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features
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support

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Write a Review

Description

Medical necessity denials represent a significant financial burden for healthcare providers, incurring costs that can reach into the millions annually due to write-offs, along with the expensive labor involved in investigating and contesting these denials while addressing patient inquiries. Conversely, payers also face similar challenges in the claims management process, as they incur expenses from covering unnecessary medical procedures and treatments, as well as the resources dedicated to handling denial appeals, all of which do not contribute to better patient outcomes. Additionally, patients may suffer from excessive copays and other out-of-pocket expenses, coupled with a frustrating healthcare experience due to charges and services that are not warranted. To combat these issues, the ABN Assistant™ from Vālenz® Assurance equips providers with essential prior authorization tools to confirm medical necessity, generate Medicare-compliant Advanced Beneficiary Notices (ABNs) that include estimated costs, and effectively prevent over 90 percent of medical necessity denials by ensuring that the necessity is validated before any care is administered to the patient. By utilizing this system, providers can enhance their financial stability while improving patient satisfaction and care efficiency.

Description

We are dedicated to driving forward innovative approaches that cater to the needs of all healthcare stakeholders, aiming to enhance the speed of therapy delivery, minimize prescription abandonment rates, and foster better health outcomes for patients. Our commitment lies in dismantling barriers to healthcare access, whether that involves addressing prior authorization issues or increasing awareness of available support services. With healthcare costs reaching new heights, it is vital to assist patients in affording their prescribed treatments, especially in the context of high-deductible health plans, rising copays, and a lack of transparency. For many patients, maintaining adherence to their therapy can be the most challenging aspect of their healthcare experience, whether it involves understanding how to properly take medications or just remembering to do so at the appropriate times. Thus, it is crucial to tackle these adherence challenges with solutions that prioritize the needs of individuals first, ensuring they receive the support necessary to navigate their treatment journey successfully. By focusing on patient-centric strategies, we can create a more accessible and supportive healthcare environment for everyone involved.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

DigitalRX No 
EasyID No 
FrameworkLTC No 
Intelligent Pharmacy Software No 
Juno EHR No 
Winpharm No 

Integrations

DigitalRX Yes 
EasyID Yes 
FrameworkLTC Yes 
Intelligent Pharmacy Software Yes 
Juno EHR Yes 
Winpharm Yes 

Pricing Details

$1039.00/one-time/user
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Vālenz

Founded

2004

Country

United States

Website

www.valenzhealth.com/valenz-assurance/abn-assistant/

Vendor Details

Company Name

McKesson

Founded

1833

Country

United States

Website

www.covermymeds.com

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking Yes 
Customizable Dashboard Yes 
Dunning Management Yes 
Invoice History Yes 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates Yes 
Remittance Advice Yes 

Product Features

Pharmacy

Automatic Refills No 
Barcode Generation No 
Claims Management Yes 
Compounding No 
E-Prescribing Yes 
Electronic Signature Yes 
Forms Management Yes 
Insurance Processing Yes 
Inventory Management No 
Multi-Store Management No 
Online Refills No 
Pill Database Yes 
Pill Imaging No 
Point of Sale (POS) No 
Prescription Processing No 
Rx Image Scanning No 
Signature Capture No 

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