Is pre-notification required?
Members or Providers are required to pre-notify Impact for any of the following treatments to be eligible for sharing:
• Cancer Treatment
• Elective Cardiac Procedures
• inpatient/outpatient surgery
• Non-emergency hospital/facility admission
• Organ/Tissue Transplant Services
Providers pre-notify by calling (855) 378-6777. In the event of emergency/urgent care, the Member or provider needs to provide notification within 72 hours of when care was given. Pre-notification of medical bills does not guarantee eligibility or sharing.
Pre-notification enables Impact to inform the member with about provider options and potential incentives available. If a member or their provider does not pre-notify Impact the member is subject to an additional provider fee of $1,000 for the illness or event.