Midwives' Advantage was started by a midwife that wanted to see insurance claims for midwives and their clients paid fairly. Her reasoning was If insurance pays for maternity care, it should pay regardless of the location of delivery or what initials are behind the healthcare provider's name. The Mother's and Newborn Protection Act requires payers to recognize and pay for the services of any healthcare provider acting within the scope of her practice. This policy includes midwives. The same law cleverly states "hospital birth is not mandated."
Our journey billing for midwives began in 1997 and was a long process fighting for the rights of clients that had private health insurance. These members had maternity coverage and paid for insurance coverage but their claims were denied based on the location of their delivery; that wasn't fair! Things changed in for the better in 2010 when partnerships with key people in the insurance and legal industries gave our company the legal structure needed to advance to a new level of success.
Over the years, we have moved from paper billing and ICD-9 diagnosis codes to electronic submission and the new ICD-10 codes for diagnosis. We've seen the efficiency of electronic charting and many other improvements in communications between midwives, their clients and insurance payers.
We are excited to be a positive force in the healthcare industry and to do our part to see that consumers that choose to seek care outside of the hospital are treated fairly when it comes to their claims being paid.
We get insurance claims paid quickly and fairly! Everybody wins! Insurance companies pay as they should, consumers get to use their maternity benefits and midwives get paid for their dedicated work in providing healthcare.