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Welcome!

FOR 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.

Thank you for the care that you provide to our Member. It is our goal to care for you as well. We work hard to make healthcare sharing a transparent experience for everyone involved. Here is the info you need.

1
How to Check a Member's Status

This tool will allow you to check a Member's Status.

Please have their name, date of birth, and membership number ready to access the information.

 

CHECK MEMBER STATUS
2
How to Submit a Bill

Providers can file EDI: Payer ID IH400

 

Mail Paper HCFAs or UBs:
Impact Health Sharing
PO Box 241899 
Apple Valley, MN 55124

For More Information:

HOW TO SUBMIT A BILL
3
Bill Status

Providers can view all submitted bills for sharing on Impact through our Provider Portal. To gain access, simply submit an application using your Tax ID or NPI number. This process only takes about 24 hours and is only required for the initial portal access.

PROVIDER PORTAL
4
Pre-Eligibility

A pre-eligibility review is required for any of the following treatments to be eligible for sharing:

  • Cancer Treatment
  • Elective Cardiac Procedures
  • Non-emergency inpatient/outpatient surgery
  • Organ/Tissue Transplant Services
  • Maternity
  • Imaging: MRIs and Nuclear Imaging (i.e. PET Scans)
PRE-ELIGIBILITY

HOW IMPACT WORKS

HOW DO I BECOME A PREFERRED PROVIDER?

By joining us as a preferred provider, your practice will be prominently featured on our member portal, increasing your visibility and accessibility to our diverse patient base.

To be eligible for sharing, testing and treatment must be CMS- or FDA-approved and ordered by a:

•    Medical Doctor (M.D.)
•    Doctor of Osteopathy (D.O.)
•    Nurse Practitioner (N.P. or A.P.R.N.)
•    Physician Assistant (P.A.)
•    Doctor of Podiatric Medicine (D.P.M.)
•    Dentist (D.D.S. or D.M.D.)
•    Midwife
•    Ophthalmologist
•    Doctor of Chiropractic (D.C)

 

Moreover, we prioritize prompt and efficient payments for our preferred providers, ensuring that you receive your compensation first and fast.

You will also have the opportunity to negotiate an agreement for contracted rates.

We understand the importance of building strong partnerships in the healthcare industry, and we believe that working together will benefit both our members and your practice. If you are interested in exploring this opportunity further, just complete this request form. One of our team will reach out to you soon.

*Impact does not share medical expenses for naturopathic, holistic, and LCSWs services.

MORE QUESTIONS?

We're here to help! 
 

(855) 378-6777

MORE ABOUT IMPACT

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. 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.

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, and feels better than insurance for our members. 

 

 

HOW TO SUBMIT A BILL

 

  • 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.
  • 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.
 
 

THE IMPACT BLOG

We've got invaluable health tips, expert advice, and articles specific to healthcare sharing that will educate and inspire you on your journey.

MORE QUESTIONS?

We're here to help! 
 

(855) 378-6777