Urgent Care definition

Urgent Care means treatment for a condition that is not a threat to life or limb but does require prompt medical attention. Also, the severity of an urgent condition does not necessitate a trip to the hospital emergency room. An Urgent Care facility is a freestanding facility that is not a physician’s office and which provides Urgent Care.
Urgent Care is care provided to a LIFE participant who is out of the LIFE Provider’s service area, and who believes their illness or injury is too severe to postpone treatment until they return to the service area, but their life or function is not in serious jeopardy. If you need urgent (but not emergency) care:
Urgent Care means those medical services rendered for an urgent medical condition or protection of the public health.

Examples of Urgent Care in a sentence

  • Provider shall provide for timely access for Customer appointments in accordance with the appointment availability requirements established under the State Contract, not to exceed forty-five (45) days from the date of a Customer’s request for routine and preventive care and twenty-four (24) hours for Urgent Care, as further described in the applicable provider manual.

  • To facilitate the coordination of follow-up care, the Member should notify their Primary Care Provider and The Plan of the Urgent Care or Emergency Services within 24 hours or on the first working day after the day the services were provided.

  • After hours, the trainee should report to Urgent Care or the Emergency Department for treatment.

  • Urgent Care and Emergency Services The Plan will pay for Urgent Care and Emergency Services when provided by an Urgent Care center or emergency room, subject to the applicable Deductibles, Copayments and/or Coinsurance.

  • Type of Claim on Appeal Time Period for Notification of Final Internal Adverse Benefit Determination Urgent Care Claim No later than 72 hours from the date The Plan received the Member’s appeal, taking into account the medical exigency.


More Definitions of Urgent Care

Urgent Care means medical care or treatment where application of the time periods for making non-urgent care decisions could 1) seriously jeopardize the insured’s life, health or ability to regain maximum function or 2) in the opinion of a physician with knowledge of the insured’s medical condition, would subject the insured to severe pain that cannot be adequately managed without the care or treatment. The determination of whether care is Urgent Care is to be made by an individual acting on behalf of the Plan applying the judgment of a prudent layperson who possesses an average knowledge of health and medicine. The determination can also be made by a physician with knowledge of the insured’s medical condition.
Urgent Care means acute, episodic medical services available on a twenty-four (24) hour basis that are required in order to prevent a serious deterioration of the health of an Enrollee.
Urgent Care means the treatment for an unexpected illness or injury which is severe or painful enough to require treatment within twenty-four (24) hours.
Urgent Care refers to circumstances in which the individual requires prompt medical attention for the care and management of a significant physical or mental disorder, but there is no immediate threat to the individual’s life.
Urgent Care means a service to be provided to persons approaching a behavioral health crisis. If services are not received within twenty-four (24) hours of the request, the person’s situation is likely to deteriorate to the point that emergent care is necessary.
Urgent Care. Medically Necessary treatment for an injury, illness, or another type of Condition (usually not life threatening) which should be treated within twenty-four (24) hours.
Urgent Care means care that is provided to an enrollee outside the service area because the enrollee believes that an illness or injury is too severe to postpone treatment until the enrollee returns to the service area but that does not meet the definition of emergency services because the enrollee’s life or functioning is not in severe jeopardy.