billinginsurancecompliance
Good Faith Estimates for Lactation Consultants (IBCLC)
When the No Surprises Act requires lactation consultants to give a Good Faith Estimate, what to include, the timing rules, lactation billing codes, and a sample GFE.
Insurance & Billing
CPT codes, paneling, Medicaid pathways, and getting paid.
6 articles
billingcpt-codesinsurance
IBCLC Billing 2026: CPT Codes, Rates & Superbills
Every CPT and ICD-10 code IBCLCs bill, 2026 cash-pay rate ranges, a superbill field checklist, and the denial reasons that sink new claims.
insurancecredentialingpaneling
Can IBCLCs Bill Insurance In-Network? (2026)
Where IBCLCs can bill commercial and Medicaid plans directly in 2026, the five contracting lanes, and why most solo practices still lead with cash-pay.
insurancecredentialingpaneling
Commercial Insurance Paneling for IBCLCs: Aetna, UHC, Cigna, Anthem, and The Lactation Network
What actually works for IBCLCs pursuing commercial paneling: payer-specific gatekeeping, CAQH, The Lactation Network, single-case agreements, Modifier 33, and incident-to.
billinginsuranceprivate-practice
TLN vs. Direct-Bill vs. Cash-Pay: Which Lactation Billing Model Pays IBCLCs More in 2026?
Honest math on The Lactation Network's flat rate, direct commercial credentialing, and cash-pay with superbills — with the 2025 BCBS and Anthem rupture as the case study every new IBCLC should read before choosing a model.
insurancecredentialingpaneling
IBCLC State Licensure and Medicaid Map: A 2026 State-by-State Guide
Two independent tracks — practice licensure and Medicaid recognition — determine how an IBCLC gets paid, state by state. Updated for June 2026.