Enterprise claims management module with AI-powered scrubbing, real-time status tracking, and automated denial workflows processing $3T+ annually.
Leading healthcare RCM platform combining Navicure, ZirMed, and Patientco, processing $3T+ in claims annually with AI-powered denial prevention.
What It Is
Waystar Claims Management
Enterprise claims management module with AI-powered scrubbing, real-time status tracking, and automated denial workflows processing $3T+ annually.
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
Waystar Claims Management
billing-rcm-insurance
Waystar
billing-rcm-insurance
Founded
Unknown
Unknown
Founded
Waystar Claims Management
Unknown
Waystar
Unknown
Best For
Large healthcare organizations needing enterprise-scale claims processing; Health systems requiring real-time claims status across payers; Organizations seeking AI-powered claim scrubbing and optimization
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
Waystar Claims Management
Large healthcare organizations needing enterprise-scale claims processing; Health systems requiring real-time claims status across payers; Organizations seeking AI-powered claim scrubbing and optimization
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
Waystar Claims Management
Custom quote required
Waystar
Custom quote required
Pricing Model
enterprise-custom
enterprise-custom
Pricing Model
Waystar Claims Management
enterprise-custom
Waystar
enterprise-custom
Free Trial
No free trial
No free trial
Free Trial
Waystar Claims Management
No free trial
Waystar
No free trial
Pricing Details
Enterprise pricing based on claim volume and modules. Typically $200-800/month for smaller practices, custom pricing for large organizations.
Custom enterprise pricing based on claim volume and modules selected. Typical range $200-800/month for small practices, higher for large organizations.
Pricing Details
Waystar Claims Management
Enterprise pricing based on claim volume and modules. Typically $200-800/month for smaller practices, custom pricing for large organizations.
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
Waystar Claims Management
Yes
Waystar
Yes
BAA Available
Yes
Yes
BAA Available
Waystar Claims Management
Yes
Waystar
Yes
SOC 2 Certified
Yes
Yes
SOC 2 Certified
Waystar Claims Management
Yes
Waystar
Yes
HITRUST Certified
Yes
Yes
HITRUST Certified
Waystar Claims Management
Yes
Waystar
Yes
Features
Mobile App
Yes
Yes
Mobile App
Waystar Claims Management
Yes
Waystar
Yes
Mental Health Specific
No
No
Mental Health Specific
Waystar Claims Management
No
Waystar
No
Integrations
Total Integrations
7 integrations
8 integrations
Total Integrations
Waystar Claims Management
7 integrations
Waystar
8 integrations
Clearinghouse
None
None
Clearinghouse
Waystar Claims Management
None
Waystar
None
Billing Features
Claims Submission
No
Yes
Claims Submission
Waystar Claims Management
No
Waystar
Yes
Eligibility Verification
No
Yes
Eligibility Verification
Waystar Claims Management
No
Waystar
Yes
ERA Processing
No
Yes
ERA Processing
Waystar Claims Management
No
Waystar
Yes
Support & Fit
Practice Sizes
Medium (11-50), Large (51-200), Enterprise (200+)
Medium (11-50), Large (51-200), Enterprise (200+)
Practice Sizes
Waystar Claims Management
Medium (11-50), Large (51-200), Enterprise (200+)
Waystar
Medium (11-50), Large (51-200), Enterprise (200+)
Customer Base
Unknown
Unknown
Customer Base
Waystar Claims Management
Unknown
Waystar
Unknown
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