Victoria - I use a HICFA form, which is a widely available standard form (I buy them at Staples, w/1 carbonless copy), and I fill out the "Provider" section, using standard codes (e-mail me for the codes, or maybe someone else will post them), but I have my clients pay me up front and submit the form on their own. In the packet of stuff I give them, I include simple instructions for how to submit it to ins. - get a written referral from MD office, keep copies of everything you send, and a letter from me to the insurance company explaining *why* it's so important for them to cover LC services. This way I get paid, and I'm *helping* them file but not taking ownership of that process. Works fine for me; some companies pay, some don't. I'm not willing to take on the hassles of billing individual companies - *certainly* not for the very modest fee that I charge! I agree that there needs to be coverage for our services, but my skills are in helping women BF, not in doing insurance company paperwork. I used to feel guilty about this minimalist attitude towards the ins. issue, till I finally "got it" how very much better-off financially most of my clients are than I am; it really hit me hard that most of these clients don't even bat an eyelash at my fee. They pay more than that to get their nails done or their floors vacuumed! And for those who meet WIC income guidelines, I have a significantly reduced fee. Cathy Bargar,RN,IBCLC Ithaca NY *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html