I am an out of network midwife, how can you assist my clients with their insurance needs?

I offer verification of insurance benefits and itemized superbill statements to clients of out of network midwives. I am able to create the superbills specifically for home birth and birth center deliveries. In addition to this, I am also able to itemize the superbill out even more if the client transfers and/or transports. This is the most simplistic way to give your clients what they need in a timely manner.

do you offer claims submission to insurance?

I normally only offer submitting claims to insurance if a midwife (and/or birth center) is in network with the insurance companies that the midwife wants claims to be submitted. Otherwise, I offer itemized superbill statements for the clients to submit themselves for out of network midwives. However, if an out of network midwife prefers claims being submitted instead of itemized superbills, I am happy to discuss options by request. If you are already in network with one or more insurance provider, I will discuss my services and fees with you directly.

i am a low volume midwife, are you able to provide services for my clients?

Absolutely. Volume is not a factor for me when deciding to take on a midwife client.

what is your turn around time with getting back to my clients?

My goal is to get back to inquiries within 24-48 hours. Verification of benefits is 3-5 business days after payment and itemized statements vary. Itemized statements vary because of the time it takes to get the birth services information from the midwife. Insurance submittal is started after midwifery services are fully rendered and I receive the information from the midwife.

how do you obtain the information needed to create itemized statements?

I have a simple fill in the blank form for the midwives when someone wants a superbill or I can get biller access to your EMR system. The form should take less than 5 mins to complete as I have streamlined it and can also be filled out electronically. The form is my preferred method as I want to avoid creating an extra cost to the midwife with adding an additonal person to their EMR.

WHAT ARE YOUR FEES?

My normal fee structure is flat rate fees. I do not do a percentage % rate for verification/statement services. My fees for your clients are: $40 fee for verification of insurance. This is per inquiry. For example, if someone’s insurance changes after I have verified insurance A, then another $40 charge will be due to verify the new insurance B. Also, sometimes benefits change at the new year (plans and/or deductible and coinsurance amounts), so if a client wants their benefits to be re verified at the beginning of the year, a $40 re verification fee will apply. $100 fee for an itemized superbill statement (per statement). My services are personalized to each Midwife/Birth Center. I value midwifery and want the best outcomes for midwives and their clients.

If you decide to go in network at a later date with one or more insurance providers, I will send you the information about my fees for submitting insurance claims by request at that time.

i want to get credentialed and contracted with one or more insurance company. how do i start that process?

This is a service that I provide for midwives who contract with me as their biller. I am happy to speak with you more about this service upon request.

i am interested in your services, how do i sign with you?

The services that I offer and provide are tailored to each individual midwive’s needs. I will email you a link to fill out and sign my midwife billing services agreement. It states my fees that I charge and has you sign that you will provide accurate and complete records of services rendered. I will also send you a link to fill out all of your demographic information, NPI, address, etc.

Please let me know any questions you may have as I am happy to answer.