Verification Of Benefits

Verification of Benefits-This fee is not included in the claims filing process. Please visit the pricing page for claims filing pricing. For additional details regarding what your verification of benefits will verify and what isn’t included please visit the bottom of the submission form.

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

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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Thank you for your response. ✨

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):

What the verification of benefits will confirm and verify:

In and out of network Deductible
In and out of network Coinsurance
In and out of network Out of Pocket Maximum
In and out of network copays
Certified Nurse Midwife Coverage
Licensed Professional Midwife Coverage
Home Birth Coverage
Birth Center Coverage
Inpatient Hospital Coverage

What the verification of benefits cannot confirm and verify:

The pricing your insurance will apply to your claims. Insurance companies refuse to release their usual and customary allowable amounts per service/CPT code when the provider is out of network. We will not know the allowed amount per claim until the claims are submitted for processing. When the provider is out of network a financial agreement is not on file with the insurance company-This allows the insurance company to prove the claims based on what they deem usual and customary. What does this mean? It means we will not know what your total reimbursement amount will be until the claims are processed. This is very important to be aware of.