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Family Tree Midwifery

Insurance

First things first - Verification of Benefits (VOB) - This process allows our biller to speak in insurance language to your insurance company and get an idea of what your coverage looks like for our services - this is often very different information than families get when they call themselves. This varies widely depending on employers and insurance companies - almost never do two families have the exact same coverage - even with the same insurance company!


We CANNOT bill for MediCal or Tricare at this time. PPO plans with out of network maternity coverage are the best chance at getting reimbursement. We are not affiliated or in network for any plans. We DO accept Health Shares - which are processed by our biller because they require itemization and coding, no exceptions.


To get started,you will need to gather your insurance cards and get ready to fill out a form so our biller can contact your insurance and gather information. When filling out the form, you will need to remember to put down Randi Payton as the Midwife and select Gabby as the billing manager from the drop down menu.   Click here to get started!   


Once you have completed your form, we should have results in 2-3 days - reach out to us if you haven't gotten your results! Remember to read your billing contract and information closely when it comes in! This is SO important to avoid misunderstanding at the end of this process. 


Important things to know about insurance billing:

-Because we cannot bill insurance until after services are performed, we require pre-paying for our services and billing insurance for reimbursement. 

-Deductibles and co-pays are paid from the pre-pay amount, lowering the total amount that is eligible for reimbursement to the client. 

-Our billers fees of 35% are paid only if and from insurance payouts

-Reimbursement checks are not usually produced until 6 months or more after delivery.

$$ Recent Reimbursements $$

‚Äč Anthem Blue Cross: $2600 went towards the patients yearly deductible - $1800 went toward the patients co-pay - $1500 was reimbursed to patient

Blue Cross Blue Shield: $00 deductible met or N/A - $1200 was applied to patients co-pay - $4800 was reimbursed to patient  

United Healthcare: $4000 went to deductible - $700 was applied to patients co-pay - $1800 was reimbursed to patient

Anthem Blue Cross: $500 went to deductible - $3000 was applied to patients co-pay - $3000 was reimbursed to patient 

Blue Cross Blue Shield: $00 deductible met or N/A - $1200 was applied to co-pay- $3500 was reimbursed to patient

Anthem Blue Cross: $3000 went to deductible - $2800 was applied to co-pay - $200 was reimbursed to patient

Kaiser: $00 deductible met or N/A - $00 was applied to co-pay - $6000 was reimbursed to patient

Samaritan Ministries: $6000 was reimbursed to patient