Global maternity packages, antepartum/postpartum splits, and ultrasound bundling built for OB-GYN's episode-of-care billing, not generic office-visit billing.
Our AI is tuned to OB-GYN's bundled-care billing logic, not a generic office-visit filter.
OB-GYN is one of the specialties our founder has personally billed, and the bundling logic below is built from that hands-on experience, not a generic rule set.
CPT 59400 (vaginal), 59510 (cesarean), 59610/59618 (VBAC) bundle antepartum, delivery, and postpartum care under one global fee, billing components separately is one of the most common denial triggers.
global maternityCPT 59425 (4-6 visits) and 59426 (7+ visits) apply when a patient transfers care mid-pregnancy; 59430 covers postpartum-only care.
59425/59426First-trimester (76801-76802), standard (76805-76810), and detailed anatomy (76811-76812) ultrasounds carry payer-specific frequency and bundling rules generalist billers miss.
76801-76816Preventive well-woman exams billed alongside a separately identifiable problem need modifier 25 and matching documentation, or the E/M gets bundled into the preventive visit.
modifier 25Eligibility, global-package enrollment, and prior ultrasound/visit history confirmed before the encounter.
Global maternity components, antepartum split billing, and ultrasound frequency rules validated against payer policy.
Modifier 25 support, transfer-of-care documentation, and gestational-age-specific ultrasound indications attached before submission.
Clean claims submit same-day; global-package and bundling denials get root-cause analysis by claim type.
Eligibility verification (EV), benefits verification (BV), prior authorizations, and denial management at no cost for your first 30 days.
No setup fee. No long-term contract.