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Claims Pricing & Contract Management

One platform to price every claim, across every payer.

Micro-Dyn automates contract interpretation and claims pricing for Medicare, Medicaid, and Commercial lines of business — with 99%+ accuracy, deployed your way.

All lines of business

Medicare

Medicaid

Commercial

30+ yrs

200+

99%+

<10 days

INDUSTRY EXPERIENCE

CUSTOMERS

PRICING ACCURACY

TO REFLECT CMS CHANGES

Three ways to put Micro-Dyn to work

Our Solutions

Take the full platform, or start with the module you need. Everything connects through one rules engine.

01

Contract Manager

Turn complex payer and provider contract language into system-driven pricing rules. Automate 100% of contracts with a full audit trail and proactive compliance monitoring.

02

Pricing Suite — Intelligent
Integration

Embed Micro-Dyn grouping, editing, and pricing directly in your claims workflow via fast, secure API or DLLs. On-prem or cloud-hosted, Windows or non-Windows.

03

Encoder Plus — Desktop

A standalone workstation app for single-claim or unlimited batch processing across Medicare IP/OP, ASC, and Medicaid APR-DRG. Ideal for analytics, review, and ad-hoc runs.

Every payment system, every line of business

Complete Coverage

Comprehensive grouping, editing, and pricing across the full spectrum of CMS prospective payment systems and beyond.

Medicare

  • IPPS — DRG grouping & pricing

  • OPPS / APC editor & pricer

  • ASC, IRF, SNF, HH, Psych, ESRD

  • MCE inpatient code editing

Medicaid

  • State-specific APR-DRG

  • EAPG grouping & pricing

  • Fee-for-service

Medicaid

  • Bespoke contract-based pricing

  • Medicare reference-based (RBP)

  • Discount / % of charges

  • Tricare & Workers’ Comp

Every payment system, every line of business

Why Micro-Dyn

A third-party source of truth, trusted for decades

Software, claims, and actuarial expertise deliver 99%+ payment accuracy.

Accurate

CMS rule changes reflected in under 10 days, tracked 24/7

Fast

Runs on your infrastructure — we never retain claims data.

Secure

Comprehensive coverage that fits your budget.

Cost-Effective

Two ways to partner

How to Work With Us

Engage Micro-Dyn directly, or access our pricing through the claims systems you already run. Either path, you can be live in as little as two weeks.

Directly with Micro-Dyn

  • License the full platform or individual modules

  • Guided implementation planning & checkpoints

  • Dedicated implementation & support team

  • CMS rule changes tracked 24/7, live in <10 days

Work with our team

Through a partner

  • Embedded in claims processing, payment integrity & RCM platforms

  • The same Micro-Dyn engine, delivered through your existing vendor

  • API or DLL integration, on-prem or cloud-hosted

  • No new workflow — pricing where your claims already flow

Built into your claims systems

Getting Started

From free trial to go-live in two weeks

01

Free Trial

Validate fit for your use cases.

02

Configure License

Select platform or modules.

03

Plan

Set cadence & first-60-day checkpoints.

04

Contract

Finalize licensing & terms.

05

Financial Setup

Invoicing & payment.

06

Go Live

Process with full support.

Ready to see Micro-Dyn price your claims?

Start a free trial and test the full functionality on your own use cases.

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