JSON twin: https://www.healthaidb.com/software/waystar-denial-management.json
Waystar
https://www.waystar.com/our-platform/denial-prevention-recovery/denial-appeal-management/
Cloud-based denial and appeal management software that uses AI and automation to prioritize, generate, submit, and track claim appeals to recover revenue and reduce manual work.
Waystar Denial + Appeal Management leverages predictive analytics (AltitudePredict™), generative AI for appeal creation (AltitudeCreate™), a library of payer-specific forms, automated routing/workflows and analytics to prevent, prioritize, and resolve claim denials while integrating with practice management / hospital information systems.
yes
2017
P1792
2025-09-07
commercial/proprietary
Contact vendor for pricing, tiers and demo/trial information.
enterprise_quote
product
1.0
{
"company_name": "Waystar",
"company_url": "https://www.waystar.com",
"company_offices": [
"United States"
],
"company_founding": "2017",
"product_url": "https://www.waystar.com/our-platform/denial-prevention-recovery/denial-appeal-management/",
"categories": [
"administrative",
"revenue cycle management",
"claims management",
"denial management",
"analytics & reporting",
"financial clearance"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.waystar.com/our-platform/denial-prevention-recovery/denial-appeal-management/",
"https://www.waystar.com/our-platform/denial-prevention-recovery/",
"https://www.waystar.com/our-platform/claim-management/",
"https://www.waystar.com/about-us/",
"https://www.waystar.com/contact-us/",
"https://www.waystar.com/privacy-policy/",
"https://elion.health/products/waystar-denial-management",
"https://www.g2.com/products/waystar/reviews",
"https://investors.waystar.com/node/6756/html",
"https://www.waystar.com/insights-resources/resources-page/denial-prevention-playbook-11-top-causes-of-denials/"
],
"summary": "Cloud-based denial and appeal management software that uses AI and automation to prioritize, generate, submit, and track claim appeals to recover revenue and reduce manual work.",
"description": "Waystar Denial + Appeal Management leverages predictive analytics (AltitudePredict™), generative AI for appeal creation (AltitudeCreate™), a library of payer-specific forms, automated routing/workflows and analytics to prevent, prioritize, and resolve claim denials while integrating with practice management / hospital information systems.",
"target_users": [
"revenue cycle managers",
"billing/coding specialists",
"appeals teams",
"finance/denials analysts",
"health system administrators",
"medical billing services"
],
"specialties": [
"hospitals",
"health systems",
"physician practices",
"ambulatory surgery centers",
"federally qualified health centers (FQHC)",
"home health",
"hospice",
"clinical laboratories",
"imaging centers",
"skilled nursing",
"urgent care"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, tiers and demo/trial information.",
"license": "commercial/proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"AI-driven appeal letter generation (AltitudeCreate™)",
"Predictive prioritization of denials using AltitudePredict™",
"Prepopulated payer-specific appeal forms (1K+ library)",
"Batch appeal submission and paperless workflow",
"Appeal tracking and proof of delivery",
"Customized exception-based workflows",
"Advanced analytics and root-cause reporting for denial prevention",
"Auto Coverage Detection for eligibility-related denials",
"Integration with practice management (PM) and hospital information systems (HIS)",
"Denial calculator and ROI/savings estimation"
],
"optional_modules": [
"AltitudeCreate™ (generative AI appeal creation)",
"AltitudePredict™ (predictive analytics/prioritization)",
"Advanced analytics / Pro reporting (add-on analytics modules)"
],
"integrations": [
"Practice management systems (PM)",
"Hospital information systems (HIS)",
"Payer portals / payer-specific forms",
"Claims management / Claim Manager",
"Claim Attachments",
"Coverage Detection",
"Analytics + Reporting (Waystar platform modules)"
],
"data_standards": [],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA"
],
"certifications": [],
"security_features": [
"Audit logs"
],
"privacy_features": [
"Privacy policy available",
"Contact/opt-out mechanisms (marketing opt-out)"
],
"data_residency": "",
"customers": [
"Baptist Health",
"Piedmont",
"Mount Sinai Health System",
"Renown Health",
"Atlantic Health System",
"Apria Healthcare",
"Gastro Health",
"SCP Health",
"Advocate Health",
"AnMed Health",
"Atrium Health"
],
"user_reviews": [
"It took months to get up and running and Waystar repeatedly sent the wrong payer enrollment forms.",
"Waystar's denial workflows helped prioritize appeals so we focused on the ones most likely to overturn.",
"The platform sped up verification and made claim tracking easier compared with our previous system.",
"Customer service can be slow during onboarding; expect a lengthy implementation period.",
"Denial Management automated appeal packages and reduced manual work for our team."
],
"ratings": [
"G2: 4.5/5 (aggregate, third-party reviews)",
"MDClarity summary: 4.5/5 (aggregated review score reported)"
],
"support_channels": [
"phone",
"email",
"chat",
"ticketing",
"knowledge_base",
"community"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite",
"certification"
],
"release_year": "",
"integration_partners": [
"Google Cloud",
"Experity",
"Totango"
],
"id": "P1792",
"slug": "waystar-denial-management",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/waystar-denial-management.json"
}
}