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

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Categories

Solutions

Description

Product Description:
Prior authorizations can include many voices and layers, but the administrative burden doesn’t have to be so heavy. Trade the fax-phone-portal hustle for a real-time intelligence platform that connects directly to your payers, so decisions—and patient care—are free to move faster. Rhyme makes it easy for providers to move from transactions to deeper, more meaningful interactions. Our platform funnels the right questions to the right people at the right time.
About Rhyme:

Prior authorization, minus the frustration. Rhyme connects payers and providers intelligently inside the prior authorization workflow, reclaiming the time lost on back-and-forth efforts and returning it to the patient. Join the largest integrated prior authorization network in the country!

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.

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:

Solutions for Providers

Work smarter, not harder.

Prior authorizations can include many voices and layers, but the administrative burden doesn’t have to be so heavy. Trade the fax-phone-portal hustle for a real-time intelligence platform that connects directly to your payers, so decisions—and patient care—are free to move faster.

Rhyme makes it easy for providers to move from transactions to deeper, more meaningful interactions. Our platform funnels the right questions to the right people at the right time.

Solutions for Payers

The wall between payers and providers? It’s gone now.

Providing thoughtful, quality care for your members is hard to do without meaningful provider interactions. Talking over a wall is an antiquated method, so we tore the wall down. The replacement? An intelligent, collaborative, integrated network that makes life easier for everyone.

Pediatric use cases:

None provided

Users:

Providers, Payers

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

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Other

Hardware Compatibility:

None provided

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

Client Types

Differentiators

Differentiators vs EHR Functionality:

Faster

Rhyme meets your staff right where they are in the workflow, raising productivity and reducing time and effort spent on prior authorizations by up to 91%. Plus, implementation is fast, easy, and entirely flexible.

Smoother

Say goodbye to silos and separation. Our shared knowledge network brings providers and payers together in real time, eliminating the back-and-forth game and opening the door for collaboration.

Smarter

We believe in transparent, relationship-based payer connections, where everyone’s in the loop and empowered to do better work on behalf of patients.

Differentiators vs Competitors:

With our deep, direct, relationship-based connections, it’s easy to see why Rhyme is the largest and fastest-growing prior authorization network.

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

Keywords

Images

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Videos

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Valer Explainer Video_Final.mp4

Downloads

https://conqueringcolumbus.com/podcast/episode-54-building-company-people-will-love-product-changes-lives-constant-iteration/
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VALE144-Glossary_v7.pdf

Alternatives

Company Details

Founded in 2014

Founded in 2010

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