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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!

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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

Included Features

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Included Fields

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

  • Ico statictext

    Advance Beneficiary Notice of Possible Non-coverage (ABN) For Patients with Insurance

  • Ico statictext

    Hospital billing procedures remain the standard for insurance billing.

  • Ico statictext

    The following is an example of possible codes that will be billed to your insurance company in th...

  • Ico decimal

    0729 – Birth Center services incomplete $

  • Ico decimal

    0721 – Labor supervision 1-3 hours $

  • Ico decimal

    99214, 99354, 99355 – Detailed Exam level 4 (observation of labor) $

  • Ico statictext

    If your insurance company denies our claims for incomplete birth center services, we will bill yo...

  • Ico statictext

    By signing this you agree to pay these services at the discounted rate.

  • Ico signature

    I understand that <insert Name> will bill my insurance company for any incomplete birth center se...

  • Ico signature

    I understand that in the event that my insurance company denies any claims for incomplete birth c...

  • Ico textbox

    Name

  • Ico signature

    Signature

  • Ico date

    Date

  • ...and More!

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