Patient Appointment Access Standards

Providers are required to follow these Blue Cross and Blue Shield of Texas Patient Access Standards:



Initial New Patient Visit

Within 30 days of request

Preventive Care by Primary Care Provider (Annual physical)

Within 30 days of request

Routine Primary Care

Within 5 days of request

Urgent Care

Within 24 hours of request

Emergency Care

  • During Office Hours
  • After Office Hours


After Hours Care

  • Urgent Care
  • Alternative Care

24 Hours per day, 7 days a week

In Office Wait Time

Within 30 minutes of appointment time

High Impact* or High-Volume Specialists**

  • Urgent Care  
  • Routine Care


  •  Within 5 days of request
  • Within 21 days of request                                                                                  

*High Impact Specialists: Practitioner types who treat conditions  with high mortality or morbidity rates where treatment requires significant resources comprised of, but not limited to, the following:

- Neurology
- Oncology

**High Volume Specialists: Practitioner types as determined by annual high-volume report are comprised of, but not limited to, the following:

- Obstetrics/Gynecology
- Cardiovascular Disease
- Orthopedic Surgery
- Psychiatry
- Psychology
- Licensed Professional Counselors (LPC)
- Licensed Marriage and Family Therapist (LMFT)
- Licensed Medical Social Workers- Advanced Clinical Practice (LMSW-ACP)

More Information: Refer to the Quality Improvement sections of our Provider Manuals.