Understanding Payment Policies at Love Lactation,LLC
Self-pay (out-of-network) clients:
You will be provided with a superbill to submit to your insurance. The superbill (which will also serve as a payment receipt) will be coded appropriately to the level of service provided during the visit. You agree to pay me at the time of the visit (cash, check, credit card, or FSA).
Insurance (in-network-TLN) clients: Claims for my care will be submitted directly through TLN. I Understand that Love Lactation, LLC is not an employee of The Lactation Network, and provides services as an independent contractor. Love Lactation, LLC is not responsible for insurance billing associated with The Lactation Network, and ask that you communicate directly with them regarding any billing questions. My credit card on file will be charged if my insurance provider applies any portion to deductible or coinsurance and appeal attempts are unsuccessful. If that charge is unsuccessful, I will be invoiced and agree to pay within 7 days for all applied charges for all visits.
Insurance (Cigna in-network -Wildflower): Claims for my care will be submitted directly through Wildflower. I Understand that Love Lactation, LLC is not an employee of Wildflower, and provides services as an independent contractor. Love Lactation, LLC is not responsible for insurance billing associated with Wildflower, and ask that you communicate directly with them regarding any billing questions. My credit card on file will be charged if my insurance provider applies any portion to deductible or coinsurance and appeal attempts are unsuccessful. If that charge is unsuccessful, I will be invoiced and agree to pay within 7 days for all applied charges for all visits.If I have different primary insurance that is out-of-network for Love Lactation, LLC, I understand that I must pay the full self-pay fee.
Love Lactation, LLC is providing care to me and to my baby or babies; together, we are all the clients of Love Lactation, LLC.
My initial visit includes 2 weeks of follow-up support by secure messaging, email, or text. Continued support is available on an individual basis for a fee based on type of support needed.
If my location has a travel fee applied, I understand that this is not eligible for insurance reimbursement.
I am responsible for verifying my own lactation benefits through TLN. Love Lactation, LLC can only see that I have benefits, they cannot see if I have any special circumstances that might prevent my insurance provider from covering services. If my plan denies coverage of lactation services after the claims have been submitted, I am responsible for paying at the self-pay rate. I understand I should refer to my plan benefits and call my insurance directly to verify lactation coverage.
Love Lactation, LLC may communicate with my insurance company about the services provided to me and my baby or babies. Love Lactation, LLC may communicate with my credit card company or bank for any payment-related matters. It is my responsibility to provide accurate and current payment and insurance information. I will update my credit card information as needed and am responsible for any costs and fees associated with my failure to provide updated information.
These policies apply to Love Lactation, LLC>and its representatives.
If you use SquareUp: Payments may be made electronically using a credit card or fund transfer. I use SquareUp to process payments. SquareUp meets the high standards of HIPAA and the banking industry for security and privacy concerning financial transactions. However, SquareUp may send, automatically or per your request, email or text message receipts that reveal personal health information such as the date and type of lactation visit. If you are not comfortable with this, payment may be made via cash or check instead.
Cancellation policy: I understand that I am responsible for all charges associated with this visit. If I cancel with less than 24 hours notice, my credit card on file will be charged $50.