// Denial management services

Denial management, streamlined in our software.

Your billing, streamlined in our software. Keep managing it yourself, or have us take it over. Valian handles claim denials for practices: each denial shows the carrier’s reason in plain words and the fix, the claim is corrected and sent again as a correction, never a duplicate, and it is followed until it pays. Your team can work denials in our software, or ours can take them over. Start with a free 15-minute billing review.

Book a free billing review

15 minutes, by video or at your office in New Jersey.

The real product
The Valian claims page from a made-up office: every claim billed, with the carrier, paid or denied

The real claims page, from a made-up office.

1,100+

payers answer an insurance check in seconds

Every claim

reviewed by Valian before it goes

15 min

free billing review, video or in person

BAA

signed before any patient data moves

// Two ways to run it

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.

// What we handle

Denials are one part of billing. Here are all eleven.

Most denials start earlier in the cycle, so the fix often does too.

Front office

E-check-in

Early access

Patients fill in their forms and add their insurance card before the visit, so the front desk starts the day with clean information.

E-verification

Live

Check a patient in one click: more than 1,100 payers answer in seconds with active or not, deductible, copay and coinsurance, saved on the patient with the date.

Prior authorization

Run by our team

When a payer wants a prior authorization, our team files it, tracks it and follows up until there is an answer. You see where each one stands.

E-payments

Early access

Know 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 access

A 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

Live

Your doctor picks the codes. Valian checks every claim against the payer’s rules before it goes: diagnosis and procedure pairs, modifiers, required fields and the filing window.

Claims and billing

Live

Build the claim from the visit and send it electronically. Valian reviews every claim before it goes, so a missing detail is fixed before the payer sees it.

Payment posting

Live

When the carrier pays, Valian posts the EOB to the claim, shows what the plan paid and what the patient owes, and follows the payment to your bank.

Collections follow-up

Live

Valian 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

Live

A 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

Live

Billed, 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.

// How a denial gets worked

From denied to paid, on one page.

Four steps Valian takes on every denial.

The reason, in plain words

The carrier’s denial code is shown as a sentence your team can act on, not a code to look up.

The fix, on the claim

The claim shows where to fix it: a missing detail, a wrong plan, a diagnosis that does not support the code.

Sent again as a correction

A corrected claim goes out as a correction, never as a duplicate that the carrier denies a second time.

Followed until it pays

Valian keeps asking the carrier where it stands, and posts the payment when it comes.

// The payers

Payers whose claims we follow.

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.

PayerPayer IDElectronic claimsClaim statusElectronic remittance
UnitedHealthcare87726YesYesYes, after a one-time enrollment
Aetna60054YesYesYes, after a one-time enrollment
Cigna62308YesYesYes, after a one-time enrollment
Humana61101YesYesYes, after a one-time enrollment
Oxford06111YesYesYes, after a one-time enrollment
UMR39026YesYesYes, after a one-time enrollment
Meritain Health41124YesYesYes, after a one-time enrollment
Oscar HealthOSCARYesYesYes, after a one-time enrollment
// Getting started

How starting works.

Six steps, from a 15-minute review to your first claims.

  1. 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. 2

    Sign the agreements

    The Business Associate Agreement and the billing agreement are signed in the dashboard, before any patient data moves.

  3. 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. 4

    Add your fees and codes

    Take a picture of your fee list. Valian reads it twice and keeps only the codes both reads agree on.

  5. 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. 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 if

What practices ask about denials.

What is denial management?

Working every claim a payer refuses: finding the reason, fixing the claim and sending it again, or appealing, before the payer’s deadline. Good denial management also stops the same reason from coming back.

How do you keep the same denial from coming back?

Each claim is checked against the payer’s rules before it goes, so the reasons that caused a denial are caught on the next claim before the payer sees it.

Do you work old denials?

Bring them to the review. We look at what is still inside the payer’s deadline and what it takes to send it again.

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.

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.

// Your move

Bring us your denials.

In 15 minutes we look at which claims come back, why, and show you the page every denial would be worked on.

  • The reason in plain words
  • Corrected, never duplicated
  • 15 minutes, video or in person
  • A BAA before any patient data moves

1. Pick a time

15 minutes · times in Eastern Time (ET)