Patient Financial Experience

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

Company Name

Waystar

Product URL

https://www.waystar.com/patient-financial-experience/

Company URL

https://www.waystar.com

Categories

• administrative Operations
• patient Facing
• financial Management
• Administrative

Summary

Waystar's Patient Financial Experience streamlines healthcare payments, enhancing patient satisfaction and accelerating cash flow for providers.

Description

Waystar's Patient Financial Experience is a comprehensive suite of solutions designed to simplify the patient payment process. It offers features such as Text Statements, which allow patients to view and pay bills via smartphone, and a Patient Portal providing 24/7 access to statements and balance updates. The platform also includes eligibility verification, patient estimation tools, and coverage detection to improve financial transparency and efficiency. By integrating these tools, Waystar aims to increase patient-pay collections by up to 30% and reduce bad debt, all while enhancing the overall patient experience.

Api Available

yes

Certifications

• SOC 2
• HITRUST CSF
• PCI-DSS Level 1 Service Provider
• SSAE 18 SOC 2
• PCI Point-to-Point Encryption

Company Founding

2014

Company Offices

• United States

Compliance

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

Customers

• Medical Practice A
• Hospital B
• Health System C
• Clinic D
• Healthcare Organization E
• Medical Center F
• Practice G
• Facility H
• Provider I
• Hospital J
• Health Group K
• Clinic L
• Medical Group M
• Healthcare Provider N
• Practice O
• Hospital P
• Health System Q
• Medical Center R
• Clinic S
• Provider T
• Facility U
• Practice V
• Hospital W
• Health Group X
• Medical Center Y
• Clinic Z
• Healthcare Organization AA
• Practice AB
• Facility AC
• Provider AD

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

SW1307

Integration Partners

• Epic Systems
• Cerner Corporation
• Allscripts Healthcare Solutions
• McKesson Corporation
• Athenahealth
• NextGen Healthcare
• eClinicalWorks
• Greenway Health
• GE Healthcare
• Meditech
• Kareo
• AdvancedMD
• Practice Fusion
• DrChrono
• NueMD
• CareCloud
• MDTech
• CompuGroup Medical
• e-MDs
• Amazing Charts

Integrations

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

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• Medical Necessity verification module
• Automated status retrievals module
• Inpatient direct-admission automation

Os Platforms

• Web
• iOS
• Android
• Windows
• macOS
• Linux

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Data minimization and purpose-limited processing (platform practice)

Product Code

SW1307

Product Name

Patient Financial Experience

Ratings

• 4.4/5 (117 reviews) - G2
• 4.3/5 (13 reviews) - TriZetto QNXT
• 4.1/5 (40 reviews) - Essentials
• 4.1/5 (239 reviews) - Tebra
• 4.3/5 (11 reviews) - TriZetto QNXT
• 4.1/5 (235 reviews) - Tebra

Regions Available

• United States

Related Urls

• https://elion.health/products/rldatix-patient-experience-and-growth

Release Year

2014

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

• patients
• healthcare providers
• administrators

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Very bad experience with customer service. As a billing clearing house, they are relatively effective. Not too many complaints.
• Waystar traps medical providers into multi-year contracts with unfair terms, sneaky price hikes, and no ethical way to exit. If you sign up, be prepared for hidden fees, forced renewals, increased pricing, and an uphill battle if you ever try to leave. If you're a practice owner, read the fine print carefully before signing with Waystar.
• The convenience of being able to take a patient's payment, it is super easy to set up patient payment plans, collect balances, and even useful if needing to do over the phone.
• Data Access Held Hostage: If you terminate, you instantly lose access to all claims and financial data unless you pay additional fees to reactivate.
• After numerous attempts trying to get implemented, Waystar stopped responding when they finally did respond, they stated that what was discussed doesn't really work in their software.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Patient Financial Experience",
  "company_name": "Waystar",
  "product_url": "https://www.waystar.com/patient-financial-experience/",
  "company_url": "https://www.waystar.com",
  "related_urls": [
    "https://elion.health/products/rldatix-patient-experience-and-growth"
  ],
  "product_code": "SW1307",
  "summary": "Waystar's Patient Financial Experience streamlines healthcare payments, enhancing patient satisfaction and accelerating cash flow for providers.",
  "description": "Waystar's Patient Financial Experience is a comprehensive suite of solutions designed to simplify the patient payment process. It offers features such as Text Statements, which allow patients to view and pay bills via smartphone, and a Patient Portal providing 24/7 access to statements and balance updates. The platform also includes eligibility verification, patient estimation tools, and coverage detection to improve financial transparency and efficiency. By integrating these tools, Waystar aims to increase patient-pay collections by up to 30% and reduce bad debt, all while enhancing the overall patient experience.",
  "categories": [
    "administrative Operations",
    "patient Facing",
    "financial Management",
    "Administrative",
    "Patient-facing",
    "Financial Management"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "patients",
    "healthcare providers",
    "administrators"
  ],
  "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": "2014",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web",
    "iOS",
    "Android",
    "Windows",
    "macOS",
    "Linux"
  ],
  "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": [
    "Medical Necessity verification module",
    "Automated status retrievals module",
    "Inpatient direct-admission automation"
  ],
  "integrations": [
    "Epic",
    "Cerner",
    "Meditech",
    "eClinicalWorks",
    "Athenahealth",
    "NextGen",
    "Practice Management systems (various EHR/PM connectors)",
    "Payer networks / clearinghouses (X12/EDI connections)",
    "Allscripts",
    "TeamHealth"
  ],
  "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",
    "PCI Point-to-Point Encryption"
  ],
  "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 and purpose-limited processing (platform practice)"
  ],
  "data_residency": "Primarily US-based hosting; multi-tenant cloud (contact vendor for regional/EU options)",
  "customers": [
    "Medical Practice A",
    "Hospital B",
    "Health System C",
    "Clinic D",
    "Healthcare Organization E",
    "Medical Center F",
    "Practice G",
    "Facility H",
    "Provider I",
    "Hospital J",
    "Health Group K",
    "Clinic L",
    "Medical Group M",
    "Healthcare Provider N",
    "Practice O",
    "Hospital P",
    "Health System Q",
    "Medical Center R",
    "Clinic S",
    "Provider T",
    "Facility U",
    "Practice V",
    "Hospital W",
    "Health Group X",
    "Medical Center Y",
    "Clinic Z",
    "Healthcare Organization AA",
    "Practice AB",
    "Facility AC",
    "Provider AD"
  ],
  "user_reviews": [
    "Very bad experience with customer service. As a billing clearing house, they are relatively effective. Not too many complaints.",
    "Waystar traps medical providers into multi-year contracts with unfair terms, sneaky price hikes, and no ethical way to exit. If you sign up, be prepared for hidden fees, forced renewals, increased pricing, and an uphill battle if you ever try to leave. If you're a practice owner, read the fine print carefully before signing with Waystar.",
    "The convenience of being able to take a patient's payment, it is super easy to set up patient payment plans, collect balances, and even useful if needing to do over the phone.",
    "Data Access Held Hostage: If you terminate, you instantly lose access to all claims and financial data unless you pay additional fees to reactivate.",
    "After numerous attempts trying to get implemented, Waystar stopped responding when they finally did respond, they stated that what was discussed doesn't really work in their software."
  ],
  "ratings": [
    "4.4/5 (117 reviews) - G2",
    "4.3/5 (13 reviews) - TriZetto QNXT",
    "4.1/5 (40 reviews) - Essentials",
    "4.1/5 (239 reviews) - Tebra",
    "4.3/5 (11 reviews) - TriZetto QNXT",
    "4.1/5 (235 reviews) - Tebra"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2014",
  "integration_partners": [
    "Epic Systems",
    "Cerner Corporation",
    "Allscripts Healthcare Solutions",
    "McKesson Corporation",
    "Athenahealth",
    "NextGen Healthcare",
    "eClinicalWorks",
    "Greenway Health",
    "GE Healthcare",
    "Meditech",
    "Kareo",
    "AdvancedMD",
    "Practice Fusion",
    "DrChrono",
    "NueMD",
    "CareCloud",
    "MDTech",
    "CompuGroup Medical",
    "e-MDs",
    "Amazing Charts"
  ],
  "id": "SW1307",
  "slug": "patient-financial-experience",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/patient-financial-experience.json"
  }
}