Do More For Your Clients

Home Birth Midwives

We specialize in billing for birth centers and home birth midwives across the country. This broad perspective gives us unique insights into industry trends and best practices. Our high transaction volume allows us to identify patterns that might not be apparent to an in-house biller. As a result, we can often secure results where others may fail, and we do so at a fraction of the cost of maintaining an in-house billing department.

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A couple shares an intimate moment during home birth.

Our Process in a Nutshell

01

Consider partnering with EarthSide Billing, Inc. By signing a contract with us, you'll grant us access to your electronic health records, which will significantly streamline the billing process.

02

Our service includes credentialing to ensure that midwives are recognized by insurance companies. This credentialing process is essential for insurance companies to accurately process claims.

03

To initiate the billing process, please direct any clients interested in exploring insurance reimbursement to our website to submit for a VOB. Our team will then reach out to them directly to guide them through the next steps.

Before we can provide any billing services, patients will need to submit a request for a Verification ofBenefits (VOB). This will enable us to set clear expectations and determine the most appropriate course of action. We will communicate all findings with the patient before initiating the billing process.

04

If families are interested in proceeding with our services, we would be happy to discuss the associated costs and outline the next steps involved.

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Once we receive the required information and the invoice for billing services is paid, we will begin working. Our first step will be to apply for a GAP exception (if applicable), so that claims can be processed at the in-network level. It's important to note that GAP exceptions need to be approved before the birth, as insurance companies typically do not grant retroactive approvals. If we are unable to obtain a GAP exception, claims will be processed at the out-of-network level.

06

All submitted claims are diligently tracked. In the event a claim is improperly denied, we will pursue all available avenues to ensure it is processed correctly. Our team is committed to maximizing reimbursements for midwifery care when possible.

*Please note: Each claim requires careful review and thorough research to ensure accuracy. While we strive to respond promptly, this process may take a few business days.

We appreciate your patience and will provide an update as soon as possible.
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The Typical Flow for Midwifery Billing

A man provides comfort to his wife during childbirth, sitting beside her in a birthing tub and offering physical support.
A pregnant woman in an illuminated birthing tub.

We’re Here to Guide You & Your Patients

By partnering with us, you gain access to a wealth of knowledge regarding the billing process. While we strive to manage the entire process for your patients, oftentimes insurance companies require their participation as they are the policyholders. It’s common for reimbursement to happen by the time the baby is three months old.

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It has been such a relief

Thank you so much Alisha! We appreciate your help with all of this -- navigating insurance land is neither of our strong suits and it has been such a relief - mentally and financially - to have your support and expertise throughout the process. I hope you know how fantastic and important the work you do is and I am just sending lots of appreciation your way <3

-- Abby, Chrissy & baby Tai

We were skeptical "do it yourselfers" at first,

but while pregnant with our second child, my partner and I realized it was time to get some help with my least favorite aspect of having kids so far - the medical paperwork. Alisha was magic. When our new son didn't make it onto health insurance in time before billing went through, Alisha got the insurance company to re-process multiple claims. Just when we needed it, a big reimbursement check came to us. New parents, you'll want her on your team! Thank you Alisha.

-- Kate Jamison, Moonstone Midwives Birth Center

EarthSide Billing, Inc. is the best billing service we have ever had.

They are hardworking, and professional and have gotten us the best reimbursements we have ever seen because they bill safely and know what they are doing. They have set us up properly with all of the insurance companies with electronic billing and bank deposits. We are regularly getting facility fees for our birth center which was a nightmare previously. They worked so hard for months to get this all worked out, never giving up when other billing companies had failed. They are easy to work with and are lovely people. Communication is professional and direct. We can talk to them whenever we need to and they handle the communication with the clients professionally and in a timely manner so we rarely need to discuss billing with clients. Working with them has been a game-changer and we love, love, love their work. Our recommendation could not be stronger!

-- Moonstone Midwives Birth Center

Alisha has been my insurance billing person for my practice since 2018.

Changing back to a billing specialist vs. in-house billing was a game changer for my small private practice. I have had a few difficult cases with insurance billing and have been happy to have Alisha take over those. Over all my clients get what they need to support the insurance part of their midwife journey. As we know it takes a village to raise a baby and I am happy to have Alisha in my village.

-- Amy Tinney, MSN FNP-C CPM LM

My clients have been getting high reimbursements promptly.

I am so grateful to work with Alisha at EarthSide Billing. As a busy midwife she has saved me a lot of time and energy. All I have to do is inform her of a birth and she does the rest for me. No more tedious super-bills to fill out. My clients have been getting high reimbursements promptly. I have worked with numerous other billers and have not lasted long. They seem like a good deal up front but lacked the willingness to dig deep and go after it. Often they only bothered to bill for prenatal care! As a home birth client herself, Alisha believes in home birth. She is passionate and understands why our clients are making this choice.

-- Sharon Potteiger LM CPM, Santa Cruz Midwives

Working with her is a joyful breeze compared to other billers with whom I've worked.

Everyone knows that insurance billing is the worst. And I'm not actually clear on why someone as nice and wonderful as Alisha wants to do this work but I am very grateful.

Alisha is just great. She is smart, organized, on top of all the details and makes things simple. My clients feel good talking to her directly. It takes less than 15 minutes for me to complete the superbills that I send her after the birth and after care is completed. Payment to her is directly from the client and streamlined for them. Working with her is a joyful breeze compared to other billers with whom I've worked. I also appreciate that Alisha has a good streak of righteousness and will fight for a claim when it's unjustly denied or unfairly paid.

It feels good to support another home birth mom in an independent business. Alisha is also very clear about her work schedule. She protects her ability to do her job well by focusing on it when she says she will and letting us know when she will be unavailable. Now if we could just get the insurance companies to be as reliable and respectful.

-- Sue Baelen, LM

The way they work makes the process seamless.

Alisha and her team at EarthSide Billing have been the easiest, and most thorough billing company to work with. The way they work makes the process seamless for the client and completely hands off for us. We all know medical insurance is extremely stressful and difficult to navigate, but Alisha and EarthSide Billing make it effortless. They are extremely knowledgeable. We have nothing but confidence in using them for our practice

-- Born To Be Loved Birth

EarthSide Billing (has) made the billing portion of my practice something I don't have to worry about.

I've been a private practitioner since 2018. Being a Licensed Midwife in the state of California has its own set of challenges when it comes to insurance. While I focus on giving the best obstetric care to my clients, Alisha and EarthSide Billing have made the billing portion of my practice something I don't have to worry about. From beginning to end, they are in regular contact with myself and the client. After trial and error with other billers, I couldn't be happier with the service she provides my practice.

-- Faith Freeman, Licensed Midwife

(Earthside) has more knowledge about medical billing than I - or most of us - will ever know

Alisha has deftly handled the billing for both Izzy and Jett, she's been a phenomenal resource / sounding board throughout the process, and has more knowledge about medical billing than I - or most of us - will ever know.

She's awesome. 🙌

-- MP

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Pleas note that due to us being on the phone most of the day with insurance companies, it is best for us to communicate with you via email. Thank you.

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