ONE PLATFORM, UNLIMITED POSSIBILITIES

The cloud-based, unified Waystar platform offers access to solutions for the entire revenue cycle with a single sign-on and user-friendly interface. We’re constantly looking for ways to stay ahead of the curve while providing a quick and seamless integration process and automatic updates. No matter which other systems you’re using, we can deliver functionality and insights you won’t find anywhere else.

TRANSFORM YOUR WORKFLOWS AND PRODUCTIVITY

With increasing pressure on performance on ever thinner margins, you need to find ways to get the most out of your resources. That’s where Waystar comes in. With innovative solutions that span the revenue cycle and excel in all care settings and specialties, we surround and supplement your existing systems to help your organization get paid faster, fuller and more effectively.

Find out how

  • Automate prior authorizations and claim status checks
  • Prioritize accounts with predictive analytics
  • Prevent denials and streamline appeals
  • Provide out-of-pocket estimates and flexible payment options to maximize patient-pay revenue
  • Track outside collection agency performance
  • And more

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ADAPT TO THE LANDSCAPE OF TODAY—AND TOMORROW

As patient financial responsibility for healthcare costs continues to grow, patients expect the same convenient experience other industries offer. You need a versatile set of tools to meet those expectations. Check out just a few of the ways you can reduce administrative work, bring in more revenue upfront and increase total collections with Waystar:

AI- AND RPA-POWERED TECH THAT DOES MORE

Waystar’s new technology uses AI and robotic process automation (RPA) to solve some of the revenue cycle’s biggest challenges—from patient estimates and price transparency to automated prior authorizations and claim status checks. These solutions strengthen Waystar’s existing capabilities, further empowering healthcare organizations of all kinds to reduce administrative costs and deliver a better patient financial experience.

  • Verify eligibility and co-payments
  • Quickly and easily enter patient information
  • Provide easy-to-read patient statements and flexible payment options
  • Immediately process credit, debit, check and cash payments
  • Access valuable propensity-to-pay data without credit checks
  • Use predictive analytics to prioritize which accounts to work
  • Prevent denials and automate appeals
  • Track and manage outside agency performance
  • Ensure charge accuracy
  • Automate the prior authorization process

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Experience the Waystar Difference

Powered by healthcare’s largest unified clearinghouse, our Claim Management solution provides the data and tools you need to bring in more revenue—at a lower cost and in less time. Unlock the full power of your core system with a claim engine that:

  • Deploys intelligent algorithms to status claims
  • Uncovers missing deposits and ERAs with automated remit matching and reconciliation
  • Translates confusing payer messages into plain English
  • Limits manual follow-up by automatically notifying you when claims are ready to be worked.

RECONDO
IS NOW PART OF WAYSTAR

Industry-leading RCM technology platforms Waystar and Recondo Technology have come together to help health systems and hospitals capture more revenue in less time with less manual effort. Waystar now offers Recondo’s award-winning patient access and billing office solutions as part of its comprehensive suite of solutions.

Contact us to learn more


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EXPERIENCE THE WAYSTAR DIFFERENCE

Looking for an alternative to Trizetto?
Find out why so many people switch to Waystar. We offer all the capability you’re used to, plus advanced AI, automation and analytics to make your life even easier. Most importantly, we treat our clients as valued partners and pride ourselves on knowledgeable, prompt client support.

Request a demo

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“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 cashflow or accounts receivable. Our collections actually went up the month following the transition.”

Dean Brown, CEO of Alabama Orthopedic Clinic

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PROVEN PERFORMANCE

100%

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BEST IN KLAS CLAIMS AND CLEARINGHOUSE

BEST IN KLAS PATIENT ACCESS

PEER REVIEWED BY HFMA

BLACK BOOK™ TOP-RANKED VENDOR


What Our Clients Say:

100%

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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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SEE HOW WE STACK UP

Feature

Waystar

Trizetto

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 worker’s comp claims

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

Payer response messaging

Waystar translates payer messages into plain English for easy understanding. Other groups message by payer, but does 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 does not provide forms.

Batch appeals

Waystar offers batch appeals for up to 100 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 more 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

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EXPLORE OUR PLATFORM

Patient
Financial
Clearance

Revenue
Integrity

Claim
Management

Denial
Management

Patient
Financial
Experience

Agency
Management

Patient
Insights

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ELEVATE YOUR EXISTING SYSTEMS

Unlock the intuitive workflows and actionable financial insights your organization needs with a fast and easy implementation. Waystar integrates with all major practice management, hospital information and EHR systems and can be fully functional in much less time—and with much less hassle—than the industry standard. 

Contact us

Increase patient pay collections by up to

30%

Increase outsourced collections by up to

15%

CLIENT SUPPORT YOU CAN RELY ON

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

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90%

Simo ex expercit officabori sima int

CLIENT SUPPORT YOU CAN RELY ON

At Waystar, we’re focused on building long-term relationships. That’s why we’ve invested in worldclass, in-house client support. We’ll be with you every step of the way from implementation through the transformation of your revenue cycle, ready to answer any questions or concerns as they arise.

RANKED #1 BEST IN KLAS OR CATEGORY LEADER EVERY YEAR SINCE 2010

MULTIPLE BLACK BOOK TOP VENDOR AWARDS SINCE 2012

98% NPS OVERALL SATISFACTION RATING

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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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Automate claim status checks

Making phone calls and visiting websites to check claim status takes up your staff’s valuable time. In fact, it takes 14 minutes on average to manually check the status of a claim, and there may not be any action to take once the status is checked. Our Claim Monitoring solution automatically lets you know when a claim needs attention, resulting in more claims paid in less time. Focus your resources where they’ll do the most good with Waystar.

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 by automating claims monitoring.

Find out how

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

<  >

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.

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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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LEARN MORE ABOUT MAKING THE SWITCH

We’d love to show you how you can reduce manual work and discover a smarter rev cycle. Fill out the form below, and one of our experts will be in touch shortly.

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