Medicare, Medicaid, and Commercial Pricing, and Contract Management Solutions Made Easy

Most Accurate, Highly Secure and Lowest Cost Solutions on the Market

Why use CMSPricer to re-price and edit your Medicare claims?

No Set Up

Web-based with results returned in seconds priced at 100% of Medicare rates. Hand Key Entry or Auto Batch/EDI Uploads, Easy imports/exports. 

No Hassle

No contracts, No sales people…..pre-pay purchase with volume discounting and easy online payment processing.

Accurate

Frequent engine updates with latest CMS policies and rates to ensure accurate claims pricing. The CMS.Gov typically has a 3 month lag time and incomplete pricing results. We price all PPS types of Institutional and Professional claims including claim editing for Referenced Based pricing.

Security

No PHI or claims data stored. Utilizes contemporary cloud-based security, including EV SSL Certificate, 5HA2, and 2048 bit encryption (strongest on the market). Fully HIPAA and ANSI 837 version 5010 compliant. Every user has their secure login and account. 

Availability

As long as you have access to the Internet, you can run 24/7/365 securely *excluding short windows for system maintenance.

Our Clients

We serve Payers, PPOs, TPA’s, BPO’s, Self-Funded Employers and Auditing Firms.

New Users 5 Claims FREE no commitments

NO SOFTWARE TO INSTALL

NO COMPLEX CONTRACT TO SIGN

USA OWNED AND OPERATED

100% ON-SHORE RESOURCES

ACCURATE SaaS CLAIMS PROCESSING

EASY MANUAL, BATCH OR API Claims Integration Claims ENTRY

Why our clients value us:

CMSPricer by Micro-Dyn

Our latest blog update

Your Medicare Claims Are Getting Denied? Here’s How to Fix That Before It Even Happens!

By pwsadmin | May 12, 2026

Let’s be honest. Claim denials are one of the most frustrating and expensive problems in healthcare revenue cycle management. You submit a claim, wait weeks, and then get hit with a rejection that sends your team scrambling to rework everything from scratch. The average cost of reworking a single rejected professional claim runs anywhere from…

Managing Healthcare Contracts Is a Nightmare Unless You Have the Right Tool

By pwsadmin | May 11, 2026

If you’ve ever tried to manage multiple payer contracts manually, you already know how quickly things can spiral. Different fee schedules, provider networks that shift over time, annual rate adjustments, and the constant pressure to keep pricing accurate, it’s a lot. And when something slips through the cracks, it’s usually your revenue that takes the…

Is Your Medicare Claims Pricing Tool Actually Keeping Up?

By pwsadmin | April 1, 2026

If you’re involved in healthcare claims, whether as a payer, TPA, self-funded employer, or auditing firm, you are likely familiar with this frustration. You file a claim, wait for the outcome, and then find out that the pricing returned is either incomplete, outdated, or not aligned with the current Medicare rates. By the time you…