Claim checklist

Check a Medicaid doula claim before you send it.

Organize setup, eligibility, service details, visit notes, approval rules, and follow-up before a claim goes to a payer or biller.

Choose your state Open free tools

Keep client details in your own secure records.

State rules control codes, limits, and visit note needs.

Ready to submit is not the same as paid.

Claim check flow

Catch missing information before the claim goes to a portal, biller, or payer.

Provider setup

Confirm enrollment, NPI or provider details, taxonomy code 374J00000X when required, and the right billing website or health plan portal.

Client eligibility

Check coverage for the service date. Keep names, IDs, and proof in your own secure records.

Service details

Match the visit type, billing code, time or visit count, and any approval rule for the state.

Visit notes

Make sure the note supports the service you plan to bill and includes the details your state requires.

Final check

Ready to submit does not guarantee payment. Payer review still controls reimbursement.

Keep client details private

Check provider setup, eligibilityEligibility verificationEligibility verification means checking that the client has active Medicaid coverage for the relevant date and payer path. It should happen outside public tools., service details, records, and follow-up. Keep real client details in your own secure system.

First claim guide Download the one-page checklist Check taxonomy/NPI setup Check billing forms Check referral wording Use a visit note template Open free billing tools Choose a state claim checker

Source updates

State Watch email updates

Get an email when a reviewed state source changes. Choose a state and enter your email.

Do not include client names, Medicaid IDs, dates of birth, claim numbers, or visit notes. DoulaPaid saves your email, selected state, email preferences, and consent date.

Get Washington update emailsHCA billing-guide, fee-schedule, ProviderOne, and filing-window changes.Open signup Get New York update emailseMedNY fee schedule, MMC routing, diagnosis-code, and standing-order changes.Open signup Get Illinois update emailsHFS fee schedule, provider notice, IMPACT, and HealthChoice Illinois changes.Open signup

Need a provider setup review?

Use the public checklist first. The paid review uses provider setup answers only. Keep packets, claims, and follow-up records in your own system.

Check first-claim readiness

Choose the state, service category, codes, modifiers, units, and place of service. Do not enter a claim or patient record.

Included task: Check generic claim-entry requirements

Run free readiness check

What stays outside DoulaPaid

Claim submission stays with the payer, portal, group, or biller.
Client names, Medicaid IDs, claim numbers, and visit notes stay in your secure records.
Payment is never guaranteed.
DoulaPaid stores only the provider setup choices you select.

Common questions

What should I check before entering a Medicaid doula claim?

Before claim entry, check provider setup, NPI or taxonomy setup when required, eligibility, service details, visit notes, prior approval, and who will review or follow up.

Should a public claim checker collect client details?

No. Use DoulaPaid pages for general checks. Keep real client names, IDs, dates, and visit notes in your own secure records.

Does a complete checklist mean the claim will be paid?

No. A complete checklist means the claim looks organized for review. The Medicaid agency or payer still decides whether it is accepted, denied, or paid.