Claims Manager Comments

 

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User Commentary

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VP/Other Executive

Other Observations & Comments

For the most part, Optum doesn’t agree to promises they can’t keep. They tell us no a lot.

Jun 2020
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VP/Other Executive

Technology

Claims Manager could be a little more automated.

Jun 2020
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VP/Other Executive

ROI / Cost (care and feeding)

What I don’t like about Claims Manager is the price. Optum is very expensive. I would look for...

Jun 2020
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VP/Other Executive

Interfacing and Integration

I like that Claims Manager is integrated into our EMR. Claims Manager seems to be the market leader,...

Jun 2020
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Director

Functionality and Upgrades

Because Optum hasn't really changed the old CareMedic solution that they acquired, the process in...

Apr 2020
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Director

Technology

Processing remittances within Optum's system is okay. When we have problems, we aren't at the top of...

Apr 2020
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Director

Sales and Contracting

Because the solution is up and running, we haven't looked at another solution in a while. Our bigger...

Apr 2020
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VP/Other Executive

ROI / Cost (care and feeding)

I would love to find a cheaper version of Claims Manager. The price is an issue; nickel-and-diming...

Dec 2019
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VP/Other Executive

Other Observations & Comments

No one ever meets our needs all of the time, but I would rate Optum a little higher than average.

Dec 2019
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VP/Other Executive

Relationship

I don’t have much need for executive involvement from Optum.

Dec 2019
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Analyst/Coordinator

Functionality and Upgrades

Historically, the Optum system has been clunky, cumbersome, and complicated, but Optum has invested...

Oct 2019
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Analyst/Coordinator

Relationship

Optum has really stepped up. For years, using the software was painful, but Optum has really dug in...

Oct 2019
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Analyst/Coordinator

ROI / Cost (care and feeding)

Optum doesn't nickel-and-dime, but we pay a good amount for support every month. I don't think Optum...

Oct 2019
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Analyst/Coordinator

Functionality and Upgrades

Optum is very proactive in terms of updating their software. They have a team of people who readily...

Oct 2019
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Director

Service and Support

The Optum system is very solid. We don't really have a lot of downtime. However, we have always had...

Dec 2018
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COO

Service and Support

We still have an excellent account manager; that individual is very responsive. I consider us very...

Dec 2018
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COO

Functionality and Upgrades

We have made some progress in learning more about Claims Manager’s new tools for writing rolls. My...

Dec 2018
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COO

Relationship

Optum continues to have a number of changes with the higher-level executives. Optum doesn't seem to...

Dec 2018
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Analyst/Coordinator

ROI / Cost (care and feeding)

Optum is the king of nickel-and-diming. We can’t sneeze without getting charged. Any additional...

Oct 2018
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Analyst/Coordinator

Sales and Contracting

Optum has so many tentacles within Claims Manager and some other Optum applications. We won’t be...

Oct 2018
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Analyst/Coordinator

Implementation and Training

Optum’s products are easy to use except for one product that we recently upgraded. In one of our...

Oct 2018
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Analyst/Coordinator

Functionality and Upgrades

The claim scrubber is easy to use on the fee-for-serve and HMO sides. Only a few people use it...

Oct 2018
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Manager

Service and Support

Our experience with Claims Manager has gone well over the last year. We had a lot of challenges, but...

Aug 2018
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Manager

Functionality and Upgrades

Optum made some changes to Claims Manager that made a big difference in reviewing self-pay claims or...

Aug 2018
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Manager

Relationship

Optum has gotten a lot better at keeping their promises. They are improving with that, and we are...

Aug 2018
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Manager

Functionality and Upgrades

I love Claims Manager; it is awesome and extremely customizable. It comes with editing software that...

Aug 2018
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Manager

Functionality and Upgrades

From the admin side, Claims Manager is pretty average in terms of ease of use. Optum has redesigned...

Aug 2018
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Manager

Implementation and Training

We do have issues with upgrades when Optum doesn’t do them during off hours. They want to do...

Aug 2018
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Manager

Functionality and Upgrades

Claims Manager does well in terms of product functionality. It does a good job, and it is like...

Aug 2018
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Director

Functionality and Upgrades

Optum is changing the way we will work with the Claims Manager rule set, and that will make things...

May 2018
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Director

Functionality and Upgrades

Claims Manager doesn't have a ton of functionality; it is basically a claims-scrubbing system, so we...

May 2018
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Director

Service and Support

Optum does a yearly health assessment for us. They dig down into how we use Claims Manager, and then...

May 2018
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Director

Functionality and Upgrades

We don't have many complaints about Claims Manager. It works like it is supposed to.

May 2018
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Director

Service and Support

We don't use Claims Manager to its fullest potential, but Optum has done everything in their power...

May 2018
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Director

Interfacing and Integration

We use Claims Manager in multiple areas, so it is very easy to integrate.

May 2018
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Director

Technology

Optum is doing an excellent job at delivering new technology for Claims Manager. They make it easy...

May 2018
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Director

Relationship

Our main contact with Optum is very engaged and awesome to work with. That person gets back to us...

May 2018
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VP/Other Executive

Other Observations & Comments

We originally got Optum Claims Manager based on the relationship with Siemens. Then Cerner came in...

May 2018
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VP/Other Executive

Functionality and Upgrades

We are using Optum Claims Manager in a mixed-vendor environment. The data still has to pass from...

May 2018
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VP/Other Executive

Service and Support

I would seriously look at whether I needed Optum Claims Manager before I purchased it again. Every...

May 2018
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VP/Other Executive

Functionality and Upgrades

Optum Claims Manager really works very nicely with the physician space because of the line-item...

May 2018
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VP/Other Executive

Interfacing and Integration

Optum is very difficult to work with, especially when other vendors are involved. Because of the way...

May 2018
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VP/Other Executive

Sales and Contracting

Optum doesn’t nickel-and-dime, but that is because of the way we wrote the contract. I have been...

May 2018
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VP/Other Executive

Service and Support

Optum is not proactive. We have to find issues, and then we have to call them. They don't...

May 2018
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Manager

Other Observations & Comments

Optum's Claims Manager is a good product, although we do shop around because it is expensive. We are...

Dec 2017
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Manager

Service and Support

Optum is possibly hiring new people for their help desk. The help desk is there to answer questions...

Dec 2017
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Manager

Other Observations & Comments

That can happen to any business, but the help desk is an important feature for any product or vendor....

Dec 2017
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Manager

Interfacing and Integration

The interfaces in Optum's Claims Manager are constantly changing, and it is difficult to be...

Dec 2017
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Director

Functionality and Upgrades

We just upgraded the Optum tool, and things are going well. We just need more staff to work the...

Dec 2017
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Director

Functionality and Upgrades

We see a lot of accuracy with what the Optum tool is stopping and sending back. The tool has new...

Dec 2017
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Director

Other Observations & Comments

Optum is doing a push to get the older clients onto the new platform. From what I have seen so far,...

Dec 2017
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Director

Service and Support

Optum's support has been a challenge in terms of their follow-up once an issue has been reported. I...

Dec 2017
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Director

Sales and Contracting

Optum is a little more expensive than other vendors, but they don't nickel-and-dime us for upgrades,...

Dec 2017
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Director

Technology

I don’t really think Optum has come out with any new technology. They have made enhancements on the...

Dec 2017
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