We bill for independent urgent care clinics: every visit coded, sent to the right payer, and followed until it is paid. One 4-site group that switched to us went from collecting 84.8% of what it was owed to 96.3%.
Most urgent care owners who call us aren't in crisis. They're busy, the waiting room is full, and the collections report still doesn't match the visit count.
"We're seeing more patients than ever, and collections haven't moved."
"Our biller says the claims went out. Nobody can tell me which ones actually got paid."
"The patient is gone before anyone checks their insurance. Then the claim comes back denied."
"We find out 60 days later that the Medi-Cal claim went to the wrong medical group."
"Every time we add a provider or a location, it takes months before the payers start paying."
Urgent care runs on volume. A few dollars lost on each visit turns into a large number by the end of the year. These are the six places we find it most often.
The office visit level, plus procedures like stitches, splints and injections on the same day. Without the right modifier, the payer pays for one and drops the other.
With Medi-Cal and IPA (independent physician association) patients, the claim has to go to the right health plan or medical group. Send it to the wrong one and it comes back denied, sometimes weeks later.
There is no appointment, so insurance is often checked after the visit, if at all. Patients who changed plans become denials.
Rapid tests, x-rays and other in-clinic services each have their own billing rules. Small setup mistakes get the same charge denied again and again.
Some plans pay a flat urgent care rate per visit, and others pay for each service. Each one needs the claim built its own way.
High deductibles mean patients owe more of each visit. Once they leave, that balance gets harder to collect every week.
A physician-owned group in Southern California, about 60,000 insured visits a year, with a heavy Medi-Cal and IPA mix. Before us, nearly 15% of what they could collect was being written off. Today it is 1.3%.
“Every practice is different, so we start with your own numbers: your denial rate, your AR over 90 days, and your underpayments against contract. Then we show you what switching to us would recover.” — How the free metric audit worksRead the urgent care case study →
Full-service revenue cycle management built around how urgent care visits actually get billed.
Claims sent within 24 hours of the visit. Every claim coded for the visit level and same-day procedures, and followed until it is paid.
We set up front-desk workflows and scripts so insurance is checked before the patient is seen, at every location.
Every denial is fixed and resent, appealed, or closed with a written reason. Nothing sits until it is too late to collect.
One monthly report with numbers for each site and the group as a whole, matched to the deposits in your bank account.
Optional. When you add a provider or open a new site, we handle payer enrollment so claims are not held up waiting on paperwork.
NatRevMD was founded by Dr. Heather Signorelli, a physician. Our team reads a visit note the way a clinician does, so when a payer denies a procedure billed with the visit, we know whether the record supports the appeal before we write it. A billing company that does not understand the care cannot defend the claim.
Most urgent care billing companies charge a percentage of what they collect. Our price depends on your visit volume, number of locations and the services you need, and we quote it after a free metric audit. If your numbers are not where they should be, we drop our price until they are.
Yes. Our urgent care case study is a group with a heavy Medi-Cal and IPA mix. We make sure each claim goes to the right health plan or medical group, and we follow up until it is paid.
Yes. We bill multi-site groups as one coordinated operation, with one point of contact and reporting for each location and for the group as a whole.
No. We work in the system you already use.
Most clinics go live 2 to 4 weeks after signing. From then, claims go out within 24 hours, and we meet with your team every week for the first 30 to 90 days to work through old claims and fix what slows payment.
Bring six numbers from last month to a free 20-minute metric audit. We show you your real collection rate, where claims are getting stuck, and what it is worth. No system access, no patient data, no commitment.
Prefer to talk first? Book a call with our team.
