OBGYN Underpayments in H1 2026: How Much Revenue Did Your Group Leave on the Table?
For many OB/GYN groups, the biggest financial threat in the first half of 2026 was not claim denials—it was underpayments. Claims were approved, payments were posted, and revenue appeared to arrive normally. Yet a significant percentage of those payments may have been lower than the contracted amount, leaving thousands of dollars unrecovered. Underpayments are particularly dangerous because they often go unnoticed. Unlike denied claims, they do not create an obvious work queue. Unless payments are compared against payer contracts and expected reimbursement schedules, practices may never realize revenue has been lost. As commercial payers, Medicare Advantage plans, and managed care organizations increased reimbursement scrutiny during H1 2026, many OBGYN groups experienced growing variance between expected and actual payments. This is why more providers are investing in specialized OBGYN billing services, comprehensive medical billing services , advanced RCM services , and proactiv...