As a courtesy, the office of Portland Birth and Body LLC will attempt to verify your health insurance benefits, and or necessary authorizations for you. Please be aware, this is only “A Quote of Benefits/Authorizations.” We cannot guarantee payment or verify that definite eligibility of benefits conveyed to us or to you by your carrier will be accurate or complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. It is strongly encouraged that you also confirm your benefits and eligibility with your insurance company prior to visit.

In order to verify your benefit eligibility we must obtain and maintain protected health information from you. You have a right to understand our privacy practices and understand your rights to privacy. All information that you provide will be kept confidential unless required by law.

Your medical information may be shared by the various care providers involved your care and treatment. This includes the practitioners and office staff of Portland Birth and Body LLC.

Your initials confirm that you have been informed of your rights to privacy regarding your protected health information, under the Health Insurance Portability & Accountability Act of 1996 (HIPAA). Our complete privacy practices and policies are listed online https://portlandbirthandbody.com/privacy-policy and a written copy can be provided by request.