You can use the provider registration form or the contact us form and we will respond with an introduction email and answer any questions you might have. If you decide to move forward we can sign a contract and you can start sending your clients our way.
We charge 10% of the insurance reimbursement. No fees for VOBs, credentialing, filing, etc.
Your full fee or prompt pay amount. We can not guarantee any payment from an insurance company and we suggest to midwives and clients that they don’t set expectations regarding it. We file a claim for everything we can and fight for the reimbursement, but there is never a guarantee.
We bill based on services rendered and bill 400% of Medicare rates.
The short answer is we don’t know. Billing insurance is based on services rendered and we won’t know what exactly we can bill until after the delivery. The other factor is what your insurance company’s allowable amount for each service that we bill. An insurance company may say they cover a certain percentage, but that percentage is based on their allowable amount not the amount your midwife is charging or what we bill.
Gap Exceptions, Network Exceptions, PPO Waivers, Single Case Agreements, or Letters of Agreement.
All of these terms have similar meanings. The terminology varies depending on the company and the plan. But all of them are ways of getting the provider covered at the in-network level.
Why would anyone want the provider covered at the in-network level?
There are two major reasons.
First is typically it means better reimbursement. And second then your midwifery care will count towards your in-network benefits.
We work with clients of our contracted providers. If you are working with a midwife that does not have a biller please send them our way.