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If you are a Prime beneficiary, you must first seek care with your Primary Care Manager (PCM), unless you have an emergency.
Without a referral from your PCM to an Urgent Care/Convenience Care Facility, your claim will be processed as a Point of Service (POS) claim.
Convenience Care Clinic
These are quick access clinics, typically located in retail stores designed to offer limited treatment for non-severe health conditions like sprains, strains, and colds.
Urgent Care Center
These are medical facilities offering immediate evaluation for health conditions when your care needs fall outside of your primary physician's regular office hours or appointment availability.