Product Usage: Symplr is used for the peer review process to monitor provider quality for a behavioral health group, streamlining an originally manual operation.

Strengths: The platform was affordable and the company offered responsive customer support throughout implementation.

Weaknesses: Symplr suffered from an antiquated user interface and problematic account setup for providers which was difficult to manage on a large scale.

Overall Judgment: Despite the affordable cost, the user interface difficulty and provider setup issues resulted in dissatisfaction with the selection of Symplr for peer review operations.

Product Usage: Modio is used for credentialing tracking and verifying licenses across diverse behavioral health categories in different states.

Strengths: Modio is intuitive, makes data entry easy, verifies licenses effectively, and provides a helpful feature to send out forms for completion or signatures.

Weaknesses: Modio does not run checks automatically and fails to alert users about skipped required fields, and sometimes the verification doesn’t match up to the appropriate licensing board.

Overall Judgment: Modio is effective and supportive for the company’s needs, but as the company has grown, it’s proven not as efficient due to lack of automation and integration for larger-scale needs.

Product Usage: The reviewer uses CertifyOS for handling licensing and credentialing requirements of their national telehealth company.

Strengths: CertifyOS has been successful in obtaining licenses for the reviewer’s organization, providing good customer service, and beneficial pricing.

Weaknesses: Communication, lack of transparency, handling multi-state telehealth credentialing, and a non-intuitive dashboard have been notable downsides.

Overall Judgment: The product is suitable for straightforward licensing requirements, but struggles with complexity, particularly relating to telehealth credentialing across multiple states.

Product Usage: The user employs the CertifyOS platform for credentialing purposes only, utilizing a credentialing dashboard for tracking progress and submitting requests.

Strengths: CertifyOS offers a wide range of services including licensing, credentialing, payer enrollment, renewal, and primary and secondary source verification.

Weaknesses: The user found the organization to be somewhat disorganized and experienced substantial delays in the credentialing process due to the unavailability of immediate responses from subject-matter experts.

Overall Judgment: Despite some improvements since a subject matter expert began joining their calls, the user remains uncertain about trusting CertifyOS to effectively scale with them and license and credential a large number of providers due to their early experience.

Product Usage: The user utilizes Medallion for credentialing process, primary source verification, ongoing monitoring, and practice management in their outpatient behavioral health group.

Strengths: Medallion’s delegation support, continual improvements, high customer service level, and relatively seamless provider enrollment process are appreciated.

Weaknesses: The user occasionally noticed typos or mistakes on the credentialing application during the payor enrollments by the Medallion team.

Overall Judgment: The user highly recommends Medallion, citing its substantial positive impact on their business operations, successful support for payor enrollments and transformation of their credentialing process.

Product Usage: Ribbon Health was used in an app for a large, self-insured employer to manage employee health, providing real-time, accurate information on provider types, medical services, availability, and insurance acceptance, thus improving provider search.

Strengths: The Ribbon Health team’s collaborative approach, the product’s modularity, accuracy of data, and the efficient implementation process were significant strengths.

Weaknesses: As the company grew, customer attention reduced, slowing down the response time to concerns, and the initial documentation was weak, but has since improved.

Overall Judgment: Despite some initial problems and growing pains, Ribbon Health was an overall good choice due to their attention to customer needs, accurate data provision, and strong, collaborative team. However, as they continue to grow, maintaining their standout qualities will be a challenge.

Product Usage: Verifiable is used for healthcare provider credentialing, verifying that providers meet a certain quality standard, and streamlining the process of adding new providers on a daily basis.

Strengths: Verifiable offers a user-friendly platform, immediate results due to its integration with primary sources, and valuable automated alerts for license expirations or status changes.

Weaknesses: Its detection of changes in primary source data is inadequate, often raising false alarms, and the system continues to verify licenses even for archived providers.

Overall Judgment: Despite certain weaknesses, Verifiable is exceptionally beneficial in terms of managing the time-consuming process of credentialing, providing immediate results and significantly reducing manual work.

Product Usage: Verifiable is used to automate and streamline the credentialing and provider onboarding process, offering an API-friendly platform.

Strengths: Strengths include high levels of automation, ease of use, and the ability of Verifiable to function as a single source of truth for provider data.

Weaknesses: Some weaknesses the reviewer highlighted include initial issues with support and implementation, and complications with scalable workflows for credentialing applications.

Overall Judgment: Overall, the company is satisfied with their choice of Verifiable, commending its ease of use and automation capabilities, while noting the time it took to address initial implementation problems.

Product Usage: The reviewer uses Zelis in their health insurance navigation company to identify in-network providers at various health plans and help customers understand their insurance plans.

Strengths: The main strengths of Zelis include direct access to data from insurance carriers, overall API reliability, and established relationships with many insurance carriers.

Weaknesses: Some weaknesses noted include outdated API structure, lack of transparency about data updates and availability, restrictions in API usage, and poor support service.

Overall Judgment: Despite some obstacles, the reviewer feels they made the correct choice due to Zelis’ unique data partnership capability and regards it as the best available option for their specific use case.

Product Usage: Medallion is used for network credentialing and delegated credentialing for healthcare providers, with the platform facilitating the verification of information submitted by these providers.

Strengths: The platform has a user-friendly interface and significantly improved processing speed compared to previous vendors, with most applications processed within a few days.

Weaknesses: The platform lacks the ability for customization, doesn’t notify when a secondary verification is complete, and doesn’t fully support providers in understanding and completing the credentialing process.

Overall Judgment: While Medallion’s service and user interface are appreciated, areas for improvement include ability for customization and more proactive communication regarding task completion. Their utility for a specific organization may depend on the complexity of the credentialing needs such as multiple state licenses.

Product Usage: The telemedicine clinic uses Medallion to monitor the credentials of its physicians and to assist with contracting in-network with payors.

Strengths: Medallion excels at assessing payor contracts and determining market standards, and their team provides valuable advice during contract evaluation.

Weaknesses: Despite having a edge in technology, significant amounts of work still require human interaction which can cause delays, and the platform’s internal communication could use improvement.

Overall Judgement: Despite some weaknesses, Medallion has proven to be as effective as any other platform for handling contracting, credentialing issues and has overall enhanced the company’s operations.

Product Usage: andros is primarily used for primary source verification for credentialing purposes, including running education checks and reporting entities from databases, and also provides support to become delegated and manage payer audits.

Strengths: andros stands out for its exceptional service - effective communication, prompt issue resolution, accommodating to specific business needs and providing quick turnaround times when necessary.

Weaknesses: andros is not the cheapest option in the market, which could be a potential downside for companies with strict budget limitations.

Overall Judgment: The overall experience with andros has been very positive, with the platform demonstrating reliable functioning, robust features, and remarkable customer service, making it a valuable asset in managing the credentialing process.

Product Usage: Medallion is used to support the provider licensing process by managing all communication and follow up with the Department of Health, saving time and reducing confusion.

Strengths: Medallion is cost-effective and flexible regarding the number of licenses required and length of contract, they provide a platform for information collection and process tracking and their service level improves when issues are raised.

Weaknesses: The platform struggles with delivering personalized and prompt communication to clinicians, and the service level can slip causing delays in achieving the agreed-upon timelines.

Overall Judgment: Medallion is a satisfactory service for behavioral health licensing, however, user experience could improve, particularly in the area of timely and personalized communication.

Product Usage: Ribbon is used to clean provider and location data for the company’s network directory, verify the accuracy of data sources, and provide additional metadata.

Strengths: The Ribbon product meets expectations in terms of data quality, is easy to use with a well-documented API, offers great support, and allows for customization without extra charges.

Weaknesses: The product has occasional reliability issues, does not provide hierarchical categorization for specialties, making it difficult to pull data at both levels, and the specialties endpoint could be improved.

Overall Judgment: The user is satisfied with Ribbon’s performance and plans to continue using it in the foreseeable future, largely due to the convenience and efficiency it provides. However, further improvements in data categorization and reliability could enhance user experience.