Stop Claim Errors Before They Happen with Clean Claim Verification
Medical Coding Software for Simplified Claim Management
Protecting Your Time and Bottom Line
Ensure Smarter, Better, Faster Claim Denial Management
With medical claim denial rates at an all-time high and thousands of changes made each week to coverage rules for Medicaid, Medicare, and private payers, you simply can’t afford to settle for subpar claims processing software.
Vālenz Health® delivers the accuracy, speed, and confidence your team needs to stay ahead.
As the industry’s most reliable and comprehensive rules engine, Valenz Clean Claim Verification enables precise, detailed verification of medical billing codes and coverage for payers, plans, and service providers just like you. Save time, reduce exposure, and protect your bottom line with our accurate, efficient solution today.
Your Solution for Unparalleled Accuracy
Enhance Efficiency and Revenue Health with Clean Claims
A solution that scrubs all inpatient, outpatient, and specialty data with unparalleled accuracy, Clean Claim Verification is your claims spell check:
- Receive error messages to point the coder/claim adjudicator in the right direction
- Get full verification of correct CPT, ICD-10-CM, and ICD-10-PCS coding and medical coverage
- Work with our team to establish custom connections and integrate the solution’s processing power
- Reduce exposure, save time, and protect your bottom line with batch processing, full integration, and more
As your complete package in medical coding software, Clean Claim Verification delivers best-in-class data, integrated claim editing and insightful dashboard reporting, and more—delivering you the clean claims required for better efficiency and financial performance.
Components for Comprehensive Claim Scrubbing and Review
Medical necessity rules
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Coding and coverage accuracy
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Contextual feedback
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Support from our nationally certified content team
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Compatible with a Wide Range of Health IT Systems
Epic
Meditech
Iatric
Fewer Claim Denials, More Accurate Reimbursement
Clean Claim Verification Saves You Time, Money, and Resources
Optimize your claim editing process, allocating more time and effort to patient and member support.
Clean Claim Verification Provides
Medical coding and claim scrubbing software that integrates (via API) with a wide range of health IT systems.
Ensured accuracy for medical necessity requirements, including CPT, ICD-10 coding and coverage, and more.
Pre-submission review support that ensures detailed claim review and appropriate submission needs.
Contextual feedback, including simple error alerts and green lights, for efficient and accurate notifications of claim readiness.
Pre- and post-payment support for claim review and payment integrity models.
Software with a strong foundation of reliable, up-to-date data.
Custom editing engine.
Fully integrated, real-time batch mode and audit support models.
You Receive
Streamlined processes and simplified claim management.
Reduced denial rates, fewer claim coding errors across a multitude of coding types, and more accurate reimbursement, guaranteed.
Proactive ABN notifications and documentation.
A simple, transparent process to easily identify and correct problems.
Identification of overpayments and strategies to proactively avoid them.
Correct claims without errors, every time.
Customizable functionality that supports specific editing ability.
Configurable solutions that fit your unique organizational needs.
Expert Data that Meets Your Unique Needs
Optimizing Claim Management with Detailed Data Libraries
By leveraging our expertly curated data libraries from the Valenz Curated Data Sources solution, Clean Claim Verification meets all of your claims denial processing and management needs, delivering verification with industry-leading speed and accuracy.
100% originally sourced data curated by our nationally certified content team
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10,000 average changes per week proactively tracked to maintain regulatory compliance
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All Your Health Insurance Solutions on One Platform
Explore the Vālenz Health® Integrated Platform for Simplified Healthcare
Seamlessly unite member experience, payment integrity, provider quality, and plan performance with our integrated platform. Discover how we optimize the utilization of high-value healthcare across the entire member journey.
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Your Journey Starts Here
Connect with a Valenz team member to explore the difference our solutions can make for you.