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HealthRules Payor
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User Commentary

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Director

HealthRules Payor requires a lot of IT interaction to keep it stable and running effectively. The...

Sep 2021
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Director

HealthRules Payor has its share of bugs and stability issues. Claims processing can be very slow at...

Sep 2021
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Director

The vendor's support is pretty slow. Getting issues fixed takes a long time. Users almost give up. I...

Sep 2021
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Director

HealthEdge is a company where the people are nice, well meaning, and positive. I like the people...

Sep 2021
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Director

HealthEdge struggles sometimes, and they have room to grow in maturity. I like a lot of things about...

Sep 2021
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Director

HealthEdge invoices for a lot of things but also overlooks things. I wouldn't characterize the...

Sep 2021
||
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Director

I would recommend that people host with HealthEdge and that they don't self-host. There are elements...

Sep 2021
||
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VP/Other Executive

From a claims system perspective, HealthEdge has one of the most active user communities. Anybody...

Aug 2021
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VP/Other Executive

In conjunction with HealthRules Payor, we use a product as a front-end claims tool that does a lot...

Aug 2021
||
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VP/Other Executive

HealthEdge is always developing. That is one of the reasons we picked them as a vendor. They are...

Aug 2021
||
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VP/Other Executive

HealthEdge tries to take feedback from user conferences and build things into their product. In that...

Aug 2021
||
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VP/Other Executive

I have access to a lot of the top people at HealthEdge.

Aug 2021
||
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VP/Other Executive

HealthEdge is going to stay stable in the next year. They purchased Altruista’s GuidingCare. They...

Aug 2021
||
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VP/Other Executive

With the product, interfacing with other products has always been kind of an issue. It hasn't ever...

Aug 2021
||
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VP/Other Executive

The functionality that HealthEdge chooses to put into the upgrades is usually pretty good. But...

Aug 2021
||
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VP/Other Executive

Support can get really frustrating at times. One of HealthEdge’s biggest issues is that they grew so...

Aug 2021
||
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VP/Other Executive

Our HealthEdge account representative is great and communicative. They communicate all the time. We...

Aug 2021
||
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VP/Other Executive

I have been through multiple claims systems, and HealthRules Payor is by far one of the best claims...

Aug 2021
||
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Director

We had a big goal to stabilize HealthRules Payor. We had defects in the system that were a high...

Aug 2021
||
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Director

I think long term, the future looks really great because having multiple offerings under one vendor...

Aug 2021
||
(0)
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Director

When using HealthRules Payor hasn’t been ideal, we use another vendor's system as a quick fix. The...

Aug 2021
||
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Director

I like the way HealthEdge has built their technology with APIs. I like the ease of APIs to do...

Aug 2021
||
(0)
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Director

We didn’t have enough time when we first started. If another customer can implement and doesn't have...

Aug 2021
||
(0)
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Director

When we decided to go to HealthEdge, we looked at several vendors and did some due diligence on all...

Aug 2021
||
(0)
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Director

What makes HealthEdge unique is that the configuration is in our hands and our control. We are...

Aug 2021
||
(0)
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Director

When HealthEdge releases a new version, the upgrade is so time consuming. I can’t imagine how really...

Aug 2021
||
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Director

We are in a much better spot today than we were initially. The implementation was very painful...

Aug 2021
||
(0)
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Director

I would rate HealthEdge well for their leadership. They have brought in people with industry...

Aug 2021
||
(0)
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Manager

One of the main sources of tension is that we launch very specific and complex provider and contract...

Aug 2021
||
(0)
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Manager

HealthEdge is going to continue to struggle in some aspects until they commit to really scaling up...

Aug 2021
||
(0)
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Manager

HealthRules Payor would work great in a closed provider system. It would give us the flexibility we...

Aug 2021
||
(0)
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Manager

In terms of tangible outcomes with HealthRules Payor, we were able to migrate off a legacy system...

Aug 2021
||
(0)
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Manager

The learning curve on configuring the HealthEdge system is pretty steep. We have to learn the right...

Aug 2021
||
(0)
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Manager

What makes HealthEdge unique is their connection to all levels within the organization. We have the...

Aug 2021
||
(0)
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VP/Other Executive

HealthEdge appears to be at the forefront of the industry. There is new legislation coming out, and...

Aug 2021
||
(0)
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VP/Other Executive

We are still learning the solution. It is a highly configurable system, and we have found several...

Aug 2021
||
(0)
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VP/Other Executive

HealthEdge acquired Altruista Health. We are very excited about that. HealthEdge will play a much...

Aug 2021
||
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VP/Other Executive

We had some issues with some of the vendor's trainers, but their content was good. HealthEdge...

Aug 2021
||
(0)
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VP/Other Executive

HealthRules Payor is our future state claims and enrollment platform. It is a much more intuitive...

Aug 2021
||
(0)
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VP/Other Executive

We have a solid relationship with HealthEdge. We have worked very hard to approach our relationship...

Aug 2021
||
(0)
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VP/Other Executive

I don’t see my overall satisfaction with HealthEdge getting any better anytime soon. We will...

Aug 2021
||
(0)
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VP/Other Executive

I have refrained from making a recommendation of HealthRules Payor to a peer or friend. My...

Aug 2021
||
(0)
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VP/Other Executive

Our operations team feels that the HealthEdge system is intuitive and easy to use. HealthEdge’s...

Aug 2021
||
(0)
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VP/Other Executive

A lot of times, if we don’t put executive involvement on HealthEdge’s radar, it isn't there. But we...

Aug 2021
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VP/Other Executive

People need to be mindful of their full system architecture and what it means to them in terms of...

Aug 2021
||
(0)
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VP/Other Executive

We went through an extensive RFP with numerous vendors, reviewed all of the documentation, and...

Aug 2021
||
(0)
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VP/Other Executive

We have been on quite a journey with HealthEdge. From a configuration perspective, the system has...

Aug 2021
||
(0)
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VP/Other Executive

We have very complex products, provider contracts, and pricing methodologies. Because of that, we...

Aug 2021
||
(0)
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Physician

We partnered with HealthEdge through some rough growing pains, but in their current state, the path...

Aug 2021
||
(0)
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Physician

Generally, HealthEdge keeps their promises, especially as they are rolling out releases. The...

Aug 2021
||
(0)
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Physician

HealthEdge is able to package things in bulk so that when we need additional services, we already...

Aug 2021
||
(0)
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Physician

One challenge is that the methodologies and the APIs are not fully built out for all the different...

Aug 2021
||
(0)
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Physician

There are still some glitches in the claims features, and HealthEdge has to do a system reset. It is...

Aug 2021
||
(0)
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Physician

HealthEdge has very clear escalation guidelines. When we have issues, we know what the severity...

Aug 2021
||
(0)
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Physician

HealthEdge partners with new vendors or new integrations. They reach out to us and spend some time...

Aug 2021
||
(0)
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Physician

Having HealthEdge as a vendor is a double-edged sword. There are things that we would like to have...

Aug 2021
||
(0)
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VP/Other Executive

The core of HealthEdge’s technology is a claims administration system. Now they have expanded that...

Aug 2021
||
(0)
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VP/Other Executive

HealthEdge is applying quite a bit of focus on how to help their customers get the most out of their...

Aug 2021
||
(0)
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VP/Other Executive

HealthEdge has put a lot of energy into the technology management of HealthRules Payor. They have...

Aug 2021
||
(0)
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VP/Other Executive

HealthRules Payor is pretty cool; there is nothing else out there like it. Their competitors'...

Aug 2021
||
(0)
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VP/Other Executive

HealthEdge has cultivated a highly interactive customer community. That may change as they get...

Aug 2021
||
(0)
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VP/Other Executive

Flexibility is both a blessing and a curse in HealthRules Payor. People always say that a person's...

Aug 2021
||
(0)
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VP/Other Executive

The executive team is high energy. They lean in. They are collaborative. Other companies act like...

Aug 2021
||
(0)
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VP/Other Executive

We can buy custom delivery and custom code, and HealthEdge will build it. I expect to pay for that....

Aug 2021
||
(0)
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VP/Other Executive

The only reason I wouldn’t give HealthEdge the highest score on the quality and effectiveness of...

Aug 2021
||
(0)
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VP/Other Executive

When we explore issues, I continue to hear that HealthEdge has had another customer experience the...

Aug 2021
||
(0)
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VP/Other Executive

The system is limited in the enrollment, billing, and financial spaces. HealthEdge is putting some...

Aug 2021
||
(0)
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VP/Other Executive

There is quite a bit of functionality that we are looking for that doesn't exist in the system. We...

Jul 2021
||
(0)
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VP/Other Executive

HealthEdge has improved dramatically over the last couple of years. They have been much more...

Jul 2021
||
(0)
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VP/Other Executive

We use a services model from HealthEdge that can be somewhat ineffective. We leverage it a lot...

Jul 2021
||
(0)
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VP/Other Executive

We have had a lot of training conversations with HealthEdge. They do okay in that space. Their gap...

Jul 2021
||
(0)
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VP/Other Executive

HealthRules Payor does have an API structure. However, the performance of the API isn't always what...

Jul 2021
||
(0)
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VP/Other Executive

We do not have any issues with bringing new people on to the product and getting them up to speed....

Jul 2021
||
(0)
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VP/Other Executive

We have a fair number of conversations with HealthEdge. We meet with them frequently. We talk about...

Jul 2021
||
(0)
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VP/Other Executive

HealthEdge has one of the best products in the market. I think our satisfaction will change over...

Jul 2021
||
(0)
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Director

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

Feb 2021
||
(0)
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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
||
(0)
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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
||
(0)
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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
||
(0)
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Director

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

Feb 2021
||
(0)
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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
||
(0)
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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
||
(0)
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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
||
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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
||
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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
||
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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
||
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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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 or  to see details.

CIO

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

Dec 2020
||
(0)
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 or  to see details.

CIO

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

Dec 2020
||
(0)
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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)
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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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 or  to see details.

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