Pega Platform is a combined business process management and robotic process automation (RPA) platform with advanced workforce analytics from Pegasystems.
$0.45
one-time fee per case**
Qualifacts Insync
Score1.5 out of 10
N/A
Qualifacts InSync offers a cloud-based healthcare IT solutions configured specifically to the user's practice and workflows. EHR, practice management, medical billing, telemedicine, e-prescribing and patient portal for practices of all sizes.
N/A
Pricing
Pega Platform
Qualifacts Insync
Editions & Modules
Low-code Factory Edition
$0.45
one-time fee per case**
Standard Edition
$0.80
one-time fee per case**
Enterprise Edition
Custom Quote
No answers on this topic
Offerings
Pricing Offerings
Pega Platform
Qualifacts Insync
Free Trial
Yes
No
Free/Freemium Version
No
No
Premium Consulting/Integration Services
No
Yes
Entry-level Setup Fee
No setup fee
Required
Additional Details
**350,000 cases / year minimum. Additional cases available in blocks of 150,000.
Pega Platform has introduced the low code feature, using app studio seasonal and professional developer can develop application easily and quickly. The initial application can be build by Business analyst and product owner who has less knowledge of Pega Platform, further application can be enhanced/extended by professional developer. We can develop end to end application and promote to higher environment. Easily we can perform parallel development using branch.
A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info
This software is a giant piece of flaming garbage. I would never recommend this to my worst enemy. I cannot tell you how frustrating it is that I have gone more than four months to try to get benefit eligibility to consistently work. I have submitted over 40 different attachments of images and videos showing what we are seeing. I have had to have tickets open with Inovalon and Qualifacts on the issue, escalating the issue to top tech support people, escalating it to our account manager, and escalating it with billing. Still, after numerous tickets, complaints, and tech support phone calls, we still haven't gotten a resolution.On top of that, Qualifacts has no problem billing us for this feature that isn't even working properly or responding to any emails regarding the excess use charges for a service that has been tested for the past four-plus months by tech support, and then charging us for that extra use.
Quick development time. Much of the Pega "rules" are easy to configure and implement.
Visually friendly and modern. Much of the UI/UX elements in the system are continuously supported and updated, giving a nice feel to the apps.
Many of the configurations and rules Pega gives to the developers can also be delegated to business users. The organization and structure of the client's business can easily be adapted in the Pega platform.
A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. TR verified that a representative sample of customers was invited. More Info
A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. TR verified that a representative sample of customers was invited. More Info
We would love to be able to send reports via secure email (the functionality s there, but the other party needs the same software, and that is rare in our area
We would love to have electronic visit verification integrated into the software - right now we need to use a 3rd party software package
Pegasystems has continued to demonstrate a strong partnership with our organization and investment in their product that aligns with our overall vision and need. Pegasystems has engaged us at every level, with the assistance of minor defects to the overall roadmap planning and alignment of our goals
Pega Platform is enhancing its product and launching new features day by day which help to achieve customers needs. If I talk about the earlier version of Pega Platform (i.e. pega v5 and 6.3) there were many numbers of limitations in Pega Platform and if we need to do some customization then needed to write custom java and jave scripts to achieve the functionally. Now I can say Pega Platform is running with market trends and demand. Pega Platform is giving all the options which support the current technologies like decisioning capabilities, real time processing, mashup, process fabrics etc..
A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info
Can be overly complicated at times. They emphasize that it's nearly fully customizable without addressing the implications of customizing everything and the fact that it's virtually impossible for them to test the functionality of all of these customizations from practice to practice. We were promised many things during our build out phase and pre-launch, only to find out after we went live that a lot of these features didn't actually function the way that they indicated they would, had ongoing issues, had intermittent functionality without any resolution, or just simply did not work
It’s very slow sometimes, but that may be our servers. Also the Knowledge Library needs some work - again, not sure if it’s our setup or what- but I’m unable to search the body of an article for content, so I have to be very intentional with tagging, but it’s not ideal.
A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info
Every call is capped at 15 to 30 minutes, and if the issue isn't fixed in that window, the fix is to reschedule another 15-to-30-minute call rather than escalate or extend the session. That loop can, and does, repeat indefinitely. We've had our core eligibility issue open since March 16, 2026 with a second formal case open since April 9, 2026 specifically for the batch eligibility failures, and neither has produced a resolution in over four months. We have submitted more than 40 attachments to tech support on this single issue and sat through repeated calls with both InSync support and Inovalon directly. Support has stayed engaged in the sense of taking more calls and opening more tickets, but not in the sense of ever fixing anything or committing to a resolution date. When we escalated in writing, requesting a credit and a named owner for the fix, and looped in both our account manager and finance in the first week of July, we got no response at all, written or otherwise. The pattern across every support interaction is the same: acknowledge the ticket, burn a short call, reschedule, repeat, with no accountability if the deadline slips because there's never a real deadline set in the first place. For a platform handling billing, eligibility, and clinical documentation, that level of support is not adequate for the stakes involved.
A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info
We did evaluate multiple products offerings with Pega Platform capabilities and observed that Pega PRPC rules engine and case management capabilities are better over so many BPM Tools. We also conducted a detailed study with developers to identify the best products out of Suite of BPM products. It's observed that Rules engines integration is very streamlined with forms in Pega whereas other tools multiple have powerful data model capabilities but lacks the ease of creating business rules.
A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. TR verified that a representative sample of customers was invited. More Info
NO MORE "CIRCLE OF DEATH"!!!!!!!!!!!!! No need to find "workarounds" for everyday tasks. No more need to scan and upload paper documents! Billing is much clearer. Claims and statements are easy to monitor. [Insync Healthcare Solutions] has listened [to] its clients and built a system that caters to all!!!!!!! No regrets with our decision to go with [Insync Healthcare Solutions]!!!!
For one of the applications we worked on, we were able to reduce the processing time on a case from 2 days to 20 minutes by utilizing Pega
We were able to resolve the issue of the routing of cases to users based on a specific algorithm by use of Pega
Pega case management feature was extensively used in one of the application to establish a parent-child relationship which was very helpful for all the business users
A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. TR verified that a representative sample of customers was invited. More Info
We love the ease of use, it really creates a smooth process between departments.
We have had some issues with the billing, but it is partially staffing and partially training- we are still working with our staff and our representative from Insync to fix these errors, so it is difficult to put the blame on Insync [Healthcare Solutions]. I believe some of it is user error.
The conflicting information we receive from Insync support has created a lot of issues in the billing department. I would like more consistency from their support team, as I have witnessed two people ask the same question, and get a completely different answer. Again, this could be a user error contributing to the confusion, but consistent responses would be helpful to solve the issues.
A de minimis incentive was given to thank the reviewer for their time. The incentive was not used to bias or drive a particular response, nor was the incentive contingent on a positive endorsement. More Info
