Member enrolls in the health plan.
Valenz delivers quality-first provider networks and reimbursement strategies with cost-saving, risk-reducing services to replace your high-cost contracted network plan – and you choose which network model will best serve your business and member needs.

Member seeks care services.
NaVcare provides concierge-level member guidance, directing care to in-network providers for better savings, outcomes and experiences. Also includes telehealth integration and referrals to care management.

Member is diagnosed and needs treatment.
RN-led, triple URAC-accredited care management targets the right care before services are rendered. Improve quality of care and maximize savings with personalized Case Management, Utilization Management and Disease Management.

Member is prescribed Rx therapy and needs close monitoring.
Wraparound care management services optimize care with specialty pharmacy benefit solutions, remote monitoring for chronic conditions, specialized care management for oncology, cardiology, diabetes, maternity and more.

Member’s claims are submitted for payment.
Protect payment integrity for your business and out-of-pocket costs for your members with our complete set of tools and services for systematic claim review, expert bill review with provider sign-off, claim and network repricing, stop loss group captives, and balance billing support.

Member and health plan need costs to stop rising every year.
Through the power of the ecosystem, which includes unparalleled data transparency and analytics across the life cycle of every claim, Valenz continuously uncovers opportunities for improved quality and utilization to lower costs. Reduce health spending year over year compared to ever-rising BUCAH plan costs.