Urgent care centers need to enroll as an urgent care center provider type

Urgent care center providers need to identify themselves as such during the enrollment process. Previously, some providers who offer urgent care services enrolled as group practitioners, most likely because of the hours of operation requirement. We’ve subsequently relaxed our hours of operation requirement for urgent care providers.

New hours of operation requirements

Blue Cross Blue Shield of Michigan’s hours of operation requirements stipulate that an urgent care center must be open to serve members a minimum of 24 morning, evening or weekend hours each week. These hours must be in addition to regular hours of 9 a.m. to 4 p.m. Monday through Friday. This adjustment provides more flexibility for providers to determine their weekly schedule.

Benefits of enrolling as an urgent care center

Benefits include:

• Increasing access to potential patients by being appropriately listed in the urgent care provider directory
• Making sure the correct urgent care benefit is applied to patient claims

If you’re an urgent care center, review your enrollment status to make sure you’re correctly identified. For current requirements and other details, refer to the provider manual or enrollment form.