Claim Manager

More clean claims.
Less wasted time.

See how advanced automation can lower your cost-to-collect + accelerate reimbursement.

Your clearinghouse is the central nervous system of your revenue cycle. If yours isn’t delivering results like a 98.5% average first-pass clean claim rate, it’s time to ask for more. See how Waystar Claim Manager leverages automation and AI to boost efficiency for 5K+ commercial and government payers.

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Claim Manager by the Numbers

98.5%

average first-pass clean claim rate

2.5M+

continuously updated claim rules + edits

99.7%

reduction in time to process claim files with Enrollment Accelerator

3min

to create a rule with AltitudeAssist

Stop errors from slipping through the cracks

With opportunities like custom claim rules powered by Waystar’s generative AltitudeAI, you can fast track clean claims while reducing denials and rejections.

Key Capabilities

Clear “How to fix” messages

make confusing payer responses easy to understand

eSignature + Enrollment Accelerator

simplify and speed enrollments, preventing disruption to cash flow

Respond to changing coding standards

(CPT, ICD, etc.) with tools for accurate research and validation

Create + deploy custom edit-rule logic

automatically, in minutes, with AltitudeAssist

Leverage root-cause reporting + confirm eligibility

with Auto Eligibility Verification + Auto Coverage Detection

Quickly find active insurance

+ confirm eligibility with Auto Eligibility Verification + Auto Coverage Detection

CLAIM MANAGER METRICS

Success that 
speaks for itself

See the powerful results Waystar clients experience 
every day (and then see what we can do for you).

Let's talk
ClaimManagerMetrics thumbnail

1%

average
denial rate

Healthcare Provider Solutions

44%

fewer claims
touched manually

Sadler Health Center

50%

of costs cut to save
$400K annually

Cincinnati Children’s Hospital

$10M+

payment lift
generated

Piedmont

Fewer manual touches + faster reimbursement

Automated review and submission workflows decrease administrative tasks and improve accuracy. At the same time, proactively triaged payer responses ensure claims get to the right team member for review, faster.

See it in action
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All metrics on this page are proprietary Waystar data or case studies.

"Waystar’s solutions updated our processes so well. Not only did they raise our clean claim rate, but they also lowered our AR days."

Sherri Marini, Senior Manager Revenue Cycle AR & Billing, MedQuest Associates

“The payer enrollment process moves swiftly. Waystar is quick and efficient. We just wish we could get all payers to work like Waystar.”

Tonya Lukas-Hallman, Billing Manager, 
Preferred Home Health Care & Nursing Services

"“The people who work at Waystar are a different breed in the best way. They’re approachable and want to have a conversation. They really put in a lot of effort to ensure those who are using their products have all they need to succeed.” "

Joanna Musser, Revenue Cycle Manager,
Sadler Health Center

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