ABN Assistant™

Reduce claim denials, challenges and time-consuming appeals

For providers, medical necessity denials cost thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. For payers, the same is true on the other end of the claim management spectrum: Paying for medically unnecessary procedures and treatments and/or spending time on denial appeals raises costs without improving outcomes. And of course, for the health plan member, there can be unnecessary copays and other out-of-pocket costs, not to mention a poor patient experience involving costs and moments of care they did not need.

ABN Assistant™ from Vālenz^® Assurance is a provider software solution that delivers prior authorization tools to verify insurance eligibility and validate medical necessity in real time. You can easily print Medicare-compliant Advance Beneficiary Notices of Non-coverage (ABNs) with estimated cost – and you can stop more than 90 percent of medical necessity denials by verifying insurance benefits, eligibility and medical necessity before care is delivered to the patient.

Verification of Benefits & Validation of Medical Necessity – Before Services Are Rendered

ABN Assistant makes it easy to triage and validate medical necessity for Medicare and private payers prior to service delivery. This user-friendly solution is specially designed to verify medical necessity pre-service and generate ABN or private payer notices as needed. Additionally, ABN Assistant includes full reporting, chargemaster, coding and administrative tools – plus unlimited free support from our technical support staff and our team of certified coders.