Vālenz^® Health is the Platform to Simplify Healthcare

Member enrolls in the health plan.
Valenz delivers quality-first provider networks and reimbursement strategies with cost-saving, risk-reducing services to replace your high-cost contracted network plan – and you choose which network model will best serve your business and member needs.

Member seeks care services.
NaVcare provides intuitive member navigation, directing care to high-quality providers based on the member’s financial health and medical condition for better savings, outcomes and experiences, and referring to case management when needed.

Member is diagnosed and needs treatment.
RN-led, triple URAC-accredited care management targets the right care before services are rendered. Improve quality of care and maximize savings with personalized Case Management, Utilization Management and Disease Management.

Member needs close medical and pharmacy monitoring.
Accessing expansive cost and quality data sets, we optimize care with cost-effective pharmacy services, wraparound case management, and specialized and chronic care management for oncology, cardiology, diabetes, maternity and more.

Member’s claims are submitted for payment.
Protect payment integrity for your business and out-of-pocket costs for your members with our complete set of tools and services for systematic claim review, expert bill review with provider signoff, post-payment recovery services, claim and network repricing, and balance billing protection.

Member and health plan need costs to stop rising every year.
The Valenz platform to simplify healthcare leverages unparalleled data transparency and expansive analytics, aligning the summary plan description with cost-containment solutions for optimal stop loss underwriting to continuously optimize cost, quality and utilization for everyone.