Specialties
Urgent care billing
Urgent care sees a high volume of walk-in patients, often new ones, and the clinic usually has a single visit to collect the right insurance details and the patient’s share.
What makes urgent care billing different
- Payer-specific visit rules. Some payers pay urgent care centres a single visit rate, others expect standard visit codes plus procedures. The contract decides the claim format.
- In-house testing. Rapid tests run in the clinic need a valid CLIA certificate number on the claim, and waived tests need the correct modifier for Medicare.
- New patients every day. Many patients have never been seen before, so insurance details have to be captured and checked at the front desk.
- Collections at the visit. Copays and deductibles collected later are much less likely to be collected at all.
- Occupational medicine billed to employers and workers compensation, with separate fee schedules and reporting.
How we work it
Each payer’s contract is set up so visits go out in the format it pays on. Eligibility is checked in real time at check-in, lab claims carry the clinic’s CLIA details automatically, and employer and workers compensation accounts are billed and followed up on their own.
Common questions
Do you handle occupational medicine billing?
Yes. Employer-paid services and workers compensation claims are billed separately from insurance claims, with their own fee schedules and follow-up.
Why are our lab tests being denied?
Common causes are a missing or mismatched CLIA certificate number, a missing modifier for waived tests, or a test that isn’t covered for the diagnosis on the claim.
Start with the free audit
Send us ninety days of claims data and we’ll show you what was left uncollected. No charge, no obligation, and the findings are yours either way.
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