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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
PH Connect
PH Connect

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Categories

Solutions

Description

Product Description:

Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large sized healthcare settings, specialties, and payers from one platform and portal.

All built just for you.

About Valer:

Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large sized healthcare settings, specialties, and payers from one platform and portal.

All built just for you.

Valer's automation technology enables our clients to reduce labor cost, claim denials from avoidable prior authorization errors, and writeoffs stemming from denials. With prior authorization approvals further in advance of scheduled treatments and procedures, Valer enables fewer rescheduled and abandoned appointments. Patients are happier, providers are happier, and staff are happier.

Product Description:

PH Connect enables communication and collaboration community-wide, across the entire healthcare continuum; from front-end primary care providers, urgent care centers, and athletic trainers; through the ED, specialists, and hospitalists; all the way through to the post-acute home health, rehab, and long-term care providers. 

Like all Proficient Health solutions, PH Connect streamlines access, improves the direct admission process, and makes referrals easier and more efficient. Duplicate tests, unnecessary diagnostics, and unnecessary hospital stays can also be avoided. All of this leads to better patient care, increased overall productivity, and satisfaction of physicians and other staff, and widespread user adoption. 

About Proficient Health:
Proficient Health offers an integrated suite of solutions specifically for the healthcare industry, to support referral management needs for Accountable Care Organizations (ACOs), Clinically Integrated Networks (CINs), both large & small health systems, children’s hospitals and payers. Our solutions can work together seamlessly for organizations seeking a fully integrated approach, or as standalone solutions for those seeking to solve specific challenges now and grow from there. We’re setting new standards by offering solutions to connect your entire care community from hospitals and health systems to individual providers on the go. Understanding the importance of collaboration in healthcare, our solutions work hand-in-hand with an organization's existing EHR and disparate EHRs. Proficient Health drives: - Better communication & care coordination among providers (both in the inpatient and outpatient settings) - Streamlined patient referrals & consults - Better patient care - Improved operational efficiencies - Enhanced in-network optimization - Reduced costs for both healthcare providers and patients

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

Valer can be configured to identify highly targeted information regarding authorization requirements and/or services which are "no auth required." Valer has the ability to work with select payers to provide authorization requirements, "no auth required" alerts, and authorization submissions via real-time APIs (application programming interfaces) where available.

Valer comprehensively automates completion and submission of prior authorizations for 1,000+ unique payer fax forms and 75+ payer web portals.

Valer's form library maintains and updates over 1,000+ payer authorization fax forms across all service lines (diagnostic imaging, surgeries, procedures, chemo/infusion, medications, notice of admissions, DMEs, sleep, Worker's Comp). Valer's proprietary technology can add any new fax form for users typically within 24 hours to support authorizations and referrals.

Valer provides the ability for users to easily attach any relevant clinical documentation to a prior authorization for submissions. Valer supports various file formats needed for submission. Valer also captures documentation from payers regarding approval tracking codes, expiration dates, units of service, CPTs approved, which can be pushed directly back into EHRs/practice management systems to avoid manual data entry. Valer also has Epic's x275 clinical document exchange functionality live in production to directly exchange information from Epic to Valer and back.

Valer comprehensively SUBMITS prior authorizations across both fax and web portal modalities across all-payers and all service types. Valer provides ONE interface, deeply integrated with EHR workflows to automate both today's manual authorization submission and verification workflows.

Valer provides automated authorization status verification across 75+ payer web portals. Authorization information (tracking numbers, units, expiration dates, sites of service, CPT/family of codes approved can be automatically pushed back into EHRs in an automated process further eliminating the need for manual data entry.

Use Cases

Description:

Valer provides health systems, hospitals, and ambulatory clinics with one place to streamline, automate, and manage today's manual prior authorization workflows. Valer saves time, cost, and reduces patient access denials and avoidable write-offs.

Pediatric use cases:

Pediatric health systems and clinics utilize Valer to reduce the time and cost involved with today's manual prior authorization and referral workflows.

Users:

patient access teams, ambulatory clinic authorization teams,  admitting/scheduling teams, revenue cycle teams

Description:

Stop playing phone tag & reach the right provider every time. Connect all providers with one clinical communication solution, even community providers.

Pediatric use cases:

None provided

Users:

ACOs, CINs, Hospitals/Health Systems , Children's Hospitals

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Community based organizations, ADT, Access +/or revenue cycle, Website / public online sources

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Allscripts, NextGen, athena, GE, Athenahealth, Other

Hardware Compatibility:

Desktop

Integrations:

Acute care EMR, Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Not applicable

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app), Other

Client Types

Differentiators

Differentiators vs EHR Functionality:
  • Single platform and payer portal consolidates payer management
  • Comprehensively submit, verify, manage prior authorizations and referrals
  • All payers and service lines
  • Continuous real-time payer updates
  • 2-way data integration with EHR systems
  • Real-time workflow visibility and reporting
  • Integrates with any EHR or billing system for seamless workflow
  • Clients using Epic, Cerner, Veradigm, Athenahealth, NextGen and more
Differentiators vs Competitors:
  • Valer focuses exclusively on automating submissions, status-checking, and verification with all payers- national, regional, local
  • Valer supports every service type, specialty, and care setting except formulary medications and dentistry
  • Valer integrated bi-directionally with any EHR or system of record
Differentiators vs EHR Functionality:

Intelligent message routing

Differentiators vs Competitors:

Intelligent message routing

Keywords

Images

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Valer Reporting Screen Shot.png

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Videos

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Downloads

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OHSU Case Study.pdf
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PH Connect Overview.pdf

Alternatives

Company Details

Founded in 2010

Founded in 2008

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