Compare insurance billing options for your lactation practice
Check who handles claims, which payer contracts you can use, and what your practice still does.
Who handles what
| Option | Service handles | Your practice handles | Confirm before signing |
|---|---|---|---|
| NuBloomPractice software | Superbills from signed visits, electronic billing enrollment through Stedi, electronic primary and secondary claims that staff approve and send ($1.25 for each claim the clearinghouse accepts), payment reports (ERA), recorded deposit matching, and manual tracking of claims you file elsewhere. Insurance checks are available for insurers that are ready for your practice. | Credentialing and payer contracts, required enrollment forms and signatures, arranging direct deposit with payers, recording received money, approving each claim and working denials. | Whether your insurers are ready for your billing NPI, which clinicians and networks your contracts cover, and how you receive payments. NuBloom tracks network participation; it does not obtain contracts or forward insurer payouts. |
| The Lactation Network (TLN)Network with managed billing | Eligibility checks, claim submission and denial appeals for the consultations it approves. It also provides its own charting portal, and pays consultations weekly. | Care and documentation that meet TLN requirements. TLN says you can keep using your current charting platform if submitted notes contain all SOAP or SBAR elements. | The current list of covered plans, participation terms, the rate for each consultation type, and what happens to your records if you leave. TLN states there is no joining fee or recurring fee. |
| LCB and Lactation HealthBilling company with optional group contracts | Claims management for your own insurance contracts. You can also use some, all or none of the Lactation Health insurance contracts to cover gaps where you have no in-network contract. | Your own contracts if you want them, and the clinical record the biller codes from. | Which contracts apply to your visits and every fee that applies. LCB lists claims management as a percentage of amounts paid that falls as monthly volume grows, with separate optional fees. |
| WildflowerManaged payer program | In-network access through its health plan partners, eligibility checks, credentialing, claims processing and payment for in-network services. | Keeping your own notes available when Wildflower or an insurer asks, and caring for members of participating plans. | The current participating plans, and the provider agreement, including how you are paid. The public page does not give complete terms. |
| Lact BillingOutsourced billing service | Coding, claim submission and credentialing support. Eligibility and verification of benefits packages are sold separately. | Your payer arrangements, the records the biller needs, and answering clinical questions. | Whether it is accepting clients, a written quote, and which tasks that quote includes. The page lists percentage pricing that depends on your needs. |
| Clearinghouses such as Claim.MD or StediClaim and eligibility connections | Passing claims, eligibility requests and remittances between a practice or its software and payers. Stedi handles electronic transaction enrollment and also offers Treasury for receiving and matching payer payments. Claim.MD lists monthly plans from $30 to $120. | Credentialing and contracts, correct claims, required setup tasks, fixing rejections and following up with payers, with help from your software or biller where offered. | Account setup, transaction limits and which services your software integrates. NuBloom uses Stedi for claims and reports; Stedi Treasury payments are not connected in NuBloom. Electronic enrollment does not grant a network contract. |
Before you sign
Ask for these answers in writing.
- Who holds the payer contract: you, the network, or the biller.
- Who submits claims and who answers records requests and denials.
- Which plans and which provider identities the arrangement covers, in writing.
- How you get your records back if the arrangement ends.
- Every fee, including percentages, optional charges and per-claim fees.
Which fits your practice
For payer access, compare participating networks and credentialing services. For outsourced billing, ask for a written scope and quote. If your team handles claims, compare software by the tasks it supports.
See NuBloom’s claim preparation and approval steps and claim filing prices.
For other practice software, see the software comparisons.
Questions
- Is NuBloom a billing service?
- No. NuBloom is practice software. Your team prepares each claim from a finalized superbill, the rendering provider approves it clinically, and an owner, admin or billing team member approves and sends that version. NuBloom does not hold payer contracts, credential providers or work denials for you.
- How is credentialing different from electronic billing enrollment?
- Credentialing is the insurer’s review of your qualifications. Contracting establishes your participation in a specific network and its payment terms. Apply directly or use a credentialing service for that work. Electronic billing enrollment connects your claims and reports to a payer through a clearinghouse. NuBloom requests that electronic setup through Stedi and tracks payer tasks; it does not apply for or negotiate network contracts.
- Can a credentialing service help a solo IBCLC or group practice?
- A credentialing service can help gather documents, prepare provider profiles, submit payer applications and follow up. Confirm whether the payer accepts each clinician’s provider type and is taking applications for your state and network. Ask whether the resulting contract belongs to your practice or another organization, and whether billing services are required. A group contract alone does not establish every clinician’s participation.
- Can I use NuBloom with TLN?
- TLN says you can use your current charting platform if the documentation you submit contains all SOAP or SBAR elements. Using NuBloom for your own record does not create an automated connection to TLN. Ask TLN how it wants documentation delivered.
- Does a clearinghouse replace a biller?
- No. A clearinghouse connects claims, eligibility requests and remittances to payers and may help with electronic setup. Your team or a billing service still prepares correct claims, completes required payer tasks, fixes rejections and follows up on denials. Credentialing and network contracts require a separate process.
- Which option costs less?
- The prices pay for different work, so a monthly fee and a percentage of payments do not compare directly. Ask each service for a written scope and quote, then compare what your practice would still do itself.
- Where can I see how NuBloom claims work?
- The insurance page walks through preparing, approving and sending a claim, and the follow-up afterward, using labeled sample data.
Sources checked . Confirm current fees and participation terms directly with each service.
See if it fits how you work
Try NuBloom free for 14 days. Setup takes a few minutes, and you can bring your own templates or use ours. No credit card needed.
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