Payers
Maximize savings and efficiency, improve payment integrity
Five Radnor Corporate Center
100 Matsonford Road, #5-444
Wayne, PA 19087
United States of America
Toll-Free: (866) 762-4455
Main Fax: (888) 452-6512
Payment Integrity
Achieve higher levels of transparency while improving financial performance and assuring the validation, integrity and accuracy of claims.
Full Claim Review
Drive down high-dollar claim costs while ensuring appropriate, defensible payments secured by provider agreements.
Stop Loss Coverage
Engage early for optimal medical stop loss coverage to mitigate fiduciary risk.
Provider Network Design
Market-Sensitive Repricing (VMS®)
Protect plans and members from surprise out-of-network billing with fair, defensible and market-sensitive QPAs with average 66% of billed charges. Built on a foundation of real-word data from Valenz-contracted provider networks, the VMS® repricing methodology mitigates the risk of appeals and independent dispute resolution.
NSA Compliance: Qualifying Payment Amounts & Independent Dispute Resolution Simplified
Proven, data-driven claim management solutions integrate on the Valenz platform to keep you in compliance with the No Surprises Act (NSA). More than a Qualifying Payment Amount (QPA) solution, our end-to-end process embeds everything you need to solve balance billing concerns:
Leading Expertise
Consultative specialists lead your QPA application – no need to study NSA.
Dedicated Support
Full open provider negotiation, Independent Dispute Resolution (IDR) management and portal support – no portal work for you.
Reduce Out-of-Network & High-Cost Claims with Specialty Solutions
Full Claim Review Case Studies
Full claim review case studies illuminate opportunities for significant savings.
Managing Cost Across the Claim Cost Arc
Data-driven insights combine with Valenz solutions to allow payers to manage costs across the member journey.
Capture the Power of the Platform to Simplify Healthcare
Connect with a team member today to learn how our solutions can make a difference for you.