Urgent & primary care network lifts RVU 10.1% across 13 centers in year one.

The network featured here operates one of its region's most distributed primary and urgent care networks: thirteen centers across two care settings — Urgent Care and Primary Care. Coders served both settings, and the network's E&M distribution reflected a consistent pattern across all sites.

In February 2025, Level 3 codes accounted for 38.68% of Urgent Care E&M visits and 10.3% of Primary Care visits. For a multi-site network of this scale, the consistency across sites was notable — and so was the question it raised: was each chart being coded at the level its own documentation supported, or was the network's E&M distribution skewing toward a default?

That question is the one autonomous coding is built to answer.

In Urgent Care, Level 3 represented 38.68% of E&M codes while Levels 4 and 5 represented 56.3%. In Primary Care, the distribution ran differently: Level 3 at 10.3% and Levels 4 and 5 at 63.6%. Two care settings, two distributions, both worth examining against the documentation in each chart.

The Challenge, in summary, was fourfold: Block coding at Level 3 across 13 centers, regardless of actual clinical complexity documented. Charts under-coded — leaving revenue on the table every billing cycle. No standardization possible across sites through manual training alone. 12% nationwide coder shortage — scaling through headcount not viable.

The Solution: Purpose-built for urgent care & primary care coding — not a generic LLM. 82% straight-to-bill on first pass, coders only touch exceptions. 10.1% RVU uplift (Feb '26 vs Feb '25) in Urgent Care with Level 3 over-coding reduced by 11.68pp, all documentation-backed. No EHR migration, no workflow disruption with a coding accuracy of 98.2%.

RapidClaims was deployed as a purpose-built autonomous coding layer for urgent care and primary care. No EHR migration. No workflow tear-down. The system reads each chart's documentation against current CPT, ICD, and E&M guidelines and assigns the level the documentation supports — applied uniformly across all thirteen centers.

With autonomous coding handling the high-volume, straightforward charts end-to-end, the team's review time concentrated on exceptions — the cases that require clinical judgment, ambiguous documentation, or complex bundling.

What follows is what the year-over-year data shows.

Comparing February 2025 to February 2026, the distribution of E&M levels moved in different directions across the two care settings. In Urgent Care, Levels 4 and 5 grew from 56.3% to 65.2% (+8.9pp) while Level 3 fell from 38.68% to 27.0%. In Primary Care, Level 3 dropped from 10.3% to 6.2% while Levels 4 and 5 settled from 63.6% to 57.9%. Both shifts reflect documentation-backed code assignment.

Straight-to-bill (STB) measures the share of charts moving from documentation to billing without coder intervention. In February 2026, the network's overall STB rate was 82.05% — Urgent Care at 78.5%, Primary Care at 84.6%. The month prior, the network baseline was 77.46%, with Urgent Care at 70.2% and Primary Care at 82.0%.

CPT and ICD accuracy improved across most months in both care settings from December 2025 through February 2026. In Urgent Care, CPT accuracy moved from 96.03% to 97.33% and ICD accuracy from 97.02% to 98.99%. In Primary Care, CPT held in a narrow band (97.71% → 97.80% → 97.71%) while ICD reached 99.24% in February.

Across all thirteen centers and both care settings, the engagement delivered year-over-year RVU growth in Urgent Care (+10.1%), an 82.05% straight-to-bill rate overall, and overall coding accuracy of 98.23% — sustained above the human benchmark of 95–97%. Each of CPT and ICD accuracy, STB, and the E&M distribution trended favorably across the months on record.

Across 13 centers, RapidClaims delivered YoY RVU uplift in both Urgent and Primary Care, 98%+ accuracy, and 82% straight-to-bill — with improving trends on every metric month-over-month.