Category Archives: Insurance Reimbursement

Breastfeeding and Work–Alice’s Story

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Multi-tasking!

Multi-tasking!

Alice came to me concerned about how she was going to keep breastfeeding once she returned to her full-time career. In her workplace, there is no such thing as 9-5. Everyone is expected to put in long days. I talked to her about asking for what she needed and setting some limits. We also talked about creative ways to meet her baby’s needs. She took my suggestions and ran with them—developing her own, unique style. Many thanks to Alice for sharing how she has managed to maintain her breastfeeding relationship and continue her fast-paced work life.

Christian is a big, healthy boy who is now enjoying solid foods in addition to mommy’s milk. Here is her success story: Continue reading →

Insurance Reimbursement Appeal Letter Sample

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photoThis letter is my formal appeal of the rejection of Claim Number ____ for Lactation Consultation Services provided for my son, (name) on (date) for the amount of  ______.

Summary of Events: Child was born on (Date). He was discharged from the hospital on (Date) (Detail here whatever complications you had with feeding/jaundice/dehydration/re-admittance to hospital, etc) On (Date) we met with our pediatrician, (Name) and expressed concerns about breastfeeding. Dr. _______ noted that baby was struggling to thrive and referred us to Lactation Consultant, Renee Beebe, M.Ed., IBCLC. Renee provided her services on (Date). Following the consultation, I submitted all required paperwork to (name of insurance company) for reimbursement. On (Date), I received an Explanation of Benefits (referenced above), noting the claim was denied. Continue reading →