CommercialBilling CodesMedium impact
Billing Global Maternity Correctly
Blue Cross Blue Shield of North Dakota·ND · OB-GYN·Provider News
Effective date
Dec 18, 2025
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of North Dakota clarifies global maternity billing requirements, emphasizing that providers must choose either global billing (when providing all prenatal, delivery, and postpartum care) or separate billing for individual services, but cannot bill both. When multiple physicians at the same location provide different components of maternity care, only one global claim can be filed OR services must be billed separately.
Action Required
Immediately: Billing team must review current maternity billing practices to ensure compliance with either-or rule. Update billing protocols to prevent simultaneous global and separate maternity billing. When multiple physicians provide maternity care at same location, establish workflow to determine whether to bill one global claim or separate services for each provider component.