Verification Of Benefits-Maggie Napier

Verification of Benefits-This fee is not related to claims filing (please refer to the home page for pricing) but it helpful in determining if your policy will reimburse your out of hospital based maternity care.

Please submit $40.00 payment for verification of benefits before sending insurance information. Members with secondary insurance will need to submit an additional $40.00 payment with secondary insurance information. If PayPal isn’t your preferred payment method, payments are also accepted through Venmo: @NapierMidwiferyBilling_LLC.

$40.00

Commercial Insurance or Christian Health-Share Name
Insurance ID number
Insurance Group Number (if available)
Provider contact number on the back of your insurance card
Policy Holder’s Name

Please allow seven business days for a complete verification of benefits. Once verification of benefits is complete, both you and your Midwife will receive a copy of the verification of benefits. *Please note your verification of benefits may be sent to your SPAM folder. If you believe you have not received your verification of benefits within seven business days of your submission, please check your spam folder.

A quote of benefits and/or authorization does not guarantee payment or verify eligibility. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service.

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Expectant Mother’s Name (first, middle and lastname)

Email Address

Name of Midwife or Midwifery Group

Home Birth or Birth Center Delivery

Expectant Mother’s Date of Birth

Estimated Due Date or Delivery Date

Member Address (Please include full address with City, State and zip code)

Please upload a copy of the front of your insurance card (if you have a copy)

Drag and drop or click to select a file.

Please upload a copy of the back of your insurance card (if you have a copy)

Drag and drop or click to select a file.

Member’s contact phone number

Policy Holder’s Name (first, middle and lastname)

Policy Holder’s Date of Birth

Policy Holder’s Address

Name of Insurance

Member ID

Group Number

Member Phone Number (on the back of your insurance card)

Permission to Release-Permission to release protected medical information to a 3rd party (Your Midwife/Birth Center):