Simple, fair fees. We're paid a percentage of what we collect for you — never a monthly retainer.
Simple, Fair Fees
Our claims management rate drops as your volume grows — you are not penalized for taking on more families or adding doulas to your collective. Everything under Optional Fees is only charged when you ask for it.
Percentage of amounts paid on each claim submitted. Your rate drops automatically as your volume grows.
Starting rate
12%
up to 99 claims
per month
11%
100–299 claims
per month
10%
300–899 claims
per month
9%
900–2,699 claims
per month
Best rate
8%
2,700+ claims
per month
| Item | Amount | Occurrence / Frequency |
|---|---|---|
| Onboarding | $100 | per doula to add into internal software and systems |
| Claim Reconsiderations | $0 | phone calls with payer reps or in-portal requests, at our discretion |
| Out-of-Network Submission Fee | $15 | per out-of-network claim submitted (plus the applicable claims management rate) |
| Denied Claims (In-Network Only) | $15 | per in-network denied claim (only when all codes on a claim are unpaid) |
| Late Payment | 1.5% / mo | applied to unpaid balances beginning 48 hours after invoice delivery |
| Failed Payment Processing | $25 | per billing cycle if a valid payment method is not maintained on file, or payment is not successfully processed |
| Legal Issues | $375 | per hour, when requested by you or required to participate in a legal proceeding |
Optional Fees
Optional services are performed on your request or authorization. We respond to requests for optional services, but we never independently initiate work that generates a fee.
| Task | Amount | Occurrence / Frequency |
|---|---|---|
| In-Network Payer Contract Application including Medicaid managed care plans |
$200 | Split into two payments: 1. $125 for each in-network application 2. $75 when the contract is received, whether it is executed or not |
| Adding a Doula to a Group In-Network Contract | $110 | per doula |
| Address, Name, or EIN Change | $75 | per payer or platform |
| Out-of-Network Payer Registration | $120 | per insurance company |
| Electronic Funds Transfer (EFT) / Direct Deposit Set Up | $75 | per insurance company |
| Task | Amount | Occurrence / Frequency |
|---|---|---|
| Practice Software Integration | $10 | per month, per doula, to link your practice or EHR software’s backend to our systems |
| Financial Strategy Dashboard | $15 | per month, per company |
| Explanation of Benefits (EOB) Storage | $12 | per month, per doula, to store all your EOBs in a shared folder, properly labeled |
| Task | Amount | Occurrence / Frequency |
|---|---|---|
| First and Second Level Appeals, Audits and Special Assignments | $65 | per hour, for forms, letters, visit documentation and related administrative coordination as needed |
| Sending Visit Records | $25 | per client |
Pricing terms. Rates reflect the current annual pricing schedule. Any updates to pricing for the following year will be communicated at least 60 days in advance of implementation.
There is no monthly retainer and no required recurring charge — claims management is billed as a percentage of what we actually collect for you. The only recurring charges are the optional practice management services above, and only if you choose them.
We'll walk you through what your doula practice would actually pay, line by line.
