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User Commentary
Product
Before we moved to HealthRules Payer, I couldn't break a certain number on the adjudication system...
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Loyalty, Value
We looked at one of HealthEdge's competitors. At that time, HealthEdge seemed to want our business...
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Relationship
HealthEdge innovates all the time, and they do everything to benefit their end users. There is...
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Relationship
HealthEdge has had some growing pains. When vendors grow too fast or too quickly, there are...
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Relationship
HealthEdge doesn't have enough time to do much of anything except bare-bones stuff, and their...
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Product, Value
HealthRules Payer is expensive and buggy, and it has a gigantic IT footprint with servers,...
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Operations, Product
HealthRules Payer is extremely configurable in a very tough market with very customized states,...
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Value
I could go on and on about why I wouldn't buy HealthRules Payer again. The industry is tough. The...
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Culture, Value
It feels like everywhere we turn, we get charged for something. The license fees cover no...
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Loyalty, Relationship
Hopefully our satisfaction has gone up in a year. I have a regular call with one of HealthEdge's...
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Product
From a claims processing standpoint, the product's efficiency is fantastic. That is where the...
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Loyalty, Operations
We recommend HealthRules Payer to others all the time. It is very rare that we aren't happy with the...
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Loyalty, Product
We have seen HealthEdge really step up in the AI space. I think there is a lot of movement with the...
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Loyalty, Product
I think that there are some core gaps that HealthEdge still needs to address. I know that HealthEdge...
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Product
We recommend the system a lot. We don't have any issues with running multiple lines of business...
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Loyalty, Value
The system has some core capabilities that we still have to pay for. Until that stops, I think our...
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Loyalty, Relationship, Product
On the payer side, HealthEdge has worked a lot on performance. They have been very collaborative...
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Relationship
HealthEdge’s general manager for the payer side left the company. That individual was really good,...
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Product
Some things that we do with HealthRules Payer are customized, and our business is a little complex,...
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Relationship
There is a lot of triage that goes on with HealthEdge where our issues bounce around a couple of...
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Relationship
HealthEdge suffers in the service space in some areas, and they are not a great service organization...
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Loyalty
We decided to go with HealthRules Payer because it wasn’t as expensive as our previous solution, and...
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Value
If we want something from HealthEdge, we pay them to put that thing onto their product road map, or...
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Culture
We are working on adding new lines of business with HealthEdge that are more standard than some...
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Value
We are confident in the lines of business that we have set up in HealthRules Payer. It is one of the...
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Loyalty, Relationship
HealthEdge is a good partner. They have struggled with talent loss over the last couple of years,...
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Product
One of HealthRules Payer’s strengths is its usability across claims, customer service, appeals and...
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Operations
HealthRules Payer needs to have a base training curriculum. Every health plan is different with...
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Operations
The configurability of HealthRules Payer is excellent. We used an implementation partner to help us...
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Relationship
Our HealthEdge account executive is world class. They have the right level of engagement. They...
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Relationship, Value
The product is as good of a help as we could have wanted or expected. Our claims team has been...
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Product
HealthRules Promote is an application that provides a way to migrate configuration between instances...
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Relationship
HealthEdge delivers on their promises and is effective in helping us, but the experience is only as...
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Relationship, Product, Value
HealthRules Payer does a good job in helping to automate configuration management from lower...
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Relationship, Product
The HealthEdge product is pretty good, but some of the configurations within the system don’t...
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Operations
HealthEdge was pretty good at initial training, and we know they have some work groups out there for...
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Product
HealthRules Payer is intuitive. It is full of hyperlinks, and it is easy to navigate all of the data...
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Relationship, Product
We would like the vendor to communicate any difficulties with data transfer between our...
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Relationship
We would like to see HealthEdge have a clearer delineation of duties. There is some disorganization....
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Product
We like the point-and-click functionality within the HealthEdge system. That makes it easy to...
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Relationship
It is hard to get somebody at HealthEdge on the phone. When we need the vendor, we have to be pretty...
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Operations
HealthEdge has nobody to do a train-the-trainer model, and they have no guidance on how to process a...
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Product
HealthEdge's base system is very good and really simple. One of the strengths of HealthRules Payer...
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Relationship
HealthEdge’s customer engagement is weak. I don't feel that they get very hands on with the users...
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Relationship
HealthEdge has some issues with follow-up and closure. We brought issues to their attention, and the...
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Operations
HealthEdge did not have a program where they specifically came out and trained us. Instead, we had...
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Loyalty, Relationship, Product
We rely on HealthRules Payer for our machine-readable files. We are not the only client struggling,...
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Product
Right now, we are struggling with a couple of things. We continue to struggle with system...
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Product
HealthRules Payer breaks between upgrades. The vendor has consolidated the number of upgrades they...
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Relationship
A yellow flag we are seeing is that HealthEdge’s senior leadership executive turnover feels high....
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Relationship
I have a routine call with our contact people from HealthEdge, and they are helpful. That is great....
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Relationship
Some of HealthEdge’s biggest strengths are their willingness to help when there are urgent needs and...
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Relationship, Product
We have struggled with HealthEdge’s code updates. They don't have a good process for those, and we...
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Operations, Value
HealthEdge has robust training that they charge a lot of money for.
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Operations, Product
We are trying to improve the overall member experience with our technology. We are trying to...
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Operations, Value
The way the system functions has made the end users’ work easier. We have gone from old green...
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Relationship
Working with the vendor’s support people is challenging. I have to escalate more than I should.
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Culture
HealthEdge oversold us a bit. Their offering wasn't material enough, and some components weren’t...
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Relationship
HealthEdge is getting better at working with us. We have regular meetings with our technical account...
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Relationship
HealthEdge could improve their turnaround times on service requests. They are only working on our...
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Product
Some of the functionalities in HealthRules Payer are just plain awful. For example, the solution...
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Product
Some of the functionalities in HealthRules Payer are rock stars. For example, the configuration and...
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Relationship, Product
In order for the external file transfers to work when setting up HealthRules Payer, we really need...
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Product
My biggest concern with upgrades in HealthRules Payer is that the upgrades will break the interfaces...
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Relationship
I don’t get great feedback on HealthEdge’s support. I would like the vendor to do more engagement...
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Relationship
HealthEdge’s support people don't have to necessarily go up the chain of command to solve problems....
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Loyalty
We decided to go with HealthEdge because we looked at them years ago and were very intrigued by the...
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Operations
We had some hiccups in our implementation. Part of that was due to how the project was structured...
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Relationship
HealthEdge is still trying to determine what the best model looks like. They shift resources or...
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Relationship
We would tell a friend or peer looking at HealthEdge that both organizations need to understand the...
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Culture, Product
There are things HealthRules Payer doesn’t do. But overall, the platform has worked as promoted....
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Relationship
HealthEdge is extremely open, and they reach out to get as much feedback as they can from their...
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Loyalty, Product
We have HealthRules Payer, and we have a couple of other products out there. There are no standard...
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Relationship
The vendor’s responsiveness is a significant pain point for us. Running a claims payable cycle can...
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Loyalty, Relationship
We understand that it is going to take some time for HealthEdge to develop products they purchase,...
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Loyalty, Product
Overall, things are going very well with HealthEdge. Their tool definitely meets the needs of our...
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Relationship, Product
There are always different types of functionalities that we would like to see. One of those...
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