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Insurance
Do you take insurance?
We take Colorado Medicaid, Denver Health Medicaid, Colorado CHP+ plans, Denver Health Medical Plans, and Tricare West. We also are new members of Nevada Open Medicaid, Nevada Molina plans, and Arizona's Medicaid network- AHCCCS (Banner Health is the only MCO at this time). All of these plans allow you to order breast pumps, milk storage bags, and bili blankets (for rent) through us at no cost to you.
At this time we are an out of network provider for all other insurance carriers. But, you are welcome to pay with a HSA or FSA card if you have one you’d like to use. Also, please keep in mind that most hospitalizations require a copay of $250-$500, significantly more than daily rental costs of a bili blanket.
Can I submit a claim directly to my insurance company for a bili blanket rental?
Yes, you can and you should! Clients share with us that they are reimbursed a portion of the rental fee (even up to the full fee!) or, in most cases, at a minimum, it goes against their out of pocket/out of network max for the year.
This process can take some effort from you. Bili Blanket Baby will supply you with a superbill that has ICD-10 diagnosis coding (P59.9), CPT “procedure” code (E0202), Modifier (RR- rental), Place of Service Code (H-home), our National Provider ID (NPI- 1134505290), and our Tax-ID/EIN that will allow you to submit a claim to your health insurance provider. This superbill is emailed to you directly from our billing office and will show a sender of “Quickbooks” in your inbox.
Sometimes, the first submission is denied by the insurance company. An appeal of the decline typically results in some sort of reimbursement once you bypass the initial front line and speak to a nurse or doctor.
*Please explain the following to the insurance provider if your initial claim is denied:
Our pediatrician indicated that we either had to do in home phototherapy or initiate/extend an NICU stay for our severely jaundiced newborn. Of course the best option for the baby and our family was in home phototherapy.The only bili blanket available near us for delivery on the day/time that our pediatrician indicated we needed one, was provided by Bili Blanket Baby an out of network DME. Your network is closed to adding DMEs and has been for several years in our state, so there was no way for Bili Blanket Baby to become in network prior to helping our family.
If we had gone straight to the hospital, the cost to you, Insurance Provider, would have been thousands a day. This cost was just $95/day to stay at home using the medically necessary phototherapy device. Additionally, in the hospital, the baby would have been exposed to unnecessary infection risk and parent bonding and breastfeeding relationships would be interrupted significantly. Hospitalization was a far worse choice both for our family and for you, Insurance Provider. Who do I need to talk to and what documentation do you need to ensure this claim is reprocessed and we are reimbursed?