Is there anything I need to do to ensure my bill gets processed?
To make sure your bill gets processed, present your Member Card at the time of service.
Show your Member ID Card to your provider at the time of service. The back of the card has the billing information your provider’s office needs to send the bill to Impact.
Some planned treatments also need a pre-eligibility review before you receive them. The review confirms that the treatment is eligible for sharing, so you know your financial responsibility before you move forward.
A pre-eligibility review is required for:
- Cancer treatment
- Elective cardiac procedures
- Non-emergency inpatient or outpatient surgery
- Organ/tissue transplant services
- Maternity
- Imaging: MRIs and nuclear imaging, such as PET scans (X-rays and ultrasounds don’t need a review)
How to request a review
Your provider can call (855) 378-6777 or complete the online pre-eligibility form. Please allow 3–5 business days. Expedited reviews are handled case by case.
Medical records are required for the review. If requested records aren’t provided, the bill will be ineligible for sharing.
Emergency care
If you need emergency care, get care right away. Don’t wait for a pre-eligibility review. Impact will determine eligibility after the procedure.
Senior Program members
Pre-eligibility reviews don’t apply to the Senior (65+) Program.
Is your provider unsure about accepting Impact?
That’s a separate request. Use Provider Outreach after your appointment is scheduled, and our team will contact your provider.