All PlansAdministrativeMedium impact
00.09.01l, Direct Access to Obstetrics/Gynecology (OB/GYN) Services
Independence Blue Cross·OB-GYN·Medical Policy
Effective date
Dec 29, 2025
We identified it
Jun 19, 2026
Summary
Policy 00.09.01l addresses direct access to Obstetrics/Gynecology (OB/GYN) services. This is a general description, guidelines, or informational update effective December 29, 2025. The billing team should review this policy to understand any changes to OB/GYN direct access requirements, which may affect referral and prior authorization workflows.
Action Required
By December 29, 2025: Billing and clinical teams must review Policy 00.09.01l in full to determine specific direct access requirements for OB/GYN services. Update referral processes, prior authorization requirements, and encounter documentation templates as needed to align with the policy. Communicate any workflow changes to providers and front desk staff. Verify whether direct access to OB/GYN requires prior authorization, referrals, or if patients have unrestricted access. Configure billing system rules accordingly to prevent claim denials due to authorization issues.