Buyer's guide
The best OB/GYN billing service depends on who does the work.
A whole pregnancy is usually billed as one bundled charge. When a patient changes doctors or insurers partway through, that charge has to be split apart correctly, and getting the split wrong is where practices lose money.
At a glance.
| Product | Best for |
|---|---|
| Altair | OB/GYN practices with no billing team of their own. |
| AnnexMed | OB/GYN groups wanting a large-scale RCM operation with AI-assisted tooling. |
| Practolytics | Practices wanting one generalist partner across billing and coding. |
The global obstetrical package includes all antepartum care, the delivery, and postpartum care under one code, and those services are not reimbursed separately when reported apart from the global code.
The landscape, by who does the work.
Every option below is a service where the billing work happens off your desk. The others are people-first managed services, some positioned around OB/GYN, some generalists. Altair is AI-first, with our in-house billers on the exceptions, running on the systems you already use.
Done for you, run by AI and backed by expert billers
Altair works the claims. Our billers handle the exceptions. Nothing comes back to your front desk.
Altair
Runs the whole OB/GYN claim on the systems you already use. Checks each claim against the payer's current policies before it goes out, including the global OB package versus itemized antepartum billing with 59425 and 59426, re-slicing the visit counts and date spans when the patient changes insurer mid-pregnancy, and prior authorization, so the ones that would deny get caught first. Works denials on arrival, files appeals, posts payments, and sends patient statements. Our in-house billers work the exceptions.
Best for: OB/GYN practices with no billing team of their own.
OB/GYN-specialized billing services
People who position their billing around OB/GYN, off site, under a service contract. Each also takes on coding.
AnnexMed
A revenue-cycle firm with a dedicated OB/GYN line built around OB/GYN-specific RCM modules, covering eligibility and prior authorization, coding by certified coders, claim submission, denial management and appeals, accounts receivable, payment posting, and credentialing. It names its own AI tools, ImpactRCM.AI for documentation-deficiency flagging and ImpactBI.AI dashboards, alongside computer-assisted coding.
Best for: OB/GYN groups wanting a large-scale RCM operation with AI-assisted tooling.
BellMedEx
A billing company with an OB/GYN-specialized line, covering coding across CPT, ICD-10, and HCPCS, charge capture, claim submission, payment posting, denial management and appeals, and prior authorization, staffed by certified OB/GYN billers and coders.
Best for: Practices wanting a people-led biller focused on OB/GYN that also codes.
Medical Billers and Coders
A billing service with coders and billers who work exclusively with OB/GYN, covering billing, coding, charge entry, payment posting, accounts receivable, denial management and appeals, credentialing, and recovery of aged accounts receivable.
Best for: OB/GYN practices that want coding, credentialing, and old-A/R recovery handled together.
Multi-specialty billers with an OB/GYN line
Generalist billing companies that serve many specialties including OB/GYN, and take on coding as well as billing.
Practolytics
A multi-specialty billing company with an OB/GYN line offering end-to-end billing, including coding across ICD-10 and CPT, eligibility and prior authorization, claim submission, payment posting, denial management and appeals, accounts receivable, and compliance audits.
Best for: Practices wanting one generalist partner across billing and coding.
Neolytix
A multi-specialty firm with an OB/GYN focus, covering full revenue cycle management, coding audits, credentialing and provider enrollment, benefit verification, prior authorization, and appeals.
Best for: Practices wanting billing alongside credentialing and provider enrollment.
Plutus Health
A multi-specialty billing company with an OB/GYN line, covering full revenue cycle management, coding, eligibility, charge entry, denial management and appeals, patient statements, accounts receivable, and credentialing.
Best for: Practices outsourcing OB/GYN billing and coding to a managed team.
BillingParadise
A multi-specialty billing company with an OB/GYN line, covering full revenue cycle management, coding by AAPC-certified coders, credentialing, accounts receivable and denial management, and integration with your EHR.
Best for: Practices wanting a managed biller that codes and works inside their EHR.
24/7 Medical Billing Services
A multi-specialty billing company with an OB/GYN line, covering full revenue cycle management, coding, eligibility, prior authorization, credentialing, and denial management, delivered by a services team.
Best for: Practices outsourcing OB/GYN billing and coding to a managed services team.
Based on publicly available vendor information, current as of August 2026. Vendor names are trademarks of their respective owners and are not affiliated with Altair.
Choosing an OB/GYN biller, answered.
What should an OB/GYN practice look for in a billing service?
Start with who does the work. Does the service work your claims, or hand you software to run? Then ask whether it knows the global OB package, when to bill it as one code and when to split it into antepartum, delivery, and postpartum components with 59425 or 59426, and how to re-slice the visits and date spans when a patient changes insurer mid-pregnancy. Then integration: does it run on the systems you already use, or force a migration.
Do I need an OB/GYN-specialized biller?
It helps. OB/GYN denials come from the global maternity package and the visit-count splits a generalist biller can miss, so a service that knows when to itemize antepartum care will bill more of it correctly. Specialization matters less than whether the service checks each claim against the payer's current policies and works the denials.
Why do OB/GYN claims deny or underpay so often?
The global obstetrical package folds a whole pregnancy into one code: about thirteen routine prenatal visits, the delivery, and routine postpartum care, none of it paid separately when reported apart from the global code. When care splits across practices, or the patient changes insurer mid-pregnancy, that one code has to break into antepartum-only, delivery-only, and postpartum-only components with the visit counts and date spans matched to each payer. Get the split wrong and the claim underpays or duplicates.
Can Altair do our OB/GYN billing if we have no biller on staff?
Yes. Altair is the done-for-you billing service for practices with no billing team, run by AI and backed by our expert in-house billers. Altair checks each claim against the payer's current policies before it goes out, works the denials, files appeals, and sends patient statements.