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Valer Enterprise Prior Authorization Platform

Valer Enterprise Prior Authorization Platform

Valer Enterprise Prior Authorization Platform

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By Valer
5.0

3 reviews

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Valer Enterprise Prior Authorization Platform
Valer Enterprise Prior Authorization Platform

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Overview


Contents


AVIA SummaryAboutProduct capabilitiesEHR IntegrationsUse cases and differentiatorsCompany informationMedia
Select which hospital or health system you work at and see a personalized compatibility level.
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Avia Summary

o
Valer Enterprise Prior Authorization Platform is a solution provided by Valer which was founded in 2010. It belongs to multiple categories of digital health solutions including Revenue Cycle Management (RCM), Prior Authorization, and Payer Intelligence.
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It has 12 verified clients.
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Valer Enterprise Prior Authorization Platform integrates with major EMRs such as Epic, Cerner, and Allscripts.
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Some other resource(s) that may be helpful in learning about Valer Enterprise Prior Authorization Platform include: Q&A with Dr. Steve Kim of Voluware: A road map to the future of prior authorizations and Top Prior Authorization Companies Report | 2023
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.

Read more
FEATURED MEDIA
See more

media thumbnail
OHSU Case Study.pdf
OHSU Case Study.pdf
media thumbnail
Kern Case Study 2024.pdf
Kern Case Study 2024.pdf
media thumbnail
Comprehensive Guide to Prior Auth Automation.pdf
Comprehensive Guide to Prior Auth Automation.pdf
media thumbnail
Checklist for Prior Auth Automation.pdf
Checklist for Prior Auth Automation.pdf
media thumbnail
VALE144-Glossary_v7.pdf
VALE144-Glossary_v7.pdf
edit-media
Valer Reporting Screen Shot.png
See all media
CATEGORIES & SOLUTIONS

Revenue Cycle Management (RCM)


Prior Authorization


Payer Intelligence


Medical Benefit Prior Authorization Tools


Insurance Eligibility Verification & Prior Authorization


CLIENT TYPES

Pediatric Hospitals

Academic Medical Centers

Accountable Care Organizations

Rural Hospitals

Small Hospital/Health System

Extra Small Hospital/Health System

Medium Hospital/Health System

Product capabilities

Requirements Identification

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.

AVIA GUIDE
What is requirements identification?
Process to verify the necessity of submitting a prior authorization request is automated. If a prior authorization is required, solution can identify payer-specific rules.
Form Completion

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

AVIA GUIDE
What is form completion?
Prior authorization forms completion is augmented with automation, populating appropriate fields through leveraging structured and unstructured data from the EHR.
Forms Library

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.

AVIA GUIDE
What is forms library?
Where necessary, payer-specific forms can be created/maintained.
Documentation Collection

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.

AVIA GUIDE
What is documentation collection?
Necessary documentation can be attached to satisfy the prior authorization request.
Request Submission

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.

AVIA GUIDE
What is request submission?
Prior authorization request can be submitted on behalf of the health system (through e-fax, payer portals, third party sites, etc.).
Status Monitoring

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.

AVIA GUIDE
What is status monitoring?
Prior authorization request status is monitored in near real-time and can be pushed back, along with other relevant information (e.g., tracking numbers, supporting text), into the appropriate work queues and fields within the EHR.
EHR integration

Integrations
Acute care EMR, Ambulatory EMR, Community based organizations, ADT, Access +/or revenue cycle, Website / public online sources
EHR integration and relevant hardware
Recommended, but not required
EMRs supported
Epic, Cerner, Allscripts, NextGen, athena, GE, Athenahealth, Other
Hardware compatibility
Desktop
Solution libraries
Epic ShowroomIn Epic Showroom: https://showroom.epic.com/Search?q=valer
Use cases and differentiators

Use case descriptions

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

Differentiators vs internal options
  • 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
Company information

By Valer

Founded in 2010

Visit website

HELPFUL TOOLS

Valer Enterprise Prior Authorization Platform Comparisons

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Best Valer Enterprise Prior Authorization Platform Alternatives

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Media


Images

edit-media
Valer Reporting Screen Shot.png
edit-media
Valer Dashboard.png
edit-media
Valer Web Portal Form.jpg
Videos

edit-media
Valer Explainer Video_Final.mp4
Downloads

media thumbnail
OHSU Case Study.pdf
media thumbnail
Kern Case Study 2024.pdf
media thumbnail
Comprehensive Guide to Prior Auth Automation.pdf
media thumbnail
Checklist for Prior Auth Automation.pdf
media thumbnail
VALE144-Glossary_v7.pdf
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Ringo VMS - The People Technology

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

Valer Enterprise Prior Authorization Platform Comparisons

Valer Enterprise Prior Authorization Platform

Valer Enterprise Prior Authorization Platform

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eORders

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Valer Enterprise Prior Authorization Platform

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Valer Enterprise Prior Authorization Platform

Valer Enterprise Prior Authorization Platform

VS
Passport Authorization

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Valer Enterprise Prior Authorization Platform

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Prior Authorization/AI Bot

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Valer Enterprise Prior Authorization Platform

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Cohere Unify™

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Valer Enterprise Prior Authorization Platform

Valer Enterprise Prior Authorization Platform

VS
True Access™

True Access™

Valer Enterprise Prior Authorization Platform

Valer Enterprise Prior Authorization Platform

VS
Direct

Direct

Valer Enterprise Prior Authorization Platform

Valer Enterprise Prior Authorization Platform

VS
UiPath Business Automation Platform

UiPath Business Automation Platform

Valer Enterprise Prior Authorization Platform

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Financial - Pre-Auth/Co-Pay Notifications

Financial - Pre-Auth/Co-Pay Notifications

Valer Enterprise Prior Authorization Platform

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VS
R1 Financial Clearance (AuthClearance)

R1 Financial Clearance (AuthClearance)

Valer Enterprise Prior Authorization Platform

Valer Enterprise Prior Authorization Platform

VS
PolicyCore

PolicyCore

Valer Enterprise Prior Authorization Platform

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VS
InterQual Connect™

InterQual Connect™

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Compare to similar products

Best Valer Enterprise Prior Authorization Platform Alternatives

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Prior Authorization

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Passport Authorization

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View top 10 alternatives

Reviews


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Overall Score
5.0

3 reviews


0.0

Features

0.0

Ease of use

0.0

Customer Support

0.0

EHR Integrations

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Reviewer’s Rating
5
4
3
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Reviewer’s Role
  • End user
  • Project manager
  • IT / Technical support
  • Executive sponsor
  • Internal consultant
  • Other

Reviewer’s Org Size
  • XL ($5B+ NPR)
  • L ($3-5B NPR)
  • M ($1-3B NPR)
  • S ($0.2-1B NPR)
  • XS (< $0.2B NPR)

Reviewer’s Org EMR compatibility
Select EMR

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

June 27, 2024

verified

June 27, 2024

Valer saved us!

The best part of Valer is being able to organize the 10k referrals per month our organizations places. Of course the automation of auth submission was the biggest driver for us to try Valer in the first place. I now put the ability to track our referrals, see exactly what my staff is doing and run reports on basically any detail of referrals as equal to auth automation... maybe even above it.

For us, the fact that there is not more seamless integration with our EMR Altera. I guess that is not really Valer's fault though.

Being able to track the status of referrals is huge. Submitting auths via portal is such a plus. If it wasn't for Valer, we would not be able to handle the volume of referrals we handle.

View more


A verified End user working with Valer Enterprise Prior Authorization Platform from a small-sized, ACO hospital.

Review Source
:
g2.com/products/valer/reviews/valer-review-9130867
Helpful(0)

June 27, 2024

verified

June 27, 2024

Valer: A Game-Changer for Streamlined Workflows

What do you like best about Valer?

I love that Valer centalizes the authorization submissions. We are able view ALL outbound authorization requests and inbound faxes related to the patients. Valer has also streamlined WFH process by eliminiting the need for a fax machine. Valer is user friendly and has helped with boosting efficiency with daily submissions. Cloning authorization request is helpful and efficient as many of our providers have their sttandard CPT codes for most visits. I love that we are able to create "Service Code SETS" for specialized treatments that have a group of codes that are not easy to remember. By selecting a few buttons we are able to add 4+ CPT coes at once.

What do you dislike about Valer?

Its hard to pin point somethng I dislike. My experiences have always been positive with the Valer engineers, when i have feedpack. I do wish we can bring back the direct portal submission, to have that instant authorization / tracking number.

What problems is Valer solving and how is that benefiting you?

Valer has allowed us to have a smoother workflow and enhancing productivity. Cloning previous submissions is an awesome tool to help save time with creating a new request. Especially when some of our providers have a destinguished plan of care. Valer is also beneficial when a team member is out, we can easily see their submissions and check status without that team members credentials. We are able to get out 80+ submissions daily with confirmation receipts.

View more


A verified End user working with Valer Enterprise Prior Authorization Platform from a medium-sized, AMC hospital.

Review Source
:
g2.com/products/valer/reviews/valer-review-9199951
Helpful(0)

December 1, 2023

verified

December 1, 2023

Seeing increased results

Seeing what we're able to do bulk submission on or just touch once, now we can actually see reporting that shows us touch 1,100 of these authorizations a month once and never have to do anything on them again because it gets authorized and it gets pushed back into our system. We don't have to go out and check whether or not it's pending. We don't have to document the same thing that's in a portal somewhere into the EMR anymore. So we're seeing increased results...

View more


user image

Ryanne Laurence

Assistant Director, End user working with Valer Enterprise Prior Authorization Platform at Oregon Health and Science University Hospital
Review Source
:
youtube.com/watch?v=xMjhdIRWQ5c&t=17s&ab_channel=Voluware
Helpful(0)
Explore Related Resources
resource image
January 19, 2023
Q&A with Dr. Steve Kim of Voluware: A road map to the future of prior authorizations
With its end-to-end automation platform VALER, Voluware offers a unified solution for prior authorizations, referrals management, and eligibility and coverage. VALER fully automates prior authorization submissions and includes a comprehensive form library and real-time payer information and status monitoring. The cloud-based solution covers all service types, including professional, facility, technical, pharmacy, and DME authorization workflows, and creates a centralized communication hub to capture faxed medical necessity documentation and phone exchanges with payers.
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November 17, 2022
Top Prior Authorization Companies Report | 2023
The Top Digital Prior Authorization Companies Report is intended to provide healthcare leaders with a broad view of the prior authorization process and showcase standout companies and solutions with proven market traction. Users can view quick summaries to help them identify which solutions might meet their needs and visit AVIA Connect to access detailed profiles and verified client lists, compare solutions, and generate Match Scores to narrow their selections.
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May 20, 2024
Unlocking the true potential of healthcare RCM: How a digital front door makes all the difference
In today’s rapidly evolving healthcare landscape, optimizing revenue cycle management (RCM) in healthcare is paramount for providers aiming to maintain financial health while delivering exceptional patient care. However, traditional RCM solutions suffer from glaring inefficiencies that lead to frustrated patients and lost revenue. Enter the digital front door (DFD)—a holistic approach that enhances RCM by digitizing and centralizing various aspects of the patient journey. By streamlining everything from intake to bill pay, the DFD drives efficiency and addresses many of the shortcomings of traditional RCM along the way.
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October 17, 2024
Top Revenue Cycle Management (RCM) Companies Report | Fall 2024
AVIA Marketplace's Top Revenue Cycle Management (RCM) Companies Report | Fall 2024
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October 17, 2024
A buyer’s guide to revenue cycle management (RCM)
Digital RCM solutions are software platforms and technologies that automate and optimize the healthcare revenue cycle. These tools leverage advanced algorithms, artificial intelligence, and data analytics to streamline financial processes, improve efficiency, reduce errors, and provide actionable insights.
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September 9, 2022
A Buyer’s Guide to Prior Authorization
Prior authorization is a management process by which health care providers obtain approval from payers before delivering specific services in order to prevent lost revenue and reduce expenses.
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January 23, 2023
Q&A with Siva Namasivayam of Cohere Health: The role of prior authorization in a holistic approach to care
Prior authorization, or PA, remains a massive administrative burden for health plans and their provider partners, and often delays patient care. It also represents an untapped opportunity to improve patient care journeys and enable more successful value-based care arrangements. The Cohere Unify™ solution suite automates prior authorization intake and decisioning to drive administrative efficiency, while adding clinical intelligence to speed and improve patient outcomes.
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January 24, 2023
Q&A with Christie Callahan of Arrive Health: Putting patient-provider relationships first
At Arrive Health, the patient-provider relationship is our true north. Our solutions leverage accurate, patient-specific data to help providers reach the best decisions with their patients. With real-time notifications for coverage restrictions and prior authorization details, as well as automatic initiation of the electronic prior authorization (ePA) process, providers can significantly reduce administrative burden and ensure transparent communication with patients and care teams. Our directly connected network combines real-time prescription benefit data (from payers and PBMs) with automated ePA capabilities to reduce provider burden, improve patient engagement, and speed time to therapy.
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January 24, 2023
Q&A with Archie Mayani of Change Healthcare: A collaborative approach to automation
Change Healthcare is focused on enabling a better, more efficient healthcare system through the power of the Change Healthcare platform. Our goal is to help payers, providers, and consumers improve clinical and financial outcomes so that everyone in the healthcare system can thrive. Despite all the automation innovations that exist today, authorization automation remains a complex challenge. Although the industry has recognized some success, many gaps still exist that require costly human intervention. The manual nature of prior authorization, the need for clinical documentation, and payer connectivity are some of the challenges Change Healthcare is solving today.
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December 14, 2023
Top Prior Authorization Companies Report 2024
AVIA Marketplace's Top Prior Authorization Companies Why prior authorization matters What leading solutions offer AVIA Marketplace’s top prior authorization companies
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February 14, 2024
Navigating the Future of Rural Healthcare: Insights from the AHA Rural Health Conference
Recently, I had the privilege of attending the AHA Rural Health Conference, a gathering that brings together healthcare professionals, administrators, and advocates from across the nation to address the unique challenges and opportunities within rural healthcare. The experience was not only enlightening but also deeply inspiring, highlighting the resilience, innovation, and dedication of those at the forefront of rural health. Reflecting on the conference, I’d like to share three key themes and takeaways that resonated with me, in the hope of offering some insights and encouragement to others navigating this vital field.
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Ambient Intelligence

Digital Front Door (DFD)

Remote Monitoring (RPM)

Virtual Nursing

Conversational AI

Digitally-Assisted Provider Documentation

Dynamic Staffing & Scheduling

Virtual Visits (Synchronous + Asynchronous)

Patient Education

Revenue Cycle Management (RCM)

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Smart Rooms

Smart Hospitals

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