They work well at converting ammonia to nitrate, but they don't seem to be able to convert nitrate to nitrogen gas. So, in some tanks, they lead to higher nitrate levels. That was my experience with the similar "Bio-Bale" in my BakPak skimmer. They also are a bit of a maintenance nuisance, since you'll need to clean debris off them.
So they can be good, bad, or irrelevant, depending on what animals you want to keep and what the rest of the system contains.