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For Providers

Welcome Providers!

Impact Health Sharing is not a new concept, but it is a new blend of a lot of the things that work RIGHT in healthcare.

  • Members pay a set Monthly Share Amount based on age, household size, and the Primary Responsibility Amount that they have selected.
  • These Monthly Share Amounts are collected and used to pay the medical bills of members, as well as to build and maintain medical reserves that are held in each member’s Share Account.
  • We find that it is most efficient for medical providers to submit bills for their services electronically through EDI and to the Payor ID on the back of the member’s card.
  • This allows Impact Health Sharing to process and adjudicate medical bills for eligibility per the Program Guidelines quickly. Most bills are processed in less than 30 days.  
 
 
 
 

  • Once processed, Impact Health Sharing members share funds from their Share Accounts to pay each other’s medical bills; on average in 3-4 days.
  • At this point, Impact Health Sharing remits payment electronically to providers, less any Member Responsibility Amounts (i.e., Deductibles, Co-Pays, or Co-Shares) and furnishes the provider with an EOP (Explanation of Payment) detailing the amount(s) paid.

Impact Health Sharing’s electronic bill processing, digital sharing, and distributed medical reserves enables payment to providers, typically 30-40 days after receipt of the members’ bills. This approach sets Impact Health Sharing apart from the healthcare sharing process that many providers may have experienced with other healthcare sharing organizations. It is our aim to provide an experience that works better, feels better than insurance for our members.

 
Download Guidelines                 Download Instructions
 
 

Pre-Notification

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 
  • Maternity

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 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 co-pay of $1,000 for the illness or event.

PRE-NOTIFICATION

How To Submit Medical Bills

Providers can file EDI: Payer ID IH400

 

Mail Paper HCFAs or UBs:
Impact Health Sharing
PO Box 3139
Farmington Hills, MI 48333

MEMBER STATUS      
DOWNLOAD INSTRUCTIONS
medical-bill

HOW DO I BECOME A PREFERRED PROVIDER?

Want to learn more about becoming a Preferred Provider with Impact Health Sharing? Just complete this request form. One of our team will reach out to gather information and get you started. 

More Questions?

We're here to help! 
 

(855) 378-6777