waystar

JSON twin: https://www.healthaidb.com/software/waystar.json

Company Name

Waystar

Product URL

https://www.waystar.com/our-platform/

Company URL

https://www.waystar.com

Categories

Summary

Waystar is a cloud-based revenue cycle management (RCM) and healthcare payments platform that automates claims, eligibility, denials, patient payments and analytics to accelerate provider collections and simplify billing workflows.

Description

Waystar provides an enterprise-grade, AI-enabled RCM platform and payment solutions for healthcare organizations. Core capabilities include claims management and scrubbing, denial prevention and appeals, eligibility and prior authorization checks, patient payment portals and point-of-care collections, payment posting and reconciliation, analytics and reporting, and integrations with major EHRs and clearinghouses to streamline front-, middle- and back-office revenue cycle operations.

Api Available

yes

Certifications

Company Founding

2017

Company Offices

Compliance

Customers

Data Residency

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

Data Standards

Deployment Model

Features

Id

P1790

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Pricing varies by product modules, deployment scale and services (implementation/managed services). Public pricing not disclosed — contact vendor for quote; demos and trials available by request.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2001

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Waystar",
  "company_url": "https://www.waystar.com",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2017",
  "product_url": "https://www.waystar.com/our-platform/",
  "categories": [
    "administrative",
    "revenue cycle management",
    "financial",
    "patient-facing",
    "analytics"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://www.waystar.com",
    "https://www.waystar.com/about-us/",
    "https://www.waystar.com/our-platform/",
    "https://www.waystar.com/contact-us/",
    "https://www.waystar.com/practice-management/",
    "https://www.waystar.com/news/waystar-achieves-hitrust-csf-certification-to-manage-risk-improve-security-posture-and-meet-compliance-requirements/",
    "https://www.g2.com/products/waystar/reviews",
    "https://www.capterra.com/p/45512/ZirMed/",
    "https://klasresearch.com/vendor-ratings/waystar/61600"
  ],
  "summary": "Waystar is a cloud-based revenue cycle management (RCM) and healthcare payments platform that automates claims, eligibility, denials, patient payments and analytics to accelerate provider collections and simplify billing workflows.",
  "description": "Waystar provides an enterprise-grade, AI-enabled RCM platform and payment solutions for healthcare organizations. Core capabilities include claims management and scrubbing, denial prevention and appeals, eligibility and prior authorization checks, patient payment portals and point-of-care collections, payment posting and reconciliation, analytics and reporting, and integrations with major EHRs and clearinghouses to streamline front-, middle- and back-office revenue cycle operations.",
  "target_users": [
    "health system finance leaders",
    "hospital billing teams",
    "medical group administrators",
    "revenue cycle managers",
    "billing and coding specialists",
    "patient financial services staff",
    "payers (partners/integrations)"
  ],
  "specialties": [
    "acute care / hospitals",
    "ambulatory / physician practices",
    "home health and hospice",
    "physical therapy / rehabilitation",
    "behavioral health",
    "ambulatory surgery centers",
    "imaging / radiology",
    "specialty medical groups"
  ],
  "regions_available": [
    "United States",
    "Canada"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Pricing varies by product modules, deployment scale and services (implementation/managed services). Public pricing not disclosed — contact vendor for quote; demos and trials available by request.",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS/cloud"
  ],
  "os_platforms": [
    "Web (browser)",
    "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"
  ],
  "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": [
    "Mount Sinai Health System",
    "Piedmont Healthcare",
    "TeamHealth",
    "Children's hospitals (multiple clients mentioned in Waystar materials)"
  ],
  "user_reviews": [
    "I love Waystar. When you manually upload your files you can select an option to reject all invoices in the batch and go through each one...",
    "Overall we are very pleased with Waystar - it is cost effective and works well with our billing program Allscripts",
    "Easy to use and speeds up verification and claims processing",
    "I think overall I like Waystar and would recommend it to a facility that needs it"
  ],
  "ratings": [
    "G2: 4.4/5 (approx.)",
    "Software Advice / GetApp: ~4.4–4.5/5",
    "Better Business Bureau (BBB): A+",
    "KLAS: Ranked Best in KLAS for Claims & Clearinghouse segment (multiple years)"
  ],
  "support_channels": [
    "phone",
    "email",
    "online chat",
    "ticketing/portal",
    "knowledge base/resources",
    "webinars"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online training",
    "onsite implementation support",
    "resource library/case studies"
  ],
  "release_year": "2001",
  "integration_partners": [
    "Allscripts",
    "TeamHealth"
  ],
  "id": "P1790",
  "slug": "waystar",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/waystar.json"
  }
}