Urgent Care Blog

Similar to Cigna claims, several individual BCBS licensees (e.g., Illinois, Texas, Massachusetts) have acknowledged that they will change (recoded/downcode) a claim to a lower‐payment code in certain...

Effective 9/1/25, The Division of TennCare will no longer process paper crossover claims. Any paper claims received will be returned...

Urgent care is having a moment. The sector is growing rapidly, and the reasons go beyond convenience. A recent Forbes feature highlights...

For most urgent care encounters, imaging is a key moment of truth: the point where uncertainty becomes clarity. But interpreting...

In urgent care, time isn’t just money. It’s patient safety, staff sanity, and clinic reputation. Yet for many clinics, the...

Starting January 1, 2026, MDwise will no longer participate as a managed care entity for Indiana’s Medicaid.  This includes Healthy...

Effective 1/1/2026, the AMA has approved CPT code 87812 to recognize ‘direct optical observation’ results for lab tests testing COVID-19...

Open claim issues - Part B  The claims issues log below includes the status of claims processing issues that have...

Telehealth services are defined as services a physician or practitioner provides via two-way, interactive technology (or telehealth). Telehealth substitutes for...

Multiple expiring Medicare statutory payment provisions lapsed on October 1, 2025, due to the absence of Congressional action. With the...

Denied Laboratory Services and Clinical Laboratory Improvement Amendments (CLIA)   NGS Medicare has been receiving calls from providers regarding denials for...

The claims issues log below includes the status of claims processing issues that have been identified. We are actively working...