Commentary Summary
If you don't have a login, getting started is easy.
User Commentary
Loyalty, Product
Optum’s code review functions are well done, but we fall a little short because I don't think we...
Login or Create an Account to see details.
Relationship
It is strange that we have Optum for both pre- and post-pay operations. It feels like the two don't...
Login or Create an Account to see details.
Product
I really wish that Optum had inpatient rules.
Login or Create an Account to see details.
Loyalty
Our main Optum Payment Integrity Solutions strategy over the next few years is to shift all we can...
Login or Create an Account to see details.
Product, Value
We implemented the new pricer in Optum Payment Integrity Solutions, but I haven't seen a lot of...
Login or Create an Account to see details.
Relationship, Operations
The Optum training is average. Optum has training on their products, but it is very generic and...
Login or Create an Account to see details.
Product
Within accurate payments, we have implemented an APC pricing model, and we have had challenges with...
Login or Create an Account to see details.
Value
I would tell a peer who was considering the product that it is a great tool. It does what Optum...
Login or Create an Account to see details.
Loyalty
We are looking at expanding and doing facility scrubbing and claims editing. I am excited, but I am...
Login or Create an Account to see details.
Relationship, Product
We operate in multiple states, and Optum has been very helpful with determining local coverage and...
Login or Create an Account to see details.
Relationship
The vendor is at the top of the market, so if another health plan wanted to get into this space,...
Login or Create an Account to see details.
Relationship
The vendor will reach out if they have some new ideas for new algorithms that they want us to...
Login or Create an Account to see details.
Relationship
I'm not really seeing much development from the vendor. I feel like they sit back, they have their...
Login or Create an Account to see details.
Relationship, Product
Other vendors do better with subrogation. There are things we believe to be subrogation that Optum...
Login or Create an Account to see details.
Relationship
The vendor has moved our account manager several times over the years. All of the account managers...
Login or Create an Account to see details.
Product
There is some functionality that Optum has that we can't use because of our payment system. The...
Login or Create an Account to see details.
Operations, Product
The product is very user friendly, and there is also a lot of self-service that we can do and feel...
Login or Create an Account to see details.
Relationship, Operations, Product
As far as the upgrade implementations from Optum go, nothing is perfect, but we have never...
Login or Create an Account to see details.
Relationship
There are some rules and functionality that we know the vendor is working on. The vendor keeps us...
Login or Create an Account to see details.
Relationship
The vendor sends out a lot of communication. Some days, the communication is almost overwhelming....
Login or Create an Account to see details.
Operations
For the initial training, the vendor came on-site and did what we felt was a really exceptional job...
Login or Create an Account to see details.
​
Preferences