Waystar

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

Company Name

Waystar

Product URL

https://www.waystar.com

Company URL

https://www.waystar.com

Categories

• administrative Operations
• financial Management
• revenue Cycle
• ai Clinical Documentation Integrity
• payment Solutions
• Administrative
• Revenue Cycle Management
• Ai And Automation
• Healthcare Payments

Summary

Waystar is a healthcare payment software platform that leverages AI and automation to streamline revenue cycle management for providers, enhancing financial performance and patient care.

Description

Waystar offers a comprehensive suite of AI-powered solutions designed to simplify healthcare payments. Its platform encompasses financial clearance, revenue capture, claim management, payment management, denial prevention and recovery, and analytics and reporting. By integrating advanced technologies, Waystar aims to reduce administrative burdens, improve claim accuracy, and accelerate payment processes, thereby optimizing financial outcomes for healthcare providers.

Api Available

yes

Certifications

• HITRUST CSF Certified
• SOC 2 Type II
• PCI DSS

Company Founding

2013

Company Offices

• United States

Compliance

• HIPAA
• HITECH
• SOC 2
• PCI DSS

Customers

Data Residency

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

Data Standards

• HL7 v2
• FHIR
• X12/EDI

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

SW2485

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

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

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• Business Associate Agreement (BAA) available
• Data minimization and purpose-limited processing

Product Code

SW2485

Product Name

Waystar

Ratings

• 4.4/5 (117 reviews) - G2
• 4.4/5 (204 reviews) - Capterra

Regions Available

• United States

Related Urls

• https://elion.health/products/waystar

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
• Ambulatory Surgery Centers
• Clinical Laboratories
• Durable Medical Equipment
• Fqhcs
• Home Health And Hospice
• Skilled Nursing
• Children's Hospitals

Support Channels

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

System Requirements

Target Users

• clinicians
• nurses
• admins
• healthcare providers
• health systems
• hospitals
• physician practices
• specialty practices
• ambulatory surgery centers
• billing services
• clinical laboratories
• durable medical equipment providers
• FQHCs
• home health and hospice
• skilled nursing facilities
• children's hospitals

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": "Waystar",
  "company_name": "Waystar",
  "product_url": "https://www.waystar.com",
  "company_url": "https://www.waystar.com",
  "related_urls": [
    "https://elion.health/products/waystar"
  ],
  "product_code": "SW2485",
  "summary": "Waystar is a healthcare payment software platform that leverages AI and automation to streamline revenue cycle management for providers, enhancing financial performance and patient care.",
  "description": "Waystar offers a comprehensive suite of AI-powered solutions designed to simplify healthcare payments. Its platform encompasses financial clearance, revenue capture, claim management, payment management, denial prevention and recovery, and analytics and reporting. By integrating advanced technologies, Waystar aims to reduce administrative burdens, improve claim accuracy, and accelerate payment processes, thereby optimizing financial outcomes for healthcare providers.",
  "categories": [
    "administrative Operations",
    "financial Management",
    "revenue Cycle",
    "ai Clinical Documentation Integrity",
    "administrative Operations",
    "payment Solutions",
    "Administrative",
    "Financial Management",
    "Revenue Cycle Management",
    "Ai And Automation",
    "Healthcare Payments"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "admins",
    "healthcare providers",
    "health systems",
    "hospitals",
    "physician practices",
    "specialty practices",
    "ambulatory surgery centers",
    "billing services",
    "clinical laboratories",
    "durable medical equipment providers",
    "FQHCs",
    "home health and hospice",
    "skilled nursing facilities",
    "children's hospitals"
  ],
  "specialties": [
    "General Healthcare",
    "Ambulatory Surgery Centers",
    "Clinical Laboratories",
    "Durable Medical Equipment",
    "Fqhcs",
    "Home Health And Hospice",
    "Skilled Nursing",
    "Children's Hospitals"
  ],
  "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": "2013",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "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)"
  ],
  "data_standards": [
    "HL7 v2",
    "FHIR",
    "X12/EDI"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITECH",
    "SOC 2",
    "PCI DSS"
  ],
  "certifications": [
    "HITRUST CSF Certified",
    "SOC 2 Type II",
    "PCI DSS"
  ],
  "security_features": [
    "Encryption in transit and at rest",
    "Role-based access control (RBAC)",
    "SSO/SAML",
    "Audit logging",
    "Multi-factor authentication (2FA)"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) available",
    "Data minimization and purpose-limited processing"
  ],
  "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",
    "4.4/5 (204 reviews) - Capterra"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "\"\"",
  "integration_partners": [],
  "id": "SW2485",
  "slug": "waystar",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/waystar.json"
  }
}