What is precertification?
Precertification is a requirement under your certificate of insurance (where the terms and conditions of your policy are specified) for certain medical services. Please see your certificate for a list of services which require precertification.
During the precertification process, medical professionals review the planned medical services against standard medical criteria to ensure that the services are within accepted medical standards and are medically necessary. If the services are not medically necessary, your procedure may not be certified and you may need to pay out of pocket.
How to precertify
1. Through the MyIMG online portal
Precertification may be initiated by you, your representative, or your medical provider. This can be done through MyIMG, through the Client Resources page of IMGLOBAL or by calling IMG at 1.800.628.4664 (within the U.S.) or 1.317.655.4500.
2. On the IMG website's precertification page
From here, you will usually leave the answers as they appear pre-answered and select GET STARTED.
After this, you will be directed to a form where you will enter your contact information and other information related to the procedure you are precertifying.
3. Through your physician
Most U.S. hospitals and physicians are familiar with the precertification process and will make the phone call to IMG for you, though they are not required to do this. You are responsible for ensuring the precertification process is done five days before you are hospitalized or within 48 hours of an accident or emergency illness.