We also require a copy of the front and back of your insurance card.
* Please understand that insurance companies may take 14-90 business days to process claims once received*
**For Maternity Services, there is a recovery fee of 8% on paid claims processed electronically for Maternity Services**
**For Lactation Services, there is a 10% recovery fee**
**We will send an invoice via PayPal to the Provider/Midwife OR Client according to the preference of the Provider/Midwife**
Intake Department handles web submissions, creation of client files including all required documentation, PayPal invoicing and initial contact with client.
Benefits Department handles individualized and detailed Verification of Benefits (VOB), In Network Exceptions/Waivers (GAP), Pre-Authorizations and up to 2nd level appeals.
Claims Department handles claims creation, submission of claims, unlimited follow ups and appeals for denials if needed.
As a reminder, we will also need a copy of the front & back of your insurance card as well as the required forms listed above with your signature emailed to us. You can email these to us at email@example.com.
$5.00 for Verification of Services
$25.00 - includes all services within the Intake & Benefits Departments
$75.00 - includes all services within the Claims Department
SCROLL DOWN TO FILL OUT CLIENT INFORMATION FORM
Verification of Benefits 7-10 business days upon receiving a completed file from the Intake Department
In Network Exceptions/Waivers (GAP): 7-45 business days
Pre-Authorizations: 2-15 business days
**We physically speak to reps on the phone at every insurance company. We do not rely on your "basic" benefits as midwifery care in the home and birth center is quite specific. This can sometimes take a little extra time, as we want to make sure that the benefits given are accurate.
Creation and Submission of Claims: 5 business days
Complete client information form at the bottom of this page and submit. Please also review & sign the policy and release forms below, then email or fax them to us.