Available on

Midwife ABN for Insured Clients Mobile App

Hospital billing procedures remain the standard for insurance billing. Currently there are a very small number of active birth centers. Unfortunately, this means that sometimes billing for the services we provide can be difficult. In the event of a transfer during labor the time spent, and services rendered at the birth center do incur charges, but some insurance companies will not cover these “incomplete” services. The Midwife ABN for Insured Clients mobile app includes an example of possible codes that will be billed to your insurance company in the event of a transfer after admission. Prices listed can be billed at a lower rate to patients with a pre-payment agreement.

GoCanvas has a collection of apps developed for Midwives and Doulas. They are all Free with your GoCanvas Subscription. Check them out in our Application Store!

Health Care & Social Services mobile forms and apps for your team

Convert your inefficient paper Patient Records and other forms to mobile versions with GoCanvas.

Want to learn more about GoCanvas?

Request a Demo

Take a Tour

Take a peek inside the Midwife ABN for Insured Clients Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

{{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

Advance Beneficiary Notice of Possible Non-coverage (ABN) For Patients with Insurance
Hospital billing procedures remain the standard for insurance billing.
The following is an example of possible codes that will be billed to your insurance company in th...
0729 – Birth Center services incomplete $
0721 – Labor supervision 1-3 hours $
99214, 99354, 99355 – Detailed Exam level 4 (observation of labor) $
If your insurance company denies our claims for incomplete birth center services, we will bill yo...
By signing this you agree to pay these services at the discounted rate.
I understand that <insert Name> will bill my insurance company for any incomplete birth center se...
I understand that in the event that my insurance company denies any claims for incomplete birth c...
Name
Signature
Date
...and More!