We require a 24 hour notice for cancelling your appointment. We have a lot of mamas who desperately need appointments. When you give us 24 hours notice, we can fill your appointment slot with a mama in need.
Insurance and Payment
Before scheduling your appointment, please verify that we are in network with your insurance company:
You can find your insurance contact information on your ID card. Quick reference
ICD codes: 99205, 99215
When you call your insurance company, provide them with The Birth Center’s NPI number 1902975659. This number is needed in order to receive the correct reimbursement information. The codes that we will bill are 99205 for a new patient’s first visit and 99215 for established patients and follow up visits. (Do not ask for lactation coverage use the codes provided above).
** For Aetna patients: Please be aware that Aetna will cover up to 6 lactation visits with no copay for the mother. If both you and your baby have Aetna, your appointments will be billed to mother only.
Important Questions for You to Ask Your Insurance Company
- Is my policy in network with the NPI provided?
- What is my coverage for the following codes 99205 and 99215?
- With these codes (99205, 99215) will I be subject to a deductible, copay or coinsurance?
- You will also want to find out the coverage for both mother and baby as they can be different:
- Are we in network with this insurance?
- Are those codes reimbursable?
- Will copays and deductibles apply?
If you do not have insurance, the out-of-pocket charge is $350 for new patients’ first visit and $290 for established patients and follow-up visits.
What is a copay?
A copayment or copay is a fixed amount for a covered service, paid by a patient to the provider of service before receiving the service.
What is a deductible?
In an insurance policy, the deductible is the amount paid out of pocket by the policyholder before an insurance provider will pay any expenses.
Why are there two copays for my visit?
We evaluate and support both the mother and baby therefore we charge two copays. We spend a significant amount of time that could extend up to an hour and a half evaluating and providing care for you and your baby.