WAYSTAR + EZClaim

Supported Systems | Payer List

AUTOMATED REMITTANCE AWAITS

Waystar’s Remit and Deposit Management solution is all about efficiency. Our technology automatically matches remits and posts payer receivables, so you no longer have to spend hours manually posting insurance payments. With all the time and money you’ll save, you can direct more resources to higher-value tasks and the patients in your care.

95%+ remit to deposit match rate

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BEST IN KLAS CLAIMS +
CLEARINGHOUSE

EVERY YEAR SINCE 2010

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This integration into Genius Solutions includes claims, ERA, batch and real-time eligibility, claim status and monitoring. Waystar also offers other ancillary products that will streamline your workflows like coverage detection, claim monitoring and denial management and auto appeals.

Waystar and Genius Solutions have a proven implementation and enrollment plan that makes switching to Waystar a painless process for the provider. Throughout that process, Waystar will provide a dedicated support and implementation team to ensure the smoothest transition from your clearinghouse as possible.

“There’s always anxiety when you’re switching clearinghouses. It’s a big transition, and the potential for problems is very real. With Waystar, the switch went extremely smoothly. All of our payers were enrolled properly, and there was no disruption in cash flow or accounts receivable. Our collections actually went up the month following the transition.”

Dean Brown, CEO of Alabama Orthopedic Clinic

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Denial management made easy

If claim denials are one of your billing team’s biggest pain points, you’re certainly not alone. The time and dollar costs associated with denials can really add up. Waystar’s automated Denial Management solution can help your team easily manage, appeal and prevent denials to lower your cost to collect and ensure less revenue slips through the cracks. There’s a better way to work denials—let us show you.

90% of denials are preventable

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WAYSTAR + EZCLAIM

MORE THAN A
CLEARINGHOUSE

The Waystar platform creates a seamless exchange of claim, remit and eligibility information and integrates directly with EZClaim. But when you work with Waystar, you get much more than a clearinghouse. You get an innovative technology platform backed by full-service, in-house client support.

Together, we can streamline your workflows, empower your team to be more productive and help your organization collect more revenue, more quickly.

Take the next step

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Waystar Claims Monitoring ebook
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Waystar Claims Monitoring data sheet
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Waystar Claims Monitoring case study
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Waystar Claims Monitoring webinar
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HOW WE STACK UP WITH OTHER CLEARINGHOUSES

Feature

Waystar

Others

Details

SaaS-based platform to monitor AR

Waystar is a SaaS-based platform. Each claim is time-stamped for visibility and proof of timely filing. Most clearinghouses are not SaaS-based.

Electronic workers' comp claims

Most clearinghouses have an integrated solution for electronic submissions of e-bills and attachments for workers' comp, auto accident and liability claims.

Payer response messaging

Waystar translates payer messages into plain English for easy understanding. Others group messages by payer, but do not simplify them.

Claim batch transmission

Some clearinghouses submit batches to payers. Waystar submits throughout the day and does not hold batches for a single rejection. Others only hold rejected claims and send the rest on to the payer.

Electronic appeals

Waystar provides more than 900 payer-specific appeal forms with attachments, templates and proof of timely filing. Other clearinghouses support electronic appeals but do not provide forms.

Batch appeals

Waystar batches up to 100 appeals at a time. Most clearinghouses do not have batch appeal capability.

Automated enrollment

Most clearinghouses provide enrollment support. Waystar will submit and monitor payer agreements for clients. Others require clients to complete forms and submit through a portal.

Payer-specific edits

Most clearinghouses allow for custom and payer-specific edits.

Client support

Waystar has dedicated, in-house project managers that resolve payer issues and provide enrollment support.

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WHAT DO WAYSTAR CLIENTS SAY?

Current KLAS rankings – Claims + Clearinghouse Segment:

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

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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90%

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CLIENT SUPPORT YOU CAN RELY ON

At Waystar, we’re focused on building long-term relationships. That’s why, unlike many in our space, we’ve invested in world-class, in-house client support. We’ll be with you every step of the way from implementation on, ready to answer any questions or concerns as they arise. Experience the Waystar difference.

11-TIME BEST IN KLAS WINNER

BLACK BOOK TOP RATED VENDOR

FROST & SULLIVAN CUSTOMER VALUE LEADERSHIP AWARD

CLAIM MANAGEMENT

Most popular

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					●

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 +		+

AUTOMATE CLAIM STATUS CHECKS

Did you know it takes 14 minutes on average to manually check the status of a claim? Use the calculator on the right to see how much you could save each year with our automated Claim Monitoring solution.

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

Number of claims you follow up on monthly

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Number of FTEs dedicated to payer follow-up

< >

Fully loaded annual salary of medical biller

< >

Total savings per year

$204,327

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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.

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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