
Frequently Asked Questions
​Q: What does Midwives Advantage do exactly?
A: We are a claims management company. We submit insurance claims, manage denials and appeals, track payments, and handle payer communication—all under our corporate structure. You focus on patient care; we handle the system.
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Q: Do I have to become in-network with insurance plans?
A: No. We specialize in out-of-network maternity billing. You remain independent. We operate under our tax ID and corporate entity, allowing us to submit claims on your behalf.
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Q: Will clients get reimbursed?
A: That depends on their insurance plan. We verify benefits, manage expectations, and ensure accurate claims are submitted. Patients often receive reimbursements, especially with good out-of-network maternity coverage.
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Q: Do you handle appeals if a claim is denied?
A: Yes. We are strategic and relentless when it comes to appealing unfair denials. Every case is tracked and followed through with attention to timing, documentation, and legal precedent.
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Q: How do I communicate with your team?
A: Each provider is assigned a private virtual office in Basecamp. This is your organized hub for uploading charts, tracking claim status, and messaging our team—no scattered emails or texts.
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Q: How does Midwives Advantage get paid?
A: We use a Paid on Performance model, meaning we get paid when claims pay. Our success depends on your success.