Is it covered? The codes your front desk gets asked about, answered.
One page per procedure code: the patient question first, then what plans usually pay, the rule that decides it, and what gets the claim denied. Written for the front desk, no jargon.
39 codes
Dermatology coverage guide
Skin procedures live on the line between medical and cosmetic, and that line is where claims get denied. Each page answers the patient question first, then shows the front desk what plans usually pay and what the note has to say.
43 codes
Urgent care coverage guide
Visit levels, tests, stitches, X-rays and after-hours fees: the codes an urgent care bills every shift, with what plans usually pay and where the copay, deductible and out-of-network surprises come from.
39 codes
Pediatrics coverage guide
Well visits, vaccines and screenings are usually free to the family, right up until a sick visit rides on the same day. These pages explain each code and the coverage rule behind it.
41 codes
Chiropractic coverage guide
Adjustments, therapies and X-rays with the visit limits, maintenance-care exclusions and Medicare rules that decide what the plan pays. Each page answers the patient question, then the billing one.
78 codes
Dental (CDT) code guide
Cleanings, fillings, crowns, root canals, extractions and braces: what each dental code is and how plans usually treat it.
How to use these guides
Each guide opens with the question a patient actually asks at the desk, then answers it in the order the answer matters: what plans usually pay, the rule that decides it, the documentation payers expect, and the mistakes that get the claim denied. The code itself is there for the biller, but nothing on the page assumes you are one.
What a code tells you, and what it does not
A procedure code identifies what was done. It does not tell you what this patient's plan will pay for it. Two patients can have the same procedure on the same day with the same carrier and owe completely different amounts, because the plan behind the card decides the percentage, the deductible, the frequency limit and the waiting period. That is why every coverage sentence on these pages says "usually".
The only way to replace "usually" with a number is to check the actual plan before the visit. A real-time eligibility check returns whether the coverage is active and in network, the deductible and how much is met, the annual maximum and what is left of it, the coverage percentage for that category, plus frequency limits, waiting periods and any pre-authorization flag. That is the difference between quoting a patient a range and quoting them their number.
Dental and medical
The dental guide covers CDT codes: cleanings, fillings, crowns, root canals, extractions and braces. The medical guides cover the CPT and HCPCS codes that come up most in dermatology, urgent care, pediatrics and chiropractic. Where a code appears in more than one specialty it has one page, and the other specialty links to it.
Codes tell you what it is. Verification tells you what it pays.
Every "usually" on these pages is a per-plan question. Your team answers it with a real-time eligibility check in one click, before the patient checks in. Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
CPT is a registered trademark of the American Medical Association. The explanations on these pages are Valian's own plain-English summaries for front-desk teams, not official CPT descriptor text, and are not billing or clinical advice. Coverage patterns describe common plan behaviors; every plan differs. Verify benefits before the visit.