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Urgent Care Billing & RCM

Urgent Care billing and revenue cycle, 50-state coverage.

Urgent care billing and revenue cycle services from ASP-RCM Solutions. 60,515 NPPES urgent care billing providers across all 50 states + DC. BHCOE channel partner. HIPAA + SOC 2 Type II compliant. Senior partners on every account.

What good urgent care billing execution looks like.

The operating discipline we install on every urgent care billing engagement.

  1. S9083 urgent care visit code vs E/MS9083 (urgent care visit, global) is used by some commercial payers; others require standard E/M (99202-99215). your state urgent care centers need payer-specific code routing.
  2. Modifier 25 for E/M + procedureSame-day E/M plus procedure (laceration repair, fracture care, abscess drainage) requires defensible modifier 25 documentation.
  3. Point-of-care lab + diagnostic billingPOC labs (CLIA-waived strep, flu, COVID, glucose, urinalysis) and in-clinic X-ray require accurate procedure + handling code billing.
  4. Telehealth + virtual visit billingyour state urgent care telehealth bills under specific telehealth codes (99202-99215 with modifier 95 or place-of-service 02 / 10) per payer policy.
  5. Occupational health + employer-direct billingyour state urgent care practices often serve employer direct billing for occupational health (pre-employment physicals, drug screening, injury care). Separate workflow from insurance billing.
  6. After-hours + holiday code billingAfter-hours (99050, 99051, 99053, 99058) and holiday code (99054) capture additional revenue when payer policy supports.

Top urgent care billing markets by NPPES org count.

State-level RCM guides for the largest urgent care billing markets in the U.S.

View all 50 state guides →

Free 30-day audit for urgent care billing providers.

Send us your last 90 days of claim data. We assess realization, denial patterns, and operational discipline. Written 4-page report yours to keep.

Request audit Talk to a senior partner