OB/GYN and Women's Health

OB/GYN and Women's Health Billing Cash Flow

OB/GYN runs on the global obstetric package, so an entire maternity episode is billed once after delivery, then adjudicated for 30 to 90 days.

The OB/GYN billing problem, solved.

Maternity episode, days to pay

UnitedHealthcareglobal review88 days
Anthemglobal review74 days
Aetnaglobal review66 days

The squeeze

Billed once

after delivery

Months of antepartum care are billed once under the global package, only after delivery and postpartum, then adjudicated for 30 to 90 days.

The codes Copay purchases.

Each OB/GYN code, from the global obstetric package to gynecologic surgical claims, is priced individually and funded the next business day.

59400

Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care

Copay purchases this
59510

Routine obstetric care including antepartum care, cesarean delivery, and postpartum care

Copay purchases this
59425

Antepartum care only; 4 to 6 visits

Copay purchases this
58558

Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without dilation and curettage

Copay purchases this
How it works

How Copay works for OB/GYN.

Your existing EHR

No change

Claim 59400

UnitedHealthcare · $2,950.00

Drafting

Submit claims as you always have

Your billing team submits the global obstetric and gynecologic claims exactly as they do today. Nothing changes except when you get paid.

UH

UnitedHealthcare

Eligibility check

Copay
Verifying payer

We verify in the background

Copay confirms payer and claim data automatically, with no calls from your team.

See the full process

Built for the maternity episode.

Global package

Carry the maternity episode without waiting on the global payment.

Copay purchases your eligible global obstetric claims the next business day, so the cash for the maternity episode is there long before the payer review ends.

Copay

Funded by Copay

Maternity episode
Antepartum
Delivery
Postpartum

The cash for the full maternity episode is there the next business day, even while the global claim behind it is still adjudicating.

Non-recourse

Denied

Non-recourse means a denied eligible claim is Copay's loss, not yours.

No personal guarantee

Your home and personal credit are never on the line.

Common questions

OB/GYN billing, answered.

No. Copay is not a loan, not factoring, and not a merchant cash advance. Copay purchases your eligible OB/GYN claims outright and deposits funds the next business day, with no debt and no repayment schedule.

Copay purchases eligible claims across the major commercial payers your practice already bills, including UnitedHealthcare, Anthem, Aetna, Cigna, Humana, and BlueCross.

OB/GYN runs on the global obstetric package, so months of antepartum care, the delivery, and postpartum care are billed once under a code like 59400 or 59510, only after delivery, then adjudicated for 30 to 90 days. Copay purchases that eligible global claim and pays the next business day, so the cash for the maternity episode arrives without waiting on the payer review.

Yes. Copay purchases eligible gynecologic surgical claims such as 58558 and 57454 at the service line, even though these codes carry their own prior-authorization policies. Each eligible claim is priced individually and funded the next business day.

Non-recourse means a denied eligible claim is Copay's loss, not yours. If an eligible purchased OB/GYN claim is denied or underpaid, Copay absorbs the loss with no clawbacks against your practice.

How Copay works for OB/GYN practices

From submitted claim to funded account.

While insurance takes 30 to 90 days, Copay moves in one.

Step 01 · Submit

You submit your claims as normal

Nothing changes about how your billing team works.

Claim #18473

DOS 02/04/24

CPT code59400

Routine obstetric care including antepartum care, vaginal delivery, and postpartum care

PayerUnitedHealthcare
Billed$2,950.00

Step 02 · Verify & Price

We verify and price in real time

Copay checks payor history and prices the claim at the CPT level.

Underwriting in progress

Step 03 · Approved

Advance approved

Capital is approved and scheduled for next business day deposit.

Advance Approved

$9,000

Net advance

Funds wired to your account, next business day

Step 04 · Funded

Capital in your account

While the payor takes 30 to 90 days, you already have your capital.

Your account

$0

Available balance

Copay reconciles automatically when the payor pays. You do nothing.

Get paid on your OB/GYN claims the next business day.

Copay purchases your eligible OB/GYN claims. No loans, no personal guarantee, no workflow change.