HealthRules Payor
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Subject Expert
Joe VanDeGraaff
Research Director
Commentary Summary
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User Commentary
HealthRules Payor has been an incredibly good platform for us, and HealthEdge has scaled well as we...
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What we would like to see, now that the products from HealthEdge and Altruista Health are all...
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Overall, the product is doing everything the vendor said it was going to do, and we enjoy it. The...
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We run into issues with turnaround times with HealthEdge support. When things do get fixed, it is...
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We are discovering that the product is slow. There are some lags and some delays in our production...
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We used to have a lot more executive involvement with the upper echelons at HealthEdge. We don't as...
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HealthEdge does charge us for producing correspondence. We are actually trying to do some custom...
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There were some capabilities that HealthEdge said the platform could do that the system doesn't do....
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HealthEdge’s response time is fast, but their delivery can be months out. HealthEdge does have a...
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We plan to use HealthRules Payor for a long time. The vendor continues to make strides to improve...
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HealthEdge is very transparent with us when we are looking at configuration requirements or trying...
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We have had some growth in our organization, and the solution has definitely helped us scale. It...
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The product has some functionality issues that we are a little frustrated with. The fixes for those...
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HealthRules Payor is a very functional system. We use it to house our benefits and contracts, and we...
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HealthRules Payor is more advanced than another one of the vendor's products. Our ROI from...
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We have had to get our executives involved to push things to a higher level with the vendor's...
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The solution has claims, benefit, and pricing-integration platforms. If someone were looking for...
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HealthRules Payor requires a lot of IT interaction to keep it stable and running effectively. The...
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HealthRules Payor has its share of bugs and stability issues. Claims processing can be very slow at...
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The vendor's support is pretty slow. Getting issues fixed takes a long time. Users almost give up. I...
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HealthEdge is a company where the people are nice, well meaning, and positive. I like the people...
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HealthEdge struggles sometimes, and they have room to grow in maturity. I like a lot of things about...
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HealthEdge invoices for a lot of things but also overlooks things. I wouldn't characterize the...
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I would recommend that people host with HealthEdge and that they don't self-host. There are elements...
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From a claims system perspective, HealthEdge has one of the most active user communities. Anybody...
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In conjunction with HealthRules Payor, we use a product as a front-end claims tool that does a lot...
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HealthEdge is always developing. That is one of the reasons we picked them as a vendor. They are...
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HealthEdge tries to take feedback from user conferences and build things into their product. In that...
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I have access to a lot of the top people at HealthEdge.
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HealthEdge is going to stay stable in the next year. They purchased Altruista’s GuidingCare. They...
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With the product, interfacing with other products has always been kind of an issue. It hasn't ever...
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The functionality that HealthEdge chooses to put into the upgrades is usually pretty good. But...
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Support can get really frustrating at times. One of HealthEdge’s biggest issues is that they grew so...
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Our HealthEdge account representative is great and communicative. They communicate all the time. We...
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I have been through multiple claims systems, and HealthRules Payor is by far one of the best claims...
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We had a big goal to stabilize HealthRules Payor. We had defects in the system that were a high...
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I think long term, the future looks really great because having multiple offerings under one vendor...
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When using HealthRules Payor hasn’t been ideal, we use another vendor's system as a quick fix. The...
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I like the way HealthEdge has built their technology with APIs. I like the ease of APIs to do...
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We didn’t have enough time when we first started. If another customer can implement and doesn't have...
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When we decided to go to HealthEdge, we looked at several vendors and did some due diligence on all...
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What makes HealthEdge unique is that the configuration is in our hands and our control. We are...
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When HealthEdge releases a new version, the upgrade is so time consuming. I can’t imagine how really...
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We are in a much better spot today than we were initially. The implementation was very painful...
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I would rate HealthEdge well for their leadership. They have brought in people with industry...
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One of the main sources of tension is that we launch very specific and complex provider and contract...
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HealthEdge is going to continue to struggle in some aspects until they commit to really scaling up...
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HealthRules Payor would work great in a closed provider system. It would give us the flexibility we...
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In terms of tangible outcomes with HealthRules Payor, we were able to migrate off a legacy system...
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The learning curve on configuring the HealthEdge system is pretty steep. We have to learn the right...
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What makes HealthEdge unique is their connection to all levels within the organization. We have the...
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HealthEdge appears to be at the forefront of the industry. There is new legislation coming out, and...
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We are still learning the solution. It is a highly configurable system, and we have found several...
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HealthEdge acquired Altruista Health. We are very excited about that. HealthEdge will play a much...
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We had some issues with some of the vendor's trainers, but their content was good. HealthEdge...
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HealthRules Payor is our future state claims and enrollment platform. It is a much more intuitive...
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We have a solid relationship with HealthEdge. We have worked very hard to approach our relationship...
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I don’t see my overall satisfaction with HealthEdge getting any better anytime soon. We will...
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I have refrained from making a recommendation of HealthRules Payor to a peer or friend. My...
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Our operations team feels that the HealthEdge system is intuitive and easy to use. HealthEdge’s...
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A lot of times, if we don’t put executive involvement on HealthEdge’s radar, it isn't there. But we...
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People need to be mindful of their full system architecture and what it means to them in terms of...
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We went through an extensive RFP with numerous vendors, reviewed all of the documentation, and...
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We have been on quite a journey with HealthEdge. From a configuration perspective, the system has...
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We have very complex products, provider contracts, and pricing methodologies. Because of that, we...
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We partnered with HealthEdge through some rough growing pains, but in their current state, the path...
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Generally, HealthEdge keeps their promises, especially as they are rolling out releases. The...
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HealthEdge is able to package things in bulk so that when we need additional services, we already...
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One challenge is that the methodologies and the APIs are not fully built out for all the different...
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There are still some glitches in the claims features, and HealthEdge has to do a system reset. It is...
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HealthEdge has very clear escalation guidelines. When we have issues, we know what the severity...
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HealthEdge partners with new vendors or new integrations. They reach out to us and spend some time...
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Having HealthEdge as a vendor is a double-edged sword. There are things that we would like to have...
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The core of HealthEdge’s technology is a claims administration system. Now they have expanded that...
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HealthEdge is applying quite a bit of focus on how to help their customers get the most out of their...
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HealthEdge has put a lot of energy into the technology management of HealthRules Payor. They have...
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HealthRules Payor is pretty cool; there is nothing else out there like it. Their competitors'...
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HealthEdge has cultivated a highly interactive customer community. That may change as they get...
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Flexibility is both a blessing and a curse in HealthRules Payor. People always say that a person's...
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The executive team is high energy. They lean in. They are collaborative. Other companies act like...
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We can buy custom delivery and custom code, and HealthEdge will build it. I expect to pay for that....
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The only reason I wouldn’t give HealthEdge the highest score on the quality and effectiveness of...
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When we explore issues, I continue to hear that HealthEdge has had another customer experience the...
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The system is limited in the enrollment, billing, and financial spaces. HealthEdge is putting some...
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There is quite a bit of functionality that we are looking for that doesn't exist in the system. We...
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HealthEdge has improved dramatically over the last couple of years. They have been much more...
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We use a services model from HealthEdge that can be somewhat ineffective. We leverage it a lot...
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We have had a lot of training conversations with HealthEdge. They do okay in that space. Their gap...
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HealthRules Payor does have an API structure. However, the performance of the API isn't always what...
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We do not have any issues with bringing new people on to the product and getting them up to speed....
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We have a fair number of conversations with HealthEdge. We meet with them frequently. We talk about...
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HealthEdge has one of the best products in the market. I think our satisfaction will change over...
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