Provider Finder

The following is a summary of the BCBSTX criteria for a facility to be a free standing emergency care facility.   

1. The Facility complies with Emergency Medical Treatment and Active Labor Act (EMTALA) applicable requirements (whether or not it is subject to EMTALA). 
2. The Facility must have and maintain appropriate standing arrangements for the transfer of the member to an acute care hospital with an emergency department if medically necessary. 
3. Physicians performing services at the Facility must have additional training in Emergency Medicine and/or be board certified in Emergency Medicine. 
4. The Facility must be open 24 hours a day, 7 days a week, with at least one emergency care qualified physician and one licensed nurse on duty at all times. 
5. The Facility must have and maintain equipment and supplies suitable for provision of emergency care services. 
6. The Facility must be accredited by one of the following programs: 
   1. Joint Commission on the Accreditation of Healthcare Organizations (JCAHO)
   2. Accreditation Association for Ambulatory Health Care (AAAHC)

Please refer to the Provider Finder  to verify the participation status of a provider. If you have any questions, please contact BCBSTX Customer Service at (800) 252-8039.