SPECIALTIES / URGENT CARE
Urgent Care Medical Billing Services
That Keep Your Revenue Moving
High patient volume means high claim volume and high risk for errors. Red House handles your billing, so your team handles patients.
THE CHALLENGE
Sound familiar?
High Denial Rates
Urgent care codes are frequently upcoded or downcoded by payers. Every denial is money sitting on the table.
Eligibility Surprises
Coverage mismatches and verification gaps create denials before a claim is ever submitted. Front-end eligibility checks stop revenue leakage at the source.
Inconsistent Coding
E&M levels, facility vs. professional fees, and modifier use vary by payer, and mistakes are costly.
Staffing Turnover
A/R suffers every time a biller leaves. Your revenue shouldn't depend on any single employee.
Payer Complexity
From Medicaid to commercial plans, urgent care faces one of the most complex payer mixes in medicine.
Slow Payments
Average DSO for urgent care runs 35–45 days. We systematically reduce that through cleaner claims, faster follow-up, and proactive denial resolution.
No Time to Follow Up
Denied claims don't resolve themselves. Without systematic follow-up, they become write-offs.
WHAT WE DO
Billing built for Urgent Care volume
A complete revenue cycle team aligned to the workflow, coding and payer mix that urgent care practices actually face — not a generalist back office.
Talk to a Specialist-
01
E&M & Urgent Care Visit Billing
End-to-end claim submission for high-volume urgent care visits — correctly coded, correctly leveled, and scrubbed before submission.
-
02
Eligibility Verification
Front-end eligibility checks that catch coverage mismatches before a claim is ever submitted — stopping denials at the source.
-
03
Prior Authorization Support
Full prior auth workflow management including payer follow-up, backlog reduction, and eliminating the delays that push procedures and revenue back.
-
04
Denial Management & Appeals
Systematic denial tracking, root-cause analysis, and appeals — so rejected claims don't become write-offs.
-
05
Facility vs. Professional Fee Billing
Both sides billed correctly based on your entity structure, location designation, and payer contracts — every dollar captured without compliance risk.
-
06
Managed Credentialing
Provider enrollment, contract negotiation, out-of-network resolution, and expansion credentialing — across all locations and payers. Need targeted support only? Ask about Credentialing À La Carte.
-
07
New Location Setup
Full revenue cycle setup for new sites, acquisitions, and market expansions — including provider onboarding, payer enrollment, and EMR integration.
-
08
Team Services & Virtual Admin
Scalable administrative support for practices managing staffing strain, hiring costs, or admin overload — without adding headcount.
-
09
EMR Integration
Compatible with all major urgent care systems including Experity, eClinicalWorks, Athena, Tebra, Epic, and Practice Velocity.
WHY RED HOUSE?
Three reasons Urgent Care practices switch to us
Team and Culture
Specialized coders and account managers with deep Urgent Care expertise — not generalists assigned to your account. Clear, cross-cultural communication ensures alignment and responsiveness.
Technology
Integrated clearinghouse leveraging AI, analytics, and RPA with HL7 integrations and denial tracking to rapidly identify revenue leakage.
Patient & Payor Management
Patient billing handled with empathy; payors managed with persistence, so you stay out of the middle.
"Between coding errors and timely filing issues, we were losing somewhere around 15% of our monthly revenue without realizing it. Red House got our clean claim rate from the low 80s to the mid-90s within 90 days."— Medical Director, Urgent Care Group, St. Louis, MO
FAQ
Common questions
Do you specialize in urgent care billing specifically?
Yes. Urgent care is one of our core verticals. Our coders and account managers work exclusively with high-volume, multi-payer practices and stay current on E&M, facility, and modifier rules unique to urgent care.
How long does onboarding take?
Most urgent care practices are fully live within 2–4 weeks. We handle EMR integration, payer setup, and a parallel-run period so there's no gap in cash flow during the transition.
What EMR systems do you work with?
We integrate with all major urgent care EMR/PM systems, including Experity, eClinicalWorks, Athena, Tebra, Epic, and Practice Velocity. If you have a specialized stack, we'll adapt to it.
How do you handle facility vs. professional fee billing?
We bill both sides correctly based on your entity structure, location designation, and payer contracts, capturing every dollar you're entitled to without compliance risk.
Do you handle credentialing for new, rotating, or part-time providers?
Yes. We offer Credentialing À La Carte for practices that need targeted support — whether it's a temporary backlog, a new or rotating provider, low-volume gaps, or nights and weekends coverage. You get exactly what you need to stay compliant and operational without committing to a full managed service.