// Revenue cycle management services

Revenue cycle management services, from the first check to the last payment.

Your billing, streamlined in our software. Keep managing it yourself, or have us take it over. Valian runs revenue cycle management for practices: insurance checked in seconds before the visit, claims reviewed and sent electronically, payments posted, and denials and unpaid claims worked until they close. Your team can run it in our software, or ours can take it over. Medical and chiropractic claims go out electronically today; for dental claims, we are now taking our first dental offices.

Book a free billing review

15 minutes, by video or in person.

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

The revenue cycle, in eleven parts.

Front office to back office, with what runs today.

Front office

  • E-check-inEarly access
  • E-verificationLive
  • Prior authorizationRun by our team
  • E-paymentsEarly access
  • Patient financingEarly access

Back office

  • Coding checksLive
  • Claims and billingLive
  • Payment postingLive
  • Collections follow-upLive
  • Appeals and denialsLive
  • E-reportingLive

Live = running for offices today. Run by our team = our people do it for you. Early access = being set up with our first offices.

// The cycle

What revenue cycle management covers, stage by stage.

Where the money is between the visit and the deposit, and who handles each step.

Before the visit

Insurance checked in one click, prior authorizations filed by our team, and the patient’s share estimated from the check.

The claim

Your doctor’s codes checked against the payer’s rules, then the claim sent electronically, reviewed by Valian before it goes.

When the carrier answers

The EOB posts to the claim, the payment is followed to your bank, and a denial shows its reason and the fix.

What is still unpaid

Valian asks the carrier where every open claim stands, and patient balances wait in one list until they are paid.

// The payers

Payers we send claims to.

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 in person. 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 revenue cycle management services.

What are revenue cycle management services?

Everything between booking a patient and the last dollar collected: insurance checks, prior authorizations, coding checks, claims, payment posting, denials and follow-up on what is unpaid.

What is the difference between an RCM company and a billing company?

A billing company usually sends claims and follows them up. Revenue cycle management covers the whole path, from the insurance check before the visit to the last payment, so problems are caught before they become denials.

Which specialties do you work with?

Chiropractic, family practice, cardiology and endocrinology claims go out electronically today, and we are taking our first offices in each specialty. For dental offices, insurance checks are live today, and we are now taking our first dental offices for claims.

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.

// Your move

See your revenue cycle on one screen.

In 15 minutes we look at how your billing runs today, from the insurance check to the last payment.

  • Every claim reviewed before it goes
  • Your doctor keeps picking the codes
  • 15 minutes, video or in person
  • A BAA before any patient data moves

1. Pick a time

15 minutes · times in Eastern Time (ET)