Vālenz Care offers a suite of URAC-accredited services to improve access and target the most appropriate levels of care before services are rendered, resulting in dramatic savings for the plan and member. We provide your organization – and your members – with data and tools to move from reactive care to proactive population health management.
Vālenz Access offers high-value, client-centric provider networks for third party administrators and self-funded employers. Our networks are uniquely designed to positively influence member health while delivering significant savings to your organization.
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.
Vālenz Assurance delivers data-driven, analytical solutions for assured compliance and payment integrity. This comprehensive solution empowers you to improve medical coding efficiency, reimbursement assurance, auditing toolsets, claim accuracy, and staff licensing and exclusion monitoring – all while saving time and reducing your healthcare costs.