Yes, our solutions cover all lines of business for claims grouping, editing, pricing, and repricing. We can support clients through intelligent API, sFTP workflows, or through our easy-to-use User Interface. Our solutions are used for a variety of use cases including real-time claims adjudication (we're integrated with many core claims systems), revenue cycle management, payment integrity, data & analytics, and benchmarking.

Healthcare claims pricing is the process of determining the appropriate reimbursement amount for medical claims based on provider contracts, fee schedules, government regulations, and payer policies. Accurate claims pricing helps health plans, healthcare systems, TPAs, and risk-bearing providers improve payment accuracy, reduce administrative costs, maintain compliance, and streamline reimbursement workflows. Micro-Dyn Medical specializes in fast, accurate, and cost-effective healthcare claims pricing solutions.

Micro-Dyn Medical offers comprehensive healthcare contract management solutions that help organizations manage provider agreements, reimbursement methodologies, fee schedules, and payment terms. Our contract management platform supports accurate claims adjudication, provider reimbursement calculations, and ongoing contract compliance across complex healthcare networks.

Micro-Dyn Medical serves a broad range of healthcare organizations, including :

• Health Plans

• Health Systems

• Hospitals and Healthcare Facilities

• Third-Party Administrators (TPAs)

• Risk-Bearing Providers

• Managed Care Organizations

• Self Insured Groups

Our solutions are designed to improve reimbursement accuracy, operational efficiency, and payment integrity across the healthcare ecosystem.

Claims repricing is the process of recalculating a healthcare claim according to contract terms, reimbursement schedules, payer policies, or regulatory requirements. Effective claims repricing ensures providers are reimbursed accurately while helping payers control costs and maintain compliance. Micro-Dyn Medical delivers fast and accurate claims repricing solutions for government and commercial healthcare programs.

Micro-Dyn Medical helps organizations maintain CMS compliance by applying current Medicare reimbursement methodologies, DRG grouping logic, claims editing rules, and regulatory requirements. Our solutions are designed to ensure healthcare claims are processed accurately and consistently with CMS standards.

Our claims pricing and contract management solutions ensure that claims contain the appropriate data, payment logic, and reimbursement methodologies before payment is issued. This helps healthcare organizations reduce payment errors, improve provider satisfaction, and strengthen reimbursement accuracy across Medicare, Medicaid, and commercial claims.

Claims editing helps verify that healthcare claims contain the necessary coding, billing, and payment information before reimbursement is calculated. Micro-Dyn Medical incorporates claims editing capabilities that help identify issues, improve payment accuracy, reduce denials, and support healthcare payment integrity programs.

Organizations choose Micro-Dyn Medical because we simplify healthcare reimbursement through integrated contract management and claims pricing solutions. Our platform delivers :

• Accurate healthcare claims pricing

• Medicare, Medicaid, and commercial claims support

• Healthcare contract management expertise

• CMS-compliant reimbursement methodologies

• Claims editing and payment validation

• Historical reimbursement analysis

• Healthcare price transparency support

• Cost-effective and scalable solutions

• Seamless user interfaces and integrated workflows

Micro-Dyn Medical helps healthcare organizations streamline reimbursement operations, improve payment accuracy, reduce administrative complexity, and support compliance across the healthcare payment lifecycle.

Micro-Dyn Medical simplifies reimbursement workflows by combining contract management, claims pricing, claims repricing, reimbursement analytics, and payment integrity capabilities into a unified solution. This integrated approach helps health plans, healthcare facilities, TPAs, and risk-bearing providers improve efficiency while ensuring accurate and compliant provider reimbursement.

Yes. Micro-Dyn Medical supports Diagnosis-Related Group (DRG) grouping in accordance with CMS guidelines. Accurate DRG assignment is critical for proper hospital reimbursement, payment integrity, and regulatory compliance. Our technology helps organizations apply the correct grouping logic to support accurate payment calculations.