Cybersecurity Is Critical in Today's Environment
HealthRules Payor
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Subject Expert
Joe VanDeGraaff
Research Director
Commentary Summary
User Commentary
Director
HealthRules Payor requires a lot of IT interaction to keep it stable and running effectively. The...
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Director
HealthRules Payor has its share of bugs and stability issues. Claims processing can be very slow at...
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Director
The vendor's support is pretty slow. Getting issues fixed takes a long time. Users almost give up. I...
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Director
HealthEdge is a company where the people are nice, well meaning, and positive. I like the people...
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Director
HealthEdge struggles sometimes, and they have room to grow in maturity. I like a lot of things about...
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Director
HealthEdge invoices for a lot of things but also overlooks things. I wouldn't characterize the...
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Director
I would recommend that people host with HealthEdge and that they don't self-host. There are elements...
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VP/Other Executive
From a claims system perspective, HealthEdge has one of the most active user communities. Anybody...
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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...
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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...
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VP/Other Executive
HealthEdge tries to take feedback from user conferences and build things into their product. In that...
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VP/Other Executive
I have access to a lot of the top people at HealthEdge.
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VP/Other Executive
HealthEdge is going to stay stable in the next year. They purchased Altruista’s GuidingCare. They...
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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...
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VP/Other Executive
The functionality that HealthEdge chooses to put into the upgrades is usually pretty good. But...
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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...
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VP/Other Executive
Our HealthEdge account representative is great and communicative. They communicate all the time. We...
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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...
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Director
We had a big goal to stabilize HealthRules Payor. We had defects in the system that were a high...
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Director
I think long term, the future looks really great because having multiple offerings under one vendor...
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Director
When using HealthRules Payor hasn’t been ideal, we use another vendor's system as a quick fix. The...
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Director
I like the way HealthEdge has built their technology with APIs. I like the ease of APIs to do...
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Director
We didn’t have enough time when we first started. If another customer can implement and doesn't have...
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Director
When we decided to go to HealthEdge, we looked at several vendors and did some due diligence on all...
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Director
What makes HealthEdge unique is that the configuration is in our hands and our control. We are...
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Director
When HealthEdge releases a new version, the upgrade is so time consuming. I can’t imagine how really...
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Director
We are in a much better spot today than we were initially. The implementation was very painful...
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Director
I would rate HealthEdge well for their leadership. They have brought in people with industry...
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Manager
One of the main sources of tension is that we launch very specific and complex provider and contract...
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Manager
HealthEdge is going to continue to struggle in some aspects until they commit to really scaling up...
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Manager
HealthRules Payor would work great in a closed provider system. It would give us the flexibility we...
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Manager
In terms of tangible outcomes with HealthRules Payor, we were able to migrate off a legacy system...
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Manager
The learning curve on configuring the HealthEdge system is pretty steep. We have to learn the right...
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Manager
What makes HealthEdge unique is their connection to all levels within the organization. We have the...
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VP/Other Executive
HealthEdge appears to be at the forefront of the industry. There is new legislation coming out, and...
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VP/Other Executive
We are still learning the solution. It is a highly configurable system, and we have found several...
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VP/Other Executive
HealthEdge acquired Altruista Health. We are very excited about that. HealthEdge will play a much...
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VP/Other Executive
We had some issues with some of the vendor's trainers, but their content was good. HealthEdge...
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VP/Other Executive
HealthRules Payor is our future state claims and enrollment platform. It is a much more intuitive...
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VP/Other Executive
We have a solid relationship with HealthEdge. We have worked very hard to approach our relationship...
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VP/Other Executive
I don’t see my overall satisfaction with HealthEdge getting any better anytime soon. We will...
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VP/Other Executive
I have refrained from making a recommendation of HealthRules Payor to a peer or friend. My...
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VP/Other Executive
Our operations team feels that the HealthEdge system is intuitive and easy to use. HealthEdge’s...
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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...
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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...
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VP/Other Executive
We went through an extensive RFP with numerous vendors, reviewed all of the documentation, and...
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VP/Other Executive
We have been on quite a journey with HealthEdge. From a configuration perspective, the system has...
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VP/Other Executive
We have very complex products, provider contracts, and pricing methodologies. Because of that, we...
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Physician
We partnered with HealthEdge through some rough growing pains, but in their current state, the path...
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Physician
Generally, HealthEdge keeps their promises, especially as they are rolling out releases. The...
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Physician
HealthEdge is able to package things in bulk so that when we need additional services, we already...
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Physician
One challenge is that the methodologies and the APIs are not fully built out for all the different...
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Physician
There are still some glitches in the claims features, and HealthEdge has to do a system reset. It is...
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Physician
HealthEdge has very clear escalation guidelines. When we have issues, we know what the severity...
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Physician
HealthEdge partners with new vendors or new integrations. They reach out to us and spend some time...
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Physician
Having HealthEdge as a vendor is a double-edged sword. There are things that we would like to have...
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VP/Other Executive
The core of HealthEdge’s technology is a claims administration system. Now they have expanded that...
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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...
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VP/Other Executive
HealthEdge has put a lot of energy into the technology management of HealthRules Payor. They have...
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VP/Other Executive
HealthRules Payor is pretty cool; there is nothing else out there like it. Their competitors'...
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VP/Other Executive
HealthEdge has cultivated a highly interactive customer community. That may change as they get...
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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...
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VP/Other Executive
The executive team is high energy. They lean in. They are collaborative. Other companies act like...
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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....
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VP/Other Executive
The only reason I wouldn’t give HealthEdge the highest score on the quality and effectiveness of...
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VP/Other Executive
When we explore issues, I continue to hear that HealthEdge has had another customer experience the...
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VP/Other Executive
The system is limited in the enrollment, billing, and financial spaces. HealthEdge is putting some...
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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...
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VP/Other Executive
HealthEdge has improved dramatically over the last couple of years. They have been much more...
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VP/Other Executive
We use a services model from HealthEdge that can be somewhat ineffective. We leverage it a lot...
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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...
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VP/Other Executive
HealthRules Payor does have an API structure. However, the performance of the API isn't always what...
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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....
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VP/Other Executive
We have a fair number of conversations with HealthEdge. We meet with them frequently. We talk about...
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VP/Other Executive
HealthEdge has one of the best products in the market. I think our satisfaction will change over...
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Director
The HealthEdge people we worked with during the implementation were extremely knowledgeable and...
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Director
Some of HealthEdge’s documentation as we are going out there and trying to solve a new problem is...
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Director
As my team members continue to become experts in the software, a lot of times when we need...
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Director
HealthRules Payor is a very configurable system. When the end users go into the system, they can...
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Director
HealthRules Payor is definitely meeting our needs, but as we work with our business stakeholders and...
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Director
There are opportunities for improvement in HealthEdge’s customer support and service model. They...
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Director
All in all, HealthRules Payor is the coolest claims processor I have ever seen. But there is also a...
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Director
The vendor has been proactive in terms of checking in on us because of the pandemic. Things change...
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Director
The vendor is lacking knowledge of their own product. My experience is they have high turnover.
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Director
I used to have to get the consulting services through HealthEdge, and they would downstream contract...
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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...
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Director
HealthEdge’s training is terrible. We seem to learn more from the user community and trial and...
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Director
We sometimes have to do a lot of custom code and development build for the integrations, depending...
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Director
We have an account manager, and then we have a ticketing system through the customer relationship...
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Director
HealthRules Payor is a newer product on the market but has grown very popular in the last few years....
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Director
The vendor executives are involved. Our needs and concerns are getting attention. When something...
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VP/Other Executive
HealthEdge is pretty responsive when we ask for enhancements, but there is a specific functionality...
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VP/Other Executive
We have been charged by HealthEdge for some things that maybe could have been written off....
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VP/Other Executive
HealthEdge has always used implementation partners. They are just now getting serious about doing...
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VP/Other Executive
The individual who leads HealthEdge’s training is very accomplished. That person is very savvy. The...
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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...
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VP/Other Executive
HealthEdge is pretty much completely reactive. They are improving. People need to have a specific...
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VP/Other Executive
We had upgrade problems with HealthRules Payor. The vendor is aware of the fact that their upgrade...
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VP/Other Executive
The integration capabilities that HealthEdge has brought to the table have been fine. The optimal...
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Manager
We had to fix the disbursement system, correct the payments, and fix the associated EDI...
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Manager
Our last upgrade caused significant problems, which took HealthEdge a while to fix. They helped us...
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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...
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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...
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Manager
We had to build external systems in order to make disbursements and print EOBs. The investment in...
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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...
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Manager
The system does have good integration with third-party products. Those pieces seem to be well...
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CIO
We had to significantly reconfigure our network to support all our work from home. That required...
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CIO
In general, HealthEdge has been pretty good at developing core software with one notable exception....
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CIO
The software quality and functionality have generally been good. There was one release where the...
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CIO
We definitely learned some lessons from our most recent upgrade. We need HealthEdge to do a better...
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CIO
The product largely works as promoted. In general, payer platforms are so big and complex that it is...
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CIO
There are always new things that HealthEdge is coming out with that we look to adopt.
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CIO
One of the areas where we have been pushing HealthEdge a lot is proactivity. We want them to manage...
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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...
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CIO
The system's strength is its modern architecture. A lot of other payer claims and administration...
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CIO
The areas HealthEdge most needs to improve are around operations. That includes their own operations...
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CIO
Some modules were developed after we went live with the product. We have built some custom solutions...
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CMO
Our new claims system implementation is progressing on schedule. HealthEdge has been really good to...
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CMO
We are extremely excited about the product's communication capabilities. The end users can see what...
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CMO
We don't feel like HealthEdge is too stretched and isn't meeting our needs or timelines. The vendor...
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