Vālenz Claim

Enable a clean claim workflow and reduce medical and administrative costs.

“The staff is extremely attentive to our needs, and the savings are incredible – even on catastrophic claims.”

Vālenz Claim delivers an integrated approach to routing and repricing in-network and out-of-network medical claims. Our model weaves analytics into claim workflow for efficiency in cost and process – lowering your total health plan spend, improving claim outcomes and enhancing the member experience.

Our certified coding and repricing teams engage with streamlined claim support, identifying additional negotiation opportunities with the provider and leveraging multiple cost-based data points. We assume the roles of appeals manager, provider negotiator and payer of additional charges, delivering a 90% average success rate on out-of-network claims.

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How we reduce medical and administrative costs while balancing your bottom line:

Network repricing and claim routing

• Full integration with providers
• EDIs with 65+ PPO plans
• Multiple clearinghouse EDIs

Cost management, specialty solutions, care compliance

• Multiple cost reduction methodologies
• In/out of network management
• Guaranteed cost solutions

Payment assurance, member experience

• Clinical and coding edits
• Claim scrubbing integration
• Minimize member disruption

“What can I say about Valenz? How about, thank you! They provide fantastic service and are our one-stop shop for saving money on our clients’ medical bills. We’ve used other companies, but we’re simply given the best tools, analysis and support from Valenz.”

– Third-party Claim Administrator

Seize the Power of the Ecosystem

For smarter, better, faster healthcare

Realize greater return through the fully integrated Valenz ecosystem – a single-source, end-to-end platform that connects and analyzes cost and quality data across the full continuum of health administrative processes. Together and individually, our highly secure data systems provide analytic and predictive insights to substantially reduce medical costs and improve quality health outcomes. Our other products include:

Vālenz Care

Empowering members to move from reactive care to proactive population health management.

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Vālenz Access

Driving high-quality care, satisfaction and cost savings with high-value, client-centric provider networks.

Learn More

Vālenz Assurance

Delivering smarter, better, faster solutions for payment integrity and assured compliance.

Learn More

Vālenz Claim

Enable a clean claim workflow and reduce medical and administrative costs.

“The staff is extremely attentive to our needs, and the savings are incredible – even on catastrophic claims.”

How we reduce medical and administrative costs while balancing your bottom line:

Network repricing and claim routing

Cost management, specialty solutions, care compliance

Payment assurance, member experience

“What can I say about Valenz? How about, thank you! They provide fantastic service and are our one-stop shop for saving money on our clients’ medical bills. We’ve used other companies, but we’re simply given the best tools, analysis and support from Valenz.”

Seize the Power of the Ecosystem

For smarter, better, faster healthcare

Vālenz Care

Vālenz Access

Vālenz Assurance

Valenz News

Vālenz Welcomes Ben Inabinet as Senior Sales Executive

Colin Glen Joins Senior Executive Team at Vālenz Assurance

Vālenz Embeds Planwatch into Claim Workflow for Actionable Data