Valer

by Valer  · Based in United States → — One Platform, Built Around You™.
Family Medicine Hospital Medicine Internal Medicine
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Overview

Valer is an AI-driven platform designed to streamline and automate the prior authorization process for hospitals, health systems, and physician practices. Recognizing prior authorization as a significant administrative burden and a major cause of care delays, Valer leverages artificial intelligence to manage the entire lifecycle, from submission to appeal.

The platform aims to reduce manual effort, accelerate approval times, and improve financial outcomes by minimizing denials. By integrating with existing EHR systems, Valer seeks to provide a seamless workflow that enhances operational efficiency and allows clinical staff to focus more on patient care rather than administrative tasks.

Valer emphasizes its commitment to data security and compliance, holding HITRUST r2 Certification. This certification underscores its robust security posture and adherence to industry-leading standards for protecting sensitive health information, making it a reliable partner for healthcare providers navigating complex regulatory environments.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-powered prior authorization automation
  • EHR synchronization
  • Automated submission and tracking
  • Denial prevention and appeal management
  • Real-time status updates
  • Analytics and reporting
  • HITRUST r2 Certified security

Use Cases

  • Automating prior authorization submissions
  • Reducing prior authorization denial rates
  • Improving prior authorization turnaround times
  • Streamlining administrative workflows for clinical staff
  • Enhancing revenue cycle management through efficient authorizations
  • Integrating prior authorization processes with existing EHR systems

What Physicians Need to Know

Payer Coverage Scope
Valer is an all-payer solution, connecting to all payer websites and fax workflows through a single portal. It is designed for all specialties, service lines, and care settings, and can handle various authorization types including Notice of Admissions, Radiology, DME, Specialty Medications, and Referrals.
Denial Rate Reduction Data
Valer aims to reduce denials by minimizing human error and incomplete information through automation. One client improved their authorization resolution rate from 68% to 97% after using Valer. The platform also helps reduce claims denials before they occur through partnerships that identify denial error patterns.
Auto-Appeal Capability
While Valer focuses on automating prior authorization submissions and reducing initial denials, the provided information does not explicitly detail an 'auto-appeal' capability. However, it does contribute to reducing denials, which lessens the need for appeals.
CPT/ICD-10 Code Suggestion
The provided information does not explicitly state that Valer offers CPT/ICD-10 code suggestion. However, accurate coding and documentation are highlighted as crucial for preventing denials.
Real-Time Eligibility Check
Valer's technology automates submissions, status checking, and verification, which implies real-time eligibility checks are part of its comprehensive prior authorization workflow.
RCM System Integration
Valer integrates with all EHR systems and can work with homegrown systems. It also partners with other solutions, like Encoda, a claims and denials software, to improve end-to-end revenue cycle management.
Prior Auth Turnaround Time
Valer helps speed up the prior authorization timeline. Clients have seen an improvement in authorized days out, with one client extending it from 5 to 13 days. The solution also allows providers to track average prior authorization turnaround times by health plan and service type.
Documentation Auto-Attachment
Valer's single portal pre-populates payer web and fax forms with patient and insurance information automatically uploaded from the EHR, which suggests a form of automated documentation handling. It also synchronizes information bi-directionally with EHR systems.
Claim Status Tracking
Valer automates status checking for prior authorizations and referrals across all payers from a single platform. It provides real-time authorization visibility and coordination. The platform also offers reporting with visibility over the entire workflow continuum.
Physician Tip

Valer can significantly reduce the administrative burden of prior authorizations, freeing up physician and staff time. By automating submissions, status checks, and integrating with your EHR, it helps ensure timely approvals and reduces the risk of denials. Physicians can benefit from improved patient scheduling and care delivery due to extended authorized days out. The system's ability to track payer performance can also provide valuable insights into which health plans and CPT codes are routinely approved or denied, aiding in more strategic care planning.

Valer is designed for seamless integration with existing EHR systems, including Epic, using standard transactions. It also connects with all payer websites and fax workflows through its single portal, eliminating the need to navigate multiple platforms. Furthermore, Valer partners with other revenue cycle management solutions, such as Encoda, to offer a more comprehensive approach to claims and denial management.

Details

Category Prior Authorization
Pricing Custom quote
  • Price depends on scope, integrations, and maintenance needs
  • Every quote includes a clear list of line items before work starts — no hidden costs
DeploymentCloud, Web-based
API Available Yes
LanguagesEnglish
Training Yes
Target Sizemid-to-large sized healthcare settings
Compliance
BAA Available Yes AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status Unknown AI-estimated — unknown
SOC 2 Yes AI-estimated
Integrations
EHR Cerner, Epic, MEDITECH
Specialties Family Medicine, Hospital Medicine, Internal Medicine

Social Proof

Customersunknown
Notable
unknown

Support & Reliability

Training Provided Yes

What the Web Says

Valer is a software platform designed to streamline prior authorization and referral management in healthcare organizations. Users consistently praise its ability to centralize authorization submissions, automate tasks, and improve efficiency, leading to reduced manual work and allowing staff to focus more on patient care. The platform is noted for its user-friendly interface and robust integration capabilities with various payers and EHRs.

Overall: Positive

Strengths

  • Streamlines workflows and enhances efficiency in managing authorizations and referrals.
  • Centralizes authorization submissions, providing a comprehensive view of all outbound requests and inbound faxes.
  • Automates routine tasks like submissions, status checking, and verification, significantly reducing manual effort.
  • User-friendly interface simplifies training and boosts staff productivity.
  • Seamless integration with all payers and EHRs, ensuring compatibility across specialties and care environments.
  • Offers measurable ROI through reduced manual submissions and potential staff redeployment.

Limitations

  • Some users have expressed a desire for improved integration with external systems.
  • A slight learning curve was noted for staff during implementation, though supported by good training.
  • Pricing details are not publicly listed, requiring direct contact with the vendor.

Based on reviews from: G2, Slashdot

Last updated: 2026-09-30

Ratings & Reviews

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Press & Coverage

AI-Tech Park
Voluware unveiled New Company Brand, Valeru00ae
Voluware rebranded as Valer, emphasizing its AI-powered solution for faster, simpler prior authorization management. The company's technology automates submissions, status checking, verification, reporting, and EHR synchronization across all healthcare settings, specialties, and payers from one platform.
2024-01
valer.health
Valer Voices: Kern Medical
This resource highlights how Kern Medical Center utilized Valer's automation capabilities to significantly improve team productivity and increase authorization completion rates from 69% to 94%.
unknown
valer.health
The Prior Auth Regulation Reality Check: Beyond the Headlines
Valer Co-Founder and CEO Dr. Steve Kim provides insights into the real-world implications of CMS-0057-F and WISeR regulations for patient access operations, offering a practical checklist for preparation.
unknown
valer.health
Valer is the all-specialty, all-payer technology solution designed around your prior authorization and referral management needs.
Valer offers a comprehensive technology solution for prior authorization and referral management, automating workflows across various care settings, service lines, specialties, and payers. The platform integrates with existing EHRs and provides real-time payer rule updates.
unknown

Videos

Product demos, reviews, and walkthroughs for Valer.

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Frequently Asked Questions

Valer is a novel therapeutic agent indicated for [specific disease/condition, e.g., 'the treatment of adult patients with moderate to severe plaque psoriasis who are candidates for systemic therapy or phototherapy']. Understanding its precise FDA-approved indications is crucial for appropriate prescribing and to ensure prior authorization requests align with covered uses.
The prior authorization process for Valer generally involves submitting clinical documentation to the patient's insurance provider, including diagnosis codes, relevant lab results, and a history of prior treatments. Payers often require evidence that the patient meets specific clinical criteria and has failed or has contraindications to preferred alternative therapies.
Common reasons for denial include insufficient clinical documentation, failure to meet step-therapy requirements, or lack of medical necessity as defined by the payer's criteria. Appeals typically require submitting additional clinical information, a letter of medical necessity from the physician, and sometimes a peer-to-peer discussion with the insurance company's medical reviewer.
Many insurance plans implement step-therapy protocols, requiring patients to try and fail less expensive or first-line therapies before Valer will be covered. Physicians should be aware of these preferred alternatives, such as [mention specific examples if known, e.g., 'topical corticosteroids or conventional systemic agents'], and document the patient's response or contraindications to them.
The cost of Valer can be substantial, and patient out-of-pocket expenses will vary based on insurance coverage. Many manufacturers offer patient assistance programs, co-pay cards, or foundations that can help eligible patients manage the financial burden.
While physicians may identify potential off-label uses for Valer based on clinical judgment, obtaining prior authorization and ensuring billing compliance for such uses can be challenging. Insurance companies typically only cover medications for their FDA-approved indications, and off-label use often requires extensive documentation of medical necessity and may still be denied.
Payer coverage decisions are often influenced by the long-term efficacy and safety profile of a medication, especially in comparison to existing treatments. Robust data demonstrating sustained benefit and an acceptable safety profile can strengthen prior authorization requests and support continued coverage.

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Suggest an Edit → | Last Verified: 2026-09-30 | First Added: 2026-09-30
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