Medical Billing
End-to-end coding & claims.
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Specialized Recovery Services
Expert Billing Recovery for Illinois Behavioral Health
Our team of specialized billing professionals focuses exclusively on recovering your aged claims and denied reimbursements so you can focus on patient care.
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The "Spec Ops" Difference
Precise, unemotional, and highly competent recovery for serious clinics.
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Find Unpaid Cash
We find the revenue currently "trapped" in old insurance denials that your team hasn't touched in 60 days.
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Surgical Appeals
We don't just resubmit. We research the root cause and file targeted appeals to ensure the resubmission sticks.
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Clear Reporting
Our dashboards show exactly what percentage of your aged ledger is being converted to cash every week.
Recovery Capabilities
Services that fill the holes in your current billing.
AR Recovery
Chasing unpaid claims.
View Details →Denials
Appeals & corrections.
View Details →Analytics
Detecting revenue leaks.
View Details →Medical Billing
Clean claims paid first time.
Velden Health handles end-to-end billing: eligibility checks, coding review, claim scrubbing, electronic submission, and payment posting. We are experts in behavioral health coding nuances, including 90837 corrections, 90791 intake coding, and add-on complexity codes. We ensure every step is guided by payer-specific rules.
Key Deliverables
- Eligibility & benefits verification
- Coding review & claim scrubbing
- Electronic claim submission
- Payment posting & adjustments
The 5 Most Common Illinois Behavioral Health Denials
And exactly how we fix them for you.
CO-197
Precertification Missing
Why it happens: BCBS IL and UnitedHealthcare require prior auth for therapy beyond 12 sessions. Your front desk missed the renewal deadline.
Our fix: We submit retroactive authorization requests with clinical justification and medical necessity documentation. Most payers approve backdated auths if the clinical record is solid.
CO-16
Claim Lacks Information
Why it happens: Missing diagnosis codes, incomplete provider credentials, or vague session notes that don't justify the service.
Our fix: We audit your documentation, add the missing clinical detail, and resubmit with a cover letter explaining the clinical rationale. We also coach your team on documentation gaps to prevent future denials.
CO-29
Services Not Covered
Why it happens: Wrong CPT code used (e.g., 90834 instead of 90837 for a 53-minute session). This is the #1 mistake we see in behavioral health billing.
Our fix: We correct the CPT code based on actual session duration documented in your notes, then resubmit. We reference the session start/end times to prove the correct code.
CO-22
Duplicate Claim
Why it happens: Accidental resubmission or your billing system sent the same claim twice because of a software glitch.
Our fix: We trace the original claim's processing history, identify which submission was processed, and either void the duplicate or submit a corrected claim with a reference number if the original was denied.
CO-50
Non-Covered Services
Why it happens: Services provided before patient's eligibility start date or after their coverage was terminated. Common with new BCBS IL enrollees.
Our fix: We verify exact eligibility dates with the payer and appeal with proof of continuous coverage. If the patient truly wasn't covered, we help you convert it to a patient-pay balance.
Why This Matters
These 5 codes represent 80% of all denials we see from Illinois behavioral health clinics. If your billing team doesn't know how to fight these specific denials, you're leaving money on the table. We've appealed thousands of these claims. We know what works.