All PlansAdministrativeMedium impact
Billing Instructions for Urgent Care Centers
Blue Cross Blue Shield of Rhode Island·RI · Emergency Medicine, Family Medicine, Internal Medicine·Physician
Effective date
Nov 1, 2022
We identified it
Jun 19, 2026
Summary
Contracted urgent care centers must now file all claims at the group level using Type 2 NPI in both box 24J and 33A, rather than filing at the individual practitioner level. This standardizes billing procedures for urgent care facilities.
Action Required
Immediately: Billing team must update all urgent care center claims to use the facility's Type 2 NPI in both box 24J (rendering provider) and box 33A (billing provider) on CMS-1500 forms. Stop using individual practitioner NPIs for contracted urgent care centers. Update billing software settings to automatically populate Type 2 NPI for urgent care facility claims.