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Billing & Insurance

  • How is The Knapp Clinic different from other IBCLCs and Lactation Counselors?
    In addition to being an IBCLC, Jackie is a Family Nurse Practitioner (FNP-BC) and licensed as an Advanced Practice Registered Nurse (APRN) in Kentucky and Tennessee. This means our clinic is a "one-stop shop" for you and your baby's lactation care. We can provide you with expert lactation care, evaluate medical issues to include ordering laboratory or radiological tests (like an Ultrasound), diagnose medical problems, and prescribe treatment for those problems. We will work with your OBGYN/Midwife, Primary Care Provider, and Pediatrician to ensure you and your baby receive the best care possible.
  • What is the difference in the types of lactation supporters?
    There are many different credentials among lactation care providers. This can be confusing for patients and medical professionals. The wide range of certifications provide a wide net of breastfeeding support for families. Working together we can all help families to accomplish their goals. There are three tiers of lactation care providers in the U.S. 1. Registered Lactation Consultants (RLC) are most commonly referred to as Internationally Board Certified Lactation Consultants or IBCLCs. Certificants have demonstrated specialized knowledge and clinical expertise in breastfeeding and human lactation and are certified by the International Board of Lactation Consultant Examiners® (IBLCE®). 2. Lactation Counselors/Educators are trained to provide breastfeeding education and general support for routine breastfeeding concerns. 3. Peer Counselor/Support provide breastfeeding information, encouragement, and support to families in their community and have invaluable personal experience with breastfeeding/chestfeeding such as La Leche League Leader (volunteer) or a WIC Peer Counselor.
  • What about Postpartum depression?
    Perinatal Mood and Anxiety Disorders (PMADs) are an increasingly common health condition that often goes untreated or undertreated. Postpartum depression help has historically been hard to find. There are real consequences to untreated PMADs for parents and children. Your mental health is important to The Knapp Clinic. We screen every patient for Anxiety and Depression at every visit. We will work with you and your healthcare team to develop a treatment plan that aligns with your goals. We can also see non-birthing parents for concerns related to PMADs and provide the same comprehensive care.
  • Are you In Network with my Insurance?
    The Knapp Clinic participates in the Center Care Provider Network to include the following plans: Kentucky Medicaid plans including Humana, Anthem Blue Cross Blue Shield, Aetna Better Health, Passport by Molina, and United Healthcare Community Plan. Tennessee Medicaid by Wellpoint (formerly Amerigroup.) PPO Plans include: Med Center Health Gold & Silver Plans, Aetna, Cigna, Humana, United Healthcare, Anthem BCBS, City of Bowling Green, Encore Health* *This list is not all inclusive, Please contact your health insurance company for specific details on the benefits of your individual plan and for the In-Network status of our clinic provider. You are responsible to know your insurance coverage and benefits before your scheduled visit. Use of insurance does not guarantee full coverage of services. If your medical insurance plan has a deductible that has not yet been met, copays, or coinsurance requirements for services you will receive a bill for those amounts determined by your insurance policy. We are currently not in-network with Tricare, United Healthcare Dept of Veterans Affairs Community Care Network (UHCVA CCN), or Medicare.
  • Will I have to pay a copay for myself and my baby?
    If you have a deductible that has not been met, copays, or coinsurance then you will be required to pay your portion at the time services are provided. For the exact rate and to know what you might be responsible for, please call your insurer directly. ​ When we are working with both an infant and mother/ lactating parent we complete a full office visit for both infant and parent and bill accordingly. We are a medical clinic and will bill insurance on behalf of the infant and mother/lactating parent. Please note two claims will be submitted to insurance and both claims will be subject to deductible, coinsurance, and applicable copays.
  • What billing codes do you use and what are your cash prices?
    The most commonly used billing codes and associated prices can be found here: New Patient Office Visit: 99205 - $210.00 99204 - $175.00 99203 - $145.00 99202 - $115.00 ​ Follow Up Patient Office Visit: 99215 - $170.00 99214 - $145.00 99213 - $120.00 99212 - $90.00 99211 - $60.00 ​ Frenectomy Codes 41115 - $300 (Removal of the lingual frenulum) 40819 - $300 (Removal of the labial or buccal frenulum) Common ICD 10 Diagnosis Codes Used: Encounter for care and examination of lactating mother - Z39.1 Ankyloglossia (tongue tie) - Q38.1 Lip Disorder (lip tie) - K13.0 Difficulty Feeding - P92.5 ​ Example of a typical claim* submitted to insurance for lactation support and evaluation: ​ The Knapp Clinic NPI: 1356069751 Jacqueline Cropper NPI: 1194360446 ​ Infant evaluation: 99205 Mother/Lactating Parent evaluation and lactation support: 99205 ​ Follow up infant: 99215 Follow up lactation support for Lactating Parent/Mother: 99215 *This is an example and not a guarantee of what will be billed out or submitted. All claims/bills submitted to your insurer are based on medical complexity and time. ​
  • Can I pay cash?
    If we are in network with your health insurance plan we are required to bill your insurance first and we cannot accept cash payments beyond applicable copays. If you have a Medi-share or Healthshare plan like Zion Healthshare, Liberty Healthshare, or Christian Healthshare Ministries. Payments are due at the time services are rendered. Please review the information under the FAQ section titled: What billing codes should I ask my insurance about for coverage? for cash pay prices. If we are not in network with your insurance company and you would like to pay cash for our services we offer a 20% discount for those patients. We will bill out of network insurance plans, but you will be responsible for all fees determined by your policy once the claim is processed.
  • Where can I park?
    There are several parking options at our 400 E. Main Ave. Fountain Square location. There is a parking lot directly behind the Pushin building. Parking spots #16 & #17 are reserved for The Knapp Clinic patients. To access the parking lot you will need to enter from College Street or 8th Street. There is 2 hour parking on the square. Free Public parking located 2 blocks NE of the building. Located in: Stadium Park Plaza Address: 360 E 8th Ave, Bowling Green, KY 42101
  • Where is the clinic?
    Our clinic is located on the 3rd floor of the Pushin Building. Enter the lobby at 400 E. Main Ave. Marked "Main Entrance" above the door. Take the elevator to the 3rd floor and exit to the right. Follow the signs to the end of the hall.
  • How long will the appointment last?
    The first appointment for you and your baby will last between 1-1.5 hours depending on the needs of the infant and lactating parent. Follow-up appointments are typically 1 hour for the parent and infant's visit.
  • Can I bring additional people to the office with me?
    In general we ask that only the lactating parent, the infant, and no more than one other adult come to the appointment. Exceptions to this policy will be evaluated on a case by case basis. Please call ‪‪270-697-9174 if you need to request and exception to policy.
  • Do I need to bring my baby with me?
    Yes! Please bring your infant with you to the appointment. The breast/chestfeeding parent should be with the infant they are feeding so that the feeding relationship can be completely evaluated.
  • Do I need to complete any information before the appointment?
    You will receive intake question for both you and your baby prior to the appointment. Please complete these to the best of your ability.
  • What else do I need for our appointment?
    Insurance card(s) Government Issued Photo ID If you are supplementing or bottle feeding please bring the bottle type you are using with you. Formula if you are formula feeding. If you are breastfeeding/chestfeeding by pumping please bring your pump, tubing, flanges, etc. with you to the appointment. A list of your current medications, supplements, nipple ointments, creams, or herbs you are taking. If you have equipment that you need help using please bring it to the appointment, e.g. breastfeeding pillow, new pump, pump attachments, silicone collection device, hands free pumping bra, etc.
  • How many appointments will we need?
    For feeding/lactation concerns families should expect a need for a minimum of 2-3 visits and an average of 4-6. Depending on the individual needs of the family members more visits may be required. Parents being seen for Postpartum Depression/Perinatal Mental Health Treatment should expect an initial appointment and then follow up appointments at 2 weeks, 6 weeks, and 12 weeks after the initial appointment for monitoring. Some of these visits may be completed via telehealth. This will be determined on a case by case basis.

Do you have more questions?

Mother and Baby

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Our providers genuinely care and want to see every family get the support they deserve! Call The Kindred Village today or make an appointment online to see one of our providers.

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