Lower the cost of air transport
VMS™ repricing methodology protects you from surprise out-of-network billing
Today, 71% of air ambulance claims involve out-of-network charges, which lead to egregious costs for health plan members and payers. Fact: the median billed charges for air ambulance services are now $50,000-$75,000 per trip, representing costs that are estimated to be indefensible by 7-10 times what would be considered reasonable.
To protect self-insured health plans from escalating surprise medical bills for emergency air transport, Vālenz® offers a VMS™-validated repricing methodology that controls costs and offers full compliance with the air ambulance requirements of the No Surprises Act (NSA). Using the proven VMS™-validated repricing methodology that has supported self-funded payers to control costs across all types of medical claims, this solution works by creating a defensible, market-sensitive qualified payment amount (QPA) for air ambulance services. The result is fair pricing that assures a uniform level of protection for out-of-network air transport.
In addition to lowering costs, this data-driven solution delivers greater transparency and assurance to protect against unfair billing and payment disputes:
- Expert Analysis: Experienced RNs conduct clinical reviews and medical expense analyses on every air ambulance claim
- Mitigated Risk of Appeals: Fair, defensible, market-sensitive QPAs reduce or eliminate the need for appeals and independent dispute resolution
- Exclusive Reports: Receive comprehensive cost analysis reporting with insights into key claim and trip information
71% of air ambulance charges
are out-of-network, costing
Contact Valenz for a proven,
Valenz has successfully enabled our innovative repricing methodology to lower costs, enhance care and improve outcomes through quality-first care delivery for more than a decade. Extending this solution to air ambulance claims is part of our longstanding promise to engage early and often for smarter, better, faster healthcare.