services & fees

VERIFICATION OF BENEFITS $35

Verifying benefits is the process of obtaining information regarding a member’s insurance coverage. This helps to present midwives and clients with a true idea of coverage, to determine the best options for payment. The goal is to obtain optimum reimbursement while alleviating surprises along the way. This service includes verifying your benefits and submitting a gap exception or prior authorization, when possible.

INVOICE PREPARATION $150

Invoice preparation includes a detailed invoice for clients’ Flexible Spending Account (FSA), Health Savings Account (HSA) and/or Health Reimbursement Arrangements (HRA). This invoice may also be used for reimbursement purposes.

This invoice is specifically designed to show that the money spent was an eligible medical expense. This service includes combing through your records and creating an itemized bill with the appropriate codes.

CLAIM SUBMISSION + FOLLOW UP $225

Claim submission + follow up is ideal for clients with high deductibles and/or clients utilizing a provider who does not accept insurance.

  • HIGH DEDUCTIBLE CLIENTS: A CLAIM WILL BE FILED WITH THE INSURANCE TO ADD THE TRADITIONAL & CUSTOMARY AMOUNT TO THE CLIENT’S DEDUCTIBLE.

  • DIRECT REIMBURSEMENT CLIENTS: A CLAIM WILL BE FILED WITH THE INSURANCE FOR DIRECT REIMBURSEMENT.

This service includes claim submission & following the claim until it has been added to your insurance successfully.

  • HOME BIRTHS: CAN INCLUDE TWO CLAIMS (ONE FOR THE PERSON GIVING BIRTH & ONE FOR THE BABY).

  • BIRTH CENTER BIRTHS: CAN INCLUDE UP TO FOUR CLAIMS (ONE FOR THE PERSON GIVING BIRTH, ONE FOR THE BABY, TWO FOR THE FACILITY FEE (BIRTHING PERSON & BABY).

*THIS SERVICE REQUIRES A VOB*

PROVIDER/FACILITy CONTRACTING 10%

Providers and facilities that accept insurance and are looking to contract billing services, True Healthcare Billing charges a monthly fee of $150 or 10% of the money collected from the insurance, whichever is greater. It’s that simple!

PROVIDER/FACILITy CONSULTING TBD

Operations consulting is perfect for midwives and birth centers who want to improve their performance and achieve organizational goals. True Healthcare Billing can help provide solutions and strategies to add value, maximize growth and improve business performance.