Doula & Birth/Postpartum Professional Billing Services
Helping Doulas and Birth/Postpartum Professionals get paid for the care they provide
Navigating the insurance landscape as a doula, lactation consultant, or birth worker can be complex. At Medical Elements Billing, we specialize in the billing solutions tailored to the birth and postpartum professionals, ensuring the timely and accurate reimbursements while maintaining compliance with the payer requirements. We offer services in all states, including utilization management and appeals, to support providers in maximizing reimbursements and streamlining claims processing. Our dedicated team also provides consulting services to help birth professionals establish sustainable billing practices and navigate insurance complexities with confidence.

Comprehensive Billing & Revenue Cycle Management
• Insurance Claims Processing – Submit and track claims efficiently to maximize payments.
• Denial Management & Appeals – Handle rejected claims and secure reimbursements.
• Reimbursement Tracking – Stay on top of pending payments and reduce delays.
• Denial Management & Appeals – Handle rejected claims and secure reimbursements.
• Reimbursement Tracking – Stay on top of pending payments and reduce delays.

Contracting & Credentialing Support
• Insurance Panel Enrollment – Get credentialed with payers that cover doula and lactation services.
• Payer Contract Negotiations – Ensure fair reimbursement rates for your services.
• Agreement Review & Compliance – Understand contract terms and maintain regulatory alignment.
• Payer Contract Negotiations – Ensure fair reimbursement rates for your services.
• Agreement Review & Compliance – Understand contract terms and maintain regulatory alignment.

Start-Up Services for Birth & Postpartum Professionals
• Guidance for New Businesses – Support in structuring your practice for long-term success.
• Insurance Billing Setup – Establish workflows to handle insurance claims seamlessly.
• Legal & Compliance Assistance – Navigate industry regulations with confidence.
• Insurance Billing Setup – Establish workflows to handle insurance claims seamlessly.
• Legal & Compliance Assistance – Navigate industry regulations with confidence.

Accreditation & Certification Support
• Doula & Lactation Certification Assistance – Ensure proper documentation for insurance recognition.
• Medicaid/Medi-Cal & Private Insurance Accreditation – Meet the standards required for coverage eligibility.
• Ongoing Compliance Reviews – Keep your practice aligned with evolving industry standards.
• Medicaid/Medi-Cal & Private Insurance Accreditation – Meet the standards required for coverage eligibility.
• Ongoing Compliance Reviews – Keep your practice aligned with evolving industry standards.

Verification of Benefits (VOB) & Insurance Eligibility
• Comprehensive Coverage Verification – Confirm patient eligibility before providing services.
• Pre-Authorization Support – Obtain necessary approvals to prevent claim denials.
• Detailed Benefits Breakdown – Ensure families understand their insurance coverage.
• Pre-Authorization Support – Obtain necessary approvals to prevent claim denials.
• Detailed Benefits Breakdown – Ensure families understand their insurance coverage.