Enterprise healthcare clearinghouse and revenue cycle management from Optum.
Leading healthcare RCM platform combining Navicure, ZirMed, and Patientco, processing $3T+ in claims annually with AI-powered denial prevention.
What It Is
Change Healthcare (Optum)
Enterprise healthcare clearinghouse and revenue cycle management from Optum.
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
Change Healthcare (Optum)
billing-rcm-insurance
Waystar
billing-rcm-insurance
Founded
Unknown
Unknown
Founded
Change Healthcare (Optum)
Unknown
Waystar
Unknown
Best For
Large health systems and hospital groups; High-volume billing companies; Organizations already in the UnitedHealth/Optum ecosystem
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
Change Healthcare (Optum)
Large health systems and hospital groups; High-volume billing companies; Organizations already in the UnitedHealth/Optum ecosystem
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
Custom quote required
Starting Price
Change Healthcare (Optum)
Custom
Waystar
Custom quote required
Pricing Model
enterprise-custom
enterprise-custom
Pricing Model
Change Healthcare (Optum)
enterprise-custom
Waystar
enterprise-custom
Free Trial
No free trial
No free trial
Free Trial
Change Healthcare (Optum)
No free trial
Waystar
No free trial
Pricing Details
No additional details
Custom enterprise pricing based on claim volume and modules selected. Typical range $200-800/month for small practices, higher for large organizations.
Pricing Details
Change Healthcare (Optum)
No additional details
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
Change Healthcare (Optum)
Yes
Waystar
Yes
BAA Available
Unknown
Yes
BAA Available
Change Healthcare (Optum)
Unknown
Waystar
Yes
SOC 2 Certified
Unknown
Yes
SOC 2 Certified
Change Healthcare (Optum)
Unknown
Waystar
Yes
HITRUST Certified
Unknown
Yes
HITRUST Certified
Change Healthcare (Optum)
Unknown
Waystar
Yes
Features
Mobile App
No
Yes
Mobile App
Change Healthcare (Optum)
No
Waystar
Yes
Mental Health Specific
No
No
Mental Health Specific
Change Healthcare (Optum)
No
Waystar
No
Integrations
Total Integrations
None listed
8 integrations
Total Integrations
Change Healthcare (Optum)
None listed
Waystar
8 integrations
Clearinghouse
None
None
Clearinghouse
Change Healthcare (Optum)
None
Waystar
None
Billing Features
Claims Submission
No
Yes
Claims Submission
Change Healthcare (Optum)
No
Waystar
Yes
Eligibility Verification
No
Yes
Eligibility Verification
Change Healthcare (Optum)
No
Waystar
Yes
ERA Processing
No
Yes
ERA Processing
Change Healthcare (Optum)
No
Waystar
Yes
Support & Fit
Practice Sizes
Solo, Small (2-10), Medium (11-50)
Medium (11-50), Large (51-200), Enterprise (200+)
Practice Sizes
Change Healthcare (Optum)
Solo, Small (2-10), Medium (11-50)
Waystar
Medium (11-50), Large (51-200), Enterprise (200+)
Customer Base
Unknown
Unknown
Customer Base
Change Healthcare (Optum)
Unknown
Waystar
Unknown
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