or Create an Account to see details.
Loyalty, Product
We have seen HealthEdge really step up in the AI space. I think there is a lot of movement with the...
Login or Create an Account to see details.
Loyalty, Product
I think that there are some core gaps that HealthEdge still needs to address. I know that HealthEdge...
Login or Create an Account to see details.
Product
We recommend the system a lot. We don't have any issues with running multiple lines of business...
Login or Create an Account to see details.
Loyalty, Value
The system has some core capabilities that we still have to pay for. Until that stops, I think our...
Login or Create an Account to see details.
Loyalty, Relationship, Product
On the payer side, HealthEdge has worked a lot on performance. They have been very collaborative...
Login or Create an Account to see details.
Relationship
HealthEdge’s general manager for the payer side left the company. That individual was really good,...
Login or Create an Account to see details.
Loyalty
HealthEdge had their whole leadership team at their last conference. That conference focused on AI...
Login or Create an Account to see details.
Product
Some things that we do with HealthRules Payer are customized, and our business is a little complex,...
Login or Create an Account to see details.
Relationship
There is a lot of triage that goes on with HealthEdge where our issues bounce around a couple of...
Login or Create an Account to see details.
Relationship
HealthEdge suffers in the service space in some areas, and they are not a great service organization...
Login or Create an Account to see details.
Loyalty
We decided to go with HealthRules Payer because it wasn’t as expensive as our previous solution, and...
Login or Create an Account to see details.
Value
If we want something from HealthEdge, we pay them to put that thing onto their product road map, or...
Login or Create an Account to see details.
Culture
We are working on adding new lines of business with HealthEdge that are more standard than some...
Login or Create an Account to see details.
Value
We are confident in the lines of business that we have set up in HealthRules Payer. It is one of the...
Login or Create an Account to see details.
Loyalty, Relationship
HealthEdge is a good partner. They have struggled with talent loss over the last couple of years,...
Login or Create an Account to see details.
Product
One of HealthRules Payer’s strengths is its usability across claims, customer service, appeals and...
Login or Create an Account to see details.
Operations
HealthRules Payer needs to have a base training curriculum. Every health plan is different with...
Login or Create an Account to see details.
Operations
The configurability of HealthRules Payer is excellent. We used an implementation partner to help us...
Login or Create an Account to see details.
Relationship
Our HealthEdge account executive is world class. They have the right level of engagement. They...
Login or Create an Account to see details.
Relationship, Value
The product is as good of a help as we could have wanted or expected. Our claims team has been...
Login or Create an Account to see details.
Product
HealthRules Promote is an application that provides a way to migrate configuration between instances...
Login or Create an Account to see details.
Relationship
HealthEdge delivers on their promises and is effective in helping us, but the experience is only as...
Login or Create an Account to see details.
Relationship, Product, Value
HealthRules Payer does a good job in helping to automate configuration management from lower...
Login or Create an Account to see details.
Relationship, Product
The HealthEdge product is pretty good, but some of the configurations within the system don’t...
Login or Create an Account to see details.
Operations
HealthEdge was pretty good at initial training, and we know they have some work groups out there for...
Login or Create an Account to see details.
Product
HealthRules Payer is intuitive. It is full of hyperlinks, and it is easy to navigate all of the data...
Login or Create an Account to see details.
Relationship, Product
We would like the vendor to communicate any difficulties with data transfer between our...
Login or Create an Account to see details.
Relationship
We would like to see HealthEdge have a clearer delineation of duties. There is some disorganization....
Login or Create an Account to see details.
Product
We like the point-and-click functionality within the HealthEdge system. That makes it easy to...
Login or Create an Account to see details.
Relationship
It is hard to get somebody at HealthEdge on the phone. When we need the vendor, we have to be pretty...
Login or Create an Account to see details.
Operations
HealthEdge has nobody to do a train-the-trainer model, and they have no guidance on how to process a...
Login or Create an Account to see details.
Product
HealthEdge's base system is very good and really simple. One of the strengths of HealthRules Payer...
Login or Create an Account to see details.
Relationship
HealthEdge’s customer engagement is weak. I don't feel that they get very hands on with the users...
Login or Create an Account to see details.
Relationship
HealthEdge has some issues with follow-up and closure. We brought issues to their attention, and the...
Login or Create an Account to see details.
Operations
HealthEdge did not have a program where they specifically came out and trained us. Instead, we had...
Login or Create an Account to see details.
​
Featured Report
Preferences