OB/GYN medical billing services that get you paid for every part of the care you give.

What OB/GYN medical billing services actually include

"Medical billing" covers a lot of ground, and OB/GYN practices need more of it than most specialties. A complete OB/GYN billing service should handle the whole revenue cycle:

• Insurance eligibility and benefits verification before visits, deliveries and surgeries — including re-verification during pregnancy, when coverage often changes.
• Prior authorization for hysterectomy, myomectomy, imaging and other services payers require it for.
• Charge capture and coding for obstetric packages and components, office gynecology, preventive visits, ultrasounds, LARC procedures and gynecologic surgery.
• Claim scrubbing and submission, with OB/GYN-specific edits for O-code sequencing, Z37 outcome codes, modifiers and NCCI bundling.
• Payment posting and underpayment review against your contracted rates.
• Denial management and appeals, worked by root cause so the same denials stop recurring.
• A/R follow-up on every unpaid claim before timely-filing limits run out.
• Patient billing with clear statements and courteous support.
• Credentialing and enrollment so every provider can be paid by every payer you accept.
• Reporting that shows your collections, A/R, denial reasons and open pregnancies in plain English.

We provide all of it, or the pieces you need — some practices keep billing in-house and use us for denial management, coding audits or credentialing only.

Why a specialized OB/GYN billing company?

General billing companies can submit claims. What they often miss are the specialty-specific details that decide whether an OB/GYN claim is paid in full:

• Global maternity rules. Which services are inside the package, when to bill components instead, how to split billing when a patient changes insurance or providers mid-pregnancy, and how to bill VBAC and multiple gestations. See global maternity billing.
• Gynecologic surgery coding. Uterine weight thresholds, approach, adnexal procedures, NCCI edits and the modifiers that make or break a surgical claim. See GYN surgery coding.
• Chapter 15 diagnosis coding. O codes have their own sequencing rules, trimester characters and companion Z codes. See our ICD-10 O codes guide.
• The 2027 maternity transition. On January 1, 2027, the global obstetric package is replaced by phase-based reporting. A billing partner who isn't preparing for it now will be learning on your claims next year. See our 2027 transition guide.

In-house billing vs. outsourcing: an honest comparison

In-house billing works well for some practices, especially larger groups with an experienced billing manager. Outsourcing tends to work best for solo and small-group practices that can't justify a full specialized billing team, and for practices where one key biller has left. Our revenue cycle management page explains how we work alongside your staff, and our revenue leakage calculator can help you estimate what's at stake.

How OB/GYN billing companies are priced

Most OB/GYN billing companies charge one of two ways:

1. Percentage of collections — you pay a percentage of what we collect on your behalf. Our incentives are aligned with yours: we're paid when you're paid.
2. Flat monthly fee — predictable cost, usually set by provider count and volume.

Be cautious of very low percentages that exclude essential work like denial follow-up, appeals or patient billing — or that charge extra for each. We quote after the free audit, when we understand your volume, payer mix and needs, and we don't charge setup fees.

What to expect from your first conversation

Send us a WhatsApp message. We'll ask a few questions about your practice — providers, EHR, payer mix and what's frustrating you about billing today — and arrange read-only access to a sample of recent claims, remits and A/R. Within a few days you'll receive a written summary of what we found: denial patterns, coding issues, unbilled services and A/R at risk. The findings are yours to keep whether or not you hire us.