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What is Optum AI Marketplace?

The Optum AI Marketplace is a carefully designed platform that offers a range of AI-powered solutions intended to transform the healthcare landscape by providing payers, providers, and partners with cutting-edge tools to improve outcomes more efficiently. This marketplace features an extensive assortment of products and services across various categories, such as patient and member engagement, claims and eligibility, care operations, payment and reimbursement, and analytics. One of its key features includes the prior authorization inquiry API, enabling payers to quickly verify a patient’s authorization status, in addition to SmartPay Plus, an electronic cashiering platform aimed at streamlining the payment process for patients and enhancing collection efficiency. Additionally, Optum Advisory Technology Services provides specialized support for organizations embracing digital transformation, including assistance with system selection, procurement processes, and the deployment of AI solutions. The marketplace also partners with reputable resellers like ServiceNow to offer advanced solutions specifically designed for the healthcare industry. By combining innovative technology with expert guidance, Optum AI Marketplace stands out as an essential asset for organizations looking to boost their operational efficiency and enhance the quality of patient care they provide. This platform not only addresses current healthcare needs but also anticipates future challenges in the industry.

What is ABN Assistant?

Denials of medical necessity pose a substantial financial strain on healthcare providers, leading to potential losses that can soar into the millions each year due to write-offs, coupled with the costly labor required to investigate and challenge these denials while also managing patient inquiries. On the other hand, payers encounter similar difficulties within the claims management framework, facing costs associated with unnecessary medical treatments and the resources allocated to address denial appeals, none of which enhance patient outcomes. Moreover, patients endure high copays and out-of-pocket costs, alongside a stressful healthcare journey filled with unjustified charges and services. In response to these challenges, the ABN Assistant™ from Vālenz® Assurance provides providers with vital tools for prior authorization that confirm medical necessity, create Medicare-compliant Advanced Beneficiary Notices (ABNs) with estimated costs, and effectively mitigate over 90 percent of medical necessity denials by validating necessity prior to patient care. By implementing this innovative system, healthcare providers not only bolster their financial stability but also elevate patient satisfaction and streamline the efficiency of care. Thus, the comprehensive approach offered by Vālenz® has the potential to reshape the landscape of healthcare delivery by minimizing unnecessary costs for all parties involved.

Media

Media

Integrations Supported

Google Cloud Healthcare API
InvisaClaim
Microsoft 365
ServiceNow

Integrations Supported

Google Cloud Healthcare API
InvisaClaim
Microsoft 365
ServiceNow

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

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

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Optum

Company Location

United States

Company Website

marketplace.optum.com

Company Facts

Organization Name

Vālenz

Date Founded

2004

Company Location

United States

Company Website

www.valenzhealth.com/valenz-assurance/abn-assistant/

Categories and Features

Categories and Features

Medical Billing

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

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