Guidewire ClaimCenter vs. TriZetto Core Administration (Facets, QNXT and QicLink)

ClaimCenter is very well suited for almost any claims environment. In many cases, claims handling can be delayed by the fact that there are several people and departments that they have to go through. Without a system in place that provides a UI for the user to work in, claims can be missed or just delayed due to general user error. This system streamlines that workflow. If the claims department is not very big or their volume of processed claims isn't high enough, ClaimCenter might be a little overboard.

Incentivized

It's all about the knowledge base and talents of the end user. Trizetto performs well with most users, it performs extremely well in the hands of top talent.

Incentivized

• Interacts very well with other Guidewire products (e.g. BillingCenter, PolicyCenter).
• Interacts well with "payment" vendors like One, Inc. to be able to issue payments electronically.
• From a new-hire standpoint, the system is easy to train new users on.

Incentivized

• Reduced claims errors and quick reprocessing
• Easily monitor a 6-7 figure AR
• View productivity across multiple departments

Incentivized

• Installation and deployment can be tricky. Professional services is highly recommended
• There a couple of workflows that are not as efficient as the others. This causes a bit more manual work to be done

Incentivized

• Customer service is exceptional, no issues here
• Web portal is easy to use, again very satisfied
• I would like to see more opportunites for training videos/ best use training

Incentivized

Most interactions with support have been very helpful and led to the resolution of the issues. They were more than willing to help resolve issues and were knowledgeable. Also, the time to get an actual representative was much lower than many other vendors. Getting to additional tiers of support was a hassle at times, but once there the issues got resolved.

Incentivized

We have been very happy users of ClaimCenter (currently on version 9) for over 15 years and have not had any reason to review other competitor claims management platforms.

Incentivized

There are a number of other offers, but you will find the robust nature of facets and ease of use - an easy decision to make.

Incentivized

• ROI is still under assessment

• Combined with Clear Healthcare Estimates HCT, we have a collections of patient responsibility that exceed 96%. Industry average is less than 55%.
• Our ROI increased modestly with this service, although our team performs quite well with previous product

Incentivized