Free clearinghouse connecting providers to 95%+ of US payers
Leading healthcare RCM platform combining Navicure, ZirMed, and Patientco, processing $3T+ in claims annually with AI-powered denial prevention.
What It Is
Availity Essentials
Free clearinghouse connecting providers to 95%+ of US payers
Waystar
Leading healthcare RCM platform combining Navicure, ZirMed, and Patientco, processing $3T+ in claims annually with AI-powered denial prevention.
Primary Category
billing-rcm-insurance
billing-rcm-insurance
Primary Category
Availity Essentials
billing-rcm-insurance
Waystar
billing-rcm-insurance
Founded
2001
Unknown
Founded
Availity Essentials
2001
Waystar
Unknown
Best For
Any practice wanting free eligibility verification; Providers tired of logging into multiple payer portals; Small practices needing basic RCM tools at no cost
Mid-size to large medical groups needing comprehensive RCM; Health systems requiring enterprise-scale revenue cycle management; Practices seeking AI-powered denial prevention and appeal automation
Best For
Availity Essentials
Any practice wanting free eligibility verification; Providers tired of logging into multiple payer portals; Small practices needing basic RCM tools at no cost
Waystar
Mid-size to large medical groups needing comprehensive RCM; Health systems requiring enterprise-scale revenue cycle management; Practices seeking AI-powered denial prevention and appeal automation
Pricing
Starting Price
Contact for pricing
Custom quote required
Starting Price
Availity Essentials
Contact for pricing
Waystar
Custom quote required
Pricing Model
freemium
enterprise-custom
Pricing Model
Availity Essentials
freemium
Waystar
enterprise-custom
Free Trial
No free trial
No free trial
Free Trial
Availity Essentials
No free trial
Waystar
No free trial
Pricing Details
Core Essentials is completely free. Funded by health plan partnerships. Pro tiers for advanced automation.
Custom enterprise pricing based on claim volume and modules selected. Typical range $200-800/month for small practices, higher for large organizations.
Pricing Details
Availity Essentials
Core Essentials is completely free. Funded by health plan partnerships. Pro tiers for advanced automation.
Waystar
Custom enterprise pricing based on claim volume and modules selected. Typical range $200-800/month for small practices, higher for large organizations.
Compliance & Security
HIPAA Compliant
Yes
Yes
HIPAA Compliant
Availity Essentials
Yes
Waystar
Yes
BAA Available
Yes
Yes
BAA Available
Availity Essentials
Yes
Waystar
Yes
SOC 2 Certified
Yes
Yes
SOC 2 Certified
Availity Essentials
Yes
Waystar
Yes
HITRUST Certified
Yes
Yes
HITRUST Certified
Availity Essentials
Yes
Waystar
Yes
Features
Mobile App
Yes
Yes
Mobile App
Availity Essentials
Yes
Waystar
Yes
Mental Health Specific
No
No
Mental Health Specific
Availity Essentials
No
Waystar
No
Integrations
Total Integrations
5 integrations
8 integrations
Total Integrations
Availity Essentials
5 integrations
Waystar
8 integrations
Clearinghouse
None
None
Clearinghouse
Availity Essentials
None
Waystar
None
Billing Features
Claims Submission
Yes
Yes
Claims Submission
Availity Essentials
Yes
Waystar
Yes
Eligibility Verification
Yes
Yes
Eligibility Verification
Availity Essentials
Yes
Waystar
Yes
ERA Processing
No
Yes
ERA Processing
Availity Essentials
No
Waystar
Yes
Support & Fit
Practice Sizes
Solo, Small (2-10), Medium (11-50), Large (51-200), Enterprise (200+)
Medium (11-50), Large (51-200), Enterprise (200+)
Practice Sizes
Availity Essentials
Solo, Small (2-10), Medium (11-50), Large (51-200), Enterprise (200+)
Waystar
Medium (11-50), Large (51-200), Enterprise (200+)
Customer Base
3+ million providers
Unknown
Customer Base
Availity Essentials
3+ million providers
Waystar
Unknown
Ready to Get Started?
Visit these tools to learn more or request a personalized demo.
