Vālenz® Access Assured

An integrated, dynamic approach to Reference Based Pricing, powered by VMSSM

To achieve clarity and balance in the cost-quality equation, Vālenz integrates deep analytical insights with member-centric services, while collaborating with members, providers and payers to ensure transparency. Working within the ecosystem, Valenz Access Assured takes a next-generation approach to Reference Based Pricing models: Through our proprietary VMSSM analytical algorithm, we blend payment, cost and charge data sets to produce reimbursement recommendations that are fair, defensible, transparent and consistent for everyone.

At the outset of care, dedicated concierge professionals assist and steer members toward high-quality care and support their healthcare journey. Should balance billing occur, Valenz provides full member assistance, up to and including legal support.

Valenz Access Assured offers many advantages:

  • Centralized Care Coordination: Dedicated resources serve as the central point of contact for members, providers, and payers channeling members to high quality providers
  • Pre-Service Negotiations: Valenz experts engage immediately to contact providers and negotiate contractual agreements creating transparency of cost and eliminating the risk of balance billing.
  • Balance Billing Support: When contracting isn’t an option and a provider appeals reimbursement levels, we protect the plan and member with comprehensive support for appeals, including negotiations with the provider and legal advocacy.
  • Post-Service Contracting: Valenz contracting experts will support the plan and members through constant expansion and development of new agreements with providers and facilities, driving high-value network development, direction of care and high-quality provider utilization.
  • Seamless Integration: A single-source solution for results integrated with the full Ecosystem.

By engaging early and often, Valenz Access Assured streamlines your path to lower costs and healthier member lives. It’s one of many ways we work closely with data, people, companies and partners to ensure everyone in our ecosystem is strong, vigorous and healthy.

Contact us today to start on the path to smarter, better, faster healthcare: 

Call (800) 834-2312 or complete the form below, and we’ll be in touch very soon with more information.

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Experience the Synergy

When we say the Valenz ecosystem is comprehensive, we mean it. With a complete selection of fully integrated wraparound solutions to complement the core solutions featured below, we deliver benefits far greater than the sum of all these parts individually.

Vālenz Access

Combine a quality-first provider network or open solution with a range of customized, data-driven services from the Access Solutions Suite.

Vālenz Care

Guide members to better care and outcomes at lower costs, for you and for them, with RN-led, triple URAC-accredited care management.

Vālenz Claim

Reduce costs and ensure accurate payments with comprehensive bill reviews and repricing methodologies, integrated analytics, and more.

Vālenz Assurance

Improve coding, reimbursement assurance, auditing, claim accuracy and compliance monitoring, all while saving time and costs.

v-Lens

Use advanced, drill-down analytics and predictive modeling to continuously disrupt the cost curve without compromising quality.

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