Insurance Verification
Verify eligibility, benefits, network status, patient responsibility, referrals, and applicable maternity or gynecology requirements.
Insurance Verification →
OBSTETRICIAN-GYNECOLOGIST SERVICES
Obstetrician-Gynecologist Services Built Around the Complexity of Women's Health Care.
OB/GYN practices manage preventive women's health, prenatal care, maternity services, deliveries, postpartum care, gynecologic procedures, reproductive health, and ongoing patient care. Your revenue cycle needs to reflect those differences from patient access through final payment.
Our OB/GYN medical billing services connect insurance verification, prior authorization, charge entry, OB/GYN coding, claim submission, payment posting, denial management, accounts receivable, credentialing, and complete revenue cycle management.
OB/GYN BILLING
Tell Us About Your Practice
Share your practice details and the areas of OB/GYN billing, coding, or RCM support you need.
SPECIALTY-SPECIFIC BILLING
OB/GYN Billing Connects Maternity Care, Gynecology, and Women's Health.
An obstetrician-gynecologist may provide preventive women's health, prenatal and antepartum care, delivery, postpartum services, gynecologic procedures, reproductive health services, and ongoing patient management. Those different services create different coding, documentation, authorization, and payer considerations.
01
Maternity Billing
Prenatal, delivery, postpartum, and maternity services may follow global-package or component-based billing workflows.
02
Gynecology Procedures
Office and surgical gynecology services can involve distinct procedures, documentation, modifiers, and payer requirements.
03
Preventive Women's Health
Well-woman visits, preventive services, screening, and contraceptive care may follow different coverage pathways.
04
High-Risk Pregnancy
Higher-risk maternity care can involve additional visits, testing, documentation, and payer-specific requirements.
05
E/M & Procedures
Same-day evaluation and management with another procedure may require documentation-based review of applicable coding rules.
06
Payer Coordination
Eligibility, benefits, authorization, claims, denials, and payment workflows all need to connect across the practice.
OB/GYN MEDICAL BILLING SERVICES
End-to-End OB/GYN Billing Services Across the Revenue Cycle.
Our OB/GYN billing workflow connects front-end eligibility and authorization with charge entry, coding, claims, payment posting, denial management, A/R, credentialing, and revenue-cycle reporting.
Prior Authorization
Support applicable authorization workflows for procedures, imaging, medications, and selected gynecologic services.
Authorization Support →OB/GYN Charge Entry
Capture visits, procedures, diagnoses, units, delivery details, providers, and other claim-ready information.
Charge Entry →OB/GYN Coding
Support ICD-10-CM, CPT, HCPCS, E/M, maternity, gynecology, procedure, and modifier-related coding workflows.
Medical Coding →Claims Submission
Review OB/GYN claims and submit applicable maternity, gynecology, preventive, and procedural services.
Medical Billing →Payment Posting
Post insurance and patient payments, contractual adjustments, denials, and remaining account responsibility.
Payment Posting →Denial Management
Review coding, authorization, maternity-package, documentation, and payer-related denial issues.
Denial Management →OB/GYN A/R Follow-Up
Follow unpaid claims, aging accounts, payer responses, payment issues, and unresolved balances.
A/R Services →
GYNECOLOGY & WOMEN'S HEALTH
Billing Support for Gynecology Procedures, Preventive Care, and Reproductive Health.
Gynecology practices can combine preventive visits, diagnostic services, office procedures, surgical procedures, contraception, reproductive health, and long-term women's health management.
01
Well-Woman Visits
Support applicable preventive women's health visits, documentation, coding, and claims workflows.
02
Preventive Care
Billing support for applicable screening, preventive, counseling, and women's health services.
03
Colposcopy
Support applicable colposcopy procedures, biopsy-related workflows, coding, claims, and payer requirements.
04
Endometrial Biopsy
Workflow support for applicable biopsy services, diagnosis coding, documentation, and claim submission.
05
Hysteroscopy
Billing support for applicable diagnostic and operative hysteroscopy services.
06
LEEP Procedures
Support applicable loop electrosurgical excision procedures, coding, claims, and follow-up.
07
IUD & Contraceptive Services
Support applicable contraceptive visits, IUD services, device-related billing, and documentation.
08
Menopause & Women's Health
Revenue-cycle support for applicable menopause management, hormonal care, and ongoing women's health services.
OB/GYN MEDICAL CODING
OB/GYN Coding That Connects Maternity, Procedures, and Documentation.
OB/GYN coding can involve maternity care, delivery, postpartum care, preventive services, gynecologic procedures, E/M services, diagnoses, modifiers, and payer-specific requirements. Coding should remain connected to the documented service and applicable reporting rules.
Our OB/GYN coding workflows support ICD-10-CM, CPT, HCPCS, E/M, modifier review, global maternity considerations, procedure coding, and documentation alignment.
Explore Medical Coding Services →
ICD-10-CM
Diagnosis coding for pregnancy, women's health conditions,
preventive care, and gynecologic services.
CPT & HCPCS
Procedure and service coding for maternity, gynecology,
devices, medications, and applicable supplies.
E/M Coding
Review applicable evaluation and management services based
on the documented encounter.
Global Maternity
Review applicable global obstetric package and
component-care reporting requirements.
Modifier Review
Review applicable modifiers based on the service,
documentation, and reporting circumstances.
NCCI & Correct Coding
Review applicable NCCI edits and correct-coding relationships
where relevant to the claim.
MATERNITY BILLING & CODE TRANSITION
Stay Organized Around Global Maternity Billing and Changing Coding Requirements.
Obstetric billing requires careful coordination between prenatal, delivery, postpartum, provider, and payer information. Our workflow is designed to distinguish global maternity care from separately reportable services when applicable and to keep provider-level maternity details organized.
01
Global Obstetric Package
Review applicable maternity package requirements and identify services that are included or separately reportable.
02
Split Maternity Care
Track applicable antepartum, delivery, and postpartum components when care is divided among providers.
03
Provider Coordination
Keep provider, delivery, maternity, and payer information connected throughout the billing cycle.
04
Separate Services
Identify applicable services outside the maternity package based on the documentation and applicable coding rules.
05
2027 Code-Set Awareness
Maintain awareness of the upcoming January 1, 2027 transition to a new obstetric maternity CPT code set.
06
Revenue-Cycle Updates
Keep billing workflows adaptable as applicable maternity coding, payer, and implementation requirements change.
ELIGIBILITY & AUTHORIZATION
Connect OB/GYN Eligibility, Benefits, Referrals, and Prior Authorization.
Billing problems can start before an encounter is completed. Our front-end workflow connects insurance verification, benefits, referrals, authorization, and procedure requirements to downstream OB/GYN billing and claims.
01
Eligibility Verification
Verify active coverage and applicable maternity or gynecology benefits before the scheduled service.
02
Benefits Verification
Review applicable copay, deductible, coinsurance, network, and patient responsibility information.
03
Referral Requirements
Check applicable referral and ordering-provider requirements before procedures or specialty services.
04
Procedure Authorization
Identify applicable authorization requirements for imaging, procedures, medications, or gynecologic surgery.
05
Maternity Requirements
Keep pregnancy, delivery, provider, and payer information organized throughout applicable maternity workflows.
06
Claim Readiness
Confirm available coding, authorization, provider, and billing details before claim submission.
OB/GYN CLAIMS & A/R
Keep OB/GYN Claims Moving From Submission Through Resolution.
OB/GYN claims can receive different payer responses depending on maternity care, gynecologic procedures, coding, documentation, authorization, preventive services, or payer-specific requirements. The revenue cycle continues through payment posting, denial management, reconciliation, and A/R follow-up.
01
Claim Rejections
Review claim-level errors and route appropriate corrections for resubmission.
Medical Billing →02
Denial Management
Review coding, authorization, documentation, maternity-package, preventive, and payer-related denial reasons.
Denial Management →03
Payment Posting
Post payer and patient payments, contractual adjustments, denials, and remaining account responsibility.
Payment Posting →04
Underpayment Review
Review payment differences against available contractual, payer, and claim information.
A/R Services →05
Aging A/R
Follow outstanding maternity and gynecology claims based on payer status, aging, and next required action.
Explore A/R →06
Appeals & Corrections
Support eligible claims through correction, resubmission, or appeal based on the payer response.
Appeals & Denials →
OB/GYN REVENUE CYCLE MANAGEMENT
From Patient Access to Final Payment.
Our OB/GYN revenue cycle workflow connects eligibility, authorization, maternity and gynecology service capture, coding, claims, payment posting, denial management, and A/R follow-up.
01
Patient Registration
02
Eligibility Verification
03
Authorization
04
Charge Entry
05
OB/GYN Coding
06
Claim Submission
07
Payment Posting
08
Denial Management
09
A/R Follow-Up
10
Reporting & Reconciliation
OB/GYN PRACTICE TYPES
Billing Support Across Different OB/GYN Practice Models.
01
General OB/GYN
02
Obstetric Practices
03
Gynecology Practices
04
Maternal-Fetal Medicine
05
Gynecologic Surgery
06
Women's Health Clinics
07
Reproductive Health
08
Multi-Provider OB/GYN
OB/GYN FAQ
Frequently Asked Questions About Obstetrician-Gynecologist Services.
Common questions about OB/GYN medical billing, maternity care, gynecology procedures, coding, claims, denials, and RCM.
What are obstetrician-gynecologist services? +
Obstetrician-Gynecologist Services on this page refer to
revenue-cycle support designed around OB/GYN practices,
including obstetric billing, gynecology billing, coding,
claims, payment posting, denial management, A/R,
authorization, credentialing, and RCM.
What are OB/GYN medical billing services? +
OB/GYN medical billing services can include insurance verification,
charge entry, maternity and gynecology coding, claim submission,
payment posting, denial management, accounts receivable,
authorization, credentialing, and broader revenue-cycle support.
Do you support obstetric and maternity billing? +
Yes. Applicable maternity billing workflows can include
prenatal and antepartum care, delivery, postpartum services,
global maternity package considerations, split maternity care,
and related claim follow-up.
Do you support global OB package billing? +
Applicable global maternity workflows can include reviewing
antepartum, delivery, and postpartum components and identifying
services that may or may not be included based on the applicable
coding and payer requirements.
Do you support split maternity care billing? +
Yes. Where maternity care is divided among providers,
applicable workflows can track antepartum, delivery,
and postpartum components for appropriate reporting.
Do you provide gynecology billing and coding? +
Yes. Gynecology billing and coding workflows can include
preventive visits, well-woman services, colposcopy,
biopsies, hysteroscopy, LEEP, contraception, and other
applicable gynecologic services.
Can you handle OB/GYN prior authorization? +
Applicable authorization workflows can include reviewing
payer requirements for procedures, imaging, medications,
gynecologic surgery, and selected specialty services.
Can you manage OB/GYN claim denials? +
Yes. Denial workflows can include review of coding,
authorization, documentation, maternity-package issues,
preventive services, payer edits, corrected claims,
resubmissions, and appeals where appropriate.
Do you provide OB/GYN A/R services? +
Yes. OB/GYN A/R services can include aging account review,
claim status follow-up, payer communication, underpayment
review, and unresolved balance management.
Do you support the upcoming 2027 obstetric coding changes? +
Our page content is structured with awareness of the announced
January 1, 2027 transition to a new obstetric CPT code set.
Actual implementation should follow the final applicable
CPT, payer, Medicare, and practice-specific guidance available
for the transition.
OBSTETRICIAN-GYNECOLOGIST SERVICES
Build an OB/GYN Revenue Cycle Around the Care You Provide.
From eligibility and maternity billing to gynecology coding, claims, payment posting, denial management, A/R, credentialing, and complete revenue cycle management, your billing workflow should stay connected from start to finish.