MIDWIVES ADVANTAGE
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Information for Midwife Clients

Congratulations on Choosing a Midwife! 

  • ​Please make sure your insurance company has your current mailing address. 
  • If your address or insurance policy changes, please update us.
  • Follow this link to complete patient insurance information  form. 

How Midwives Advantage Works

Midwives Advantage contracts with midwives and their clientele to submit claims to insurance companies for maternity services. Midwives become a part of our corporation as contracted providers, and they gain a back-office staff to verify insurance benefits, submit claims, and process insurance payments. 

​GENERAL INFORMATION
  • Claims are billed under our affiliated corporate names, not your provider/birth center name. As such, Explanation of Benefits (EOB)/documents from insurance detailing the claims submitted for care will have our corporate name and the corporate claim correspondence address (Texas or Colorado) on them. 
  • Due to the use of a surgical instrument (scissors) to cut the newborn's umbilical cord, some insurances will classify a vaginal delivery as surgery or to the facility as an operating room. We submit charges based on how/where the birth was performed, but the insurance companies get to decide on their own naming conventions. 
  • Claims can be processed up to one year from the date of delivery. You must have maternity benefits and out-of-network coverage at the time of service for us to be able to submit your claims. 
  • Professional claims are for prenatal care, delivery, care during a transfer, postpartum care, lactation assistance, and newborn exams.
  • Facility claims are for the supplies and care provided during labor. A facility is any entity that provides a setting for labor, delivery, and immediate postpartum. Licensing is not a requirement to qualify as a birthing center. A facility claim is filed for you and your newborn whether the equipment for birth is taken to you (home) or you travel to the location (birth center) of the equipment for birth.
  • If your labor requires a transfer to the hospital for delivery, a facility claim will be submitted to cover labor observation and supplies for labor.
  • Our fee is 35% of the total paid on all claims.
  • Regardless of what an EOB might state, your financial agreement with your midwife determines your out-of-pocket expenses, not your insurance company. 
  • Your provider is independently contracted with Midwives Advantage. Once we receive the insurance payment, we pay your provider on the next payroll cycle.
  • In the event the insurance company sends the check to you, you agree to send the check to us via mail or electronic deposit. If you choose to mail the check, it should be addressed to our payroll office: Midwives Advantage, 216 Tower Rd, San Antonio, TX 78232. To deposit electronically, you will need to install the Chase Banking app on your device, and you will be provided a login to make the deposit.
  • If we do not receive the funds, the claim will be voided, and the insurance will demand full repayment of funds.
  • Any refund due to you will be issued to you by your midwife after the payment is processed, and all parties are compensated. 
  • Patients cannot profit from their insurance.
If you have questions about your claims or documents from your insurance company, please email us at info@midwivesadvantage.com.


What Midwives Are Saying 

We were paid quickly and our clients were able to finance their birth with my practice through insurance. Thank You Midwives Advantage!"

"I've used all the billers for my claims! Midwives Advantage is definitely the best!"

"At first, I thought this was too good to be true but decided to give it a try. I really couldn't see that I had anything to lose by submitting a few claims from births that I'd already done. My clients were all for it! I got my first payment a month later, and I've never looked back. I really can't thank you enough for all you've done for my clients and me. It is such a relief to have a solution to offer my clients that have insurance!"

"This company is one of those things in life that almost seems too good to be true! I've been with Midwives Advantage for six years, and although they've had some struggles with some payers, I can say they never stopped working on claims. These women don't stop. They are constantly improving. I've seen a lot of changes over the years, and it just continues to amaze me. I am so happy to be able to give care to my clients and know I have responsive experts handling the insurance claims. Thank you for all you've done, and you continue to do for midwives!"

"My midwife emailed me and told me about Midwives Advantage. I submitted my insurance information, and she submitted the information for my claims. Imagine my surprise when all the claims were paid within 30 days! This was my fourth home birth with the same insurance and the only one that my insurance paid for!  What your company is doing for the birth community is amazing. You guys are worth your weight in gold! Thank you!"
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  • Home
    • About >
      • ADMINISTRATIVE HEADQUARTERS
    • Our Advantage
  • Request Information
    • Let's Get Started for Midwives (Log In Required)
  • For Midwives
    • Submit Claim Information >
      • Client Insurance Information
      • Labor Birth Newborn Claim
      • All-In-One Claim
      • Office Visit Claim
      • Lab Claim
      • Newborn Claim
      • Miscarriage Claim
    • Provider Education
  • Midwife Clients
    • Midwife Client Insurance Information
    • Information After Claims Are Filed
  • Contact Us
  • Blog