Prices

Required Billing Management

LCB Billing Account Start-Up	$100.00	per primary provider (and company if there is a company) to add into LCB software and systems
Claims Management	12%	of amounts paid on each claims submission
Claim Reconsiderations	$0.00	phone calls with payer reps or in-portal requests
Out-of-Network Submission Fee	$15.00	per out-of-network claim (plus 12% for claims management)
Denied Claims (In-Network Only)	$15.00	per in-network claim (only when all codes on a claim are unpaid)
Late Payment or Credit Card Denied	$25.00	per billing cycle if bill is unpaid by due date

Optional Credentialing Tasks

In-Network Payer Contract Application	$200.00	Split into two payments: 1. $125 for each provider application with each insurance company in each state 2. $75 when the contract is received, whether it is executed or not
Adding a Provider to a Group In-Network Contract	$100.00	per insurance company, per provider, per state
Address, Name, or EIN Change	$75.00	per incident charge across all payer and LCB platforms
Out-of-Network Payer Registration	$100.00	per incident charge, per insurance company
Electronic Funds Transfer (EFT) / Direct Deposit Set Up	$75.00	per incident charge, per insurance company

Optional Benefits Tasks

Verification of Benefits	$30.00	per patient
In-Network Gap Exception or Pre-Authorization	$50.00	per patient, includes verification of benefits

Optional Denials Tasks

First and Second Level Appeals	$55.00	per hour, for forms and letters management – as directed by provider
Sending Chart Notes	$25.00	per patient (mother or baby); includes calling insurance company to confirm receipt

Optional Billing through Lactation Health Contracts

Lactation Health Onboarding	$100.00	per practice
Lactation Health Processing Fees	$15.00	per claim

Legal Payments

Legal Issues

$375.00

per hour, when requested by client to participate in a legal proceeding