Simplify Healthcare With Vālenz^® Health Solutions

The complexity of managing multiple healthcare vendors reduces your ability to consolidate data and minimize healthcare spend. It stands in the way of fully engaging your members. Healthcare is complicated – but it doesn’t have to be.

Vālenz^® Health is the platform to simplify healthcare. When you consolidate your health insurance point solutions on a single platform, you get one dedicated team of experts for greater savings, higher efficiency and exceptional member experiences.

One Distinctly Different Partner. One Integrated Platform.

Engaging early and often, Valenz leverages its fully integrated solutions to execute across the entire member health journey – optimizing the cost, quality and utilization of care for everyone. Learn more about how our solutions support healthcare management throughout the patient journey.

See how we eliminate point solution fatigue

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Member Engagement

Empower your members

Engage your health plan members early and often through our digital front door. Empower members to make informed health decisions. Provide intuitive navigation that ensures the right care at the right time. See how our member engagement solutions deliver improved clinical care and drive better health outcomes – at a lower cost for everyone.

Payment Integrity

Improve your health plan financial performance

Errors in healthcare billing are all too common. Improve plan performance with appropriate, defensible payments secured by provider agreements. Eliminate balance billing for your members. Drive down high-dollar claim costs and billed charges. See how to achieve an additional 30% savings over contracted in-network (INN) discounts – and for out-of-network (OON) claims, reduce billed charges 60-70% with appeal rates less than 1%.

Plan Performance

Mitigate your risk

How can you mitigate the risks of self-insured healthcare plans? Valenz gives you the ability to better predict and reduce health plan costs by deploying data-driven risk analysis and engaging in transparent stop loss underwriting. Learn how we streamline administration and reduce premiums up to 50% by aligning stop loss coverage and cost-containment solutions with your Summary Plan Description.

Provider Verification

Assure your quality of care

Quality over quantity: Ensure your members receive the highest possible quality of care. The Valenz NCQA-certified and URAC-accredited provider credential verification organization combines with a suite of compliance management and OIG monitoring solutions to drive higher levels of validation, integrity and accuracy for your healthcare organization. Explore how you can ensure quality of care while leveraging SaaS-based tools and datasets to improve medical coding efficiency, reimbursement assurance and claim accuracy.