NEWBORN CLAIMS MANAGEMENT

Newborn Claims Management

This is a comprehensive approach to all financial aspects of newborn care which minimizes exposure to risk. With a complete, hands on approach, transparent communication from your Client Success Specialist who will advocate on your behalf for what is right, and most importantly, providing peace of mind for all parties.

PERSONALIZED ASSISTANCE

We provide personalized assistance for all aspects surrounding newborn insurance coverage and payment of provider bills. This is a complete, hands on approach, offering transparent communication, advocating on your behalf for what is right, and most importantly, providing peace of mind for all parties.


CLAIMS MANAGEMENT BEGINS

Once your Gestational Carrier has registered at the hospital, your dedicated Client Success Specialist will request full access to all policies in place and will review the Insurance Explanation of Coverage to determine Coordination of Benefits (if newborn has more than one policy in place).


ASSESSMENT OF CLAIMS AND BILLS

Your Client Success Specialist communicates with providers regarding all billing after reviewing each insurance claim:

  • Confirming insurance is applied correctly
  • Correcting any coding issues with providers
  • Requesting bills be reprocessed with insurance carrier(s) as needed

A hands-on approach is completed for all bills and claims to confirm they are paid correctly and according to the plan benefits, with follow-up as needed with all insurance carriers and providers.


FINANCIAL CHECKS AND BALANCES

Our process ensures the insurance companies pay according to the defined benefits: you are not paying more than you should to providers, and you can rest assured there are no unpaid bills.

A digital, final report is delivered to the appropriate parties within 6 months following delivery, when:

  • All claims and bills have been processed
  • A zero balance has been confirmed with all known providers

Managing over 300 newborn and maternity cases per year, our Client Success Specialists have seen newborn claims range from $2K-$250K.  Over the course of a year, clients have been saved just shy of 1.5M with ART Risk Solutions claims management services.