
“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.
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.
Vālenz Access
Driving high-quality care, satisfaction and cost savings with high-value, client-centric provider networks.
Vālenz Assurance
Delivering smarter, better, faster solutions for payment integrity and assured compliance.