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HealthRules Payor Comments
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KLAS Research Director - Joe VanDeGraaff
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Joe VanDeGraaff

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joe.vandegraaff@klasresearch.com

801-734-1587

 
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User Commentary

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Director

The HealthEdge people we worked with during the implementation were extremely knowledgeable and...

Feb 2021
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Director

Some of HealthEdge’s documentation as we are going out there and trying to solve a new problem is...

Feb 2021
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Director

As my team members continue to become experts in the software, a lot of times when we need...

Feb 2021
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Director

HealthRules Payor is a very configurable system. When the end users go into the system, they can...

Feb 2021
||
(0)
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Director

HealthRules Payor is definitely meeting our needs, but as we work with our business stakeholders and...

Feb 2021
||
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Director

There are opportunities for improvement in HealthEdge’s customer support and service model. They...

Feb 2021
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Director

All in all, HealthRules Payor is the coolest claims processor I have ever seen. But there is also a...

Feb 2021
||
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Director

The vendor has been proactive in terms of checking in on us because of the pandemic. Things change...

Jan 2021
||
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Director

The vendor is lacking knowledge of their own product. My experience is they have high turnover.

Jan 2021
||
(0)
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Director

I used to have to get the consulting services through HealthEdge, and they would downstream contract...

Jan 2021
||
(0)
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Director

There are still some things that HealthRules Payor doesn’t do that I wish it did, but I think I also...

Jan 2021
||
(0)
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Director

HealthEdge’s training is terrible. We seem to learn more from the user community and trial and...

Jan 2021
||
(0)
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Director

We sometimes have to do a lot of custom code and development build for the integrations, depending...

Jan 2021
||
(0)
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Director

We have an account manager, and then we have a ticketing system through the customer relationship...

Jan 2021
||
(0)
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Director

HealthRules Payor is a newer product on the market but has grown very popular in the last few years....

Jan 2021
||
(0)
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Director

The vendor executives are involved. Our needs and concerns are getting attention. When something...

Jan 2021
||
(0)
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VP/Other Executive

HealthEdge is pretty responsive when we ask for enhancements, but there is a specific functionality...

Jan 2021
||
(0)
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VP/Other Executive

We have been charged by HealthEdge for some things that maybe could have been written off....

Jan 2021
||
(0)
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VP/Other Executive

HealthEdge has always used implementation partners. They are just now getting serious about doing...

Jan 2021
||
(0)
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VP/Other Executive

The individual who leads HealthEdge’s training is very accomplished. That person is very savvy. The...

Jan 2021
||
(0)
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VP/Other Executive

HealthRules Payor is a big win for us from both a configuration and user experience standpoint. I am...

Jan 2021
||
(0)
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VP/Other Executive

HealthEdge is pretty much completely reactive. They are improving. People need to have a specific...

Jan 2021
||
(0)
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VP/Other Executive

We had upgrade problems with HealthRules Payor. The vendor is aware of the fact that their upgrade...

Jan 2021
||
(0)
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VP/Other Executive

The integration capabilities that HealthEdge has brought to the table have been fine. The optimal...

Jan 2021
||
(0)
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Manager

We had to fix the disbursement system, correct the payments, and fix the associated EDI...

Dec 2020
||
(0)
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Manager

Our last upgrade caused significant problems, which took HealthEdge a while to fix. They helped us...

Dec 2020
||
(0)
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Manager

I don't see much executive involvement. We aren't a big player to HealthEdge. I have heard of some...

Dec 2020
||
(0)
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Manager

Initially, the user interface was a blend of the old look and feel and the new look and feel. We...

Dec 2020
||
(0)
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Manager

We had to build external systems in order to make disbursements and print EOBs. The investment in...

Dec 2020
||
(0)
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Manager

The out-of-the-box product can do 80%–90% of the needed claims processing. But with the other pieces...

Dec 2020
||
(0)
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Manager

The system does have good integration with third-party products. Those pieces seem to be well...

Dec 2020
||
(0)
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CIO

We had to significantly reconfigure our network to support all our work from home. That required...

Dec 2020
||
(0)
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CIO

In general, HealthEdge has been pretty good at developing core software with one notable exception....

Dec 2020
||
(0)
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CIO

The software quality and functionality have generally been good. There was one release where the...

Dec 2020
||
(0)
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CIO

We definitely learned some lessons from our most recent upgrade. We need HealthEdge to do a better...

Dec 2020
||
(0)
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CIO

The product largely works as promoted. In general, payer platforms are so big and complex that it is...

Dec 2020
||
(0)
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CIO

There are always new things that HealthEdge is coming out with that we look to adopt.

Dec 2020
||
(0)
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CIO

One of the areas where we have been pushing HealthEdge a lot is proactivity. We want them to manage...

Dec 2020
||
(0)
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CIO

I see things being the same 12 months from now. That is just the nature of the solution. It is...

Dec 2020
||
(0)
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CIO

The system's strength is its modern architecture. A lot of other payer claims and administration...

Dec 2020
||
(0)
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CIO

The areas HealthEdge most needs to improve are around operations. That includes their own operations...

Dec 2020
||
(0)
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CIO

Some modules were developed after we went live with the product. We have built some custom solutions...

Dec 2020
||
(0)
 Thank you  Helpful

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CMO

Our new claims system implementation is progressing on schedule. HealthEdge has been really good to...

Oct 2020
||
(0)
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CMO

We are extremely excited about the product's communication capabilities. The end users can see what...

Oct 2020
||
(0)
 Thank you  Helpful

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CMO

We don't feel like HealthEdge is too stretched and isn't meeting our needs or timelines. The vendor...

Oct 2020
||
(0)
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