Benefits Coordinator at Alaska Women's Health
Transform Your Women's Health Practice with Healthcare Automation
Women’s health providers face some of the toughest financial pressures in healthcare today. OB/GYN practices experience claim denial rates as high as 22%, leading to an estimated 11–12% in annual revenue loss. On top of that, 2025 brings another 3% reimbursement cut from major payers, forcing many independent OB/GYN and fertility clinics to question their long-term viability.
Fuse helps women’s health providers take control of their financial future. Our healthcare automation platform streamlines insurance verification, patient intake, and cost estimation so you can focus on care instead of billing. With automated checks that catch billing issues before claims go out, Fuse helps OB/GYN, surgical, and fertility practices reduce denials, protect margins, and deliver a smoother patient experience from check-in to payment.
Automated Insurance Verification for Maternity and Gynecological Care
OB/GYN billing is among the most complex in healthcare. Global maternity packages bundle prenatal, delivery, and postpartum care under one claim, but payers vary in how they define those bundles. Fertility treatments, surgeries, and diagnostic procedures all have their own prior authorization and coverage rules.
Fuse automates these critical insurance checks The platform identifies whether a plan covers global maternity care or requires component billing, flags prior authorization requirements for procedures like hysteroscopies or IVF, and verifies network status for specialists and facilities. By catching these details before claims are submitted, practices avoid the denials and payment delays.
Streamlined Patient Intake for Obstetrics and Gynecology
Women’s health patients share sensitive and detailed information during intake, pregnancy history, surgical history, family planning goals, and more. Fuse simplifies this process with mobile-friendly digital intake forms that patients can complete securely before their appointment.
Automated data capture ensures accuracy for both clinical and insurance information. Patients can snap a photo of their insurance card, and Fuse’s system automatically verifies plan details and eligibility. By preventing data entry mistakes that cause nearly 40% of OB/GYN claim rejections, practices save valuable time and reduce administrative burden.
Transparent Cost Estimates for Women's Healthcare Services
From annual exams to fertility procedures, costs can vary widely in women’s healthcare. Patients often delay necessary care simply because they don’t know what they’ll owe. Fuse solves this by providing instant, accurate cost estimates for maternity packages, gynecological procedures, and fertility services based on each patient’s verified insurance data.
Transparent pricing builds trust. When patients understand their out-of-pocket responsibilities before care begins, they’re more likely to move forward with treatment and pay on time. Practices using Fuse see fewer payment disputes, reduced bad debt, and better cash flow, all while improving the patient experience.
Insurance Verification for Complex OB/GYN Billing
Global maternity billing requires understanding exactly what’s included in each package and what must be billed separately. Fuse’s automation engine checks these details against payer rules to ensure accuracy for every visit. It also flags prior authorization requirements for high-cost procedures like hysterectomies, LEEPs, or laparoscopies, reducing costly denials.
Telehealth billing adds another layer of complexity for prenatal and postpartum care. Fuse automatically applies the correct modifiers and coverage rules, ensuring that virtual visits are billed properly and reimbursed promptly.
Healthcare Automation Built for Women's Health Providers
OB/GYN practices need automation that understands their unique blend of services: routine exams, surgeries, fertility care, and complex obstetric packages. Fuse is designed specifically to handle these variations. It automatically updates payer rules, CPT code requirements, and coverage criteria, reducing the need for manual cross-checking.
All data is protected under strict HIPAA standards and SOC 2 Type II certification, giving providers peace of mind when managing sensitive reproductive health information. Fuse ensures that automation doesn’t just improve efficiency, it also safeguards patient trust.
Help Your Women's Health Practice Thrive Financially
Automation is no longer optional for sustainable growth in women’s health. Fuse helps OB/GYN practices reduce claim denials by catching preventable errors before submission, improving first-pass resolution rates, and boosting collections at the time of service.
With Fuse, your team spends less time wrestling with payer rules and more time providing care. Practices that automate their insurance verification and patient intake workflows reclaim hours of staff time each week while protecting their bottom line against rising administrative costs and declining reimbursements. Start building a more resilient, patient-focused practice with automation that works as hard as you do.
FAQs
We’ve answered the most common questions about our software below. If you need further details, feel free to reach out to our team.
Fuse identifies whether a patient’s plan follows global or component maternity billing and automatically checks coverage for prenatal, delivery, and postpartum visits. This prevents claim confusion and ensures each stage of care is billed correctly.
Yes. Fuse’s intake forms are mobile-friendly, HIPAA-compliant, and secure. Patients can complete them from home or on their phones, ensuring a smooth and private onboarding experience.
They do. Fuse calculates real-time cost estimates for global maternity packages, individual gynecological procedures, and fertility treatments based on each patient’s verified insurance data.
Absolutely. Fuse automates insurance verification and prior authorization checks, addressing the top causes of denials and helping OB/GYN practices maintain a healthier revenue cycle.
Yes. Fuse is fully HIPAA-compliant and SOC 2 Type II certified, ensuring the highest standards of privacy and data protection for women’s health providers and their patients.