JSON twin: https://www.healthaidb.com/software/waystar-patient-estimation.json
Waystar
https://www.waystar.com/our-platform/financial-clearance/patient-estimation/
Waystar Patient Estimation is a real-time patient payment estimator that uses enriched benefit data to generate accurate out-of-pocket cost estimates to improve point-of-service collections and patient financial transparency.
A commercially offered patient payment estimation solution that consolidates chargemaster data, contract rates and insurance benefits, leverages EDI and RPA for real-time eligibility, and produces easy-to-understand estimates to support price-transparency compliance and reduce unexpected bills.
yes
2017
US-based cloud hosting by default; contact Waystar for regional options
P1793
2025-09-07
proprietary, commercial
Contact vendor for pricing and demos; no public list prices; enterprise sales and demos available.
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/financial-clearance/patient-estimation/",
"categories": [
"administrative",
"patient-facing",
"financial clearance",
"patient price estimation",
"revenue cycle management"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.waystar.com/our-platform/financial-clearance/patient-estimation/",
"https://info.waystar.com/rs/578-UTL-676/images/Waystar_PatientEstimation_Datasheet.pdf",
"https://www.waystar.com/our-platform/financial-clearance/",
"https://www.waystar.com/about-us/",
"https://www.waystar.com/contact-us/",
"https://elion.health/products/waystar-patient-estimation",
"https://www.g2.com/products/waystar/reviews",
"https://www.capterra.com/p/214039/Waystar/",
"https://www.hfma.org/data-and-insights/peer-review/products-and-services/waystar-patient-estimation/"
],
"summary": "Waystar Patient Estimation is a real-time patient payment estimator that uses enriched benefit data to generate accurate out-of-pocket cost estimates to improve point-of-service collections and patient financial transparency.",
"description": "A commercially offered patient payment estimation solution that consolidates chargemaster data, contract rates and insurance benefits, leverages EDI and RPA for real-time eligibility, and produces easy-to-understand estimates to support price-transparency compliance and reduce unexpected bills.",
"target_users": [
"financial counselors",
"patient access/registration staff",
"revenue cycle managers",
"hospital administrators",
"billing departments",
"patients"
],
"specialties": [
"hospital",
"health system",
"ambulatory care",
"ambulatory surgery centers",
"physician groups"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing and demos; no public list prices; enterprise sales and demos available.",
"license": "proprietary, commercial",
"features": [
"Real-time eligibility checks (EDI + RPA)",
"Automated patient payment liability calculation",
"Enriched benefit data for improved accuracy",
"Out-of-network benefit estimation",
"Point-of-service estimate display for staff/patients",
"HFMA peer‑reviewed estimator",
"Scalable estimator for enterprise deployments",
"Improves point-of-service collections",
"Integrates with payer data to enrich estimates",
"Continuous testing and accuracy refinement"
],
"integrations": [
"Epic",
"Cerner",
"Allscripts / Veradigm",
"NextGen",
"Meditech",
"GE Centricity",
"eClinicalWorks",
"CPSI",
"Zirmed",
"Change Healthcare (payer/clearinghouse connections)"
],
"deployment_model": [
"SaaS",
"cloud"
],
"os_platforms": [
"Web"
],
"optional_modules": [
"Eligibility Verification",
"Advanced Propensity to Pay",
"Price Transparency",
"Claim Management"
],
"data_standards": [
"EDI / X12 (eligibility/claims transactions)"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"HITRUST",
"SOC 2 Type II"
],
"certifications": [
"HITRUST CSF",
"SOC 2 Type II"
],
"security_features": [
"Data encryption (in transit and at rest)",
"Role-based access control (RBAC)",
"Single sign-on / SAML",
"Audit logging",
"Multi-factor authentication (2FA)"
],
"privacy_features": [
"Business Associate Agreement (BAA) available"
],
"data_residency": "US-based cloud hosting by default; contact Waystar for regional options",
"customers": [
"Baptist Health",
"Mount Sinai Health System",
"Piedmont",
"Mercy Health",
"Renown Health",
"Apria Healthcare",
"Vibra Health",
"Atrium Health",
"Great River Health",
"Aultman",
"Proliance Surgeons",
"UCHealth",
"Great River Health (case study)"
],
"user_reviews": [],
"ratings": [
"G2 — 4.4/4.5 out of 5 (Waystar product reviews)",
"Capterra — ~4.8 out of 5 (Waystar overall)"
],
"support_channels": [
"phone",
"email",
"chat",
"ticketing",
"contact form",
"self-service/knowledge base"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite",
"customer success/onboarding"
],
"release_year": "",
"integration_partners": [
"Epic",
"Google Cloud",
"Drift (chat integration)",
"ZirMed (legacy/partner)",
"Various payer EDI connections (300+ payers)"
],
"id": "P1793",
"slug": "waystar-patient-estimation",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/waystar-patient-estimation.json"
}
}