Let’s be honest: asking a patient for money is awkward. Asking a pregnant patient for money feels impossible.
In Obstetrics, you aren’t just a medical provider; you are part of a family’s most intimate journey. This unique relationship makes Accounts Receivable (AR) a nightmare. You naturally want to be lenient. You delay sending the bill because she’s in her third trimester. You hesitate to call because she just had the baby.
But while you are being compassionate, your practice is bleeding cash.
The reality is that OB-GYN practices effectively act as unsecured lenders. You provide 9 months of prenatal care, ultrasounds, and labor services—often with zero guarantee that the deductible will be paid once the baby arrives.
NexaCollect exists to solve this specific tension. We don’t act like a “debt collector.” We act as your Patient Financial Advocate, ensuring the business side of your practice remains as healthy as the clinical side.
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The “9-Month Credit Line” & Other Revenue Traps
Unlike a dermatologist or an urgent care clinic where payment is transactional, your billing cycle is a marathon. Here is where the money usually disappears—and how we recover it.
1. The Postpartum “Amnesia”
The Scenario: You collect a deposit upfront, but the final $1,500 deductible balance isn’t calculated until after delivery. By the time the bill arrives, the patient is overwhelmed with a newborn, pediatric bills, and lost sleep.
The Fix: We change the timing. Instead of aggressive demands, we use a “Soft-Touch” cadence. Our communications (email/text/letter) are designed to gently remind the patient that finalizing their account is the last step in their delivery journey. It’s closure, not conflict.
2. The Infertility & Elective Heartbreak
The Scenario: A patient undergoes IVF or an elective procedure that doesn’t result in a pregnancy. Grief turns into financial defiance: “Why should I pay for a baby I didn’t get?”
The Fix: This requires a human touch, not an auto-dialer. Our specialists are trained to validate the debt by respectfully separating the clinical outcome from the financial obligation. We listen, we empathize, and then we set up a realistic payment plan that respects their situation while recovering your costs.
3. The “Death by Copay”
The Scenario: It’s not just the big delivery bills. It’s the mountain of $30–$50 balances from annual exams, pap smears, and lab fees that patients ignore because “it’s too small to worry about.”
The Fix: These small balances clog your ledger. We use automated, digital-first reminders to clear these out in bulk. Patients can pay via a secure link on their phone in 30 seconds.
Why “Standard” Agencies Fail in Women’s Health
Most collection agencies use a sledgehammer. In OB-GYN, that is a PR disaster waiting to happen.
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Privacy Risks: Leaving a voicemail about a “medical debt” on a home phone can violate HIPAA or accidentally reveal a pregnancy/procedure to a spouse or parent (especially with minors).
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Reputation Damage: Aggressive tactics lead to 1-star reviews on “Mommy Blogs” and local Facebook groups.
The Nexa Standard:
We are 100% HIPAA and Regulation F Compliant. Our notices are discreet. Our agents are trained to navigate the complex privacy laws surrounding women’s health and minors. We protect your reputation as fiercely as we protect your revenue.
Choose Your Recovery Path
We don’t believe in “one size fits all.” You choose the intensity.
| Service Level | What It Is | Best For… | Cost to You |
| Level 1: The “Nudge” | A diplomatic reminder campaign sent in Your Name. | Recent moms, small copays, “forgetful” patients. | ~$15 Flat Fee (You keep 100%) |
| Level 2: The “Demand” | Formal escalation sent in Nexa’s Name. Signals credit impact. | Patients ignoring calls > 90 days. | ~$15 Flat Fee (You keep 100%) |
| Level 3: The “Recovery” | Full contingency collections with skip-tracing & negotiation. | “Ghost” patients, high-balance delivery fees. | ~33% (No Recovery = No Fee) |
Real Stories from Practices Like Yours
The “Global Fee” Recovery
A 4-doctor OB group in Chicago had $210,000 in uncollected delivery balances from the previous year. Their internal team was too busy with current patients to chase past-due accounts.
The Nexa Solution: We ran a “Level 1” campaign for all balances under 120 days.
The Outcome: We recovered $135,000 directly to the practice. The cost? Less than $5,000 in flat fees. The practice manager used the recovered funds to upgrade their ultrasound equipment.
The “Sensitive” Situation
A fertility clinic in Florida faced a $8,000 default from a patient who had moved out of state after a failed cycle.
The Nexa Solution: We used skip-tracing to locate the patient. Our specialist approached the situation with extreme empathy, acknowledging the difficult outcome.
The Outcome: Instead of a lawsuit, the patient agreed to a 12-month auto-draft payment plan. The clinic recovered the full amount without a single negative review.
Stop Being the Bank. Start Being the Doctor.
You deliver life. You shouldn’t have to deliver the bill collection calls too. Let NexaCollect handle the financial awkwardness so you can focus on your patients.
If you need a medical collection agency with experience in dealing with debtors of OB-GYN and Women’s Health doctors: Contact us