Medxcode medical billing and coding

Urgent care network cuts front-end eligibility errors by 52%

Six walk-in clinics with high staff turnover were producing registration errors that denied claims weeks later.

Urgent CareArizona
-52%
Eligibility denials
+14%
Point-of-service collections
36
Days in A/R
99%
First-pass acceptance

The situation

Registration was completed by rotating front-desk staff with no verification step, and S9083 contracting differed by payer.

Self-pay share was high, but point-of-service collection was inconsistent across sites.

What we did

  1. 01

    Real-time eligibility was added at check-in with a structured intake validation script.

  2. 02

    Per-payer contract logic determined whether S9083 or per-visit E/M was billed.

  3. 03

    Front-desk staff were trained on estimates and card-on-file, with scripts the network approved.

The result

  • — Eligibility denials fell 52% within one quarter.
  • — Point-of-service collections rose 14%.
  • — Days in A/R settled at 36 across all six sites.

"Turnover used to translate straight into denials. Now the system catches what a new hire misses."

Operations Director, urgent care network

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