Midwifery billing support
Sunshyn supports independent midwifery practices with enrollment support, claim submission, payment posting, and billing follow-up where applicable. Keep your own payer contracts and choose credentialing, billing support, or both.
Midwifery support built around your practice.
Eligibility, enrollment, documentation, referral requirements, and billing rules vary by provider, state, payer, program, and service.
Build your practice’s payer relationships.
Payer planning
Review target payers, participation requirements, and service rules for your practice.
Individual and group enrollment
Identify applications and enrollment records needed for your midwifery practice.
Application preparation
Organize credentials, licenses, practice information, and supporting records for submission.
Application follow-up
Track progress and outstanding payer requests.
Practice updates
Support enrollment changes involving providers, locations, tax information, and practice details.
Your payer contracts remain with your practice. Participation and effective dates depend on the payer.
Support for the work that follows each midwifery service.
Responsibilities are defined in the selected billing service agreement.
The details behind each midwifery service matter.
Coverage is service, benefit, provider, state, and payer dependent. No coverage, payment, or participation is guaranteed.
Your practice stays yours.
Practical tools for your midwifery practice and team.
Ask about billing support with your current EHR. Compatibility is reviewed before onboarding.
Start with your midwifery specialty and your practice’s needs.
Frequently Asked Questions
prenatal care
Support for independent midwifery practices providing prenatal care.
birth support
Support for practices delivering birth support services.
postpartum care
Support for practices documenting services, goals, interventions, and follow-up plans.
well-person care
Support for midwifery practices serving clients with documented care plans and ongoing support.
lactation support
Support for practices providing midwifery services to their client populations.
Claim submission
Insurance payment and adjustment posting
Rejected and denied claim follow-up
Unpaid claim follow-up
Patient responsibility posting
Claim status and outstanding balance reporting
Service documentation
Organize service records, goals, follow-up, and payer documentation requirements.
Referrals and orders where applicable
Review whether a referral, order, or other payer requirement applies to the service.
Follow-up visits
Organize progress records, follow-up, and continued-service documentation requirements.
Medical necessity
Review payer requirements related to documented needs and medical necessity.
Preventive services
Review applicable coverage and documentation requirements for preventive services.
Timed or unit-based services
Where services are time-based, review recorded time and applicable payer requirements.
Telehealth eligibility
Review client location, provider eligibility, coverage, telehealth requirements, and claim reporting rules.
Visit limits and authorizations
Track approved services and dates separately from overall benefit limits.
Your practice maintains its own payer contracts.
Claims use your practice’s enrolled billing information.
You choose the services and support you need.
1. Tell us about your practice, midwifery specialties, locations, and current payer participation.
2. Review your credentialing, midwifery billing, and payer-support needs.
3. Complete your service agreement and onboarding.
Can you support a solo or group midwifery practice?
We can review the enrollment and billing needs of your solo or group midwifery practice.
Can I request credentialing without billing?
Credentialing and billing support can be selected separately.
Can I use my current EHR?
Compatibility with your current EHR is reviewed before onboarding. No compatibility or payment outcome is guaranteed.
Do midwifery practices follow the same billing rules?
No. Requirements vary by provider, service, payer, benefit, referral, documentation, and authorization.
Are midwifery services always covered?
Coverage depends on the benefit, provider eligibility, service, state, payer, and applicable program. No guarantee is made.
What does midwifery billing support cost?
Request current pricing for the credentialing and billing services your midwifery practice needs.