Medical Credentialing, Payer Contracting, & Billing

Medwave provides medical credentialing, payer contracting, and medical billing services to healthcare practices across the country. We work with independent physicians, group practices, allied health providers, and multi-specialty organizations, handling the administrative infrastructure that determines how much a practice collects and how quickly it gets paid.

Medical Credentialing

Medwave manages provider credentialing for healthcare practices across the country, including initial enrollment, CAQH setup, payer-specific applications, and revalidation tracking. We have credentialed providers across every major specialty for over 30 years.

Simplified Credentialing

Payer Contracting

Payer contracting helps healthcare providers negotiate and manage agreements with insurance companies. Including contract analysis, rate negotiations, compliance, and ongoing support to optimize reimbursement and maintain positive payer relationships.

Payer Contracting Expertise

Medical Billing

We handle medical billing for practices across the country, including charge capture, claim submission, denial management, payment posting. HL7 integration and RPA for billing automation, reducing manual work, accelerating payment timelines.

Better Billing Workflows

Medical Credentialing

Medwave manages provider credentialing from initial application through revalidation. That includes CAQH profile setup and maintenance, payer-specific application submission, status tracking, deficiency resolution, and revalidation scheduling. Providers who use Medwave for credentialing service do not miss payer deadlines or sit unbillable while applications are pending. We handle all aspects, from initial applications to recredentialing and everything in between.

Payer Contracting

Medwave analyzes existing payer contracts, benchmarks fee schedules against Medicare and peer market rates, identifies underpaid CPT codes, and negotiates rate improvements directly with payers. We also review contract language for termination clauses, timely filing provisions, and audit rights that create liability for providers who sign without reading.

Medical Billing

Medwave handles end-to-end billing for specialty practices, including charge capture, claim submission, denial management, and payment posting. Our billing service team uses RPA for high-volume transactional work and HL7 integration for practices that need bidirectional data exchange with their EHR.

Cutting-Edge Technology

We harness the power of cutting-edge technology (which includes HL7 standards and Robotic Process Automation (RPA)) to enhance our services and deliver unparalleled results. Our technology integrates seamlessly with your existing systems, providing real-time visibility into your revenue cycle performance. With advanced analytics and reporting capabilities, you can make data-driven decisions to optimize your practice’s financial health.

Credentialing, Contracting, & Billing
Call or Text: (412) 219-4789

Medical Credentialing, Payer Contracting, & Billing

Medical Credentialing

Medwave manages provider credentialing for healthcare practices across the country, including initial enrollment, CAQH setup, payer-specific applications, and revalidation tracking. We have credentialed providers across every major specialty for over 30 years.

Payer Contracting

Payer contracting helps healthcare providers negotiate and manage agreements with insurance companies. Including contract analysis, rate negotiations, compliance, and ongoing support to optimize reimbursement and maintain positive payer relationships.

Medical Billing

We handle medical billing for practices across the country, including charge capture, claim submission, denial management, payment posting. HL7 integration and RPA for billing automation, reducing manual work, accelerating payment timelines.

Medical Credentialing

Payer Contracting

Medical Billing

Rate Negotiations

Cutting-Edge Technology

Credentialing, Contracting, & BillingCall or Text: (412) 219-4789

Medical Credentialing, Payer Contracting, & Billing

Medical Credentialing

Medwave manages provider credentialing for healthcare practices across the country, including initial enrollment, CAQH setup, payer-specific applications, and revalidation tracking. We have credentialed providers across every major specialty for over 30 years.

Payer Contracting

Payer contracting helps healthcare providers negotiate and manage agreements with insurance companies. Including contract analysis, rate negotiations, compliance, and ongoing support to optimize reimbursement and maintain positive payer relationships.

Medical Billing

We handle medical billing for practices across the country, including charge capture, claim submission, denial management, payment posting. HL7 integration and RPA for billing automation, reducing manual work, accelerating payment timelines.

Medical Credentialing

Payer Contracting

Medical Billing

Rate Negotiations

Cutting-Edge Technology

Credentialing, Contracting, & Billing
Call or Text: (412) 219-4789