Valenz Health
Member Level: GoldVendor Overview
Description of Services: Valenz® simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan and member. By establishing “true transparency” and offering data-driven solutions that improve cost, quality and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.
Primary Service: Administrative Systems
Secondary Service: Utilization/Care/Disease Management
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23048 N. 15th Avenue
Phoenix, AZ 85027
2156920973
http://www.valenzhealth.com
Documents
Valenz VIA for Payer Flyer
With unprecedented cost pressures and skyrocketing inflation pushing providers to raise rates, health plans need data-driven tools to ensure they reimburse only for appropriate, medically necessary care. That's why payers rely on Validation, Integrity and Accuracy (VIA) Solutions from Valenz. With advances in provider engagement, network management and member participation, Valenz is helping payers harmonize the healthcare payment process. Using the VMS Market-Sensitive Repricing methodology to reduce provider pricing on out-of-network (OON) claims, full claim review solutions to optimize payments, and cost-based intelligence to control the costs of high-dollar claims, Valenz is redefining payment integrity to improve financial performance.
Office hours pre-work: Member engagement and experience
Alliance members discuss how to efficiently engage consumers in ways that translate to both improved outcomes and improved member experience survey results