New: insurance billing for doulas
Get paid by Medi-Cal and Kaiser for your doula care
Track your enrollments, check coverage, send claims with the right doula codes, and follow every payment. It’s all in the same app you use for clients, scheduling, and invoices.
No percentage of your collections. Insurance billing is a flat $19/month add-on.
The doula benefit is real. Getting paid is the hard part.
Medi-Cal covers doula care, and more insurers do every year. But most doulas weren’t trained as billers, and general practice software wasn’t built for doula claims.
Enrollment stalls you before the first claim
Medi-Cal enrollment, each managed care plan’s contract, Kaiser’s own credentialing, clearinghouse sign-ups. It’s easy to lose track of what’s done and what’s still waiting.
Doula claims have their own rules
The right HCPCS or CPT code, the XP modifier on every line, a matching pregnancy or postpartum diagnosis, unit limits. One miss and the claim comes back.
Then you chase the payer
Was it received? Accepted? Paid? Denied, and why? Without a system, unpaid visits quietly slip past the filing deadline.
From enrollment to payment, in one place
- 1
Track your enrollment
A checklist for Medi-Cal, Kaiser, and every plan your clients use, including the clearinghouse enrollments each payer needs. You always know what’s blocking your first claim.
- 2
Check coverage before the visit
Run a real-time eligibility check from the client’s insurance card on file. See whether coverage is active and which maternity benefits the plan lists.
- 3
Bill straight from your visits
Pick the visits you’ve already logged and PracticeLite drafts the claim: codes, modifiers, diagnoses, place of service. Medi-Cal doula rules are checked before you send.
- 4
Get paid and follow up
Claims go out electronically, or are printed and mailed for you when a payer only takes paper. Watch status, post payments, bill the client their share, and handle denials with corrected claims and appeal letters.
Medi-Cal doula codes, built in
Every Medi-Cal doula service code is ready to attach to your appointment types. When you bill Medi-Cal, PracticeLite applies the rules for you:
- Adds the XP modifier to every line, plus 95 for video visits
- Checks each code has an allowed diagnosis, like Z32.2 or Z39.2
- Enforces unit limits, such as up to 12 units of T1032
- Flags problems before the claim goes out, not after it’s rejected
| Code | Service |
|---|---|
| Z1032 | Extended initial visit (90 minutes) |
| Z1034 | Prenatal visit |
| Z1038 | Postpartum visit |
| T1032 | Extended postpartum visit, per 15 minutes |
| 59409 / 59612 / 59620 | Labor and delivery support |
| T1033 | Support after a miscarriage |
| 59840 | Support for an abortion |
From the Medi-Cal Provider Manual for doula services. Managed care plans may publish their own billing guides.
Get the full Medi-Cal doula billing cheat sheet: diagnoses, limits and documentation →
And everything else your practice runs on
Insurance is one part of the job. Your clients, calendar, and private-pay billing live in the same place, so a claim is a couple of clicks from the visit you already logged.
Clients and birth plans
Due dates, birth preferences, intake forms, and notes for every client, stored securely.
Scheduling and reminders
Prenatal, birth, and postpartum visits with text and email reminders, plus online booking.
Invoices and payments
Private-pay packages and deposits alongside insurance. Clients pay online through their portal.
On your phone
The iPhone app keeps your schedule, clients, and notes with you when you’re on call.
Simple, flat pricing
No setup fee, no percentage of your collections, no contract.
Practice plan
Clients, scheduling, notes, invoices, portal and app.
$19/month
Or start on the Free plan with up to 5 active clients. Group practices can choose Practice Pro at $39/month.
Insurance Billing
Add to Practice or Practice Pro.
+$19/month
- 50 claims and 50 eligibility checks each month
- Then $0.40/claim and $0.50/check
- Enrollment tracker, denials, corrected claims and appeals included
Doula insurance billing questions
Your care is covered. Get paid for it.
Start free, set up your practice, and add insurance billing when you’re ready to send your first claim.