February 10, 2026

Capturing Savings Across Claim Complexity with a Tiered Payment Integrity Strategy

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A large healthcare plan payer partnered with Valenz to conduct a comprehensive review of more than 626,000 medical claims incurred over six months to capture potential savings from billing inaccuracies, coding errors, and clinical discrepancies. Using its Clean Claim Verification solution, the Valenz team identified potential savings of $112.6 million in initial billed charges, reduced to $43.4 million in allowed charges.

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