Urgent care billing services, verified at the door, paid after.

It turns each walk-in visit into payment. That means checking the patient's plan at the desk, checking the codes your providers picked, sending claims the same day, following each one until the payer decides, posting the EOB, working denials and collecting what the patient owes. Valian does all of it in our software, run by your team or ours.

It depends on how many visits your center bills and which parts of the work you hand to our team. Valian sets your price with you after the discovery call, and nothing is charged until you agree to it. Ask any company you compare what is included, and who works the denials and the patient balances.

Place of service 20, which CMS defines as an urgent care facility: a location, apart from a hospital emergency room, an office or a clinic, that treats walk-in patients who need care right away. Blue Cross and Blue Shield of Minnesota's Medicare policy, for example, says clinic-based urgent care is billed on the professional claim with place of service 20. Each payer's contract can set its own rule.

The exam uses an office visit code, 99202 to 99205 for a new patient or 99211 to 99215 for an established one, and each procedure, X-ray or lab test done that day gets its own code on its own line. Some payers also take urgent care codes such as S9083 or S9088, and others refuse them. Valian checks the codes your provider picked against each payer's rules.

It depends on the payer. S9083 is a global fee code for urgent care centers, and S9088 is an add-on for services in an urgent care center. Medicare's fee schedule marks both as not valid, and UnitedHealthcare's commercial policy pays neither one. Some plans pay them only with place of service 20. Valian checks each payer's rule before a claim goes.

When the exam is significant and separate from a minor procedure done the same day, such as treating an ear infection at the same visit as stitches for a cut. Modifier 25 goes on the visit code, and the note has to support a separate exam. Valian checks every claim for a missing or wrong modifier before it goes, and your provider keeps the final say.

Ask at check-in whether the injury happened at work, and on what date. If it did, the claim goes to the employer's workers' compensation carrier, with the work question on the claim form marked yes and the date of the injury filled in. Each state runs its own system, so the forms, rules and deadlines differ from state to state.

Yes, in a few ways. An urgent care visit is often the only one, so the copay is collected before the patient leaves. Urgent care has its own place of service code, 20, and some payers set their own urgent care codes and rules. Primary care, by contrast, bills more planned visits, like yearly exams and care for long-term conditions.

Collect the copay at the desk, then the rest once the plan decides. When the EOB posts, Valian knows exactly what each patient still owes. Charge the card on file, with the patient's signed OK, or send the balance by text or email so they can pay online. The money goes into your center's own account, next to what the carriers paid.

It depends on the payer. Medicare's fee schedule bundles the after-hours codes, such as 99050 and 99051, into the other services that day, so Medicare does not pay them on their own. Commercial plans set their own rules. Valian checks each code against the payer's rules before the claim goes, so a code the payer does not pay is caught first.

As soon as the visit is coded and the note is signed, which in Valian means the same day. Payers set firm deadlines: Medicare wants a claim within 12 months of the date of service, and other payers set their own, often from 90 days to a year. A claim sent the same day comes back sooner and is easier to fix while the visit is fresh.

Yes. Your desk checks the plan in seconds while the patient waits, from one click or a photo of the insurance card, and more than 1,100 payers answer. The copay, the deductible left and the coinsurance show in plain words, saved on the patient's record. Our insurance verification services page covers how checks work for every specialty.

The claim shows the payer's reason in plain words, with the fix next to it. A coding or modifier problem goes back as a corrected claim from the same visit, never as a duplicate. A denial that needs an appeal is written and filed by our team, and Medicare reopenings and redeterminations are tracked on the claim until they are decided.

Often, when the same staff check patients in and work claims, because a full waiting room always comes first. An outside team works the claims every day. With Valian, you can also keep billing in-house on our software, or split it: your desk checks plans and collects at the visit, and our team handles claims, denials and follow-up.

Yes. HIPAA treats a billing company as a business associate, so a Business Associate Agreement is signed before any patient data moves. Data is encrypted in transit and at rest, and access is logged. Every claim keeps its own history, from the visit to the deposit, so you can see what happened and when.