Valer, a prior authorisation and referral management automation technology firm, has joined forces with Encoda, a claims and denials software solution provider, to enhance end-to-end revenue cycle management.
Both parties are owned by Hughes & Company.
Through the collaboration, the firms aim to help bridge the gap in prior authorisation and healthcare revenue integrity among mid to large physician practices.
The partnership will enable Valer’s customers to get faster, simpler, and less expensive prior authorisation workflows. This will reduce errors that can lead to claim denials at the back end of the revenue cycle.
Besides, Encoda’s BackOffice suite will complement Valer by identifying denial error patterns.
Encoda CEO Lisa Taylor said: “Partnering with Valer feels like a natural extension of Encoda’s mission.
“Prior authorisations are a leading cause of denials, payment delays, and confusion in the physician revenue cycle. Valer and Encoda deliver transparency with automation and analytics, giving providers certainty that they will be paid what they are owed by payers.
“The combined platform connects workflows and insights from prior authorisation through payment posting to ensure nothing falls through the cracks.”
Established in 2012, Valer offers a solution for accelerating and streamlining prior authorisation and referral management for hospitals, health systems, physician practices, and other healthcare systems.
The firm’s software is tailored for each client’s workflow and electronic health record (EHR). Valer allows users to automatically submit, verify, and manage prior authorisations and referrals for all payer plans from a single platform.
Valer co-founder and CEO Steve Kim said: “It builds on our company’s momentum and enables partners to share in the value of improving patient access with prior authorisation automation.
“Together, we know our platforms can significantly reduce costs and increase revenue for the healthcare industry by automating and reducing claims denials before they even happen. It will alleviate some of the most significant pain points that our shared clients experience.”