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Submitted URL: http://www.valenzprotekht.com/
Effective URL: https://www.valenzhealth.com/protekht/
Submission: On July 19 via api from US — Scanned from DE
Effective URL: https://www.valenzhealth.com/protekht/
Submission: On July 19 via api from US — Scanned from DE
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SECURED SAVINGS WITH FULL CLAIM REVIEW
With payment errors or overpayments expected to cost up to $560 billion, or
7-10% of healthcare spending in 2026, payers need solutions that maximize
savings on every claim, regardless of type or size. That’s why Vālenz® Health
through its suite of Validation, Integrity and Accuracy (VIA) Solutions offers
ProteKHt™ full claim review.
Designed to eliminate erroneous, questionable billing charges and unnecessary
charges associated with fraud, waste and abuse, ProteKHt ensures appropriate,
defensible and transparent payments secured by signed provider agreements. In
fact, our customers experience signoff success rates averaging 70%, with less
than 5% of reviews overturned by providers.
FULL CLAIM REVIEW SERVICES
Line-item bill review
Clinical review by a nurse or a physician
Improper, upcoding and unbundling review
DRG coding and clinical validation review
Qualified Payment Amount (QPA) review and analysis
Usual and customary charge review
Provider negotiation with signoff for network and out-of-network claims
Pre and Post Payment Reviews
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INDUSTRY-RECOGNIZED SOLUTION WITH SECURED-SAVINGS
Conducted by experts and supported by AI, our full claim review averages an
additional 35% savings over contracted network discounts — complete with a
signed contract, agreed upon and authorized by the provider.
Designed to eliminate erroneous, questionable billing charges and unnecessary
charges associated with fraud, waste and abuse, ProteKHt ensures appropriate,
defensible and transparent payments secured by signed provider agreements. In
fact, our customers experience signoff success rates averaging 70%, with less
than 5% of reviews overturned by providers.
DRIVE ADDITIONAL SAVINGS ON HIGH-DOLLAR CLAIMS
With VMS® Market Sensitive Repricing, operational cost intelligence, and a
foundation of expertly curated data sets and advanced analytics, Valenz
Specialty Solutions unlock additional savings for very high-dollar, usually
low-utilization claims, including:
00%
average savings
AMBULATORY SURGERY CENTERS
00 - 00%
average savings
AIR AMBULANCE
00%
average savings
SUBSTANCE ABUSE TREATMENT
00%
average savings
RENAL DIALYSIS
00%
average savings
SPECIALTY MEDICATIONS
REDUCE COSTS AND SECURE LONG-TERM SAVINGS WITH VALENZ PROTEKHT
We consistently uncover additional areas of savings by delivering transparency
through collaboration.
To get started on the path to smarter, better, faster healthcare, complete the
form below.
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EXPERIENCE THE VALENZ HEALTHCARE ECOSYSTEM OPTIMIZATION PLATFORM (HEOP)
In addition to full claim review, Valenz simplifies the complexity of
self-insurance by offering an end-to-end Healthcare Ecosystem Optimization
Platform that manages the cost and quality of care for employers and their
members. Our solutions drive value across clinical and member advocacy, network
development, the validation, integrity and accuracy (VIA) of claims, and risk
affinity solutions.
VALENZ PROTEKHT CASE STUDIES
CHILDREN’S HOSPITAL WITH BUCAH
See how we found opportunities for 13.86% in additional savings above BUCAH PPO
discounts, and secured provider signoff to deliver our client $129,648 in net
savings.
Download
HIGH-DOLLAR CLAIMS
Learn how our detailed line-by-line bill review delivered $93,798 in net
savings, secured provider signoff and ensured no balance billing to the patient.
Download
MEDICAL RECORDS REVIEW
See how our credentialed reviewers utilized our fact-based model and strong
working relationship with providers to secure signoff on savings 23.8% above the
PPO discount in less than two hours.
Download
VALENZ NEWS
VĀLENZ® HEALTH WILL SERVE AS ANNUAL CORPORATE SPONSOR OF HCAA TPA SUMMIT
July 7, 2023
PHOENIX, Ariz. (July 7, 2023) — As a proud sponsor of the 2023…
Read more
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kamryn cain
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kamryn cain2023-07-07 16:33:482023-07-07 16:33:48Vālenz® Health Will Serve as
Annual Corporate Sponsor of HCAA TPA Summit
VĀLENZ® HEALTH CEO WILL LEAD LIVE CONVERSATION ON DATA TRANSPARENCY FOR THE
SELF-INSURED INDUSTRY
June 30, 2023
PHOENIX, Ariz. (June 30, 2023) — Rob Gelb, Chief Executive…
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432 600 Maris Panjada
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Maris Panjada2023-06-30 22:02:312023-07-06 13:50:42Vālenz® Health CEO Will Lead
Live Conversation on Data Transparency for the Self-Insured Industry
VĀLENZ® HEALTH ANNOUNCES NEXT PHASE OF GROWTH WITH NEW CAPITAL PARTNER, KELSO &
COMPANY
June 21, 2023
PHOENIX, Ariz. (June 21, 2023) — Vālenz® Health (“Valenz”)…
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432 600 Maris Panjada
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Maris Panjada2023-06-21 12:52:242023-06-21 13:27:44Vālenz® Health Announces Next
Phase of Growth With New Capital Partner, Kelso & Company
23048 N. 15th Ave
Phoenix, AZ 85027
United States of America
Toll-Free: (866) 762-4455
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