Medical billing services in New Jersey.
Your billing, streamlined in our software. Keep managing it yourself, or have us take it over. Valian does medical billing for New Jersey practices: insurance checked in seconds, claims reviewed and sent electronically to Horizon, the NJ FamilyCare health plans and other payers, payments posted and denials worked. Your team can run it in our software, or ours can take it over. In Ocean and Monmouth counties, Robert comes to your office.
15 minutes at your office in Ocean or Monmouth County, or by video.
The real claims page, from a made-up office.
In person
free billing review at your office
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 billing for a New Jersey practice.
The same work everywhere, done with New Jersey’s payers in mind.
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.
What is different in New Jersey.
The payers, the Medicare office and the visits are local. Here is what that means for your claims.
We come to your office
Robert Del Grande, Valian’s founder, visits offices across Ocean and Monmouth counties. The billing review happens at your front desk, with your team.
Medicare goes through Novitas
Novitas Solutions is the Medicare contractor for New Jersey. Medicare’s claims sign-up runs inside the Valian dashboard, one step at a time, and says what Medicare needs from your office.
Horizon and Braven Health
Horizon Blue Cross Blue Shield of New Jersey (payer ID 22099) and Braven Health (84367) take electronic claims through our network and answer claim status requests.
NJ FamilyCare and its health plans
NJ FamilyCare takes electronic claims after a one-time enrollment. Horizon NJ Health, Aetna Better Health of New Jersey and UnitedHealthcare Community Plan of New Jersey take them through our network.
New Jersey payers, claim by claim.
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 |
| Braven Health | 84367 | Yes | Yes | Yes, after a one-time enrollment |
| Horizon New Jersey Health | 22326 | Yes | Yes | Yes, after a one-time enrollment |
| Aetna Better Health New Jersey | 46320 | Yes | Yes | Yes, after a one-time enrollment |
| UnitedHealthcare Community Plan New Jersey | 86047 | Yes | Yes | Yes, after a one-time enrollment |
| NJ FamilyCare | 100229 | Yes, after a one-time enrollment | Yes | Yes, after a one-time enrollment |
| AmeriHealth NJ | 60061 | Yes | Not through our network yet | Yes, after a one-time enrollment |
| AmeriHealth | 95044 | Yes | Yes | Yes, after a one-time enrollment |
The full list of payers New Jersey offices check is in our New Jersey payer directory.
How starting works in New Jersey.
Six steps, from a visit at your office to your first claims.
- 1
A free 15-minute review at your office
Robert comes to your front desk in Ocean or Monmouth County, or we meet by video. Bring how billing runs today and your team’s questions.
- 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 New Jersey practices ask first.
Do you come to our office?
Yes. In Ocean and Monmouth counties, Robert Del Grande, Valian’s founder, comes to your office for the free review. Anywhere else in New Jersey, ask, or meet by video.
Which New Jersey payers can you send claims to?
Horizon Blue Cross Blue Shield of New Jersey, Braven Health, AmeriHealth New Jersey and the NJ FamilyCare health plans take electronic claims through our network; NJ FamilyCare itself takes them after a one-time enrollment. The table above shows each one.
How does Medicare work in New Jersey?
Novitas Solutions is the Medicare contractor for New Jersey. Medicare’s claims sign-up runs inside the Valian dashboard, one step at a time, and says exactly what Medicare needs from your office.
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.
Have Robert stop by your office.
Fifteen minutes at your front desk in Ocean or Monmouth County, or by video anywhere in New Jersey. We look at how your billing runs today.
- 15 minutes, at your office
- The real dashboard, not slides
- Your doctor keeps picking the codes
- A BAA before any patient data moves
1. Pick a time
15 minutes · times in Eastern Time (ET)