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Verification of Benefits

Forms

Know What's Covered Before Care Begins

Know what a client's insurance will cover before care begins. We contact the plan and confirm the details that affect what you and your client will be paid.

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What we check:

• Whether the plan is active and the client is covered

• In-network and out-of-network benefits for your services

• Deductible, coinsurance and out-of-pocket maximum, and how much has been met

• Whether prior authorization or a referral is required

• Any plan exclusions for home birth, birth center care or your provider type

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What you receive:

• A provider summary with the benefit details

• A plain-language letter for your client explaining what their plan may cover

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A verification reflects what the insurer tells us on the day we call. It is not a guarantee of payment.

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