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Optum Payment Integrity Solutions (Pre-Pay) Commentary
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Subject Expert
Mac Boyter
Research Director
KLAS Research Director - Mac Boyter
 

Commentary Summary

Comment Type Breakout

Positive
Neutral
Negative
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User Commentary

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Manager

Relationship, Product

Optum’s systems don't seem to give a lot of opportunity for updates without very lengthy processes,...

Unrated
Jan 2026

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Manager

Relationship, Product

There have been some issues with the solution, but the people working on those problems have been...

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Jan 2026

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Manager

Product

Optum has solutions in place, and they have things going on. The solution isn't the greatest thing...

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Jan 2026

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Manager

Operations

Optum does have a training portal, and they gave us some tips and tricks. They gave us some...

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Jan 2026

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Director

Loyalty, Product

The new version of the system is coming. Right now, the system is really convoluted. However, the...

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Jan 2026

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Director

Relationship

It takes the vendor a lot of iterations to get anywhere. The vendor doesn't always get everything on...

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Jan 2026

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Director

Value

I am not sure that some of Optum's offerings are worth it. For some of those things, it seems like...

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Jan 2026

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Director

Loyalty, Product

We use the system because it is so integrated with our legacy product. Optum's system doesn't have...

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Jan 2026

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Director

Loyalty, Relationship

Optum has improved over time. In the past, we didn't like the system, but the vendor turned some...

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Jan 2026

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Director

Loyalty, Product

Optum's system does well in some states, but in other states, the system is fading.

Unrated
Jan 2026

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VP/Other Executive

Culture, Loyalty

Optum Payment Integrity Solutions is pretty good at facilitating accurate payments, even though the...

Unrated
Nov 2025

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VP/Other Executive

Relationship

I would give Optum's support a B. It is a textbook example of when an organization tries to do...

Unrated
Aug 2025

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VP/Other Executive

Relationship, Value

Optum doesn't feel like a true partner. They have a woe-is-me sentiment, and they nickel-and-dime...

Unrated
Aug 2025

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Analyst/Coordinator

Culture

Cognizant is building their own pricing interface directly with something we leverage through Optum....

Unrated
Jun 2025

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Analyst/Coordinator

Relationship, Value

Optum is surprisingly pretty good about accommodating things that are out of our control. Optum does...

Unrated
Jun 2025

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Analyst/Coordinator

Relationship, Product

Optum’s partnerships with Cognizant and their integration for prepayment things let me sleep at...

Unrated
Jun 2025

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Analyst/Coordinator

Relationship

Optum could do better at understanding our business and moving us to find the right value of their...

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Jun 2025

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Analyst/Coordinator

Product

Optum’s prepayment side is still a bit manual, and the reporting that comes back is a little...

Unrated
Jun 2025

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Director

Culture, Relationship

We have had some weird things happen with Optum occasionally. Someone told us that they tried...

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Jun 2025

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Director

Relationship, Value

The solution is doing exactly what I expected it to do. It finds overpayments. Optum does a good job...

Unrated
Jun 2025

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Director

Product

I wish Optum would offer real-time file exchange, but some of that is on us, and some of that is on...

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May 2025

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Director

Operations

Optum’s implementation services are good, but they have room for improvement. Even though Optum can...

Unrated
May 2025

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Director

Relationship

We have a decent relationship with Optum. They are just not always great at what they do. I would...

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May 2025

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VP/Other Executive

Loyalty

We are trying to move away from Optum. The overall delivery hasn’t been super strong over the years.

Unrated
Apr 2025

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Manager

Product

Optum Payment Integrity Solutions is a customizable tool, and it works well with our claim system....

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Apr 2025

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Manager

Relationship, Operations

Optum is a great behemoth, and with the cyberattack that happened on Change Healthcare, one thing...

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Apr 2025

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