Gynecology & well-woman visits
Annual exams, problem visits and follow-ups. We verify specialist and office benefits, applicable copays or coinsurance, and referral requirements when the payer source states them.
Insurance verification for OB/GYN & women’s health practices
Women’s health benefits, clearer before the visit.
Eligibility, benefits, prenatal and maternity details, ultrasound and in-office procedure research, and online authorization requirement checks — documented for gynecology, preventive and women’s health practices before the patient arrives.
- Business inquiries only
- No patient information on this page
Findings depend on the payer source available at the time of research. Eligibility and benefit information is never a guarantee of coverage, authorization approval or payment.
Care settings we support
Built around the way women’s health practices actually schedule.
A single practice may handle wellness exams, prenatal visits, imaging and same-week procedures — often under different benefit categories. We organize each request so your team knows which questions were answered, and which ones still need payer follow-up.
Prenatal & maternity care
Prenatal visit benefits, global maternity language and delivery-related benefit information documented where the plan source supports it, with unconfirmed details clearly flagged.
Preventive care
Preventive versus diagnostic distinctions, screening benefit categories and any plan limits recorded as the source presents them, so your front desk does not assume a $0 visit.
Ultrasound & imaging
In-office and outpatient ultrasound research, including imaging benefit categories, place-of-service differences and online authorization indicators where available.
In-office procedures
Requested CPT or HCPCS research for procedures your clinicians order, plus online authorization and referral requirement findings under Full Benefits.
Family planning & contraception
Method and device benefit questions, medical versus pharmacy benefit distinctions when the source shows them, and documented limitations or exclusions.
Real screen recording · fictional training case
Watch the OB/GYN Verification Studio in action
This actual screen recording demonstrates the four-step women’s health verification workflow, optional procedure sections, benefit documentation and cost-sharing review using fictional data. The recording reflects an earlier calculator screen; the current training software is being updated to reuse entered benefit amounts automatically.
Our own verification software
The Women’s Health Verification Studio
VerifyCallie designed its own administrative verification workspace. It keeps patient demographic details, benefit findings, payer source notes, unresolved questions and the final verification report in one organized record instead of scattered notes.
- Organized documentation of the payer portal, date and source reference
- Demographic fields kept separate from benefits and optional requested procedure codes
- Payer notes and explicit unable-to-confirm entries
- A quality review step before any report is released
The screen is a demonstration only. It uses fictional details to show how the workspace is arranged. It is not a live verification, not a live EHR or payer verification, and contains no real patient information.
Practices can request different layouts, fields and verification workflows based on how their front office works. Custom scope is reviewed separately.
Fictional record
Sample Patient A · DOB 01/01/1990
EligibilityActiveEffective 01/01/2026 · fictional record
Benefit categorySpecialist office / preventivePer plan source
Prenatal & maternityGlobal maternity languageDocumented where available
NetworkParticipating — sample PPODirectory date recorded
Optional CPT / HCPCSNo codes enteredStaff add codes only when the practice requests research
Cost sharingCopay $35 · Coinsurance 20%After deductible, per source
Automatic QA review
Payer source saved to record
Unconfirmed items flagged for review
Report ready for second review
Maternity benefit amount not confirmed by source
What we verify
Eight questions behind every women’s health visit.
Basic verification covers eligibility and available cost sharing. Full Benefits adds requested code research and online authorization or referral requirement checks.
Eligibility & active coverage
Is the plan active on the date of service, for the plan and member details the practice provided?
Effective dates, plan and member status, and available coordination notes. Missing identifiers are reported as pending rather than assumed.
Office, preventive & specialty benefits
Do preventive, problem-oriented and specialist visits fall under different benefit categories?
Documented copay or coinsurance by benefit category, with preventive versus diagnostic distinctions where the source states them.
Prenatal & maternity benefits
What does the plan document about prenatal visits, global maternity and delivery-related benefits?
Source-supported maternity language, limitations and exceptions. We do not estimate a delivery cost or promise a maternity benefit amount.
Ultrasound & diagnostic imaging
Is the ordered ultrasound or imaging service covered, and does it appear to require authorization?
Imaging benefit category, place-of-service differences and online authorization indicators, recorded with the source used.
CPT & HCPCS research
What do payer sources show for the specific procedure codes your clinicians order?
Full Benefits research for requested codes. A code appearing in a payer tool is not a coverage decision or a payment guarantee.
Network participation
Is the rendering provider and location participating with this plan product?
Network status as displayed at the time of research, including directory limitations and products that could not be confirmed.
Deductible, copay & coinsurance
What might the patient owe for this visit or service?
Source-supported cost-sharing amounts and out-of-pocket progress. We do not invent balances or estimate charges the source does not show.
Online authorization & referral checks
Does this service appear to require prior authorization or a referral?
Online requirement research is part of Full Benefits. Authorization submission and payer follow-up may be separately scoped by written quote. A requirement finding is not an approval.
Coverage, benefit and authorization findings reflect the payer source available during research. They do not guarantee coverage, prior authorization approval or claim payment.
Preventive care
Preventive and diagnostic benefits are not always the same.
An annual well-woman exam and a problem-oriented service performed on the same day may fall under different benefit categories. We research the plan information available for each requested service so your scheduling team can document the differences before the visit.
- Preventive versus problem-oriented visit benefit categories
- Screening and diagnostic distinctions where the plan states them
- Copay and coinsurance differences by benefit category
Gynecologic and procedure-based care
Procedure codes change the answer.
A well-woman visit, a colposcopy, a biopsy, an IUD placement and a hysteroscopy can each sit in a different benefit category with its own authorization rule. Under Full Benefits, we research the specific codes your practice orders rather than relying on a general office-visit answer.
- Requested CPT and HCPCS procedure research
- Online prior authorization requirement checks
- Referral requirements when applicable
- Documented exclusions and payer notes
Requirement research is not an authorization submission, and recorded code research is not a guarantee that a claim will pay.
What happens next
A calm onboarding, then a clear report.
01 / STEP
Tell us about the practice
Use our business-only form to share your specialty mix, requested visit types, payer mix and approximate monthly volume.
02 / STEP
Complete onboarding
Agree on scope, sign the required agreements and BAA, and arrange authorized payer access before any patient information is accepted.
03 / STEP
Review the findings
After secure launch approval, completed reports document verified benefits, source limitations and unanswered questions for your staff.
Basic Eligibility
$10
Per patient verification
Active plan status, eligibility dates and the standard copay, coinsurance, deductible and out-of-pocket information available from the payer source.
- Eligibility and active coverage dates
- Available cost-sharing information
- No CPT or authorization research
Full Benefits
$18
Per patient verification
Everything in Basic, plus maternity and prenatal benefit details, requested CPT or HCPCS research, and online authorization and referral requirement checks where the source supports them.
Complex or multi-service surgical requests and optional prior authorization submission or follow-up are scoped and quoted separately before work begins.
Standard planning target is 24 to 48 hours, once we have everything we need, including a complete request and authorized payer access and accepted service order. Pricing reflects current published rates; volume packages and custom scope are confirmed in writing during onboarding.
Common questions
Clear answers before you ask.
We never present an unanswered payer question as a confirmed benefit.
What is OB/GYN insurance verification?+
It is administrative research into a patient's active eligibility, the applicable office, preventive or specialist benefits, available cost sharing, and the online authorization or referral rules attached to the services your practice ordered. Findings depend on the payer source available during research.
Can VerifyCallie verify prenatal and maternity benefits?+
Under Full Benefits we research the prenatal visit benefit and the maternity language the plan makes available, including limitations the source states. We do not estimate a delivery cost, promise a maternity benefit amount, or confirm what a payer will ultimately reimburse.
Do you check authorization requirements for ultrasounds and in-office procedures?+
Full Benefits includes online prior authorization and referral requirement research for the CPT or HCPCS codes your practice requests, where the payer tool supports that research. Authorization submission and payer follow-up are separate services available by written custom quote when agreed. An online requirement finding is not an authorization approval.
Are preventive and diagnostic visits verified differently?+
Yes. Preventive, problem-oriented and diagnostic services can sit in different benefit categories with different cost sharing. We document what the plan source states and flag categories that could not be confirmed rather than assuming a $0 preventive visit.
Do you verify network participation?+
We record the network status displayed for the rendering provider and location at the time of research, along with the plan product and the limits of directory data. Network directories can change, so the source date is documented with each finding.
What does women's health insurance verification cost?+
Basic eligibility verification is $10 per patient and Full Benefits is $18. Requests involving multiple services, surgical components or unusual payer workflows may need an individual written quote before work begins.
Does a completed verification guarantee coverage or payment?+
No. Eligibility and benefit findings describe what the payer source showed at the time of research. Final coverage, authorization approval and claim payment are determined by the payer and are not guaranteed.
Can the verification software layout be customized for our practice?+
Yes. The screen shown on this page is a demonstration of VerifyCallie's own workspace using fictional details, not a fixed OB/GYN template. Practices can request different layouts, fields and verification workflows, and custom scope is reviewed separately.
Can we send patient information through this page?+
No. This is a public marketing page. VerifyCallie does not accept patient or protected health information here; real records are handled only after agreements, authorized access and secure onboarding are complete.
For OB/GYN & women’s health practices
Start the next visit with answers.
Tell us which payers, visit types and procedure codes are slowing your front office down. We are preparing for new practice onboarding.
Business inquiries only. Please do not submit patient or protected health information through this public website.