Included
- Verification of Benefits
- Submission of claims including
- Prenatal
- Birth
- Postpartum
- Newborn
- Non-routine care
- Claims follow-up
Not Included
These are services that we don’t provide
- Coding -we only submit the procedure and diagnostic codes provided to us by the healthcare practitioner
- Collect payments on behalf of your provider
- Disburse payments from insurance companies
- Pre-authorization. If we find a pre-authorization is needed during your Verification of Benefits we will notify you so your provider can go through that process. Your provider is responsible for securing Pre-authorization
Fees
Our services start at $200 and include
- Registration with our billing service
- Verification of Benefits
- Submission of claims for midwifery services provided
- Initial follow up time (up to 2 hours)
*We offer a discounted rate if you’re on Medicaid. Please contact us for details.
Refunds
Our fees include a $50 non-refundable deposit. For example, if you register with us, and we complete the verification of benefits and that says your insurance doesn’t cover home birth or doesn’t cover the type of midwife you’re working with. It may not make sense in that case to bill your insurance for your care, so we will refund your fee, minus the deposit ($150).
Additional follow up
Occasionally, claims require additional follow-up time. If we think your claim will be successful with additional time, we’ll contact you and ask if you want us to continue to follow up, at a rate of $50/hour.
Confidentiality
Agreement to share Protected Health Information
By registering for our services, you agree to your Protected Health Information (PHI) being shared between your healthcare provider, our billing service providers, and your insurance company/companies, as allowable by the Health Insurance Portability and Accountability Act (HIPPA) to the extent necessary for billing purposes. Bridge Town Midwifery, Inc agrees to keep your information confidential outside of these purposes, to the extent allowed by law.
Communications Policy
Our billing service preferentially uses secure electronic communication methods. This includes fax, electronic clearinghouses for insurance, electronic signature systems, and encrypted email. In the event that these systems are unavailable or unacceptable to you, we can arrange for paper communications for an additional cost on an as-needed basis.
Process
Billing Process and Payment of Fees for Service
To initiate services with our billing service, you’ll pay $200 and submit your personal and insurance information. Once that’s received, we’ll start the billing process.
Timelines
When you submit your initial information to us, we agree to contact you within two weeks (14 days) either with your verification of benefits or if we need more information. We agree to submit your claims electronically within two weeks of receiving complete information. Unfortunately, the time in which insurance responds to claims can be varied, thus the initial follow-up included with the claim submission fee can also be varied. We will attempt to follow timely filing regulations as much as possible.
Client Responsibility
In order for us to accurately bill your insurance and provide claims follow-up, we may need information from you. Please inform us within a week if you receive any of the following:
- Payment from your insurance company
- Documentation from your insurance company, such as an Explanation of Benefits (EOB)
To secure our services, please contact us.