The Midwives & Doulas Fix Kit
Built for midwives and doulas.
Birth work doesn't keep office hours, and the money leaks the same way: a labor that ran twice as long as the package assumed, an on-call month with no backup fee, a client who could have been reimbursed by insurance if she'd had the right paperwork, a Medicaid program in your state paying doulas that you never enrolled in. This kit works from your own contracts and client records.
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The 9 leaks it covers
4 you can close it · 4 the other side owes it · 1 a pro decides
- Contract silent on retainer, on-call window and refundsWhere to look first: Read your current client agreement for: retainer amount and whether it's refundable, the on-call window (from which week of pregnancy until birth), what happens if you miss the birth, backup coverage, and what's owed if the client transfers care or cancels.Keep it from coming back: No on-call window starts until the contract and retainer are in.You can close it
- Long labors and extra visits given away inside a flat packageWhere to look first: List your last 10 births: hours at the birth, prenatal and postpartum visits delivered, versus what the package included.Keep it from coming back: Write in and out times for every birth on your client sheet.You can close it
- Clients never given a superbill, so insurance reimbursement never happensWhere to look first: Get a National Provider Identifier (NPI) if you don't have one. There is a provider taxonomy code for doulas, 374J00000X (VERIFIED: taxonomy listing).Keep it from coming back: Send the superbill the same day the final payment clears.You can close it
- Medicaid paying for doula care where you live, and you're not enrolledWhere to look first: As of April 2026, the National Health Law Program counted 26 states and D.C. actively reimbursing doula care through Medicaid (VERIFIED: Axios citing NHeLP).Keep it from coming back: Re-check your state's program once a year; programs are changing fast.The other side owes it
- Midwife billing: global package billed wrong when care transfersWhere to look first: Pull the claims for every client who transferred care before or after birth last year.Keep it from coming back: Flag every transfer of care in your records the day it happens.The other side owes it
- Denied claims left to age past the appeal windowWhere to look first: Pull every denied or unpaid claim older than 30 days.Keep it from coming back: Every denial goes on the list the day it arrives.The other side owes it
- Payment plan balances still open after the birthWhere to look first: List every client on a payment plan and what's still owed.Keep it from coming back: Final payment due before the on-call window, written into every contract.The other side owes it
- Miles to visits and births never loggedWhere to look first: Log every client trip: date, from, to, miles, purpose.Keep it from coming back: Log the trip before you start the car.You can close it
- No tax set-aside from birth work income that arrives with nothing withheldWhere to look first: Mark which of your birth work money comes in with no tax held back (1099, direct pay, app or card deposits).Keep it from coming back: Move the set-aside the same day each client payment lands, and keep the quarterly dates on your calendar two weeks ahead.A pro decides
Free: one full leak from this kit
No sign-up, no email. Here is leak 1 of 9 exactly as it appears in the kit, so you can see what you get before you buy.
Contract silent on retainer, on-call window and refunds
You can close it- Read your current client agreement for: retainer amount and whether it's refundable, the on-call window (from which week of pregnancy until birth), what happens if you miss the birth, backup coverage, and what's owed if the client transfers care or cancels.
- Write in anything missing, in plain words.
- Set a refund schedule by date.
- Have every client sign and pay the retainer before you go on call.
Your part: Decide the terms and have them reviewed.
Contract terms block: Retainer: $[AMOUNT], due at signing, [NON-REFUNDABLE / REFUNDABLE UNDER THESE TERMS]. On call: from [WEEK] to [WEEK] or birth. Backup doula [NAME] covers if I can't attend. If I miss the birth for reasons on my side: [REFUND TERMS]. If care transfers or the client cancels after [DATE]: [TERMS].
No on-call window starts until the contract and retainer are in.
What this kit can't decide for you: Contract enforceability depends on your state's law. An attorney decides; nothing here is legal advice.
That's 1 of 9. The other 8 come the same way in the kit: steps, words to send, a habit to keep each one closed.
Opens secure checkout. Instant download after payment. 30 days to ask for a refund — refund policy · terms
What people in this work look up
When midwives and doulas go looking for answers, they search things like “doula pricing”, “midwife billing insurance”, “doula contract” and “doula insurance reimbursement”. Those searches turn up forms, averages and other people's numbers. This kit starts from your own records instead: the 9 places money leaks in this work, where to look first and the words to send to close each one.
What you get for each leak
- Numbered steps to close each leak
- Your part, spelled out
- Words you can use: letters and scripts, ready to send (fill in the brackets)
- A habit that keeps each leak from coming back
- An honest line on what the kit can't decide for you
A page from the kit
Questions people ask
Contract silent on retainer, on-call window and refunds: where do I start?
Start here: Read your current client agreement for: retainer amount and whether it's refundable, the on-call window (from which week of pregnancy until birth), what happens if you miss the birth, backup coverage, and what's owed if the client transfers care or cancels. To keep it from coming back: No on-call window starts until the contract and retainer are in.
Long labors and extra visits given away inside a flat package: where do I start?
Start here: List your last 10 births: hours at the birth, prenatal and postpartum visits delivered, versus what the package included. To keep it from coming back: Write in and out times for every birth on your client sheet.
Clients never given a superbill, so insurance reimbursement never happens: where do I start?
Start here: Get a National Provider Identifier (NPI) if you don't have one. There is a provider taxonomy code for doulas, 374J00000X (VERIFIED: taxonomy listing). To keep it from coming back: Send the superbill the same day the final payment clears.
What it can't decide for you
This kit works from your own records. It doesn't give legal, tax, licensing or financial advice, and it never tells you what to charge. Where a CPA, attorney, insurer or state board makes the call, the kit says so and gets your records ready for them.
15-page PDF · instant download after payment · Code VYR-KIT-MIDWIVES-01
Opens secure checkout. Instant download after payment. 30 days to ask for a refund — refund policy · terms
Next step
- Run your free LeakReceipts check — it reads your own receipts and records and shows where money is leaking out, line by line.
- TrueNET — the whole-picture money truth: what you actually keep after every cost, across everything you earn and spend.
Use Jobber or Housecall Pro? Run the free leak check — it reads your job export in your browser and shows the money leaks the software doesn't flag. Nothing is uploaded.