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Billing Instructions for Urgent Care Centers

Blue Cross Blue Shield of Rhode Island·RI · Emergency Medicine·Physician
Effective date
Dec 1, 2022
We identified it
Jun 19, 2026
Days to comply

Summary

Contracted urgent care centers must now file claims at the group level using Type 2 NPI in both fields 24J and 33A, rather than billing at the individual practitioner level. This represents a significant change in billing methodology for urgent care facilities.

Action Required

Action needed
Immediately: Billing teams at contracted urgent care centers must update claim filing procedures to use Type 2 NPI (group-level) in both box 24J and 33A on all claims. Stop using individual practitioner NPIs. Update billing software settings and staff training to ensure all claims are filed at the group level to prevent claim denials.