You may seek treatment with the hospital or the doctor of your choice. Preferred Provider Organization (PPO) contracted by IMG, a seperately organized network of approximately 475,000 physicians and 4,500 privately owned and operated hospitals.
* All PPO Providers are contracted seperately through First Health Group Corp.
IMG Claims Filing Information
Direct Payment to Providers In many cases IMG works directly with the hospital or clinic, including those outside our independent Preferred Provider Organization, for payment of eligible medical expenses. To file a claim, complete the Claim Form and submit it with original itemized bills. In this case, you will be responsible for your deductible, coinsurance amounts and non-eligible expenses. You can also use IMG Interactive Claim Form (123 kb) Microsoft Word is required to use the interactive form.
Reimbursement If you have received treatment and need to be reimbursed for out-of-pocket medical expenses, complete the Claim Form and submit your original itemized bills and paid receipts within 90 days. IMG will reimburse your eligible medical expenses after applying the deductible and coinsurance.
Please remember to submit your bills and receipts as soon as you receive them. Do not hold them until the end of the year. IMG will apply eligible medical expenses to your deductible and coinsurance throughout the year.
FOR ADDITIONAL INFORMATION PLEASE CONTACT: IMG: Inside US and Canada:- 1-800-628-4664 Fax:- 1-317-655-4505 Outside US and Canada:- +44(0) 1444-46-5577 or 01-317-655-4500 Fax:- +44(0) 1444-46-5550 Email:-insurance@imglobal.com Online Provider Network:- www.imglobal.com/provider