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We verify your policy's coverage for the type of birth/care you are planning & any limitations or exclusions in your insurance plan.
We obtain maternity coverage details, including the planned place of birth, provider type & newborn care.
If a gap request or prior authorization is applicable, we will submit one for you.
You should get a verification when you start maternity care, but one can be done at any point. Getting one before any billing helps you know what to expect for coverage.
Claims are submitted according to typical maternity care billing schedules. The majority of your claims are submitted before you have completed your final postpartum visit.
Billing Schedule:
Note: This service does not include a verification of benefits
*Payment for billing services must be received before the first claim is submitted.
*The client is responsible for notifying the biller through email of their first prenatal visit, delivery, and last postpartum visit. Lyons Medical Billing does not keep track of the client’s care schedule. Once notification is received, allow up to 2 weeks for the billing items to be completed.
*If you transfer out of care before 36 weeks, $90 will be refunded due to reduced billing services. If you transfer out of care after 36 weeks no refund will be issued for billing services. You are responsible for alerting us to your transfer for the refund.
This option is for clients who want billing submitted after completing their care. All claims, including prenatal, labor and delivery, postpartum, supplies, and newborn care, are submitted once care is complete.
Note: This service does not include a verification of benefits.
This option is for clients who would like to submit their own claims/billing. The superbill is created professionally using official forms. It contains the coding & Provider information needed to submit your own claim successfully.
You will be responsible for submitting the claim to your Insurance.
If you would like to verify your own benefits, you can request our free step-by-step guide.
This guide shares what to ask your insurance to determine your coverage for a home birth or a birth center birth.
If you are working with one of our midwives & choose to complete this yourself, please feel free to discuss it with us; we will help you understand how it applies to your care.
If you're working with a midwife that is not contracted with us, we can help you understand your basic coverage.
Please allow up to 14 business days for your billing service to be processed and completed once payment is received. You will receive an email with our contact info in case you have any questions or concerns.
If a refund is necessary, we will refund the amount you paid, less any fees we are charged for processing the payment, which is typically around 3%.
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