Why Vālenz®

Valenz means strong, vigorous and healthy – a name chosen to describe not only our company, but also what we can do for your business and health plan members. By providing full data transparency, robust analytics, and our unique integration of services across the care and claim continuum, we deliver on the Valenz promise: Engaging early and often for smarter, better, faster healthcare.

The Valenz Healthcare Ecosystem Optimization Platform

To balance the relationship between healthcare quality, advocacy and cost, the Valenz Healthcare Ecosystem Optimization Platform aligns the member, provider and payer. Supported by a dynamic, innovation-first culture and steadfast commitment to data transparency and decision enablement, Valenz drives value across clinical and member advocacy, network development and the validation of integrity and accuracy (VIA) of claims.

Through the power of the Valenz ecosystem, we engage data and enable better decision-making, starting long before care is provided and continuing long after a claim is paid. Our fully integrated and interactive ecosystem solutions build on one another, uncovering actionable information to lower costs and improve quality at each step in the life of every claim.

As data and information flow through the Valenz ecosystem from each of our services, clients, patients, platform partners and industry sources, the ecosystem continuously creates more value for everyone. Through our ever-expanding analytic and predictive capabilities, we uncover new strategies to target the claims that drive the majority of health plan spending. Data-driven decision enablement and integrated service delivery are the keys to better, more efficient and more cost-effective healthcare.

Experience how purpose-built solutions can help you foster end-to-end member engagement, control costs and improve the quality of care.

Who We Serve

At Valenz, we leverage our technology infrastructure and enterprise data warehouse to drive value across clinical and member advocacy, network development, and the validation, integrity and accuracy of claims. Our complete ecosystem serves and adds value for all stakeholders in self-funded health insurance, including:

  • Self-insured employers and health plan members
  • Third-party health plan administrators
  • Health insurance brokers and benefit consultants
  • Trust and labor organizations
  • Medical stop-loss (MSL) group captives
  • Healthcare delivery organizations (healthcare providers)
  • Other health and dental plan payers

Supported by an innovation-first culture and a steadfast commitment to data transparency and decision enablement, our enterprise-level solution suite for self-insured employer groups is uniquely designed to fully align the member, provider and payer.

Capture the Power of the Ecosystem

To get started on the path to smarter, better, faster healthcare, call us at (866) 762-4455 or complete the form below.

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The Power of the Valenz Ecosystem

While costs skyrocket each year in the fully insured/BUCAH market, many employers and others are saying there must be a better way – and with Valenz, there is. Through the power of the Valenz ecosystem, we engage data and enable better decision-making, starting long before care is provided and continuing long after a claim is paid. Our fully integrated and interactive ecosystem solutions build on one another, uncovering actionable information to lower costs and improve quality at each step in the life of every claim.

As data and information flow through the Valenz ecosystem from each of our services, clients, patients, platform partners and industry sources, the ecosystem continuously creates more value for everyone. Through our ever-expanding analytic and predictive capabilities, we uncover new strategies to target the claims that drive the majority of health plan spending. Data-driven decision enablement and integrated service delivery are the keys to better, more efficient and more cost-effective healthcare. That’s the power of the Valenz ecosystem.

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.

Integrated Solutions Under the Claim Cost ArcSM

With deep roots in clinical, member and provider advocacy alongside decades of expertise in claim reimbursement and payment validity, integrity and accuracy, the Valenz Healthcare Ecosystem Optimization Platform improves quality and outcomes while lowering the Claim Cost ArcSM for plans and members. This is a fully integrated solution that drives value and assures alignment of the member, payer and provider across all phases of the claim life continuum.

Prospective

Before a claim even begins, Valenz identifies opportunities to improve network design, analyzes employee health risks and aligns solutions to drive down the cost of care while improving health outcomes.

Concurrent

As patient care begins, the ecosystem navigates member health to ensure the right care, setting and provider for improved outcomes at appropriate costs. By engaging employees early and often, and by weaving analytics into claim workflow for efficiency in cost and process, Valenz makes it possible to have a strong, vigorous and healthy workforce without high-rising costs.

Beyond

Even after a claim is complete, we continue harnessing the power of real-time data and predictive modeling to protect the plan and manage potential risk. As a result, you have full transparency into every data point – and full access to every service – for better decisions that bring balance to the cost-quality equation.

Valenz News

Vālenz® Health Launches Next Generation of EPStaffCheckTM for Compliance Monitoring

PHOENIX, Ariz. (Dec. 1, 2022) — Vālenz® Health announces…

Stefani Voorhees Joins Vālenz® Health as Senior Vice President, People

PHOENIX, Ariz. (Nov. 18, 2022) — Vālenz® Health is pleased…

Vālenz® Health Promotes Shannah Montgomery to Client Services Executive

PHOENIX, Ariz. (Nov. 11, 2022) — Vālenz® Health is pleased…