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features
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support

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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

Insurance firms utilize artificial intelligence to analyze, modify, and reject claims, yet many processes remain manual. Altair bridges this divide by offering AI-driven medical billing that handles the entire revenue cycle—from verifying eligibility and obtaining prior authorization to managing claims, denials, and appeals—supported by a team of skilled billers located in the United States. Altair meticulously reviews claims against payer edits and medical necessity criteria prior to submission, investigates denials to uncover their root causes, and efficiently processes appeals. The system adapts to the behaviors of your payers over time, resulting in higher first-pass acceptance rates and improved net collection rates the longer it is employed. Users can access a real-time dashboard that provides insights into billed amounts, ongoing claims, payments received, and potential risks. The platform integrates seamlessly with your existing electronic health record (EHR) system, with a quick onboarding process that takes just hours. Independent practices, medical groups, and billing companies can leverage the robust billing capabilities typically associated with larger organizations, all without the need to expand their workforce significantly. While payers have designed their AI to minimize payouts, Altair ensures you receive the full compensation you deserve, enhancing your financial health in the process. With Altair, you can focus more on patient care and less on billing complexities.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

No images available

Integrations

No details available.

Integrations

No details available.

Pricing Details

$1039.00/one-time/user
Free Trial
Free Version

Pricing Details

5%
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Vālenz

Founded

2004

Country

United States

Website

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

Vendor Details

Company Name

Altair Health

Founded

2025

Country

United States

Website

www.altair-health.com

Product Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Product Features

Medical Billing

Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

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