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Optum Payment Integrity Solutions (Post-Pay) Commentary
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Subject Expert
Mark Allphin
Vice President of Sales
KLAS Vice President of Sales - Mark Allphin
 
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Featured  Report

Payment Accuracy & Integrity 2025: Shifting Focus from Payment Recovery to Error Prevention
Payment Accuracy & Integrity 2025:
Shifting Focus from Payment Recovery to Error Prevention
October 2025
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Commentary Summary

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User Commentary

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Manager

Relationship

As a strategic partner, Optum has been innovative. We have been with them for a long time. The...

Aug 2025
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Manager

Product

We really need innovative ideas. I know there is a line between fraud and payment integrity, but our...

Aug 2025
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Manager

Relationship

I wish that Optum came up with concepts more frequently. I haven't received new concepts from Optum...

Aug 2025
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Director

Loyalty, Relationship

In terms of receiving my money’s worth, I don't get any feedback from Optum. I could do everything...

Jul 2025
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Analyst/Coordinator

Product

I don't see a lot of issues with Optum post-payment from a stability perspective, but it is a...

Jun 2025
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Analyst/Coordinator

Product

Core analytics is a key component. Optum's system is not a platform; it is multiple solutions that...

Jun 2025
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Director

Loyalty, Value

We are likely going to expand the Optum engagement to also include professional claims. There is not...

Jun 2025
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Director

Relationship, Product

The DRG area is new for Optum, and they are still working out bugs in the analytics. However, I have...

Jun 2025
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Director

Relationship

We have gotten some definite good communication from Optum about the change in leadership.

Jun 2025
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Manager

Relationship, Operations

We have had many issues with the implementation of the solution, and the reports that we are...

Jun 2025
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VP/Other Executive

Relationship, Product

So far, Optum has been easy to work with. They do comprehensive research to make sure the leads they...

Apr 2025
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Director

Culture, Loyalty

I can't say anything Optum is amazing at. They are not doing well with their accuracy of payment,...

Feb 2025
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VP/Other Executive

Loyalty

We are going to move away from Optum. They are not really a leader in the space. Optum was...

Dec 2024
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