Ensure Compliance Before Delivering Care
Prior Authorization Tools to Verify Insurance Eligibility in Real-Time
Supporting Care Decisions with Accurate Data
Reduce Claim Denials and Time-Consuming Appeals
With its ever-changing regulations and updates, Medicare coverage can be notoriously difficult to keep up with, especially when it comes to Advance Beneficiary Notice of Non-Coverage (ABN).
Let Vālenz Health® shoulder the burden for you with Valenz ABN Medical Necessity Validation.
Our provider software as a service (SaaS) solution delivers prior authorization tools to verify insurance eligibility and validate medical necessity in real time. Stop more than 90% of denials and eliminate wasted time and effort with our industry-leading, data-driven system today.
Streamlining the ABN Process for Faster Approval
Avoid Costly Medical Necessity Denials with Real-Time Validation
Reduce your risk of denials by quickly generating Medicare-compliant ABNs with clear, estimated patient costs. Backed by our nationally certified coders and content teams, ABN Medical Necessity Validation curates and validates thousands of updates to coverage rules on a daily basis—giving you back the valuable time you need to focus on delivering high-quality care to your patients.
By verifying insurance benefits, eligibility, and medical necessity before care is delivered to the patient, Valenz prevents more than 90% of medical necessity denials.
Our ABN Medical Necessity Validation solution can be configured to support a variety of applications, helping to:
Verify insurance eligibility
Validate medical necessity in real time
Assist providers in making decisions
Aid payers with claim payment
The Support You Need, When You Need It
Ensure Quick Compliance and Accurate Coverage
We Provide
Timely review and determination of accurate medical necessity and coverage prior to service delivery.
Patient ABNs and notifications for easy compliance and notice requirements.
Robust reporting, chargemaster, coding, and administrative tools.
Customized warnings and coverage instructions.
One-click access to original sources and detailed explanations.
Expert support from the Valenz team.
You Receive
Swift triage and medical necessity validation for Medicare and private payers prior to service delivery.
Quick compliance with patient notification requirements and detailed documentation of medical notes.
Reduced effort and administrative time in documenting decisions.
Improved utilization review process and support for the unique needs of each member and plan.
Fewer claim denials, challenges, and time-consuming appeals.
Live support when you need it.
All Your Health Insurance Solutions on One Platform
Explore the Vālenz Health® Integrated Platform for Simplified Healthcare
Seamlessly unite member experience, payment integrity, provider quality, and plan performance with our integrated platform. Discover how we optimize the utilization of high-value healthcare across the entire member journey.
Ready to Simplify Self-Insurance?
Your Journey Starts Here
Connect with a Valenz team member to explore the difference our solutions can make for you.