I know that I would want my midwife to bill insurance.. I really wouldn't mind taking a class on coding to be able to truly get the money out of it that they ought to be paying. When you submit the general code for homebirth, it is so much easier for them to deny it, but when you submit individual codes for prenatals, birth, supplies, etc. It's much harder for them to deny it.
However, I have two little ones (one two year old and one 6 month old) I just got my CPM and have very few births. I haven't had any clients so far that have had insurance so it really hasn't been an issue. I was told about Larson though, and I will probably set up with them as soon as I do have a client with insurance, they seem pretty reasonable. I also really like the idea of that thing that's been being advertised lately.. think it is called midwife's desk or something like that? Anyway they deal with billing clients and send you a check... I might do that when I get a busier practice, just to keep things a little more simple.