+
+

Related Products

  • XpertCoding
    42 Ratings
    Visit Website
  • RXNT
    552 Ratings
    Visit Website
  • Service Center
    123 Ratings
    Visit Website
  • AdvancedMD
    2 Ratings
    Visit Website
  • RouteGenie
    49 Ratings
    Visit Website
  • Elation Health
    88 Ratings
    Visit Website
  • DoctorConnect
    85 Ratings
    Visit Website
  • MedRight
    22 Ratings
    Visit Website
  • TeleRay
    6 Ratings
    Visit Website
  • NovusMED
    1 Rating
    Visit Website

About

For providers, medical necessity denials cost thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. For payers, the same is true on the other end of the claim management spectrum: Paying for medically unnecessary procedures and treatments – and time spent working on denial appeals – raises costs without improving outcomes. And of course, for the patient, there can be unnecessary copays and other out-of-pocket costs, not to mention a poor patient experience involving costs and moments of care they did not need. ABN Assistant™ from Vālenz® Assurance delivers the prior authorization tools providers need to validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90 percent of medical necessity denials by verifying necessity before care is delivered to the patient.

About

Garner delivers a data-driven platform that enables individuals, employers, and health plans to identify top-performing medical providers by leveraging one of the largest claims databases in the U.S., over 60 billion records covering more than 320 million patients. It uses more than 500 specialty-specific quality and efficiency metrics to analyze provider performance and diagnose outcomes, and a verified directory powered by AI that achieves approximately 92% accuracy for provider phone, address, and appointment-availability information. Providers flagged as “Top Providers” meet rigorous criteria, including evidence-based treatment, minimized unnecessary procedures, and efficient cost structures. Members can use a mobile app and concierge service to locate in-network Top Providers with available appointments, and when eligible, have certain out-of-pocket costs reimbursed for services rendered by these providers.

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Platforms Supported

Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook

Audience

Medical providers searching for a solution to manage patients and payments

Audience

Employers, health plans and care-navigation teams interested in a tool to steer members toward high-quality, cost-efficient providers and improve referral decision-making

Support

Phone Support
24/7 Live Support
Online

Support

Phone Support
24/7 Live Support
Online

API

Offers API

API

Offers API

Screenshots and Videos

Screenshots and Videos

Pricing

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

Pricing

Free
Free Version
Free Trial

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation
Webinars
Live Online
In Person

Training

Documentation
Webinars
Live Online
In Person

Company Information

Vālenz
Founded: 2004
United States
www.valenzhealth.com/valenz-assurance/abn-assistant/

Company Information

Garner
United States
www.getgarner.com

Alternatives

Altair

Altair

Altair Health

Alternatives

Crosby Health Apollo

Crosby Health Apollo

Crosby Health
BillingBench

BillingBench

BillingBench LLC

Categories

Categories

Medical Billing Features

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

Integrations

No info available.

Integrations

No info available.
Claim ABN Assistant and update features and information
Claim ABN Assistant and update features and information
Claim Garner and update features and information
Claim Garner and update features and information