JSON twin: https://www.healthaidb.com/software/waystar-prior-authorization.json
Waystar
https://www.waystar.com/our-platform/financial-clearance/authorizations/
Waystar Authorization Manager is a cloud-based prior authorization automation platform that verifies, initiates, submits, tracks and accelerates payer authorizations to reduce manual work, denials, and delays to care.
A revenue-cycle-focused authorization solution that uses automation, RPA and AI to detect authorization requirements from EHR/HIS/PM orders, auto-populate payer portals or submit requests, retrieve status updates, perform medical-necessity checks, and deliver real-time approvals and transparency across workflows (Auth Initiate, Auth Notify & Submit, Auth Accelerate, Auth Status, Medical Necessity).
yes
2017
P1795
2025-09-07
commercial proprietary
Contact vendor for pricing; custom enterprise licensing and implementation plans (request a demo / contact sales).
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/authorizations/",
"categories": [
"administrative",
"revenue cycle management",
"prior authorization",
"AI Prior Authorization for Providers",
"financial clearance"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.waystar.com/our-platform/financial-clearance/authorizations/",
"https://www.waystar.com/",
"https://www.waystar.com/about-us/",
"https://www.waystar.com/contact-us/",
"https://www.waystar.com/privacy-policy/",
"https://elion.health/products/waystar-prior-authorization",
"https://www.g2.com/products/waystar/reviews",
"https://www.capterra.com/p/173888/Waystar/",
"https://www.hfma.org/data-and-insights/peer-review/products-and-services/waystar-prior-authorization/",
"https://investors.waystar.com/"
],
"summary": "Waystar Authorization Manager is a cloud-based prior authorization automation platform that verifies, initiates, submits, tracks and accelerates payer authorizations to reduce manual work, denials, and delays to care.",
"description": "A revenue-cycle-focused authorization solution that uses automation, RPA and AI to detect authorization requirements from EHR/HIS/PM orders, auto-populate payer portals or submit requests, retrieve status updates, perform medical-necessity checks, and deliver real-time approvals and transparency across workflows (Auth Initiate, Auth Notify & Submit, Auth Accelerate, Auth Status, Medical Necessity).",
"target_users": [
"revenue cycle teams",
"billing/coding staff",
"clinical schedulers",
"physicians/clinicians",
"hospital administrators",
"facility managers"
],
"specialties": [
"radiology/imaging",
"surgery/operative services",
"cardiology",
"oncology",
"orthopedics",
"laboratory",
"home health",
"behavioral health",
"primary care",
"ambulatory surgery centers"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing; custom enterprise licensing and implementation plans (request a demo / contact sales).",
"license": "commercial proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Automatic determination of authorization requirement from EHR/HIS/PM orders",
"Auth Initiate — initiate authorizations for scheduled services",
"Auth Notify + Submit — automate inpatient direct admission requests",
"Auth Accelerate — real-time approvals and automatic updates",
"Auth Status — automated status update retrievals and tracking",
"Medical necessity checks against payer policies",
"End-to-end prior authorization workflow automation",
"Real-time integration with payer portals for submissions",
"Exception-based workflows and staff activation",
"Analytics/visibility for authorization status and performance",
"AI/cloud automation embedded across platform",
"Authorization auto-approval engine (high auto-approval rate)"
],
"optional_modules": [
"Medical Necessity verification module",
"Automated status retrievals module",
"Inpatient direct-admission automation"
],
"integrations": [
"EHR / HIS systems",
"Practice Management (PM) systems",
"Payer portals / payer systems",
"Revenue cycle management workflows"
],
"data_standards": [
"HL7 (v2/history)",
"FHIR (likely used for modern EHR integration)",
"EDI X12 (payer transactions/claims-related)"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA"
],
"certifications": [],
"security_features": [
"Role-based access control (RBAC)",
"SSO/SAML (enterprise login integrations)",
"Encryption in transit and at rest (platform standard)",
"Audit logging / activity trails"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Data minimization and purpose-limited processing (platform practice)"
],
"data_residency": "",
"customers": [],
"user_reviews": [],
"ratings": [],
"support_channels": [],
"training_options": [],
"release_year": "",
"integration_partners": [],
"id": "P1795",
"slug": "waystar-prior-authorization",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/waystar-prior-authorization.json"
}
}