Valenz Health

Overview

Valenz Health is a U.S.-based company founded in 2004 that operates within the software industry, specifically focusing on healthcare software solutions. With a workforce of between 201 and 500 employees, the company aims to enhance payment integrity and streamline the healthcare process through its proprietary methodologies. A recent case study highlights Valenz's expertise in managing complex claims, where their coding and clinical review teams utilized artificial intelligence to conduct a thorough line-by-line review of a substantial inpatient claim. This approach not only identified significant savings—23.8% above the PPO discount—but also facilitated a quicker resolution with provider signoff achieved within two hours. Valenz's Full Claim Review Solution emphasizes the importance of validating medical necessity, provider credentials, and adherence to contractual obligations throughout the patient journey. By leveraging data across the lifecycle of claims, Valenz Health seeks to improve efficiency, effectiveness, and transparency in healthcare, ultimately contributing to better outcomes for payers and patients alike.

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