There are certain insurance companies that routinely refuse to reimburse  
for mother during the first 6 weeks post partum, because they consider the  
lactation consult part of the global for pregnancy and birth.  I work as  
consultant for a birthing center and chart and bill under the electronic  
system.  Regardless of trying to explain to the insurance company that my  
services are as a consultant who comes in to see clients for lactation which is  
not part of the global expenses, they continue to refuse to pay, or pay and 
then  a couple of years later ask for that money back.  They have no issue 
for  paying charges for baby.  I've told the office manager I would try to 
find  out how this can be handled.  Anyone else work for OB or Midwife office 
who  has encountered this and how do you handle it?  Thank you in advance and 
 would appreciate discussing this in more depth privately.  
 
Barbara Latterner, BSN, RN, IBCLC

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