CommercialAdministrativeHigh impact
Billing Instructions for Urgent Care Centers
Blue Cross Blue Shield of Rhode Island·RI · Emergency Medicine, Family Medicine, Internal Medicine·Physician
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
BCBSRI requires contracted Urgent Care Centers to file claims at the group level using Type 2 NPI in both fields 24J and 33A on CMS-1500 forms, rather than filing at the individual practitioner level. This is a reminder of existing billing requirements for urgent care facilities.
Action Required
Immediately: Urgent Care Centers contracted with BCBSRI must ensure all claims are filed using the group Type 2 NPI in both field 24J (rendering provider) and field 33A (billing provider) on CMS-1500 forms. Billing team must update claim submission processes to prevent individual practitioner-level billing. Review current claims to ensure compliance.