OB/GYN EHR and AI Medical Billing Software

OB/GYN combines nine months of prenatal care, delivery, gynecology and surgery. XEHR tracks the pregnancy and bills it the way payers expect.

Book an ob/gyn demo See pricing

Includes Gynecologic Oncology Maternal-Fetal Medicine Reproductive Endocrinology

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Routine prenatal visit at 28 weeks.

Z34.83 Normal pregnancy, third trimester

ReviewSign note

Diagnosis carried to the claimZ34.83

THE HARD PARTS

What makes ob/gyn billing hard

Global obstetric billing

Prenatal visits, delivery and postpartum care are often billed as one package, and partial care is billed differently.

Ultrasounds and testing

Each ultrasound has frequency rules and needs a documented reason.

Coverage that changes mid-pregnancy

Patients change plans during pregnancy, splitting who pays for what.

WHERE THE WORK HAPPENS

How ob/gyn care is delivered and billed

Obstetricians and gynecologists provide office care, prenatal care, deliveries in the hospital and gynecologic surgery. Pregnancy care is usually billed as a global package covering prenatal visits, delivery and postpartum care, with the claim sent after delivery. Gynecology visits, preventive exams and office procedures are billed on the professional claim, and surgery is billed with the facility place of service.

What payers check on ob/gyn claims

Routine prenatal visits, delivery and postpartum care are billed together as one global package after delivery.
When a patient changes providers during pregnancy, each provider bills only the visits they gave.
Pregnancy codes carry the trimester, and weeks of gestation are coded separately.
Problems outside routine pregnancy care can be billed separately when documented.
Screening Pap tests and pelvic exams have frequency limits under Medicare.

Common ob/gyn diagnoses ICD-10-CM

Z34.01	Encounter for supervision of normal first pregnancy, first trimester
Z3A.12	12 weeks gestation of pregnancy
O24.410	Gestational diabetes mellitus in pregnancy, diet controlled
Z01.419	Encounter for gynecological examination (general) (routine) without abnormal findings
N92.0	Excessive and frequent menstruation with regular cycle
D25.9	Leiomyoma of uterus, unspecified

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

An ob/gyn visit, start to payment

1
Start the pregnancy record

The first prenatal visit sets the due date, history and risks, which every later visit builds on.
2
Follow each visit

Prenatal visits are recorded in the pregnancy record, with weeks of gestation shown.
3
Deliver and document

The delivery note records the method and any complications.
4
Bill the package

The global package is billed after delivery, or split correctly if the patient changed providers.

How XEHR helps

From the ob/gyn visit to the payment

Pregnancy tracked across visitsPrenatal visits are linked to the pregnancy for global billing.
Testing documented with reasonsUltrasounds and tests are recorded with indications.
Insurance updated onceA coverage change is entered once and carried onto open claims.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for ob/gyn

AI medical billing for ob/gyn practices

XEHR is an agentic EHR: AI agents do the administrative work around every ob/gyn visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Routine prenatal visits, delivery and postpartum care are billed together as one global package after delivery.
When a patient changes providers during pregnancy, each provider bills only the visits they gave.
Pregnancy codes carry the trimester, and weeks of gestation are coded separately.
Problems outside routine pregnancy care can be billed separately when documented.

Around the visit

Agents run on their own

Coverage checked before each ob/gyn visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose an ob/gyn EHR

Ask every vendor, including us. The answers show whether a system was built for ob/gyn work or only adapted to it.

Ask us on a demo

Is the global obstetric package billed after delivery and split when care changes hands?
Are weeks of gestation visible at every visit?
Are pregnancy codes captured with trimester?
Can problems outside routine pregnancy care be billed separately?
Are Pap and pelvic exam frequency limits tracked?

QUESTIONS

OB/GYN practices ask us

Does XEHR support global obstetric billing?

Yes. Prenatal care is tracked against the pregnancy and billed when care is complete.

Can XEHR handle a patient who changes insurance during pregnancy?

Yes. The new coverage is recorded once and applied to open claims.

Does XEHR handle the global obstetric package?

Yes. Prenatal visits are tracked and the package is billed after delivery, or split when care changed hands.

Can XEHR show weeks of gestation at each visit?

Yes. The pregnancy record shows the due date and current weeks at every visit.

Does XEHR support gynecologic surgery?

Yes. Operations are billed with the facility place of service and global period.

Can XEHR record contraception services?

Yes. Counselling, devices and prescriptions are documented and billed.

How much does XEHR cost for an ob/gyn practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take an ob/gyn practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

SUBSPECIALTIES

OB/GYN subspecialties on XEHR

Related specialties

See all specialties

See XEHR set up for ob/gyn

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing