Valant
Valant Services For Psychiatry, PMHNP, Psychology, And Behavioral Health Practices.
Valant keeps the note and the bill in one system. That’s a real advantage. We run the billing side for behavioral health practices inside your instance. We catch claim errors before they go out, post and reconcile ERAs, and work rejections and denials before they age.
Why AdvanceAPractice
What We Bring To Valant Billing
Behavioral Health Billing Experience
We’re built for psychiatry, PMHNP and psychology billing, and for the payer rules that actually decide what those visits pay.
One Record, Still Many Handoffs
A claim’s only as clean as the handoffs behind it, from your front desk to the clinician’s note, the code and the submission. Valant keeps them in one record, but somebody still has to own each step.
Denials And Enrollment Worked Together
We work denials, eligibility, telehealth claims and credentialing together, since a lapsed enrollment and a claim that won’t pay are often the same problem.
Where Behavioral Health Billing Gets Complicated
Why Behavioral Health Claims Stall, Even In Valant
Every Plan Sets Its Own Rules
Commercial plans each set their own visit limits, covered services and telehealth rules, and Medicaid plans and Medicare set theirs. Outpatient mental health doesn’t see much authorization outside medications and Spravato, but where it applies, it’s plan-specific.
When The Note And The Claim Disagree
The claim has to say what the note says. When the diagnosis, the medical necessity language, the note’s timing and the billed service don’t match, you’ll have trouble getting it out clean, and more trouble defending it later.
Unlinked Providers Don’t Get Paid
These delays bite hardest while you’re growing. A provider who isn’t active or properly linked with a payer produces claims that won’t pay, no matter how clean they are.
What We Check
What We Check Before And After Each Valant Claim
Most of what decides your reimbursement happens before the claim goes out, or after. That’s where we work. We check eligibility and benefits, set telehealth place of service the same way for every visit and move documented services to charges and claims. Then we work denials, sort out patient responsibility and push on aging accounts.
- Eligibility and benefits checked by service type before the visit, not after the denial
- Authorizations and concurrent reviews tracked by plan, so a visit doesn’t go out on an approval that’s already run out
- Telehealth place of service and modifiers set the way each payer wants them, not one default for every plan
- Psychotherapy add-on codes billed with a med-management visit, checked against the note before the claim goes out
- Rejections and denials told apart, then worked on the right path
- Patient balances that match the remittance, so a patient doesn’t get a bill for what the plan should’ve paid
- Credentialing and payer enrollment tracked together, so a new provider doesn’t fill a schedule before they can bill for it
Beyond The Software
What Keeps Changing Around Your Claims
More Shared Patients, More Handoffs
Behavioral health shares more patients with primary care and other specialties than it used to. Each handoff is a chance for the diagnosis or the insurance on file to arrive wrong, and the claim picks up whatever arrived.
Electronic Transactions Need A Routine
Standard electronic transactions, like eligibility, claim status and provider data, only reduce work if the practice has a clean workflow around them. Without that, they’re just more tabs to check.
New Provider Types Mean New Setup
Billing rules for different behavioral health provider types keep evolving. Each change means somebody has to update enrollment and the system setup, and a practice that misses one usually finds out from the denials.
Best-Fit Practices
Valant Practices We Fit Best
We’re the right fit for psychiatry and PMHNP practices, psychology groups and behavioral health teams that can already tell denials, telehealth mistakes or uneven documentation are costing them money.
- Practices where nobody really owns payer follow-up
- Psychiatry and PMHNP practices billing med management with a psychotherapy add-on in the same visit
- Behavioral health teams whose telehealth place of service or modifier depends on who scheduled the visit
- Growing practices where a new provider can start seeing patients before anyone’s set them up to bill
The Platform
Why Valant Billing Works Differently
Valant is a behavioral health-specific EHR, built around the way mental health practices actually document care. Clinical documentation and practice management live in the same system, so the clinical record and the bill aren’t two separate stories. Notes, structured templates and measurement-based care all feed the engine that produces your claims. When the note’s done right, the charge usually is too.
Integrated Documentation And Billing
Clinical notes and the billing record share one system instead of passing data between disconnected tools. So the codes on a claim can rest on what the clinician actually documented, and that’s what makes charge capture defensible.
Behavioral Health-Specific Templates
Valant’s note templates were designed around psychiatric and therapy workflows, not adapted from a general medical EHR. Structured prompts nudge clinicians to capture what supports the service billed, which keeps documentation and coding closer together.
Measurement-Based Care
Built-in outcome measures let practices track patient progress as part of routine care. That data has clinical value first. It can also back up medical necessity when a payer wants to know why treatment’s continuing.
Practice-Management Layer
Scheduling, eligibility and billing share the same patient record that drives clinical care. Get registration and front-desk details right in that one place, and you won’t be chasing the small mismatches that quietly turn into claim problems later.
The Workflow
The Billing Workflow, And Where It Gets Stuck
The path doesn’t change. A documented service becomes a charge, the charge becomes a claim, the claim goes out through a clearinghouse to the payer, and the payment comes back as an ERA to be posted and reconciled. Valant moves work along that path cleanly when everything upstream is configured and maintained. Most of the friction that slows behavioral health revenue lives at the handoffs with payers and clearinghouses, and that’s the nature of the work, not a flaw in the software.
Payer Enrollments And EDI Setup
Electronic claims, remittance and payments each need their own enrollment with every payer. When EDI setup isn’t finished or lapses, claims stall or remittances stop, and the day-to-day billing screen usually won’t tell you why.
Rejections Versus Denials
A rejection means the claim never reached adjudication, usually over a formatting or data problem. A denial means the payer reviewed it and said no. They’re fixed in different ways, and treating them as the same thing is one of the most common reasons revenue leaks without anyone noticing.
Keeping The Worklist Clean
Unworked rejections, held claims and aging balances pile up fast when nobody owns the queue. Work the list on a steady schedule and you’ll catch a problem in days, not after the timely-filing window has already closed.
Reporting And Reconciliation
Post an ERA wrong, or skip reconciling it against the expected payment, and your reports drift from what actually happened. Underpayments and posting errors hide inside totals that look roughly right.
- Credentialing has to stay aligned with billing. Claims for a provider who isn’t yet active or properly linked with a payer won’t pay, no matter how clean the claim itself is.
- Small registration and eligibility errors at the front desk surface much later as denials, so the fix usually belongs upstream of the billing team.
Our Role
Operating Valant Well
A billing partner should make Valant run better, not move you off it. We work inside the system you already own, and your data, your history and your clinicians’ workflow stay exactly where they are. It’s unglamorous operational work, and it’s what keeps revenue moving. We send cleaner claims, post payments and ERAs accurately, and work rejections and denials inside Valant before they age in a queue.
- You keep Valant. We operate within your existing instance, no migration, no disruption to clinical documentation.
- We catch the data and coding errors that cause rejections before a claim goes out.
- We post payments and ERAs against the right claims and reconcile them, so your reports show what the payer actually paid.
- We work the rejection and denial worklist on a set schedule, tell the two apart and route each one to the right fix.
- We keep credentialing and enrollment status aligned with billing so claims aren’t held up by an inactive or unlinked provider.
If you’d like us to run this inside your Valant instance, that’s our Ongoing Billing, priced by practice size from 7% of collections for a solo provider down to 4.5% for 26 or more providers (see billing prices by practice size). The monthly minimum is $300 for a solo practice. If the problem is the setup itself, like EDI enrollments that lapsed or reports that drift from what payers actually paid, an Automation Program fixes one workflow from start to finish in your own system for $5,000, or five monthly payments of $1,000.
Valant’s features and capabilities vary by plan and edition and change over time. Treat the descriptions here as general guidance, and confirm what is included in your specific configuration with Valant directly.
FAQ
Frequently Asked Questions
Do We Have To Leave Valant To Work With You?
No. We operate inside the Valant instance you already use. Your clinical documentation, billing history and clinicians’ day-to-day workflow stay exactly where they are. Our role is to run the billing process well within your existing system, and we won’t migrate you to a new one.
Why Do Valant Claims Get Rejected Or Denied?
Usually for reasons that start with payers and clearinghouses, not in the software itself. Rejections mostly come from data or formatting errors and unfinished payer or EDI enrollment, so the claim never reaches adjudication. Denials come after a payer reviews the claim, over eligibility or medical necessity, for example. They’re fixed differently. That’s why you want someone on the worklist who can tell them apart.
Does Valant’s Documentation Help With Billing?
It can. Because Valant keeps clinical documentation and billing in one system, well-structured notes and measurement-based care data support the codes on the claim and the medical necessity behind them. Good documentation doesn’t guarantee payment, but it gives claims a stronger footing and makes them easier to defend if a payer asks questions.
What Does A Billing Partner Do That Internal Staff Cannot?
In most practices, your staff can do this work. They just don’t have the hours to do it every week. We work the rejection and denial worklist on a set schedule, reconcile ERAs against expected payments and keep payer enrollment and credentialing current. That’s the recurring work that slips when a small in-house team is also covering the front desk, scheduling and clinical support. We’re there to keep your Valant workflow running, not to replace your team.
What Would Fixing It Cost?
Ongoing Billing, Automation Programs and the Operations Partnership each have a published price and a written scope. Tell us what keeps going wrong, and we’ll point you to the right one.