HealthRules Payer Commentary

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From an interoperability and connectivity standpoint, HealthEdge is doing a lot. We are not...

HealthEdge has a leadership conference every year where they talk through what's on their road map...

On the HealthRules Payer side, sometimes we log tickets and HealthEdge feels they need more examples...

I'd like to see HealthEdge improve some of their release testing. When we're doing upgrades, we find...

HealthRules Payer has a gap between their OLTP, their main data warehouse, and what's available to...

HealthRules Payer is awesome. It does what it's supposed to do. It can do more. I really love the...

HealthRules has tried to get us an evaluation and a health check, as they call it, to say that we...

With the new ownership structure of HealthEdge, I think they will have more industry knowledge of...

HealthEdge doesn't offer a lot of training for HealthRules Payer. They are really good at...

In HealthRules Payer, there are things that we need to work around to make the product as robust as...

HealthRules Payer is kind of like the heart and the soul of the health plan with regard to...

HealthEdge tries. We have a good relationship with them. We’re very friendly on the phone, and we...

HealthRules Payer is an end-to-end system that does billing. It does all these things. There are a...

We’re not really using AI with HealthRules Payer. We're doing a lot of that outside of HealthRules...

HealthEdge doesn't train us, so we don't go to them for training, though there are some things that...

When we’ve seen HealthEdge Source, I don’t know that it has been up to where other solutions are. We...

Looking at HealthEdge’s efforts to modernize the system with APIs, they do have a fairly modern...

I don't go to our account managers anymore because that didn't work for support. But we have...

HealthEdge is going to talk to us in a couple of weeks about their road map. We try to do that...

We're in a good space now. It took a lot to get here. We moved off our previous solution due to a...

HealthEdge has moderately automated our workflow. Some of that is because we started doing...

HealthEdge has effective training. They overcharge for it, but it’s effective.

We never really got solid engagement from HealthEdge on modernizing our system, and that’s one of my...

HealthEdge’s API ecosystem is robust. It's easy to use. Even if we aren't doing direct API...

For the most part, we have a really good working relationship with HealthEdge and HealthRules Payer....

I don’t think HealthEdge's support system needs improvement, but the people and their knowledge base...

HealthEdge has improved in their efforts to modernize HealthRules Payer. As part of the work groups,...

HealthEdge has been a teeter-totter with us. Before, they were not so great. Then they improved, and...

We've had some challenges with HealthEdge since their merger with UST HealthProof. There have been...

HealthEdge is losing people through their merger with UST HealthProof. The reason we went with UST...

HealthEdge’s road map is pretty nonexistent or so high-level that it doesn't have any timelines...

HealthEdge wasn’t automating our workflow, but we are getting ready to get into some of that....

There were lots of starts and stops with the implementation of HealthRules Payer. It was a disaster....

I don't know that HealthEdge has ever even offered us any training, and we know more about the...

HealthEdge's support for HealthRules Payer has always been quite bad. We talk about things on our...

HealthEdge has work item routing for the solution. We don't have it live yet, but that will help...

I'm really on the fence about whether I would buy HealthRules Payer again. Sure, I would buy it...

It depends on who we talk to as to whether tickets are resolved in a timely manner. Sometimes I have...

I rate HealthEdge lower on partnership compared to another vendor we work with that we’re closer to,...

The functionality of HealthRules Payer doesn't meet all our needs. It's an application that has many...

Depending on what someone is looking for, if they know what the downsides are, HealthRules Payer is...

HealthRules Payer doesn’t do pharmacy adjudication. Pharmacy benefits are adjudicated in a...

There are functions that I would like HealthEdge to develop for the solution. For example, from an...

The training is honestly lacking for HealthRules Payer. We got the software, and then we just had to...

HealthRules Payer is a great core processing system, but for billing, we have to go outside and use...

We partner with HealthEdge on solutions to problems, or we take a lot of solutions to them, and they...

I'm very pleased with HealthRules Payer. It is a workhorse when it comes to processing claims. But...

We had to develop our own training around HealthRules Payer for our users and frontline users, but...

HealthRules Payer is expensive, but worth it. I know the claims are being processed, there’s system...

We made the decision to go with HealthEdge because we needed to have a solution that was scalable...

I'm very supportive of HealthEdge. They have a lot of priorities, so their plan is complex to execute....

HealthEdge's products aren't aligned with each other. They're all very complicated. The members of...

The biggest impact for me would be for HealthEdge to get organized on product versus implementation...

Our current implementations with HealthEdge are all hard. We're really struggling with defects and...

HealthEdge's CEO is very smart and works very hard. His primary focus is on delivering the value...

There is an upgrade where we are hoping to get to a version of HealthRules Payer that has more...

HealthRules Payer has a more user-friendly configuration than other systems. Users don't have to be...

HealthEdge is pretty good. We have weekly calls with our account liaison. If we need something to be...

I would tell HealthEdge to continue to do what they are doing. They are improving each year. Our...

The key for us when we first decided to use the system was that we had an automatic adjudication...

The product doesn’t meet all our needs, but to be fair, that is more on the payers than on the...

HealthRules Payer is a good system now. There are pros and cons to it. HealthEdge doesn’t have the...

HealthEdge wants to build AI into their suite to simplify our customer service calls and claims...

HealthEdge has never treated us like we are anything less than a big client. We have been treated...

We leverage HealthRules Connector for integrations with other systems, and it allows us to automate...

HealthEdge is certainly always looking at ways to advance, and they are very knowledgeable when it...

Typically, we bring in paid services through HealthEdge when we do larger upgrades to make sure that...

Sometimes, there is a lot of back and forth on our tickets, and we receive delayed responses from...

HealthRules Payer is highly configurable, and it really meets our needs. We have a very high...

We are really interested in HealthEdge's hosted SaaS solution. The vendor doesn't currently have a...