A CLEARER VIEW OF FINANCIAL RESPONSIBILITY

A CLEARER VIEW OF FINANCIAL RESPONSIBILITY

86% of consumers prefer to get pricing information from a provider as opposed to an insurance company. Waystar’s HFMA Peer-Reviewed Patient Estimation solution sources best-in-class benefit information to generate highly accurate estimates. Providers can then share these estimates with patients prior to rendering service. Key benefits include:

  • Automated and accurate custom patient estimates
  • AI and RPA-powered technology that retrieves enriched benefit data
  • Seamless integration with your registration system
  • Real-time user alerts, such as supplemental coverage or HRAs
  • Analysis against adjudicated claims to further improve accuracy rates
Leveraging Waystar’s Hubble AI platform, Patient Estimation unifies multiple data inputs to create the most comprehensive and accurate patient estimates in the marketplace. That means your staff can confidently discuss costs up front and drive greater patient loyalty and satisfaction.

86% of consumers prefer to get pricing information from a provider as opposed to an insurance company. Waystar’s HFMA Peer Reviewed Patient Estimation solution accounts for this need by sourcing best-in-class benefit information to generate highly accurate estimates. These estimates can then be shared with patients prior to rendering service. Key benefits include:

  • Automated and accurate custom patient estimates
  • AI and RPA-powered technology that retrieves enriched benefit data
  • Seamless integration with your registration system
  • Real-time user alerts, such as supplemental coverage or HRA’s
  • Accuracy analysis against adjudicated claims to further improve accuracy rates
Leveraging Waystar’s Hubble AI + RPA platform, Patient Estimation unifies multiple data inputs to create the most comprehensive and accurate patient estimates in the marketplace. That means your staff can confidently discuss costs up front and drive greater patient loyalty and satisfaction for your organization.


  • Fast, seamless access to all your meaningful KPIs and revenue cycle metrics.
  • Easy-to-use data visualization and analytics tools that ensure all team members are only a few clicks away from the insights they need.
  • A deeper view of combined historical data sources to better understand and proactively explore rev cycle performance and trends.
  • Automated alerts, reminders and shareable reports that promote team collaboration and quicker resolution.

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There's never been a more critical time to keep your organization running smoothly,* so we're offering Waystar Analytics with no payments until September 30, 2020.

* Signed analytics contract required by 6/30/20. Requires Waystar claim management subscription. Other terms and conditions may apply.

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EMPOWERING PATIENTS + PROVIDERS THROUGH PRICE TRANSPARENCY 

Price transparency is a perennial issue in healthcare. When patients don’t know in advance what they will owe, it can cause them to avoid care or be unable to pay after point-of-service. This results in patient dissatisfaction and makes it difficult for providers to collect payment. As an added challenge for providers, CMS has mandated that hospitals publish meaningful price information for patients.

Waystar offers provider- and patient-centric solutions, Patient Estimation and Price Transparency, that integrate financial and benefit data to provide accurate patient estimates. Together, these two solutions can help your organization improve collections and deliver a better patient experience.

REQUEST A DEMO

See if Waystar makes sense for your organization. A representative will respond within one business day.

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COMBINING PATIENT + PROVIDER SOLUTIONS

Together, Waystar’s Price Transparency and Patient Estimation lay the groundwork for better patient engagement and strengthen front-end collections. View our on-demand solution presentation to learn more.

View presentation

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GIVE YOUR PATIENTS THE PRICE TRANSPARENCY THEY DESERVE

Empower your patients to make informed healthcare decisions with Waystar’s Price Transparency solution. This market-tested, self-service tool generates accurate estimates in consumer-friendly terms and offers additional benefits when paired with our Patient Estimation solution.

The Price Transparency tool can be deployed on your patient portal or website, giving patients a web and mobile-friendly price shopping experience. Key benefits include:

  • Real-time patient-generated estimates for most shoppable procedures
  • Requires minimal patient input to retrieve complete out-of-pocket details
  • Intuitive scheduling and financial assistance tools
Prevent delay of care while staying competitive and adaptable to market needs. Work with Waystar to give your patients the information and level of service they deserve.

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PUT ANALYTICS TO WORK FOR YOU

New Waystar Analytics takes the headache out of gathering and analyzing data, giving you clearer insights at your fingertips. Watch our short video to learn more.

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ANALYTICS + BUSINESS INTELLIGENCE YOUR WAY

Select one of Waystar’s two Analytics offerings, each with features that can help drive growth for your organization. Analytics Pro can be activated in seconds, offering built-in reports and advanced KPIs. Analytics Peak delivers all the benefits of Pro, plus unlimited dashboard and report customization tools. Both solutions offer all the data you need in one place with the flexibility to personalize visibility across the revenue cycle. Talk to a Waystar expert about which tier is best for your team.

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LOOKING TOWARD THE FUTURE

Powered by Hubble, AI + RPA capabilities continue to rapidly expand automation across Waystar’s unified platform. Together, Hubble coupled with our Analytics and business intelligence solutions represent the next leap in revenue cycle technology.

Watch video

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LAY THE RIGHT FOUNDATION FOR GROWTH

You’ve likely invested a lot of time and money in your HIS or PM system, but are you getting the most value out of it? Powered by healthcare’s largest unified clearinghouse, our Claim Manager, Claim Monitoring, and Remit and Deposit Management solutions empower your team to bring in more revenue—at a lower cost and in less time. Because implementation and integration are seamless, switching to Waystar is the easy way to get vastly improved results.

SOLUTIONS THAT BUILD ON EACH OTHER

Experience the benefits of our Claim Management suite with solutions that work together to deliver more value.

CLAIM
MANAGER

  • Increase productivity by 30% when working rejections and pended claims with Simple Response message normalization
  • Automate claim attachments to increase clean claim rates and decrease denials
  • Minimize rejections and denials with crowdsourced edits and a sophisticated rules engine that produces a 98.5%+ first-pass clean claims rate

CLAIM
MONITORING

  • Significantly increase your volume of claims checked daily at a fraction of the cost
  • Automatically remove claims pending payment from worklists as they are adjudicated, so staff only work claims at risk of denial
  • Alert staff when tasks need to be performed so accounts are never overlooked

REMIT + DEPOSIT MANAGEMENT

  • Reduce the hours staff spend resolving missing deposits and remits
  • Remove slowdowns in the denial and underpayment process from cash posting and remittance match issues
  • Reduce the risk of time-consuming and mistake-prone manual matching

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What Our Clients Say:

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IMPROVE YOUR PATIENT EXPERIENCE

Discover even more ways to improve your patient experience while collecting faster and more fully. Healthcare organizations across the country are seeing success with our Price Estimation and Patient Transparency solutions, together with our other innovative solutions below:

See why Waystar is leading the industry in transforming the financial journey for patients and providers alike.

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Eligibility Verification
> Get data sheet

PARO Charity Screening
> Get data sheet

Advanced Propensity to Pay
> Get data sheet

DIG DEEPER INTO ANALYTICS

Looking for more information about how Analytics can make your staff more efficient? Check out our resources or click below to watch our short video.

Request demo

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Analytics Pro data sheet
> Download

Analytics Peak data sheet
> Download

Put analytics to work for your organization
> Download


See why Waystar is leading the industry in transforming the financial journey for patients and providers alike.

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Proven success with valued clients

We’ve helped many health systems and hospitals streamline their workflows and achieve unprecedented financial performance. Here are just a few examples.

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GET EVEN MORE OUT OF WAYSTAR

Our Claim Management solutions will drive unprecedented automation and efficiencies within your claim life cycle. But if you’re looking for other ways to automate and drive efficiencies, we offer additional tools to continue to drive exception-based workflows throughout your entire revenue cycle. Below are a few of the solution groupings that have most benefited our clients with Claim Management. Click through to read more.

Request demo

Claims Monitoring
> Read data sheet

Remit + Deposit Management
> Read data sheet

Denial Management
> Read data sheet

Prior Authorization
> Read data sheet

Eligibility Verification
> Read data sheet

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Feature

Waystar

Other

Details

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Waytstar
Category
Average

Overall Score

95.7

87.3

% Clients Satisfied

73

N/A

Best Vendor Relationship

95.2

84.3

Product

94.2

86

Value

96.9

86.6

Operations

95.5

88.9

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Patient
Financial
Clearance

Revenue
Integrity

Claim
Management

Denial
Management

Contract
Management

Patient
Financial
Experience

Agency
Management

Patient
Insights

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90%

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CLAIM MANAGEMENT

   

Starter

Simplify Denials Management

Core

Reach Workflow Excellence

Performance

Get visibility into the claim lifecycle

Premium

Achieve Revenue Cycle Automation

Expanded claim lifecycle visibility through date tracking and proof of timely filing reports

Automated front-end claim editing and scrubbing

View and edit claims in customizable workgroups for prioritization and staff assignment

Payer response clarified and simplified with Simple Response™ technology

Hundreds of crowdsourced rules and edits

Claim process lifecycle visibility with date tracking and proof of timely filing reporting

Dashboards and reports for key rev cycle performance and user productivity metrics

Real-time claim status inquiries with approximately 5-7 second payer responses

Make eligibility and benefit coverage inquiries

Leverage 1,200 payer connections

Verify eligibility and co-payments

Quickly and easily enter patient info

Expedite check-in by accessing real-time plan information in seconds

Automated provider enrollment

Denial prevention with automated pre-claim eligibility verification

Streamline denial management

Flexible workgroups and automation to close non-workable denials

Eligibility integration to check patient coverage within denial workflow

Root cause reporting to reduce preventable denials

Robust outcome reporting and dashboards for user-friendly resubmissions and payer follow-up

Simplify appeal processes

Appeals wizard that allows you to create three-step, 100% paperless appeals packages

More than 600 payer appeal templates available and pre-populated with remit and provider data, including proof of timely filling

Custom and dynamic attachments and saved responses streamline submission

Ability to batch 100 similar appeals to same payer

Automate claim status checks

 

Custom schedules to accommodate follow-up workflow

 

Proactive claim status checks based on predictive analytics that determine optimal timing

 

Automatic claim status checks without the need for batch files

 

Early notification of pended claims

 

Payer response clarified and simplified with Simple Response™ technology

 

Ability to work by exception with focused workgroups

 

Visualize your performance and deliver actionable insights

   

Custom dashboards and reports

   

Alerts to drive corrective action when KPIs deviate from target range

   

All-in-one, standardized rev cycle analytics for financial performance clarity

   

Intuitive drill-down capabilities to identify key details in the health of the rev cycle

   

Automate bank reconciliation processes

     

Automated identification of missing or inaccurate deposits and ERAs

     

Streamlined payment posting workflows to avoid posting delays that increase AR days

     

Aggregated reporting for payment information —even if you use more than one bank

     

Convert paper EOBs to electronic files

     

Indexing of checks and documents for historical tracking

     

Automated payment posting and reconciliation

     

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FEATURES

 

ANALYTICS PRO

ANALYTICS PEAK

Expanded claim lifecycle visibility through date tracking and proof of timely filing reports

PRO

+

PEAK

+

+

+

Dynamic, interactive, easy-to-use data visualization tools that allow for a deeper understanding of your rev cycle

PRO

+

PEAK

+

+

+

Your data unified on an end-to-end RCM platform

PRO

+

PEAK

+

+

+

Unlimited custom dashboards + reports with simple, yet robust BI tools to see and explore the data your way

PRO

 

PEAK

+

 

+

Tailored insights with custom defined calculations, definitions and KPIs unique to your organization

PRO

 

PEAK

+

 

+

Ad-hoc data analysis tools for deeper insights into every facet of your revenue cycle

PRO

 

PEAK

+

 

+

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Number of claims you follow up on monthly

<  >

Number of FTEs dedicated to payer follow-up

<  >

Fully loaded annual salary of medical biller

<  >

Total savings per year

$204,327

These numbers are for demonstration only and account for some assumptions. Contact us for a more comprehensive and customized savings estimate.

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Monthly claim volume

<  >

Current denial rate

<  >

Average claim value

<  >

Average number of appeal packages submitted per month

<  >

Total additional revenue recovered per year

$204,327

Total staff hours saved

These numbers are for demonstration only and account for some assumptions. Contact us for a more comprehensive and customized savings estimate.

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Gross patient revenue

Net patient revenue

Patient mix (% Inpatient)

<  >

Payer Mix (% Commercial)

<  >

Payer mix (% Government)

<  >

Payer mix (% Other/self pay)

<  >

Note: The above values need add up to 100%

100%
$1.8M
$2.2M
$3.3M
$7.9M

OUTER RANGE: Likely cash impact range for a system of your size

INNER RANGE: Most probable range given your specific information

Benefit range accounts for benefit to be attained through missing charges, CPT coding errors and DRG assignment errors. This calculator is designed to be educational in nature based upon limited information. It is therefore not a guarantee of performance. 1 HFMA blog, 2016

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Join our clients in reducing rejections
and denials by payers

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REQUEST DEMO

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