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Verification of Benefits

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.
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
What you receive:
• A provider summary with the benefit details
• A plain-language letter for your client explaining what their plan may cover
A verification reflects what the insurer tells us on the day we call. It is not a guarantee of payment.
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