New Arrival Educators
Prenatal Class Completion and Insurance Reimbursement Letter
The above client attended a prenatal education class and paid tuition in full. Tuition covers one pregnant client and one partner/support person. If the client attends alone, the tuition remains the same.
Authorized Administrator: Margaret Breen RN, MS, CCE
New Arrival Educators Tax ID # 46-4654405
NOTE: This form must be accompanied by proof of payment such as, a copy of your New Arrival Educators’ class receipt that was emailed to you to confirm your payment and registration in the class or a copy of your credit card statement. We recommend making a copy of this form for your records before submitting to your insurance company. Also, be sure to submit the following applicable CPT codes (required by most insurance providers). Check with your own insurance company regarding your prenatal education reimbursement benefits and other possible requirements.
*CPT Codes for prenatal class attended______________________________________________
S9436: Childbirth Education/Lamaze Classes, non-physician, per session
S9442: Birthing Class, non-physician, per session
S9443: Lactation Class, non-physician, per session
S9444: Parenting Classes, non-physician, per session
S9447: Infant Safety (including CPR Classes), non-physician, per session
New Arrival Educators, LLC
P.O. Box 1254 Duxbury, MA 02332