About Us

Hello and welcome!
My name is Rivky Friedman, I am a wife and mother to four children, all born at home! Growing up, my mother became a midwife during my early teenage years, and I witnessed firsthand the many hours and dedication that midwives devote to their clients. I also became aware of the struggles associated with receiving insurance payments.

In 2015, I began assisting my mother with her office work and quickly realized the immense challenges involved in securing proper compensation for midwifery care. The insurance companies do not recognize the hard work, endless hours, and energy midwives dedicate to caring for mothers and babies. This personal experience ignited my passion for solving this very complex issue.

After years of trial and error and learning the ins and outs of insurance, we have become proficient in the complexities of the process.

Today, we have built an incredible team and mastered the intricacies of insurance billing for both in-network and out-of-network midwives as well as birth center facilities in NY and NJ.
We pride ourselves on securing maximum reimbursement rates for claims and ensuring a quick turnaround time.

If you are interested in learning more about how we can assist your practice, please reach out to us!

Rivky

Additional Info

If you would like to find out more about how we can help you, or if you have questions about our contract rates, please contact us by calling, e-mailing us or filling out the form on the Contact Us page.

Rate Negotiation

whenever possible, we will negotiate the best possible rate for your services with any plan that requires a single case rate (per individual client) These are often called LOA’s, Letter of Agreement or SCA's Single Case Agreements.

Gap Exception Requests

If an insurance policy does not have out of network benefits and you are not in the network, we can often request a “gap exception” to have the services considered in network.

Appeals

We fight inappropriate claim or authorization denials and underpaid claims with aggressive appeals to make sure that you are paid at the maximum reimbursement rate possible.

Referral Request

Certain plans require a referral from a PCP (Primary Care Provider) in order for services to be covered. We will contact your client’s PCP directly and obtain the necessary referr

Authorizations

Some policies require an authorization for the services to be covered, in these cases we will obtain the necessary authorization.

Predetermination Letter

Some insurance policies are self funded or out of state and although they may provide maternity coverage, they do not follow state law. In these cases we will work with the insurance company to have the services considered outside the terms of the policy.

Claim Filing & Follow Up

All claims are filed daily and electronically using the latest industry technology unless a paper claim is required. Follow up calls are made regularly and payment is pursued aggressively.

Verification of Benefits

we personally call the insurance company to verify your patients eligibility and benefits for maternity services and well woman care.

Custom Claims

We will determine the best approach to filing your claims either global or itemized. Our goal is for you to receive the maximum reimbursement for your services. We are highly skilled at billing transfers.

Insurance Collections

You can transfer old accounts to us that you have previously filed claims on and we will collect from the insurance company.

Specialized Billing

We can bill for Certified Midwives, Certified Nurse Midwives and Birthing Centers.

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