Hi {{ip_first_name}},
We would be happy to assist you during your journey, in managing {{surrogate_first_name}}s maternity claims with her insurance during her pregnancy. This service benefits both you and your gestational carrier. Insurance companies often make mistakes in processing claims, or the provider may have put the wrong diagnostic code on the claim and the insurance company will deny the claim. We would follow up on all claims processed and all bills provided to us and help make sure that they are paid correctly according to the procedure and the plan benefits. This would help ensure that you are not paying more than you should and that the maternity medical bills are paid in a timely manner.
We will be sending you a letter of understanding from my company ART Risk via email through DocuSign. Please review and sign and date the form in DocuSign. We see that these services have already been paid for as part of your services with us.
Your claims coordinator will contact {{surrogate_first_name}} and introduce herself and request for her permissions to speak to the insurance company and her providers regarding her claims, and request that she send me copies of her medical bills and any insurance communication that she receives. Once she agrees as needed, we will contact her insurance company and medical providers to assure they have the correct information to process according to her policy. We will then match the invoices to the claims processed through her insurance and make sure that all claims are adjusted correctly and then send the bills to you for payment. Then we will follow up with the provider to confirm the payment was received.
This service completes at around 6-12 months post-delivery, as we continue to monitor any late submitted or reprocessed claims through to her postnatal follow up appointment or until cleared by her OB. When we again contact the providers to confirm any final balances are resolved and send a final spreadsheet of our claims and billing tracking to your gestational carrier for her records.
Your service also includes Newborn Journey Claims Management. As we get closer to the delivery, we will be sending you a HIPAA release form for you to sign, as once the baby is born, we will need your authorization to request to update the guarantor on the baby’s account at the hospital to your name and address for billing. She will then also request how you plan to pay the newborn bills and what insurance if any will be used for the newborn. Then we will make sure the hospital and all associated physician bills are requested to be sent to you and processed as you request. Then ask you to send those to us for review so we can confirm that the proper insurance discounts or cash rate discount have been applied to the bills and sent to you for payment. Then we will follow the providers to confirm any final balances are resolved and send a final spreadsheet of the baby claims and billing tracking to you for your records.
Please let us know if you have any questions. We are looking forward to assisting you with monitoring the claims for your journey. We would like to make this one less thing for you to worry about during this time.