TriZetto Core Administration (Facets, QNXT and QicLink) vs. Ventiv Claims

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

Ventiv Claims works beautifully for workers' compensation. It is easy to use for both field employees and Risk Management. The claim nearly creates itself by allowing the digital "Injury Reporting Form" the employee fills out when they report an injury to populate the claim itself. I have the employee's own description of the incident, which helps determine compensability. In addition, the support we receive from the Ventiv Claims team is second to none. We have a dedicated account manager who ensures our success and is always willing to step in and help whenever we have a question or want something to perform differently.

Incentivized

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

Incentivized

• The Ventiv team is always ready to assist in solving complex issues in a very timely manner.
• The entire Ventiv staff is friendly, knowledgeable, and always ready to help via phone, email, web ex. Our Customer Success Manager, Doug H. is the best! And Cindy H., Machella G., Josette D., Duane J. ...just to name a few.
• Love the fact that aspects of our daily tasks are streamlined and can be completed in one central location from claims management, to reporting, policy renewals, and payment processing.

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

• Document handling
• Load case management transfer
• Slow loading times for tabs
• Automation to assign diaries to claim assistant instead of examiner or supervisor
• Pagination and allowing for view of more than 500 records on a tab
• PDF converter in application requires specific formatting of the Word document
• Need for work arounds for existing issues
• Application built more for an Insurance carrier than a TPA

Incentivized

We have been using Ventiv Claims for over ten years, and there is a wealth of information in the system. We have not seen any other system that compares to the Ventiv Claims environment.

Incentivized

Overall, the system is easy to use. Some fields are redundant within the system, which makes it a little confusing, but once you choose which to use, you can easily hide the other field from users so they do not enter information in the other field.

Incentivized

Overall the support is really good. There are only a few instances where the support could not figure out how to resolve issues we have encountered quickly.

Incentivized

During any training provided by Ventiv, the sessions are always two ways. It is not just a lecture that you sit through, they are generally question and answer type sessions that are very good at getting the point across. By keeping the sessions small and manageable, Ventiv can provide the training necessary so that all of the users feel comfortable.

I was not a part of the implementation so I am not able to speak much to this. From my understanding Ventiv was very involved in the process of making this as seamless as possible and provided great support. For the integrations that we have had Ventiv has done a great job of answering all questions and helping to resolve any issues.

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

RL Solutions/RLDatix was another company that we evaluated but they did not have anything Workers' Comp related at the time. Origami Risk was another company that we evaluated but they didn't have anything Workers' Comp related at the time and were very pricy. RiskMaster was the product we used many moons ago for managing Workers' Comp software. We selected Ventiv because of their history and how long they had been in the industry with Workers' Compensation.

Incentivized

• 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

• We pay about $100K per year in support/update fees it has been very difficult to justify these fees as we don't use support much and many of the updates simply brought the product to an approximate level to what we thought we were purchasing in the first place.
• Self-hosting and owning the software rather than SaaS is an incredible value.

Incentivized