Do you take insurance?
We operate on a pay for service basis, meaning you will pay for the service at the time we meet. That being said, many insurance providers have been reimbursing clients for our services. We will submit your insurance claim, except in the case of Blue Cross Blue Shield for technical reasons we are working to resolve. We will additionally follow your claim through the process and resubmit if necessary. The remittance check will come to you once it has been processed.
This seems complicated, is there a way for you to tell me if your services are covered?
I wish it were that simple. Because there are so manyvariables that the insurance company considers, the best way to determine what your coverage for breastfeeding services are is to contact your insurance provider directly. We are considered an out-of-network provider for most insurance plans; however, we will do the work of submitting your claim so that you don't have to.
We have found that insurance companies are more willing to reimburse if there is an official referral to us for the services you are receiving. It is best if we can document the referral in your chart. To make this easier, we have created a Provider Referral Form, or you can have your provider fax one to us at 855-523-2335. A referral is not necessary to make an appointment, or for us to provide you with care.
What do I do if I have Blue Cross Blue Shield?
As of January 2022, as an interim measure, we will provide you with a superbill so that you can submit the claim on your own.
What do I do if I have more questions about reimbursement?
We are always happy to talk to you about insurance and reimbursement. You can call our Operations Manager, Annalee Harkins, at 919-438-2293.
How does payment work?
For in-person visits, payments are due prior to our meeting time and are paid through our online portal. For telehealth you will receive an invoice for our visit after we meet, based on the amount of time we spend together.
What forms will I need to complete?
Before your initial visit, you will receive one form with that includes three different parts:
Intake Assessment, including Covid-19 exposure questionnaire
HIPAA Compliance form.
At subsequent visits, a short intake form will be used to capture what has happened since our last visit.
Where are you located?
My office is conveniently located at the Plum Spring Clinic building with parking available directly outside of the front door. I am subletting the building, so you will notice names on the door that don’t have to do with Teaching Babies to Nurse. Come on in! You are in the right place.