pioneer birth, llc amanda stewart, cpm
Hi there, I’m Angela!
I work closely with home birth midwives to help their clients with insurance-related needs, specifically verifying out-of-network benefits and creating itemized superbills. If you’re a client of Amanda Stewart, CPM at Pioneer Birth, LLC (who is out-of-network with all insurance plans), I can:
Verify your insurance to see if you have out-of-network benefits for midwifery services
Create an itemized superbill you can submit to your insurance for possible reimbursement
If your plan includes out-of-network benefits, your itemized superbill may help you receive reimbursement or have eligible amounts applied to your deductible, coinsurance, or out-of-pocket maximum.
Unfortunately, HMO and Medicaid plans don’t cover out-of-network providers, so they won’t accept itemized statements.
PLEASE NOTE: I am separate from Pioneer Birth, LLC and have my own fees, which are required prior to services. Payment methods accepted: Zelle, PayPal, and Venmo.
✔ Verification of Benefits – $40
I call your insurance company and ask the right questions to get detailed info on your home birth benefits with Amanda Stewart, CPM. I’ll then send you a clear summary of your coverage. Please note that verification of benefits is not a guarantee of coverage or payment.
✔ Itemized Superbill – $125
A detailed statement including CPT and diagnosis codes, which you can submit to your insurance for reimbursement or to apply toward your benefits.
You will still owe your midwife her full fee. After you submit an itemized superbill, your insurance may apply its allowed amount for covered services toward your out-of-network deductible and out-of-pocket costs. Once your out-of-network deductible has been met, your insurance may reimburse a percentage of its allowed amount according to your plan’s coinsurance benefits. The insurance allowed amount may be less than your midwife’s actual fee. Please read my blog: What is an out of network deductible? on how insurance companies process out of network claims and the difference between what your midwife fees are and the allowed amount that your insurance company reimburses.
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