Chiropractic billing services, streamlined in our software.
Your billing, streamlined in our software. Keep managing it yourself, or have us take it over. Valian runs chiropractic billing for offices today: insurance checked with visits left, claims reviewed and sent electronically, EOBs posted, denials worked and patient balances followed. Your team can run it in our software, or our team can take it over. Start with a free 15-minute billing review.
15 minutes, by video or at your office in New Jersey.

The real claims page, from a made-up office.
Live
chiropractic claims, sent electronically
1,100+
payers answer an insurance check in seconds
Every claim
reviewed by Valian before it goes
BAA
signed before any patient data moves
Your billing, streamlined in our software.
Keep managing it yourself, or have us take it over.
Keep managing it yourself
Your team bills in Valian.
Checks, claims, EOBs and patient balances sit on one screen, so less of the day goes to portals and hold music. You keep the practice software you run today.
Have us take it over
Our team works your claims.
We send them, follow them up, post the payments and work the denials, all inside Valian. You see every claim and every dollar, every day, without asking.
Eleven parts of chiropractic billing.
Worded for a chiropractic office, with what runs today.
Front office
E-check-in
Early accessNew patients fill in their intake forms and add their insurance card before the first visit, not in the waiting room.
E-verification
LiveCheck a patient in one click: more than 1,100 payers answer in seconds with active or not, deductible, coinsurance, and the visit limit and visits left when the plan sends them.
Prior authorization
Run by our teamWhen a plan wants approval before more visits or therapy, our team files the request and follows it until there is an answer.
E-payments
Early accessKnow what each patient owes from that day’s check, record what they pay at the desk, and keep every open balance in one list. Card payments are being set up with our first offices.
Patient financing
Early accessA way for patients to spread a larger balance over time, offered from the same screen. We are adding financing partners now.
Back office
Coding checks
LiveYour doctor picks the codes. Valian checks every claim before it goes: diagnosis and procedure pairs, modifiers, required fields, Medicare’s chiropractic rules and the filing window.
Claims and billing
LiveBuild the claim from the visit, with the note your doctor signed, and send it electronically. Valian reviews every claim before it goes.
Payment posting
LiveWhen the carrier pays, Valian posts the EOB to the claim and follows the payment to your bank. A plan that mails the check to the patient stays open until you collect it.
Collections follow-up
LiveValian asks the carrier where every open claim stands, on its own, so nothing sits unpaid because nobody called. Patient balances wait in one list until they are paid.
Appeals and denials
LiveA denial shows the carrier’s reason in plain words and the fix. Correct it and send it again from the same page; a corrected claim goes as a correction, never a duplicate.
E-reporting
LiveBilled, with the carrier, paid, denied: every claim and every dollar on one screen, each with its whole history from the visit to the deposit.
Live = running for offices today. Run by our team = our people do it for you. Early access = being set up with our first offices.
Know what to collect, either way.
The hardest part of chiropractic billing is knowing what a plan will actually pay. Valian works it out plan by plan, never with one guess per carrier.
Out of network
Every plan sets its own amount. Valian estimates what each plan will pay from what that plan has paid your office in recent months, so you know fairly closely what to collect before the EOB comes in. Once it posts, you see the real number.
In network
Upload the fee schedule from your in-network provider agreement, and every visit shows what the plan allows and what the patient pays.
When a plan pays the patient
Some plans mail the check to the patient instead of your office. That claim says Paid to the patient and stays open until you collect it.
Medicare
Medicare pays chiropractors for spinal manipulation (98940 to 98942). Its claims sign-up runs inside the Valian dashboard, one step at a time.
Payers chiropractic offices bill.
Every fact below comes from our payer directory: whether each payer takes claims electronically through our network, answers claim status requests and sends electronic remittances.
| Payer | Payer ID | Electronic claims | Claim status | Electronic remittance |
|---|---|---|---|---|
| Horizon Blue Cross and Blue Shield of New Jersey | 22099 | Yes | Yes | Yes, after a one-time enrollment |
| UnitedHealthcare | 87726 | Yes | Yes | Yes, after a one-time enrollment |
| Aetna | 60054 | Yes | Yes | Yes, after a one-time enrollment |
| Cigna | 62308 | Yes | Yes | Yes, after a one-time enrollment |
| Humana | 61101 | Yes | Yes | Yes, after a one-time enrollment |
| AmeriHealth NJ | 60061 | Yes | Not through our network yet | Yes, after a one-time enrollment |
| Oxford | 06111 | Yes | Yes | Yes, after a one-time enrollment |
| UMR | 39026 | Yes | Yes | Yes, after a one-time enrollment |
How starting works.
Six steps, from a 15-minute review to your first claims.
- 1
A free 15-minute review
By video, or at your office in New Jersey. We look at how billing runs today and show you the screen your claims would live on.
- 2
Sign the agreements
The Business Associate Agreement and the billing agreement are signed in the dashboard, before any patient data moves.
- 3
Connect what you run today
We will connect Valian to the system you run today, so your patients and visits come across. Nobody switches practice software.
- 4
Add your services and fees
A screenshot of your service list works. Valian reads it twice, keeps only the codes both reads price the same, and keeps each service’s usual modifiers.
- 5
Carrier sign-ups
Some carriers want a sign-up before claims and EOBs come through Valian. We file them, and any step that needs your office shows up in the dashboard.
- 6
Your first claims
New visits go through Valian from the day you start. Claims your current biller already sent can finish where they are, so nothing goes out twice.
What chiropractic offices ask first.
Do we have to replace our billing team?
No. Keep managing billing yourself and your team gets one screen for every check, claim, EOB and patient balance. Or have our team take it over. You can start one way and change later.
We are out of network. Does that change anything?
Claims go out the same way, asking the carrier to pay your office. When a plan mails the check to the patient anyway, the claim says Paid to the patient and stays open until you collect it. Valian estimates what each plan pays from what it has paid your office before.
Does it handle Medicare?
Yes. Medicare’s claims sign-up runs inside the dashboard, one step at a time, and says exactly what Medicare needs from your office.
Who writes and signs the notes?
Your doctor. Valian keeps the signed note with the visit and the claim it belongs to.
What does it cost?
We set your price with you after the review, based on how many claims you send. Nothing is charged until you agree to it.
Is patient data handled the HIPAA way?
Yes. The Business Associate Agreement is signed before any patient data moves. Data is encrypted in transit and at rest, and access is logged.
See your chiropractic billing on one screen.
In 15 minutes we look at how your claims go out today, what plans pay you out of network, and what sits unpaid.
- Chiropractic claims live today
- Visits left, checked in seconds
- 15 minutes, video or in person
- A BAA before any patient data moves
1. Pick a time
15 minutes · times in Eastern Time (ET)