Home Specialities Reproductive Health
Patient-funded care
where the money really sits
Fertility-experienced reviewers
chart-level review
Clinic & embryology lab
monitoring through transfer
Revenue recovery
on claims marked paid
The bill arrives at the hardest moment of their life.
Think about when the statement actually arrives. A family has just been through weeks of injections, monitoring, hope, and exhaustion. Then they receive a bill for USD 1,500 that they did not know was coming. If the cycle didn't work, you are asking for money at the precise moment they have the least capacity to deal with it. Most people don't refuse to pay because they're unwilling. They refuse because they were never told.
Across the 28 fertility clinics we have analyzed, an average of 5 to 8 percent of revenue is lost through avoidable patient balance disputes, lab work absorbed into packages, and cycles delayed or lost because of paperwork. On an $8M clinic that's $400K–$640K a year.
See where it's goingWhat 5–8% looks like on an $8M clinic
The 5–8% range reflects OneMed's analysis of 28 reproductive health revenue cycles; the dollar figures apply that range to an $8M example clinic. Your actual exposure depends on payer mix, coverage mandates in your state, case mix, and front-end workflow.
Three weeks isn't a delay. It's a cycle.
Everywhere else in medicine, a slow approval means a frustrated patient and a later appointment. Here it means a window has closed. You cannot reschedule biology, and you cannot bill for a cycle that never happened. In fertility care, paperwork delays do not just cost time. They can cost the treatment opportunity itself. It costs you the whole thing.
Her cycle doesn't negotiate.
The approval, meanwhile:
Illustrative of a pattern we see often. Approval requirements and turnaround times vary by payer, plan, and state.
Five ways the work gets done and the money doesn't.
None of these are clinical problems. Your pregnancy rates are strong. That was never the issue.
The bill they never saw coming
Fertility care carries real out-of-pocket cost. When coverage is not checked precisely and the expected balance is not discussed before treatment, the patient receives a surprise bill weeks later, often after a cycle that did not work. The family feels blindsided, disputes it, and it becomes bad debt.
The approval that arrived too late
In fertility, timing isn't a convenience; it's the treatment. When a medication or cycle approval is faxed and never tracked, weeks pass and the window closes. The cycle is delayed or cancelled, the patient is devastated, and there's no revenue because there was no cycle.
The lab work folded into the package
Advanced embryology work is specialized, expensive, and separate from the base cycle. It uses your most experienced people, your best equipment, and some of your longest hours. It's frequently treated as part of the package price and paid nothing at all.
The cancelled cycle nobody billed
A cycle cancelled on day eight isn't a cycle that never happened. Monitoring scans were done, bloods were drawn, medications were dispensed. When there is no clear process for billing a stopped cycle, that care often goes unbilled or is billed to the patient incorrectly. Both outcomes create avoidable loss, and the second can damage trust.
Diagnostic and treatment claims crossed
Coverage in fertility is a patchwork: some investigation is covered, much treatment isn't, and the line between them is thin. File a covered investigation the wrong way and it denies. File monitoring as though it were routine care and it denies. Each one is rework, delay, and a patient asking why they got a bill.
Bandwidth, not effort
Your team is managing a lab, a schedule, and patients going through one of the most difficult years of their lives. The money is what gives.
The hardest conversation, at the worst time
Nobody wants to talk about money with someone who's just had bad news. That is why difficult financial conversations often get deferred. A deferred conversation becomes a mailed statement, and a mailed statement can become a dispute.
Complexity plus emotion
Your team is running a lab, a schedule, and caring for people at their most fragile. Checking whether every payment matched every contract is not what gives, and shouldn't be.
You can't see it from the deposit
As the owner, you get one number a month. Absorbed lab fees and cycles lost to paperwork are invisible from there, and you can't manage what nothing shows you.
Settle the money before the cycle starts.
Almost everything here is a sequencing problem. The financial conversation, the approval, and the expectations all belong before day one, not after. Do it then and patients are not ambushed, cycles are not lost, and you are not chasing anyone. All inside the systems you already use, with no disruption to your clinic or your lab.
Have the money conversation first
We help your team check coverage precisely and give each family a clear, honest picture of their cost before treatment begins. Not a harder conversation, an earlier one. People pay what they expected, and they rarely pay what shocked them.
Own the approvals
Approvals get tracked as the clinical deadlines they actually are, chased on a schedule rather than as a hope, so treatment windows are not lost to a fax nobody followed up.
See what the cycle actually paid
Our ClearView dashboard shows you where a payment came in below what the care should have paid, including absorbed lab work and underpaid monitoring. Our fertility-experienced reviewers check it against the chart and build the appeal.
Bill the care you actually gave
When a cycle is cancelled, there is a clear process for what was delivered and what can be billed, so scans, bloodwork, and medications do not disappear and nothing incorrect lands on the patient.
The 2026 OneMed Reproductive Health Profit Index.
We reviewed anonymized results from every fertility clinic we worked with over the last 18 months. The patterns became clear once we looked at where revenue was actually being lost.
28
fertility clinics analyzed
185,000+
claims reviewed
$195K
average recovered per clinic
↓ 35%
average bad debt
Approval turnaround improved by 14 days on average. In fertility care, that difference is measured in treatment cycles, not just calendar time. This is where recovered revenue had been hiding.
| Where the money was found | Share of what we recovered |
|---|---|
| Advanced lab work absorbed into the cycle price | 28% |
| Balances that became bad debt | 24% |
| Cycles saved from approval delays | 21% |
| Diagnostic and treatment claims filed correctly | 16% |
| Cancelled cycles finally billed for care given | 11% |
Aggregated across OneMed reproductive health engagements over the trailing 18 months. Individual results vary by clinic, payer mix, state mandates, case mix, and starting point.
Who We Serve?
Revenue recovery and full-cycle billing for fertility care.
Fertility clinics with embryology labs
Clinics carrying serious lab overhead, where absorbed advanced work hits the margin directly.
Independent reproductive endocrinology
Owner-run practices where every unbilled cycle and every written-off balance lands on the bottom line.
Multi-site fertility networks
Groups needing the same financial conversation and the same standards in every location.
Hospital-affiliated reproductive medicine
Fertility services inside larger organizations, where coverage rules and patient billing get complicated fast.
Your claims data, handled properly
A BAA is executed before any claims data is shared, and everything is handled in a controlled, auditable environment.
See it in your own numbers.
You shouldn't have to hand a new vendor months of patient records to find out whether this is real. Pull ten recent payment records, remove the patient details, and we will review them with you to show where payment came up short and where the front end is leaking.
- 1 · Pull 10 payment records from your largest insurer, including a mix of monitoring, cycle procedures, and advanced lab work.
- 2 · Remove patient details including names, dates of birth, and member IDs. We only need the amounts and claim details.
- 3 · Send them securely through our portal before the call.
- 4 · Review them live with us to see where lab work was absorbed, monitoring was underpaid, or patient balances are turning into bad debt.
Request received.
Thank you. A member of our team will review your information and be in touch within one business day. We look forward to showing you what your practice should be collecting.