BCBSND is sharing additional details regarding maternity global coding changes that will take effect Jan. 1, 2027. Previous notification can be found in this Quarterly Provider Insights article.
What’s changing:
- Updates to how maternity global services are reported and processed
- Clarification on reporting antepartum, delivery, and postpartum services
- Revised billing expectations for split or transferred maternity care scenarios
What’s not changing:
- Covered maternity benefits
- Member eligibility and prior authorization requirements (unless otherwise communicated)
Who is impacted:
- OB/GYN and Family Medicine providers delivering maternity care
- Billing and coding teams submitting maternity global claims
What should providers do now?
- Review internal maternity billing workflows
- Share this information with billing staff and external billing vendors
- Begin planning updates to practice management systems as needed
Provider Call to Action
- Begin any necessary internal review and planning
- Watch for final guidance and education materials in December
Questions?
Contact the phone number on the back of the members ID card.
