What if I receive a balance bill from a provider?

A Balance Bill happens when a provider chooses not to accept the fair market value amount determined through Impact’s repricing efforts—and bills you/Impact for the difference.

For example:
If your Explanation of Sharing (EOS) shows that $135 is your responsibility after repricing, but the provider later sends you a bill for $835, the $700 difference is considered a Balance Bill.

At Impact Health Sharing, we work hard to ensure our members pay fair, reasonable rates for medical care, which is done through a process called repricing, and it’s effective in more than 98% of cases. However, because providers aren't required to accept the repriced amount, you may occasionally receive a Balance Bill if they choose not to participate.

What do I do if I receive a balance bill?

If you receive a Balance Bill from your provider, you must first pay your responsibility to the provider. If you receive a Balance Bill after making the payment, email it to Impact and our Member Advocacy Team is available to help.

Just reach out to Impact and ask to be connected with our Member Advocacy Team if you receive a Balance Bill. If a dispute is filed, they will send you a Balance Bill Kit and handle communications with the provider directly.

Learn more in this short video.