AI-powered RCM automation with claims autocorrection
Leading healthcare RCM platform combining Navicure, ZirMed, and Patientco, processing $3T+ in claims annually with AI-powered denial prevention.
What It Is
Candid Health
AI-powered RCM automation with claims autocorrection
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
Candid Health
billing-rcm-insurance
Waystar
billing-rcm-insurance
Founded
2020
Unknown
Founded
Candid Health
2020
Waystar
Unknown
Best For
Growing practices wanting to automate RCM; Organizations frustrated with high denial rates; Telehealth companies needing scalable billing
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
Candid Health
Growing practices wanting to automate RCM; Organizations frustrated with high denial rates; Telehealth companies needing scalable billing
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
Custom quote required
Custom quote required
Starting Price
Candid Health
Custom quote required
Waystar
Custom quote required
Pricing Model
Per provider/month
enterprise-custom
Pricing Model
Candid Health
Per provider/month
Waystar
enterprise-custom
Free Trial
No free trial
No free trial
Free Trial
Candid Health
No free trial
Waystar
No free trial
Pricing Details
Percentage of collections model aligns incentives. No upfront costs. Named Best RCM Software 2025 by multiple publications.
Custom enterprise pricing based on claim volume and modules selected. Typical range $200-800/month for small practices, higher for large organizations.
Pricing Details
Candid Health
Percentage of collections model aligns incentives. No upfront costs. Named Best RCM Software 2025 by multiple publications.
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
Candid Health
Yes
Waystar
Yes
BAA Available
Yes
Yes
BAA Available
Candid Health
Yes
Waystar
Yes
SOC 2 Certified
Yes
Yes
SOC 2 Certified
Candid Health
Yes
Waystar
Yes
HITRUST Certified
Unknown
Yes
HITRUST Certified
Candid Health
Unknown
Waystar
Yes
Features
Mobile App
No
Yes
Mobile App
Candid Health
No
Waystar
Yes
Mental Health Specific
No
No
Mental Health Specific
Candid Health
No
Waystar
No
Integrations
Total Integrations
6 integrations
8 integrations
Total Integrations
Candid Health
6 integrations
Waystar
8 integrations
Clearinghouse
None
None
Clearinghouse
Candid Health
None
Waystar
None
Billing Features
Claims Submission
Yes
Yes
Claims Submission
Candid Health
Yes
Waystar
Yes
Eligibility Verification
Yes
Yes
Eligibility Verification
Candid Health
Yes
Waystar
Yes
ERA Processing
Yes
Yes
ERA Processing
Candid Health
Yes
Waystar
Yes
Support & Fit
Practice Sizes
Small (2-10), Medium (11-50), Large (51-200)
Medium (11-50), Large (51-200), Enterprise (200+)
Practice Sizes
Candid Health
Small (2-10), Medium (11-50), Large (51-200)
Waystar
Medium (11-50), Large (51-200), Enterprise (200+)
Customer Base
200+ healthcare organizations
Unknown
Customer Base
Candid Health
200+ healthcare organizations
Waystar
Unknown
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