I am so excited to have the opportunity to work with you as your Lactation Partner. Support should not need to add 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 in network for many plans such as Cigna, Blue Cross Blue Shield, Florida Blue, and more! You can fill out an insurance authorization form here to check for coverage.

In-network plans have no copay or out-of-pocket costs to you at all! You just fill out the form and will get an answer within a few hours. 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 a discounted rate and submit the bill for reimbursement. Discounted rates are listed in my booking portal.

The process is very simple. You first book your appointment and pay the self-pay rate out of pocket. I accept Zelle, Cashapp, Venmo, PayPal, Credit/Debit, and HSA cards.

After our visit I will upload the superbill into the patient portal with the appropriate codes based on our visit. I also upload a detailed visit summary that you can submit along with the bill to speed up the process.

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 it 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. I also provide all the documentation that you need through your very own patient portal.

What does a superbill look like?

Here is an example of what a superbill will look like for you. Of course 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: 1811568777
• EIN: 84-5148150
• RN: RN9364439
• IBCLC Credential: L-306417
• CAQH Provider ID:   15471259