Payer Contracting for Practices and Provider Groups

Medwave's payer contracting services help practices secure contracts with insurance payers and review the terms behind the rates they're paid. The same team that handles credentialing and billing works your contracts, so reimbursement terms get checked against how claims actually pay. With more than 25 years of payer experience, we know where payers have room to move and where they don't.

Payer contracting is the step after credentialing, and it decides what you get paid for every claim you send. We work with independent practices and specialty groups that want better terms from the payers they already bill, or that are adding payers and need a contract worth signing. Our team compares fee schedules against your actual collections and flags the codes where you're paid below what you should be. We also track renewals and amendments so a contract doesn't roll over on old rates without anyone noticing. Medwave is based in Cranberry Township, PA, has supported more than 15,000 providers, and runs credentialing, billing, and contracting under one team, so nobody has to relay information between vendors.