Patient Estimation

JSON twin: https://www.healthaidb.com/software/patient-estimation.json

Company Name

Waystar

Product URL

https://www.waystar.com/our-platform/financial-clearance/patient-estimation/

Company URL

https://www.waystar.com

Categories

• eligibility Verification
• patient Financial Services
• revenue Cycle
• Financial Clearance
• Patient Financial Experience
• Revenue Cycle Management

Summary

Waystar's Patient Estimation tool provides healthcare providers with accurate, real-time patient cost estimates, enhancing financial transparency and improving point-of-service collections.

Description

Waystar's Patient Estimation solution automates the calculation of patient financial responsibility by integrating managed care contracts, charge master data, and current patient benefit accumulators. It offers a user-friendly interface for patients to access cost estimates, thereby reducing unexpected bills and enhancing patient satisfaction. The tool also includes a financial assistance feature to assess patients' ability to pay and determine eligibility for charity care, without requiring intrusive credit checks. This solution is part of Waystar's comprehensive revenue cycle management platform, which processes nearly a trillion dollars in healthcare claims annually, serving over 500,000 providers, including more than 1,000 hospitals and health systems. ([prnewswire.com](https://www.prnewswire.com/news-releases/waystar-ranked-1-vendor-for-revenue-cycle-management-software-in-two-key-categories-for-large-hospitals-idns-and-health-systems-301448445.html?utm_source=openai))

Api Available

yes

Certifications

• SOC 2
• HITRUST CSF
• PCI-DSS Level 1 Service Provider
• SSAE 18 SOC 2 Type Two

Company Founding

2017

Company Offices

• United States

Compliance

• HIPAA
• HITECH
• SOC 2
• PCI DSS (payments-related)

Customers

Data Residency

Primarily US-based hosting; multi-tenant cloud (contact vendor for regional/EU options)

Data Standards

• X12 / EDI
• HL7 v2
• FHIR

Deployment Model

• SaaS

Features

• Financial clearance (eligibility verification)
• Patient estimation & price transparency
• Prior authorization & referral status
• Registration QA
• Advanced propensity-to-pay scoring
• Revenue capture (charge integrity, DRG anomaly detection, transfer DRG)
• Claim management (claim creation, attachments, monitoring)
• Payment management (payer reimbursement, remit & deposit management, EOB conversion/payer lockbox)
• Patient payments & patient reimbursement
• Agency manager for collections
• Denial prevention, appeal & recovery
• Analytics & reporting (operational and Medicare analytics)
• AI-powered insights (AltitudeAI)
• Quality & compliance reporting

Id

SW2487

Integration Partners

Integrations

• Epic
• Cerner
• Meditech
• eClinicalWorks
• Athenahealth
• NextGen
• Practice Management systems (various EHR/PM connectors)
• Payer networks / clearinghouses (X12/EDI connections)

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Analytics Pro / Peak
• Medicare Analytics
• Quality & Compliance Reporting
• AltitudeAI (advanced AI/ML module)

Os Platforms

• Web
• iOS
• Android

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Data minimization / access controls

Product Code

SW2487

Product Name

Patient Estimation

Ratings

• 4.4/5 (117 reviews) - G2
• 5.0/5 (1 review) - Capterra

Regions Available

• United States

Related Urls

• https://elion.health/products/waystar-patient-estimation

Release Year

""

Security Features

• Encryption (in transit and at rest)
• Role-based access control (RBAC)
• SSO / SAML
• Audit logging
• Multi-factor authentication (2FA)

Specialties

• General Healthcare

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• healthcare providers
• patients

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Very bad experience with customer service
• Waystar does not adhere to their contractual agreements and overcharges clients for services.
• Customer support is abysmal.
• Review Contract Closely!!!!
• We recently switched to Waystar and it's the best thing our company did!!
• One of the best clearing House ever I have been using from last 6 years!
• Awesome for quick billing!
• One Stop Shop

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Patient Estimation",
  "company_name": "Waystar",
  "product_url": "https://www.waystar.com/our-platform/financial-clearance/patient-estimation/",
  "company_url": "https://www.waystar.com",
  "related_urls": [
    "https://elion.health/products/waystar-patient-estimation"
  ],
  "product_code": "SW2487",
  "summary": "Waystar's Patient Estimation tool provides healthcare providers with accurate, real-time patient cost estimates, enhancing financial transparency and improving point-of-service collections.",
  "description": "Waystar's Patient Estimation solution automates the calculation of patient financial responsibility by integrating managed care contracts, charge master data, and current patient benefit accumulators. It offers a user-friendly interface for patients to access cost estimates, thereby reducing unexpected bills and enhancing patient satisfaction. The tool also includes a financial assistance feature to assess patients' ability to pay and determine eligibility for charity care, without requiring intrusive credit checks. This solution is part of Waystar's comprehensive revenue cycle management platform, which processes nearly a trillion dollars in healthcare claims annually, serving over 500,000 providers, including more than 1,000 hospitals and health systems. ([prnewswire.com](https://www.prnewswire.com/news-releases/waystar-ranked-1-vendor-for-revenue-cycle-management-software-in-two-key-categories-for-large-hospitals-idns-and-health-systems-301448445.html?utm_source=openai))",
  "categories": [
    "eligibility Verification",
    "patient Financial Services",
    "revenue Cycle",
    "Financial Clearance",
    "Patient Financial Experience",
    "Revenue Cycle Management"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "healthcare providers",
    "patients"
  ],
  "specialties": [
    "General Healthcare"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2017",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web",
    "iOS",
    "Android"
  ],
  "features": [
    "Financial clearance (eligibility verification)",
    "Patient estimation & price transparency",
    "Prior authorization & referral status",
    "Registration QA",
    "Advanced propensity-to-pay scoring",
    "Revenue capture (charge integrity, DRG anomaly detection, transfer DRG)",
    "Claim management (claim creation, attachments, monitoring)",
    "Payment management (payer reimbursement, remit & deposit management, EOB conversion/payer lockbox)",
    "Patient payments & patient reimbursement",
    "Agency manager for collections",
    "Denial prevention, appeal & recovery",
    "Analytics & reporting (operational and Medicare analytics)",
    "AI-powered insights (AltitudeAI)",
    "Quality & compliance reporting"
  ],
  "optional_modules": [
    "Analytics Pro / Peak",
    "Medicare Analytics",
    "Quality & Compliance Reporting",
    "AltitudeAI (advanced AI/ML module)"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "Meditech",
    "eClinicalWorks",
    "Athenahealth",
    "NextGen",
    "Practice Management systems (various EHR/PM connectors)",
    "Payer networks / clearinghouses (X12/EDI connections)"
  ],
  "data_standards": [
    "X12 / EDI",
    "HL7 v2",
    "FHIR"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "SOC 2",
    "PCI DSS (payments-related)"
  ],
  "certifications": [
    "SOC 2",
    "HITRUST CSF",
    "PCI-DSS Level 1 Service Provider",
    "SSAE 18 SOC 2 Type Two"
  ],
  "security_features": [
    "Encryption (in transit and at rest)",
    "Role-based access control (RBAC)",
    "SSO / SAML",
    "Audit logging",
    "Multi-factor authentication (2FA)"
  ],
  "privacy_features": [
    "BAA available",
    "Data minimization / access controls"
  ],
  "data_residency": "Primarily US-based hosting; multi-tenant cloud (contact vendor for regional/EU options)",
  "customers": [],
  "user_reviews": [
    "Very bad experience with customer service",
    "Waystar does not adhere to their contractual agreements and overcharges clients for services.",
    "Customer support is abysmal.",
    "Review Contract Closely!!!!",
    "We recently switched to Waystar and it's the best thing our company did!!",
    "One of the best clearing House ever I have been using from last 6 years!",
    "Awesome for quick billing!",
    "One Stop Shop"
  ],
  "ratings": [
    "4.4/5 (117 reviews) - G2",
    "5.0/5 (1 review) - Capterra"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "\"\"",
  "integration_partners": [],
  "id": "SW2487",
  "slug": "patient-estimation",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/patient-estimation.json"
  }
}