Check Insurance

I am so excited to have the opportunity to work with you as your Lactation Partner. Support should not need to add an extra burden to your family. It is not a luxury, it is a necessity. Insurance companies know this and many policies will cover my services at little or no cost to you.

I am able to accept many plans such as Anthem, Cigna, Blue Cross Blue Shield, Florida Blue, MultiPlan, and more! If in doubt, just take a few minutes and Fill out my intake questionnaire here which will allow me to check your insurance coverage. In-network plans have no copay or out-of-pocket costs to you at all! You just fill out the form at the link above and will get an answer within 24 hours on weekdays and 48 hours on weekends. If your plan is covered we can have between 3-6 virtual or home visits at no cost to you. This covers both prenatal and postpartum visits for one year.

My plan is not in-network

If you get denied because your plan is not in my network, you can pay out of pocket and submit the bill for reimbursement. Learn more about how to submit for reimbursement here.

The process is very simple. You first fill out the above intake forms and consents, book your appointment and pay the self-pay rate out of pocket. You would then submit the Superbill (the receipt I give you after each visit) for reimbursement to your insurance company. 

After our visit, I will upload the superbill into the patient portal with the appropriate codes based on our visit. 

How do I make sure to get paid?

Insurance plans can be tricky but one thing is for certain: you deserve the best support possible. Lactation assistance is now recognized as a necessity and many plans will reimburse some if not all of the visit. Here are some steps to increase the chances and speed of reimbursement:

1. Get an order before our visit: many plans have clauses that only reimburse visits if there is a referral. Better be on the safe side and get an order from your OB or Pediatrician. Make sure they file under the breastfeeding parents' insurance and information.
2. Check the codes for reimbursement. If your insurance company asks for the diagnosis and procedure codes, give them this list below. If they do not accept these, please ask them which ones they prefer so we can file them appropriately.
   1. Diagnosis is almost always Z39.1 – care of the lactating patient
   2. Procedure codes depend on the case
      1. Preventative: 99404
      2. Problem: 99204
      3. Education: s9443
3. Get your IBCLC in-network temporarily (optional): companies make it very difficult for a Lactation Consultant to be in network. However, you can many times request a “gap exception” to grant your consultant temporary in-network status. Explain that you want your provider to be in-network because
   1. No other in-network provider is in the area
   2. The provider is the only one who offers the services and specialty that you seek

By receiving an order from your physician, checking the codes, and granting a “gap exception” to your provider, you can greatly increase the chances of reimbursement. 

What do I need for my superbill to be accepted?

I will send you a copy via email and it will vary slightly by the case.

If you need any of my credentials, I am listing them below. I hope this helps to streamline your lactation support.

• NPI: 1801522123
• EIN: 00-6761239
• RN: 1126599 (TX)
• IBCLC Credential: L-72667
• CAQH Provider ID: 15669074