Make sure any solution you consider:
If the initial eligibility search returns inactive or subscriber not found, Coverage Detection activates in real time with no intervention from your team.
If eligibility is rejected during claim processing, Coverage Detection initiates a search for updated coverage automatically.
When a payer response shows an eligibility error, Coverage Detection kicks in to streamline resubmissions.
If an eligibility denial is received, Coverage Detection helps overturn it by finding billable coverage.
Waystar Auto Coverage Detection gives you the ability to activate this powerful tool at every point in your workflow. No matter the stage of a claim, this software automatically looks for hidden or unknown coverage for presumably self-pay patients. By leveraging a solution that works end-to-end, you’ll improve staff efficiency, reduce eligibility denials, and accelerate payments.
NOTICE: Information placed in fields may be viewed by Waystar or its contracted third parties, which may be used for individual or compiled analytical review. Actual business values should not be used. The calculator is an estimation tool only and does not guarantee actual performance and may not be incorporated as deliverables or performance metrics in any agreement with Waystar. The use of this tool does not create a relationship between you and Waystar. Actual performance relies upon a variety of factors and may vary according to unique data provided by use of a contracted service or platform, software update, maintenance or security patches applied as needed. This calculator feature was developed independently by Waystar or in collaboration with contracted third parties. By providing the information you agree to release any right to the data submitted as part of this tool and such data becomes the property of Waystar. Outputs provided by Waystar through use of this feature may be retained by you for lawful purposes and is available to you as part of a worldwide, non-transferrable license. If any terms of this Notice are prohibited by law or regulation, those terms shall be considered void, while the remaining terms shall remain in full force and effect. This feature is provided as a courtesy and no guarantees of uptime or correctness of calculations are expressly made.
NOTICE: Information placed in fields may be viewed by Waystar or its contracted third parties, which may be used for individual or compiled analytical review. Actual business values should not be used. The calculator is an estimation tool only and does not guarantee actual performance and may not be incorporated as deliverables or performance metrics in any agreement with Waystar. The use of this tool does not create a relationship between you and Waystar. Actual performance relies upon a variety of factors and may vary according to unique data provided by use of a contracted service or platform, software update, maintenance or security patches applied as needed. This calculator feature was developed independently by Waystar or in collaboration with contracted third parties. By providing the information you agree to release any right to the data submitted as part of this tool and such data becomes the property of Waystar. Outputs provided by Waystar through use of this feature may be retained by you for lawful purposes and is available to you as part of a worldwide, non-transferrable license. If any terms of this Notice are prohibited by law or regulation, those terms shall be considered void, while the remaining terms shall remain in full force and effect. This feature is provided as a courtesy and no guarantees of uptime or correctness of calculations are expressly made.
