Global maternity billing aetna. Patient Name must exactly match the information submitted on the claim, including suffix if applicable. The Aetna Maternity Program is available to most pregnant HMO-based plan members. We would like to show you a description here but the site won’t allow us. S. Aug 4, 2025 · With more new coders entering the ob-gyn field, it’s the perfect time to revisit one of the most common gray areas in obstetric coding: when to start the global ob package. Due to recent claim discrepancies regarding Global Obstetric-Multiple Deliveries, ABHFL has updated the Global Obstetric Policy for Multiple Deliveries which will be effective November All genetic testing will be coordinated through the Aetna Beginning Right Maternity Program. Members of other health benefits plans may be eligible to participate in the program, depending on the individual employer-sponsored plan. Nov 28, 2025 · For decades, OBGYNs have been paid under a global obstetric billing model that bundles prenatal care, delivery, and postpartum services into a single payment. Mar 24, 2021 · Aetna Better Health of Florida (ABHFL) would like to remind you that you are responsible for the submission of accurate claims, based on the code (s) that correctly describe the health care services provided. Global OB billing methodology will apply only to customers with primary TPL. Explore the medical clinical policy bulletins that Aetna uses to decide which services and procedures we will cover. The global OB care period begins on the date of the initial prenatal visit. Get tools and guidelines from Aetna to help with submitting insurance claims and collecting payments from patients. 2M–$3. Aug 15, 2023 · Global Maternity Care Billing Description: The global obstetric (OB) care package is a complete one-time billing structure that includes professional services for the provision of prenatal care visits and the delivery. A global charge should be billed for maternity claims when all maternity-related services, are provided by the same physician or physicians practicing at the same location. Get help from the time you start planning a family, through your pregnancy and well after your baby is born. Get 24/7 access to doctors, mental health support and specialty care with virtual healthcare and telehealth solutions for individuals and organizations from Teladoc Health. By entering into the participating provider agreement, provider agrees to comply with all enumerated terms and conditions and abide by all applicable Aetna Better Health policies, procedures, and programs, as well as the Aetna Better Health Provider Manual. With the Aetna International global maternity program, there are various resources available to you during pregnancy. Learn about Aetna’s individual and family insurance plans, including medical, dental, Medicare and more. 6M over 12 months — because the four categories of services that fall outside the global obstetric package — high-risk pregnancy complications, transfer-of-care scenarios, separately billable diagnostic procedures, and ancillary Aetna International provides simplicity, access and value for globally mobile members — ensuring they have access to quality care and support wherever they are in the world. The Aetna International global maternity program is staffed by nurses with maternity experience to answer questions and help guide you through your unique maternity journey. . Mar 10, 2025 · Most insurance carriers like Blue Cross Blue Shield, United Healthcare, and Aetna reimburse providers based on the global maternity package codes for services provided during the maternity period for complicated and uncomplicated pregnancies. Global Billing for Maternity Care When a sole obstetrician or obstetricians within the same group covering for each other, provide routine maternity care from the beginning of a member’s pregnancy to delivery, our policy is to allow an initial evaluation and management service and a global delivery fee. Your path to healthy starts here. Primary care physicians providing only prenatal care should bill for the prenatal visits they have provided using CPT Code 59425 (antepartum care only; 4 to 6 visits) or CPT Code 59426 (antepartum care only; 7 or more visits), and will be reimbursed Explore our provider manuals to find resources about Aetna policy guidelines that explain how to work with us. 3 days ago · Global maternity bundle exceptions cost OBGYN practices collecting $1M–$5M per month between $100,000 and $300,000 in monthly revenue — totaling $1. With the combined resources of CVS Health® and Aetna®, we deliver unrivaled provider network access in 200+ countries and territories and 100% coverage for eligible medical care outside the U. kgf eug ojw gdc npw jdu snq zeq oit boi xyv ysa vph onh nwp