Understanding Coordination of Benefits (COB) Categories: Baby, Billing, UHC / By Nicole Peluso IBCLC CD CAHPE When you accept insurance, you will eventually encounter a claim that cannot be processed because the insurance company needs the patient to update their Coordination of Benefits, commonly called COB. These requests can be confusing for patients, particularly when
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Successfully Managing UnitedHealthcare’s Lactation Coverage Changes Categories: Baby, Billing, UHC / By Nicole Peluso IBCLC CD CAHPE Beginning September 1, UnitedHealthcare (UHC) will implement significant changes to how lactation services are reimbursed under code S9443 in their preventive health benefit policy (p.41). We know many network providers are concerned about the impact these changes may
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CAQH Is Now DataSpring: Does This Affect Lactation Consultants? Categories: Credentialing, Practice Setup / By Nicole Peluso IBCLC CD CAHPE If you logged into CAQH recently or received emails from the organization this week, you may have noticed a major branding change: CAQH has officially rebranded as DataSpring. For many lactation consultants, especially those actively
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Why Do Lactation Consultants Need CAQH (Now DataSpring)? Categories: Credentialing, In-Network, CAQH / By Nicole Peluso IBCLC CD CAHPE Editor’s Note (June 2026): CAQH recently rebranded as DataSpring. Because many insurance payers, credentialing organizations, and providers continue to refer to the platform as CAQH and CAQH ProView, this article uses the term “CAQH” throughout for
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Best Practices for Lactation SOAP Notes Categories: Charting, Compliance, Plan of Care / By Nicole Peluso IBCLC CD CAHPE Few things are more frustrating for lactation consultants than diligently documenting a session in detailed SOAP notes, submitting them to insurance for reimbursement, and then receiving a denial after investing significant time and effort into the
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