Optum Payment Integrity Solutions (Post-Pay) Commentary
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Subject Expert
Boyd Stewart
Vice President of Payer/Provider Collaboratio
KLAS Vice President of Payer/Provider Collaboratio - Boyd Stewart
 
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User Commentary

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Manager

Relationship

Overall, we have a good working relationship with the vendor. We are very transparent. We meet...

Apr 2024
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Manager

Culture

We have SLAs built into our contract, and the vendor doesn't hit all the SLAs for every measurement...

Apr 2024
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Director

Relationship

I'm not really seeing much development from the vendor. I feel like they sit back, they have their...

Apr 2024
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Director

Relationship

The vendor will reach out if they have some new ideas for new algorithms that they want us to...

Apr 2024
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Director

Relationship

The vendor is at the top of the market, so if another health plan wanted to get into this space,...

Apr 2024
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Manager

Relationship

We like the relationship we have with Optum. Their approachability and responsiveness are good, and...

Dec 2023
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Manager

Relationship

Optum is great, and they really do things to a T. We have very few disputes and very few overturns....

Dec 2023
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Manager

Relationship, Operations, Product

As far as the upgrade implementations from Optum go, nothing is perfect, but we have never...

Nov 2023
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Manager

Operations, Product

The product is very user friendly, and there is also a lot of self-service that we can do and feel...

Nov 2023
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Manager

Relationship

There are some rules and functionality that we know the vendor is working on. The vendor keeps us...

Nov 2023
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Manager

Relationship

The vendor sends out a lot of communication. Some days, the communication is almost overwhelming....

Nov 2023
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Manager

Relationship

The vendor has moved our account manager several times over the years. All of the account managers...

Nov 2023
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Manager

Product

There is some functionality that Optum has that we can't use because of our payment system. The...

Nov 2023
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Manager

Operations

For the initial training, the vendor came on-site and did what we felt was a really exceptional job...

Nov 2023
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CIO

Product

We are satisfied with what is in Optum Payment Integrity Solutions. We used to struggle with...

Oct 2023
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CIO

Relationship

Optum is very reactive. I feel like they are only there for renewals and issues.

Oct 2023
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Director

Relationship, Product

The vendor recommends that we operationalize a whole bunch of things that don't make any clinical...

Sep 2023
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Director

Culture

The vendor provides a service that is consistent with their contract. They do things in a timely...

Sep 2023
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Director

Relationship

The vendor knows that there are production issues, so they are fairly responsive when we have...

Sep 2023
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Director

Culture, Value

The expenses associated with the product are fairly straightforward, and the vendor doesn't charge...

Sep 2023
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Director

Operations, Product

The vendor’s upgrades have gotten better, but there are still occasional testing situations that...

Sep 2023
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Director

Relationship

When we have questions, the vendor is willing to spend time, address those questions, and point us...

Sep 2023
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Director

Product

The product works pretty well with Epic's system; the interoperability there is seamless, and we...

Sep 2023
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Director

Product

There are occasional hiccups with rebooting the product, but that is pretty normal for most...

Sep 2023
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Director

Value

The vendor is doing a big upgrade; it is a major rewrite for them, and it is converting all their...

Sep 2023
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Manager

Product

We can do pretty much whatever we want in the solution.

Sep 2023
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Director

Loyalty, Product

We are satisfied with Optum Payment Integrity Solutions and won't leave. Optum keeps up with changes...

Aug 2023
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Director

Relationship, Product

Optum Payment Integrity Solutions is integrated with an Epic module we use, and the integration...

Aug 2023
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COO

Loyalty, Product

We use Optum's product for code editing in our regular claims processing. We don’t have any plans to...

Aug 2023
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Manager

Value

As we see things that another vendor is not covering, we can utilize Optum Payment Integrity...

Jul 2023
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Manager

Relationship, Product, Value

Optum is able to do chart reviews for us. Tending to claims internally is labor-intensive work, so...

Jul 2023
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Manager

Relationship

Our relationship with Optum is newer than it is with other vendors. It takes time to help acclimate...

Jul 2023
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Manager

Loyalty, Relationship

Optum seems to be a good post-pay partner, and they are somewhat responsive with prepay. Optum isn't...

Jun 2023
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Manager

Relationship

Optum has grown tremendously over the last few years. They have gobbled up specialty services, but...

Jun 2023
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