OB GYN practices across the U.S. are managing increasingly high patient volumes, with over 53,000 OB/GYN providers actively practicing nationwide in 2025. This increase has made billing and revenue cycle management more complex for local OB/GYN providers.
New outpatient centers and specialty clinics from healthcare systems like Mayo Clinic, Cleveland Clinic, and Kaiser Permanente are adding administrative challenges. Practices now face complicated payer mixes, evolving compliance rules, and staffing shortages. All these factors make outsourcing OB GYN billing services a practical solution.
In case you want to outsource obgyn medical billing services for your practice, you must have some suitable options in mind. Here, we have compiled a list of the top OB/GYN billing companies in the U.S. to help you make an informed choice.
- Transcure
- Invensis
- BillingFreedom
- BillingParadise
- Medical Billing Wholesalers (MBW)
- Plutus Health
- Pulse Medix
- CompuGroup Medical
- Medisys Data Solutions
- Coronis Health
1. Transcure
Transcure is a leading name in our list of top OB GYN medical billing companies due to its 20+ years of expertise in the healthcare industry. We provide AI-powered OB/GYN RCM management from pre-authorization & eligibility checks to postpartum AR follow-ups. Our dedicated AI agents handle the entire billing process, resulting in 99.99% clean claim accuracy with only 1% claim denial rates.
The company provides specialized gynecology billing services across all major procedures, including expert coding for high-risk obstetrics, diabetic care, and gynecologic surgeries. Moreover, Transcure ensures accurate CPT/ICD-10 usage and stays updated with the recent coding guidelines to prevent denials in OB/GYN global and surgical claims.
Our billing experts stay updated with CMS, Medicaid, and state-specific OB packages to ensure accurate billing and compliance. We efficiently process OB/GYN claims with major insurers like Aetna, Cigna, Blue Cross Group, Medicare, and Medicaid for timely reimbursements.
What makes Transcure Stand out Among Others?
- Supports 40+ OB/GYN EHRs
- Upto 20% Revenue Increase
- AI-Powered Claim Scrubbing
- Complimentary Credentialing and Old AR Recovery
- OB/GYN KPI Dashboards
- Global Maternity Package Expertise
- ISO27001 and HIPAA Certified
2. Invensis
Invensis has over 25 years of expertise in healthcare revenue cycle management, specializing in comprehensive OB GYN billing services. They handle a wide range of services such as antepartum care, delivery, postpartum care, infertility treatments, routine exams, screenings, and surgeries.
Invensis verifies insurance details such as coverage type, prior authorization status with effective and expiration dates, and claims address to ensure accurate claims documentation. Additionally, they confirm if pre-authorization is required for any gynecology services rendered and request approval from payers when necessary.
What makes Invensis Stand out Among Others?
- Support for Multiple Payers
- Specialized OB/GYN Code Precision
- Integration with EMR, EHR, and EDI systems
- Claims Submission & Denial Management
3. BillingFreedom
BillingFreedom has worked with 100+ OB/GYN practices across all 50 states. The company is known for its 99% claim accuracy rate and a 96% first-pass claim acceptance rate. They have a team of OB/GYN-certified billers that excel in antepartum, delivery, and postpartum care billing.
Moreover, BillingFreedom provides a dedicated account manager & billing team to ensure personalized OB/GYN billing support. They also ensure compliance with HIPAA regulations to protect both patient data and financial processes. Their services have delivered measurable results, including a 33% reduction in accounts receivable.
What Makes BillingFreedom Stand Out Among Others?
- Affordable Pricing
- End-to-end AI-powered Billing Workflow
- Quality Reporting for HEDIS Measures
- COBG Certified Biller & Coders
- Ongoing Compliance and Coding Audit
4. BillingParadise
BillingParadise is one of the top-rated healthcare solution providers that offers AI-powered OB/GYN billing solutions. This company has served over 100 practices and submits claims valued at $3.2 billion annually. They manage the full spectrum of OB/GYN billing, from prenatal care to gynecological procedures and surgeries.
BillingParadise supports multiple OB/GYN sub-specialties like maternal-fetal medicine, gynecologic surgery, reproductive endocrinology, oncology, family planning, and breast disease care. They also use eligibility verification automation tools that provide reports for patients during visits within 5 seconds or less.
What Makes BillingParadise Stand Out Among Others?
- Predictive Analytics for Forecasting and Auditing
- AAPC-Certified Experts
- OB/GYN Credentialing
- Medical Necessity Audits for OB/GYN Services
5. Medical Billing Wholesalers (MBW)
MBW is a prominent OB/GYN medical billing company that offers billing services to OB/GYN specialized hospitals and physician practices across the U.S. Their coders are proficient in ICD-9/10, CPT, and HCPCS coding guidelines provided by CMS and AMA. They also use coding tools like EncoderPro, Flashcode, and CodeLink to ensure accurate OB/GYN coding.
One standout feature about MBW is its rapid turnaround time in OB/GYN claim submission, which is typically 24–48 hours. This OB/GYN medical billing company supports multiple EHR and PM software, including eClinicalWorks, NextGen, Athena, and others.
What makes Medical Billing Wholesalers Stand out Among Others?
- Expertise with Major Insurers
- Covers Multiple OB/GYN Specialties
- 24/7 OB/GYN Billing Services
- 10% Reduction in Claim Denials
6. Plutus Health
Plutus Health Inc. is a US-based RCM company specializing in OB/GYN billing services for women’s health providers nationwide. The company has a team of 1000+ experienced experts who ensure a 100% effective denial management through AI-powered billing.
With over 18 years of experience, Plutus Health supports OB/GYN practices through end-to-end services, including medical billing, coding, credentialing, eligibility verification, denial management, and RCM analytics. Their performance metrics highlight a 95%+ claim success rate, denial rates below 5%, and days in A/R under 25.
What makes Plutus Health Stand out Among Others?
- Follow payer-specific requirements, HIPAA, CMS guidelines, and OIG guidance
- Net Collection Rate> 98%
- Billing Support across 26 medical specialties
- Detailed RCM KPI analytics dashboard
7. Pulse Medix
PulseMedix is a specialized OB/GYN billing provider in the USA, providing end-to-end medical billing and RCM solutions for women’s health practices. The company serves OB/GYN physicians, medical groups, hospitals, clinics, and surgical centers. They offer customized billing solutions across multiple OB/GYN subspecialties, including maternal-fetal medicine, gynecologic oncology, and reproductive endocrinology.
PulseMedix ensured accurate and compliant billing through certified coders, helping practices achieve 97% first-pass clean claim rates. Moreover, they are 100% HIPAA compliant and provide 24/7 billing support to OB GYN practices.
What makes Pulse Medix Stand out Among Others?
- 25% Increase in Collections
- Certified OB GYN coding professionals
- Broad OB/GYN subspecialty coverage
- Integration with Multiple EHR Platforms
8. CompuGroup Medical
CompuGroup Medical (CGM) offers specialized OB/ GYN medical billing services designed to manage gynecological care, prenatal services, and complex delivery billing. They strictly focus on following payer and compliance requirements to avoid penalties and claim denials. The company provides OBGYN-specific medical coding expertise, covering CPT, ICD-10, and payer-specific guidelines to ensure accurate claims.
CGM delivers complete end-to-end revenue cycle management, handling charge capture, claim submission, payment posting, and final reconciliation without administrative gaps. Its AI-powered denial prevention tools help reduce claim rejections and improve first-pass claim acceptance rates.
What makes CompuGroup Medical Stand out Among Others?
- Advanced analytics and reporting tools
- Free Billing Assessment
- High first-pass claim acceptance using AI-assisted coding validation
- Internal audits to ensure compliance with CMS, HIPAA, and payer-specific regulations
9. Medisys Data Solutions Inc.
Medisys Data Solutions Inc. is an OB/GYN medical billing firm offering outsourced billing services for obstetrics and gynecology practices nationwide. The company helps OB/GYN practices manage the entire revenue cycle, from filing clean claims to maximizing collections.
Medisys emphasizes error-free billing and transparent reporting, supporting faster reimbursements and improved cash flow for OB/GYN practices. Its OB/GYN billing services are delivered as a one-stop RCM solution, covering medical billing, coding, accounts receivable management, and consulting.
What makes Medisys Data Solutions Stand out Among Others?
- Transparent procedures & charges
- Customized service
- Multi-specialty expertise
- HIPAA compliant
10. Coronis Health
Coronis Health is one of the best OB GYN billing companies, serving physician groups, hospitals, health systems, and community healthcare organizations. The company specializes in complex OBGYN billing environments, helping practices manage complex reimbursement rules, payer requirements, and specialty-specific coding challenges.
Coronis Health provides certified and experienced OBGYN coders who streamline billing workflows and ensure clean claims. Its services include end-to-end revenue cycle management, medical billing, accounts receivable, and collections. They also focus on denial prevention to resolve denied claims and minimize revenue leakage.
What makes Coronis Health Stand out Among Others?
- Certified and experienced OBGYN coders
- Customized RCM approach
- No-Cost Financial Analysis
- Patient Access Management
Frequently Asked Questions
What’s a global maternity package?
Global maternity packages bundle antepartum, delivery, and postpartum care into a single claim. Itemized billing is required only for exceptions, such as high-risk pregnancies or provider changes.
What is the E&M specific code for gynecology?
Evaluation & Management (E&M) codes are used for office visits, consultations, and patient evaluations in gynecology. These codes vary depending on visit complexity and time.
What is the timely filing limit for OB/GYN claims with major US insurers?
Medicare generally requires claims to be submitted within 12 months from the date of service, while commercial insurers typically allow 90–180 days. Medicaid limits depend on the state, usually ranging from 90 days to a year.
Which is the best OB GYN billing company in the U.S.?
Transcure is the best OB/GYN billing company in the U.S., well-known for its billing expertise in multiple OB/GYN sub-specialities and procedures. With an AI-powered RCM and an AAPC-certified coding team, they maintain 99.99% clean claim accuracy and increase the practice’s collection by 20%.
