MIDWIVES ADVANTAGE
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DE LA FLOR MIDWIFERY, LLC

This form doesn't obligate you or your midwife to file claims with us.
Complete information helps us obtain the most accurate coverage of your policy.

    COMPLETE A SEPARATE FORM FOR EACH INSURANCE POLICY.
    Max file size: 20MB
    Contact the employer HR department or login patient portal to obtain Summary Plan Descriptions (SPDs). This document includes all of the important information about your specific plan.
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
Submit

When you're ready, click the Submit button. This will redirect you to Adobe Sign, a platform where you can authorize your midwife as your insurance's Authorized Representative. This authorization lets us communicate with your insurance company if we file your claims.
 
We apologize for the repetitive fields on this page and the authorization document. Please complete all fields accurately so your claims are processed promptly. Midwives Advantage will not send your insurance company the Terms of Agreement (the last page). We included it to clarify items that other parents have had questions about.
 
We wish you the best during your pregnancy and birth!
 We will send your insurance benefits to your midwife.
Championing Equal Compensation for Out-of-Hospital Maternity Care
 Copyright 2009 Midwives Advantage
  • Home
    • About Us
    • Our Advantage
  • Q&A
    • Midwife Clients >
      • Information After Claims Are Filed
      • Insurance - Bad Faith
      • File a Complaint Against Your Insurance
  • Contact
  • Blog
    • SPD INFO