The best ob/gyn medical billing services do three things well. They code the global obstetric package correctly, they work denials instead of writing them off, and they show you the numbers every month. For a full-service partner with transparent pricing, InfiniteRCM is our pick. MediBillMD suits practices that want round-the-clock support, Billing Paradise suits growing groups, Transcure suits practices with a mix of office and surgical work, and BillingFreedom suits teams worried about code-set changes.
OB/GYN is one of the hardest specialties to bill. A single pregnancy can run nine months or more. One claim can bundle prenatal visits, delivery and postpartum care, while ultrasounds, labs, surgery and anesthesia add their own rules. One wrong split or a missing modifier produces a denial that sits in AR for weeks while your staff chase it.
This list compares five providers on the same terms: what they offer, who they fit, and what to ask about pricing. InfiniteRCM comes first because we wrote this guide, so hold us to the same questions you ask everyone else.
1. InfiniteRCM
InfiniteRCM is a full-cycle revenue cycle management company that handles billing end to end for practices of every size, and it is the one on this list you can contact directly through this site.
What it offers and who it suits
InfiniteRCM covers eligibility verification, clean claim submission, payment posting, denial management and financial reporting. It adds AR recovery services, credentialing and enrollment, prior authorization and medical virtual assistants. The company reports a 99% clean claim rate, 40% faster collections, 60% fewer denials and a 100% compliance rate across 500+ providers. It also reports more than $50M recovered for clients. Real-time dashboards and EHR integration come standard.
OB/GYN billing lives or dies on the global package. These are the codes your biller must split correctly:
| Code | What it covers |
|---|---|
| 59400 | Vaginal delivery, full global package (antepartum, delivery, postpartum) |
| 59409 | Vaginal delivery only |
| 59410 | Vaginal delivery plus postpartum care |
| 59510 | Cesarean delivery, full global package |
| 59425 / 59426 | Antepartum care only, 4 to 6 visits / 7 or more visits |
That table also answers a common question. 59409 covers the delivery alone, while 59410 adds postpartum care. We work across specialties, so we suit practices that want one transparent RCM partner, from solo clinics to multi-provider groups. If you want a billing shop that only does OB/GYN, compare the others below.
Pricing and what to ask
InfiniteRCM advertises transparent pricing with no hidden fees, and you get a quote after a short conversation about your volume. Before you sign with us or anyone else, ask these questions:
- How do you track a patient from the first prenatal visit to the postpartum claim?
- What is your denial rate and AR days for similar practices?
- Who owns appeals, and how fast do they go out?
The right billing partner can show you a delivery claim traced from the first prenatal visit to final payment.
2. MediBillMD
MediBillMD is an OB/GYN billing and coding provider that describes its service as 24/7 expert assistance at affordable rates.
What it offers and who it suits
MediBillMD has a dedicated OBGYN billing page and says its certified coders and billers streamline your claims workflow. The standout promise is around-the-clock availability, which matters when a claim problem surfaces after hours or a payer deadline is close.
It suits practices that want responsive support and a team with specialty-specific coding experience. Smaller OB/GYN groups that lack in-house billing depth are the natural fit. Confirm that the coders handling your account actually work OB/GYN claims every day.
Pricing and what to ask
"Affordable rates" is the company’s own wording, so ask for the actual structure in writing.
- Is the fee a percentage of collections or a flat monthly amount?
- Which services cost extra, such as credentialing or patient statements?
- What does 24/7 support mean in practice: a live person or a ticket queue?
A vague promise of affordability means nothing until you see the fee structure and exclusions on paper.
3. Billing Paradise
Billing Paradise is an OB/GYN billing and RCM provider that positions itself as scalable and adaptable to your current operations.
What it offers and who it suits
Billing Paradise says it streamlines your RCM processes and improves net collections. The emphasis on adaptability suggests it works around your existing setup instead of forcing a rebuild. That is useful if your team has workflows and software you want to keep.
It fits practices that are growing, adding providers or opening a second location. A scalable provider matters in those cases, because claim volume jumps quickly once a new OB joins the group. Ask how onboarding works when your volume changes mid-year.
Pricing and what to ask
Scalability claims need proof, so test them with concrete questions before you commit.
- How does pricing change when you add a provider or location?
- Which EHR and practice management systems do you work in today?
- How do you report net collections, and how often?
Scalable only helps if the price and the service quality hold up when your volume doubles.
4. Transcure
Transcure runs an OB/GYN billing service that lists the services OB/GYN practices bill most often, from routine checkups to major surgery.
What it offers and who it suits
Its OB/GYN page names the annual checkup, prenatal care, ultrasounds, laboratory work and surgical procedures such as hysterectomies. That range matters because each category follows different coding logic. Global obstetric billing, diagnostic imaging and surgical claims with modifiers such as 25 and 59 all need different handling.
Transcure suits practices with a broad service mix, especially those performing in-office ultrasounds and surgical cases alongside routine visits. If your revenue leaks mostly from procedures rather than prenatal packages, verify that the team handles surgical claims with the same care.
Pricing and what to ask
Pricing details are not published on the page, so ask for them directly.
- Can you share references from OB/GYN practices of my size?
- How do you handle modifier 25 and 59 edits before submission?
- What is included in the base fee, and what is billed separately?
A broad service list is a starting point. Ask for proof of OB/GYN claims outcomes, not just the menu.
5. BillingFreedom
BillingFreedom is an OB/GYN billing and coding company whose page promises cleaner claims, compliant coding, fewer denials and faster payments.
What it offers and who it suits
BillingFreedom markets itself as "CPT 2027 ready." CPT changes take effect every January 1, so a provider that updates early prevents the denials that follow a new code set. Its pitch centers on compliant coding and clean first-pass claims.
It suits practices that have been burned by code changes or that struggle with coding-related denials. If your denial reports show mostly coding errors rather than eligibility or authorization problems, a coding-forward provider is a sensible choice. Ask how it audits claims before they go out.
Pricing and what to ask
Treat the CPT-readiness claim as a question to test, not a feature to assume.
- How and when do you load new code sets into your workflow?
- What share of claims pass payers’ first review?
- Do you handle denials and appeals, or only coding?
A provider is only as current as its last code update, so ask exactly how updates reach your claims.
Choosing your OB/GYN billing partner
Pick the provider that proves it can follow a delivery claim from the first prenatal visit to payment, and that quotes its fees in writing. Compare every shortlist candidate on the same four points: global package accuracy, denial and appeal ownership, reporting frequency and total cost. Do that, and the right fit usually becomes clear within a single call.
If you want a full-service partner with transparent pricing, contact InfiniteRCM and tell us your claim volume and current denial rate.
