What is a balance bill?

What should you do if you receive a balance bill from a provider?

After your visit a provider, you will receive an Explanation of Sharing (EOS) from Impact Health Sharing that notifies you of your Primary Responsibility Amount (PRA). Always compare your Primary Responsibility Amount (PRA) to what the Provider states is due. If the Provider bill states you owe more than your Primary Responsibility Amount (PRA) on your EOS, this is a Balance Bill. 

Example: Your EOS states you owe $135. However, the Provider bill states you owe $835. This would be a balance bill. 


What do I do if I receive a balance bill?

If you receive a balance bill, a Care Navigator is here to help. They answer questions about balance billing and make you aware of your rights in the dispute process. If a dispute is filed, they will send you a Balance Bill Kit and handle communications with the Provider. Just give Impact a call to be connected to a Care Navigator if you receive a balance bill.