A pre-eligibility review is required before some treatments.
Pre-eligibility 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)
3-5 business day notice required, expedited review on a case-by-case basis. Medical records are required to determine pre-eligibility and failure to provide requested records for review will result in the bill being
ineligible for sharing.
Providers may request pre-eligibility by calling (855) 378-6777 or online.
*This is not required for those in the Senior program.
Which one do I need?
Pre-eligibility ensures that specific treatments are eligible for sharing before you receive them. Medical records are required for review.
Provider Outreach is for contacting your provider if they are unsure about accepting Impact Health Sharing.