Fertility Clinic EHR and AI Medical Billing Software

Fertility specialists work with couples through evaluation, cycles and procedures, often self-pay. XEHR keeps cycles, partners and payments in order.

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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

Unable to conceive for 14 months, irregular cycles.

N97.0 Female infertility associated with anovulation

ReviewSign note

Diagnosis carried to the claimN97.0

THE HARD PARTS

What makes fertility clinic billing hard

Coverage varies widely

Some plans and states cover fertility treatment and many do not, so benefits must be checked before treatment begins.

Two people, sometimes three

Partners and donors each have records, tests and consent that must be linked correctly.

Day-by-day monitoring

Treatment cycles involve frequent scans and blood tests that must be tracked by cycle day.

WHERE THE WORK HAPPENS

How fertility clinic care is delivered and billed

Reproductive endocrinologists work in fertility clinics with labs and procedure rooms. Diagnostic care may be covered by insurance, while treatment cycles are often self-pay or covered under state mandates.

What payers check on fertility clinic claims

Fertility coverage varies by plan and by state mandate.
Diagnostic infertility care may be covered when treatment is not.
Self-pay services must be agreed in advance.
Consent is required from each partner or donor involved.
Infertility codes specify the cause where known.

Common fertility clinic diagnoses ICD-10-CM

N97.0	Female infertility associated with anovulation
E28.2	Polycystic ovarian syndrome
N97.1	Female infertility of tubal origin
N80.00	Endometriosis of the uterus, unspecified
N96	Recurrent pregnancy loss
N46.9	Male infertility, 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

A fertility clinic visit, start to payment

1
Evaluate both partners

History and testing are documented for each person.
2
Plan and price

The plan and its coverage or self-pay price are recorded.
3
Monitor the cycle

Scans and labs are tracked by cycle day.
4
Bill or collect

Covered services are billed; self-pay charges are collected.

How XEHR helps

From the fertility clinic visit to the payment

Benefits checkedFertility benefits are checked and self-pay packages recorded before treatment.
Linked recordsPartner and donor records are linked with each consent recorded.
Cycle viewScans and results are tracked by cycle day.
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 fertility clinic

AI medical billing for fertility clinic practices

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

Before the claim leaves

The claim-check agent looks for

Fertility coverage varies by plan and by state mandate.
Diagnostic infertility care may be covered when treatment is not.
Self-pay services must be agreed in advance.
Consent is required from each partner or donor involved.

Around the visit

Agents run on their own

Coverage checked before each fertility clinic 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 a fertility clinic EHR

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

Ask us on a demo

Are fertility benefits checked before treatment?
Can self-pay packages be recorded separately?
Are partner and donor records linked with consent?
Can scans and labs be tracked by cycle day?
Are covered and self-pay services kept apart?

QUESTIONS

Fertility Clinic practices ask us

Does XEHR support fertility clinics?

Yes. Evaluation, cycles, procedures and payments are documented.

Can self-pay packages be recorded?

Yes. Packages and payments are recorded separately from insurance claims.

Does XEHR link partner records?

Yes. Partner and donor records are linked with consent recorded.

Can XEHR check fertility benefits?

Yes. Coverage is checked before treatment.

Does XEHR support egg freezing programs?

Yes. Cycles and payments are documented.

Can XEHR record storage and other self-pay fees?

Yes. Self-pay charges are recorded and collected separately from insurance claims.

Can male infertility visits be documented?

Yes. Visits and tests are recorded.

How much does XEHR cost for a fertility clinic 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 a fertility clinic 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.

Related specialties

See all specialties

See XEHR set up for fertility clinic

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

Book a demo See pricing