Valer Partners with Encoda to Improve End-to-End Revenue Cycle Management

Partnership enables healthcare organizations to cut costs and increase revenue with prior authorization automation and reduced denials

HUNTINGTON BEACH, Calif.–(BUSINESS WIRE)–Valer, an industry-leading prior authorization and referral management automation technology, today announces a strategic partnership with fellow Hughes & Company portfolio company Encoda, a leading claims and denials software solution. This collaboration between the two companies will help bridge the gap in prior authorization and healthcare revenue integrity among mid to large physician practices.

For Valer clients, the benefit of this partnership will result in faster, simpler, and less expensive prior authorization workflows, which reduces errors that can lead to claim denials on the back end of the revenue cycle. Encoda’s BackOffice™ Suite will complement Valer by identifying denial error patterns.

“We’re thrilled to announce this partnership with Encoda,” states Dr. Steve Kim, Co-Founder and CEO of Valer. “It builds on our company’s momentum and enables partners to share in the value of improving patient access with prior authorization 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.”

Valer is committed to improving organizational workflows and creating a future where healthcare delivery is seamless, efficient, and patient-centric. Strategic industry partnerships are essential to meeting this objective.

“Partnering with Valer feels like a natural extension of Encoda’s mission,” notes Lisa Taylor, CEO of Encoda. “Prior authorizations 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 authorization through payment posting to ensure nothing falls through the cracks. We are eager to see how our combined solutions drive significant advancements for revenue cycle leaders.”

For more information about how Valer addresses the industry’s most pressing prior authorization challenges, visit https://valer.health/prior-authorizations/.

About Valer

Founded in 2012, Valer® provides a premium solution for speeding and simplifying prior authorization and referral management for hospitals, health systems, physician practices, and other healthcare settings. With software customized for each client’s workflow and EHR, Valer enables users to automatically submit, verify, and manage prior authorizations and referrals for all payer plans from a single platform. Recognized as a 2024 AVIA Marketplace Top Prior Authorization Company, Valer improves staff productivity, financial performance, and patient satisfaction. Valer is Built Around You. For more information, visit valer.health.

About Encoda

Encoda is the leading claims and denials software solution that acts as the connective tissue between practice management systems, clearinghouses, and payers. In turn, we give practices greater visibility into their claims data, allowing them to address denials more efficiently—and more profitably. Drawing from 30 years of experience developing and implementing revenue cycle software solutions, the team at Encoda is dedicated to revolutionizing healthcare reimbursement automation. By doing so, Encoda is enabling customers to grow their businesses while significantly reducing back-office resources. Today, Encoda realizes the true intention of healthcare reimbursement by enabling our clients to collect the most amount of money in the shortest amount of time, as cost-effectively as possible. How do we do that? By using our customizable, rules-based solution to bridge the workflow gaps between payers, clearinghouses, and practice management systems—allowing our customers to get every penny possible from the payers.

About Hughes & Company

Hughes & Company is a private equity firm investing in growth and later-stage healthcare software and technology-enabled service companies. Hughes & Company works closely with its portfolio companies on initiatives to accelerate growth, enhance customer value propositions and increase long-term retention by applying institutional best practices and disciplined execution.

Contacts

Lauren Watt

Trevelino/Keller

lwatt@trevelinokeller.com