Optum Payment Integrity Solutions (Pre-Pay) Commentary
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Subject Expert
Mark Allphin
Vice President of Sales
Commentary Summary
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User Commentary
Loyalty, Product
The new version of the system is coming. Right now, the system is really convoluted. However, the...
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Relationship
It takes the vendor a lot of iterations to get anywhere. The vendor doesn't always get everything on...
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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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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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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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Loyalty, Product
Optum's system does well in some states, but in other states, the system is fading.
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Culture, Loyalty
Optum Payment Integrity Solutions is pretty good at facilitating accurate payments, even though the...
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Relationship
I would give Optum's support a B. It is a textbook example of when an organization tries to do...
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Relationship, Value
Optum doesn't feel like a true partner. They have a woe-is-me sentiment, and they nickel-and-dime...
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Culture
Cognizant is building their own pricing interface directly with something we leverage through Optum....
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Relationship, Value
Optum is surprisingly pretty good about accommodating things that are out of our control. Optum does...
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Relationship, Product
Optum’s partnerships with Cognizant and their integration for prepayment things let me sleep at...
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Relationship
Optum could do better at understanding our business and moving us to find the right value of their...
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Product
Optum’s prepayment side is still a bit manual, and the reporting that comes back is a little...
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Culture, Relationship
We have had some weird things happen with Optum occasionally. Someone told us that they tried...
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Relationship, Value
The solution is doing exactly what I expected it to do. It finds overpayments. Optum does a good job...
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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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Operations
Optum’s implementation services are good, but they have room for improvement. Even though Optum can...
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Relationship
We have a decent relationship with Optum. They are just not always great at what they do. I would...
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Loyalty
We are trying to move away from Optum. The overall delivery hasn’t been super strong over the years.
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Product
Optum Payment Integrity Solutions is a customizable tool, and it works well with our claim system....
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Relationship, Operations
Optum is a great behemoth, and with the cyberattack that happened on Change Healthcare, one thing...
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Loyalty, Relationship
Optum walked alongside us at every phase of our progress. We don't just use Optum Payment Integrity...
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Culture, Value
Optum is up front about charges. The solution could be pricey, but they negotiate. They avoid...
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Loyalty
Optum is good. They have some good integration services. I think Optum is part of our long-term...
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Culture, Relationship
I have no complaints about Optum's itemized bill review program for inpatient hospitals. It was...
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Operations
Optum Payment Integrity Solutions is a really good product that is going well. It is integrated with...
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Relationship, Product
Optum could have some better diagnostic capabilities when there are system issues. We recently...
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Relationship
I don't know much about Optum, but that might be a telling thing. I don't have to deal with them...
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Relationship
I would like Optum to be more proactive in terms of what claim edits are applicable to our state.
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