Vālenz Access
Navigated Network

Delivering results by driving members to high-quality, in-network care

Valenz Access Navigated Networks are high-value contracted networks with NaVcare care navigation included as an extra layer for improved in-network utilization. To enhance network savings and performance, Valenz Access Navigated Networks bring personalized guidance into the patient journey, empowering individuals to make better health decisions while controlling costs, improving outcomes and enhancing the member experience.

Physicians at work

Providing a Central Hub for Care Coordination

As the ideal complement to any network design, particularly the high-value networks of Vālenz Access, NaVcare provides high-touch member onboarding that immediately drives in-network engagement and elevates the member experience.

Our care navigators are coverage and benefits experts with detailed knowledge of the health plan and network. Through effective education, collaboration and communication, NaVcare combines with network solutions and care management excellence to improve utilization, member satisfaction and health outcomes.

Advantages of NaVcare’s concierge-level services

  • Guides members to high-quality, in-network care
  • Coordinates with care providers, including where available
  • Facilitates appointments and transportation as needed
  • Aligns cost-effective pharmacy solutions with member needs
  • Explains plan benefits and out-of-pocket costs
  • Assists members with claim denials and appeals
  • Connects members to helpful health resources, including a member portal with provider quality and cost data
  • Ensures two-way communication with members, families, providers, administrators, benefit consultants and payers
  • Includes integrated, full-service claim management with your Access Navigated Network

Integrating Data and Service for Meaningful Results

Like all Valenz solutions, NaVcare is fueled by data. Based on multi-source ecosystem intelligence, we tailor our NaVcare program for each employer and member, proactively identifying individuals who may need personalized guidance to prevent more serious, costly illnesses.

By gathering and analyzing data within the Valenz® ecosystem we deliver real-time insights and data-driven services that pinpoint the 5-15% of claims driving up to 70% of the employer’s health spend.

Get Started Today

Where other companies limit services to network design or care management, we go infinitely further: We bring member-centric services and data-driven insights into the patient journey, connecting the dots at every step for lower-cost, higher-quality healthcare.

Contact us today and we will provide a real-life view into the network savings your organization will experience with a Valenz Access Navigated Network. Engaging early and often for smarter, better, faster healthcare – that’s the Valenz promise.

Complete the form below or call us at (800) 834-2312 to get started with Valenz Access today.

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Valenz Access Solutions Suite

Explore the full breadth and depth of customizable, cost-saving options available in our Access Solutions Suite:

Access Contracted Network

Builds a new provider network to improve access, drive a higher standard of care and increase savings.

Access Contracted Networks are rigorously vetted, quality-first networks of top-performing physicians, hospitals and ancillary providers. We use advanced cost, quality and outcomes analytics to custom build and continuously optimize your high-value, high-performance contracted network.

Access Navigated Network

Navigates care to in-network providers for lower costs with better outcomes and enhanced member experiences.

Access Navigated Networks add NaVcare care navigation for improved in-network utilization to enhance savings and performance. NaVcare provides a single point of entry with high-touch member onboarding and guidance to immediately drive engagement and elevate the member experience.

Access Open
Solution

Maximizes plan dollars with a non-network reimbursement strategy that fosters equitable provider relationships.

Access Open Solution, an open, non-contracted reimbursement approach with NaVcare, provides an excellent alternative to standard reference-based pricing agreements. Our model provides transparent quality and outcomes data for fair, defensible and consistent reimbursement recommendations.

Access Assured
Payment

Eliminates the risk of balance billing, member disruption and provider friction for the majority of your claims.

Access Assured Payment delivers assured payment options for Access Open Solution, Access Navigated Network or Access Contracted Network. We blend payment, cost and charge-based data with biometrics and clinical data for fair pricing, integrating comprehensive bill reviews to ensure accuracy.

Access Amplified

Provides an out-of-network solution with care navigation and assured payment for secured savings.

Access Amplified is an out-of-network solution with NaVcare and comprehensive bill review with provider signoff. We steer members to high-quality care at fair, reasonable costs and secure appropriate, accurate charges for every out-of-network claim, resulting in significant savings improvement.

Access MEC Solution

Replaces wrap networks with Minimum Essential Coverage for assured payment and minimal risk of balance billing.

Access MEC Solution is an open-access network solution, complete with assured payment options that minimize member disruption and provider friction for the vast majority of claims. Includes access to high-quality providers and facilities at fair, reasonable costs for substantial savings improvement.

Access Eco Complete

Replaces high-cost contracted network plans for long-term savings and enhanced member engagement.

Access Eco Complete is a fully integrated ecosystem to optimize the value of your Access choice and achieve total savings improvement of 20-40%. Includes supporting solutions for navigation and care management, claim management, high-dollar claim protection, pharmacy solutions and more.

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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