Medical coding, checked on every claim before it goes.
Your billing, streamlined in our software. Keep managing it yourself, or have us take it over. Valian checks medical coding for practices: your doctor picks the codes from the visit, and every claim is checked against the payer’s rules and the ICD-10-CM code book before it goes, including diagnosis codes that can never be billed together, modifiers, Medicare’s chiropractic rules, required fields and the filing window. Then Valian reviews the claim before it is sent. Your team can work it in our software, or ours 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.
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
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.
Coding is one part of billing. Here are all eleven.
Many denials start with a detail on the claim, so the check comes before it goes.
Front office
E-check-in
Early accessPatients fill in their forms and add their insurance card before the visit, so the front desk starts the day with clean information.
E-verification
LiveCheck 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 teamWhen 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 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 against the payer’s rules before it goes: diagnosis and procedure pairs, modifiers, required fields and the filing window.
Claims and billing
LiveBuild 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
LiveWhen 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
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.
Coding checks for your kind of practice.
Each specialty codes a little differently. Your doctor always picks the codes.
Chiropractic coding
Spinal adjustment codes 98940 to 98942, the subluxation diagnosis first on Medicare claims, the active-care modifier, and the diagnosis pairs the code book never allows together.
Chiropractic billing
Family practice
A full day of short visits, each claim checked for diagnosis pairs, modifiers and required fields before it goes.
Family practice billing
Cardiology
Claims for visits and tests checked against the payer’s rules, with prior authorizations for tests filed by our team.
Cardiology billing
Endocrinology
Regular visits checked one claim at a time, so a missing diagnosis or modifier is fixed before the claim goes.
Endocrinology billing
Dental coding
Your dentist picks the CDT codes, and each claim is checked for required fields, the payer’s rules and the filing window. For dental claims, we are now taking our first dental offices.
Dental billing
Code guides
Whether common procedures are covered and how they bill, by specialty.
Medical code guides
What Valian checks on every claim.
Your doctor’s codes stay your doctor’s. These are the checks they go through before the payer sees them.
Diagnosis codes that never go together
The ICD-10-CM code book lists diagnosis pairs that can never be billed on the same claim. A claim carrying one is flagged before it goes, with both codes named, so your doctor picks the right one from the note.
Modifiers, line by line
Each line is checked for the modifier the payer needs, and your service list keeps each service’s usual modifiers, so a line starts out right.
Medicare’s chiropractic rules
On a Medicare chiropractic claim, the first diagnosis must be the subluxation with its level, and each spinal adjustment needs the active-care or maintenance modifier. A claim missing either is stopped before it goes.
Required fields and the filing window
The claim is checked for what the payer cannot process without, and for the payer’s filing window, before it is sent. Then Valian reviews it.
Payers whose rules claims are checked against.
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 |
|---|---|---|---|---|
| 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 |
| Oxford | 06111 | Yes | Yes | Yes, after a one-time enrollment |
| UMR | 39026 | Yes | Yes | Yes, after a one-time enrollment |
| Meritain Health | 41124 | Yes | Yes | Yes, after a one-time enrollment |
| Oscar Health | OSCAR | 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 fees and codes
Take a picture of your fee list. Valian reads it twice and keeps only the codes both reads agree on.
- 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 practices ask about medical coding.
Do you code our charts for us?
No. Your doctor saw the patient, so your doctor picks the codes from the visit note. Valian checks every code on every claim before it goes, names anything that does not fit, and never changes a code to get a claim paid.
Is this outsourced medical coding?
Not in the usual sense: nobody outside your office assigns your codes. What you get is every claim checked against the payer’s rules and the code book, then reviewed by Valian before it goes. If you want, our team takes over the rest of billing too: sending claims, following them up, posting payments and working denials.
What do you check on chiropractic claims?
The diagnosis pairs the code book never allows together, and the modifiers on each line: an exam or 97140 on the same day as an adjustment needs its modifier (25 or 59), or the payer bundles it. On Medicare claims, also the initial treatment date, the subluxation diagnosis first and the active-care or maintenance modifier on each adjustment.
What happens when a code is the reason for a denial?
The claim shows the carrier’s reason in plain words and where to fix it. Your doctor picks the right code from the note, and the claim goes again as a correction, never a duplicate.
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.
See every claim checked before it goes.
In 15 minutes we look at how codes get checked in your office today and show you the checks every claim would go through.
- Your doctor keeps picking the codes
- Every claim checked before it goes
- 15 minutes, video or in person
- A BAA before any patient data moves
1. Pick a time
15 minutes · times in Eastern Time (ET)