Payers
Maximize savings and efficiency, improve payment integrity
Maximize savings and efficiency, improve payment integrity
Achieve higher levels of transparency while improving financial performance and assuring the validation, integrity and accuracy of claims.
Drive down high-dollar claim costs while ensuring appropriate, defensible payments secured by provider agreements.
Engage early for optimal medical stop loss coverage to mitigate fiduciary risk.
Provider Network Design
Protect plans and members from surprise out-of-network billing with fair, defensible and market-sensitive QPAs with average 66% of billed charges. Built on a foundation of real-word data from Valenz-contracted provider networks, the VMS® repricing methodology mitigates the risk of appeals and independent dispute resolution.
Full claim review case studies illuminate opportunities for significant savings.
Data-driven insights combine with Valenz solutions to allow payers to manage costs across the member journey.
Connect with a team member today to learn how the Valenz ecosystem can make a difference for you.