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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

Optum AI Marketplace is a meticulously curated platform of AI-driven solutions aimed at revolutionizing healthcare by equipping payers, providers, and partners with innovative tools to enhance outcomes in a more efficient manner. This marketplace encompasses a wide variety of products and services spanning several categories, including patient and member engagement, claims and eligibility, care operations, payment and reimbursement, and analytics. Among its standout offerings is the prior authorization inquiry API, which allows payers to verify a patient’s authorization status instantly, alongside SmartPay Plus, an electronic cashiering platform designed to simplify the payment process for patients and optimize collections. Moreover, Optum Advisory Technology Services lends expert assistance for organizations undergoing digital transformation, covering areas such as system selection, procurement, and the implementation of AI solutions. The marketplace also collaborates with esteemed resellers, including ServiceNow, to deliver state-of-the-art solutions tailored for the healthcare sector. Ultimately, Optum AI Marketplace serves as a vital resource for organizations striving to improve their operational effectiveness and patient care delivery.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Google Cloud Healthcare API
InvisaClaim
Microsoft 365
ServiceNow

Integrations

Google Cloud Healthcare API
InvisaClaim
Microsoft 365
ServiceNow

Pricing Details

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

Pricing Details

No price information available.
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

Optum

Country

United States

Website

marketplace.optum.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

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