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Optum Payment Integrity Solutions (Pre-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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VP/Other Executive

Culture, Loyalty

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

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...

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...

Aug 2025
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Analyst/Coordinator

Culture

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

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...

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...

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...

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...

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...

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...

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...

May 2025
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Director

Operations

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

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...

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.

Apr 2025
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Manager

Product

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

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...

Apr 2025
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Director

Loyalty, Relationship

Optum walked alongside us at every phase of our progress. We don't just use Optum Payment Integrity...

Apr 2025
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Director

Culture, Value

Optum is up front about charges. The solution could be pricey, but they negotiate. They avoid...

Apr 2025
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Director

Loyalty

Optum is good. They have some good integration services. I think Optum is part of our long-term...

Apr 2025
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Manager

Culture, Relationship

I have no complaints about Optum's itemized bill review program for inpatient hospitals. It was...

Mar 2025
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VP/Other Executive

Operations

Optum Payment Integrity Solutions is a really good product that is going well. It is integrated with...

Jan 2025
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VP/Other Executive

Relationship, Product

Optum could have some better diagnostic capabilities when there are system issues. We recently...

Jan 2025
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Director

Relationship

I don't know much about Optum, but that might be a telling thing. I don't have to deal with them...

Jan 2025
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CIO

Relationship

I would like Optum to be more proactive in terms of what claim edits are applicable to our state.

Jan 2025
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VP/Other Executive

Relationship, Product

I would probably give Optum a fairly high rating for my likelihood to recommend them, but that is...

Dec 2024
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