CPT | ICD-10 | HCPCS | 98% CLEAN CLAIM RATE

Urgent Care Billing Services

Urgent care centers face a unique set of billing challenges. From fluctuating patient volumes and walk-ins to high claim rejection rates and inconsistent documentation, the billing process must be fast, flexible, and highly accurate. Unlike primary care or specialty practices, urgent care billing services often involves high turnover, same-day visits, and a mix of services from X-rays and sutures to IV therapy and minor surgical procedures.

Our urgent care billing experts bring speed and precision to your revenue cycle — reducing AR, improving collections, and ensuring regulatory compliance at every step. We ensure fast claim turnaround (often <48 hours), accurate modifier use (-25, -59), and adherence to urgent-care-specific documentation standards.

98% clean claim rate
<4% denial benchmark
95%+ net collection rate
35–40 days in AR

HIPAA-compliant billing team
<48 hour turnaround on most claims
Seamless integration with EMR/EHR
Regular chart reviews and compliance monitoring

98% Clean Claims

<4% Denial Rate

95%+ Net Collections

<48hr Claim Turnaround

Our Urgent Care Billing Services Include

Patient Eligibility & Insurance Verification

Real-time checks to confirm active coverage, copay, and deductibles.

Charge Capture & Medical Coding

Accurate coding for same-day visits, after-hours charges, and procedures like laceration repair (e.g., CPT 11042–13160) or splint application.

Claim Scrubbing & Submission

Submission within 24–48 hours with built-in checks for coding errors or documentation gaps.

Accounts Receivable (AR) Management

Constant tracking, follow-ups, and AR aging reports to speed up payments.

Denial Management & Appeals

Proactive resubmissions with documentation and root cause analysis.

Patient Billing Support

Clear statements, multiple payment options, and responsive communication.

Coding Compliance & Audit Readiness

Aligning with payers and HIPAA standards to ensure accuracy and compliance.

Common CPT Codes in Urgent Care Billing99201–05New Patient Office Visits
99211–15Established Patient Office Visits
99281–88Emergency Department Visits
11042–13160Procedures (wound care, 96372 injections)
81002–99291Diagnostics (critical care)
90471–90474Vaccinations
S9083–S9088Other codes (facility fee)

Why Choose Our Urgent Care Billing Services in New York? 98% clean claim rate
 <4% denial benchmark
 95%+ net collection rate
 35–40 days in AR
 HIPAA-compliant billing team
 <48 hour turnaround on most claims
 Seamless integration with EMR/EHR
 Regular chart reviews and compliance monitoring

Who We Help Independent urgent care clinics
 Multi-location urgent care networks
 Health centers with urgent care services
 Hospital-affiliated urgent care facilities

Let Us Handle Your Urgent Care Billing

Running an urgent care center means quick decisions, rapid diagnoses, and continuous patient flow. With us handling your billing, you can focus on patient care while we handle coding, compliance, and collections with precision.

Book a Free Urgent Care Billing Audit Today!

Discover missed revenue and compliance risks — at no cost.

Get Free Audit

Our Proven Results

Measurable outcomes our urgent care partners experience:

98% Clean Claim Rate

<4% Denial Benchmark

95%+ Net Collections

35–40 Days in AR

Book a Free Urgent Care Billing Audit Today!

Let our billing specialists review your revenue cycle and identify missed collections — completely free.

Get Free Audit

Frequently Asked Questions (FAQs)
                                    1. How fast do you submit claims?
                                    
We submit claims within 24–48 hours of receiving the patient encounter data. Every claim goes through our pre-submission scrubbing process to catch coding errors, missing modifiers, or documentation gaps before it reaches the clearinghouse — reducing rejections and accelerating payment.

                                    2. Can you bill for urgent care labs and procedures?
                                    
Yes. We bill for in-house labs (urinalysis, rapid strep, flu tests), X-rays, EKGs, wound care (laceration repair, incision & drainage), splinting, joint injections, IV therapy, and vaccinations. We use the correct CPT codes paired with appropriate modifiers to ensure full reimbursement.

                                    3. What makes urgent care billing different from primary care billing?
                                    
Urgent care billing is more complex due to same-day walk-in visits, high volume, and a wide mix of services requiring precise real-time coding. It also requires facility fees (S-codes), site-of-service modifiers, and compliance with payer-specific urgent care coverage policies — unlike routine primary care billing.

                                    4. Do you handle modifiers like -25 and -59 for urgent care services?
                                    
Yes. Modifier -25 (significant, separately identifiable E&M service on the same day as a procedure) and modifier -59 (distinct procedural service) are critical in urgent care billing and are among the most common sources of denials when misapplied. Our certified coders apply them correctly based on documentation and payer policies.

                                    5. What CPT codes are typically used for urgent care visits?
                                    
The most common E&M codes are 99201–99205 (new patients) and 99211–99215 (established patients), along with 99281–99288 for emergency department level visits. Facility fee codes S9083 and S9088 are used for urgent care center fees. Procedure codes vary by service (11042–13160 for wound care, 96372 for injections, etc.).

                                    6. Can you improve collections on legacy AR?
                                    
Yes. Our AR recovery team works legacy accounts (90, 120, 180+ days) using systematic follow-ups, claim status checks, and appeals. We prioritize high-balance accounts and payers with consistent payment histories to maximize recovery within the timely filing limits.