AI-powered real-time eligibility verification processing 90M+ transactions monthly across commercial, Medicare, and Medicaid payers.
Leading healthcare RCM platform combining Navicure, ZirMed, and Patientco, processing $3T+ in claims annually with AI-powered denial prevention.
What It Is
Waystar Eligibility
AI-powered real-time eligibility verification processing 90M+ transactions monthly across commercial, Medicare, and Medicaid 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
Waystar Eligibility
billing-rcm-insurance
Waystar
billing-rcm-insurance
Founded
Unknown
Unknown
Founded
Waystar Eligibility
Unknown
Waystar
Unknown
Best For
Health systems needing comprehensive eligibility verification; Multi-site organizations with high claim volume; Practices wanting to reduce front-desk manual lookups
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 Eligibility
Health systems needing comprehensive eligibility verification; Multi-site organizations with high claim volume; Practices wanting to reduce front-desk manual lookups
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 Eligibility
Custom quote required
Waystar
Custom quote required
Pricing Model
enterprise-custom
enterprise-custom
Pricing Model
Waystar Eligibility
enterprise-custom
Waystar
enterprise-custom
Free Trial
No free trial
No free trial
Free Trial
Waystar Eligibility
No free trial
Waystar
No free trial
Pricing Details
No public pricing. Small practices typically pay $100-300/provider/month. Mid-sized organizations report $2,000-5,000+/month with annual contracts starting near $11,000. Implementation costs $2,000-10,000+. Premium integrations may add $1,000-7,500+.
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 Eligibility
No public pricing. Small practices typically pay $100-300/provider/month. Mid-sized organizations report $2,000-5,000+/month with annual contracts starting near $11,000. Implementation costs $2,000-10,000+. Premium integrations may add $1,000-7,500+.
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 Eligibility
Yes
Waystar
Yes
BAA Available
Yes
Yes
BAA Available
Waystar Eligibility
Yes
Waystar
Yes
SOC 2 Certified
Yes
Yes
SOC 2 Certified
Waystar Eligibility
Yes
Waystar
Yes
HITRUST Certified
Yes
Yes
HITRUST Certified
Waystar Eligibility
Yes
Waystar
Yes
Features
Mobile App
No
Yes
Mobile App
Waystar Eligibility
No
Waystar
Yes
Mental Health Specific
No
No
Mental Health Specific
Waystar Eligibility
No
Waystar
No
Integrations
Total Integrations
6 integrations
8 integrations
Total Integrations
Waystar Eligibility
6 integrations
Waystar
8 integrations
Clearinghouse
None
None
Clearinghouse
Waystar Eligibility
None
Waystar
None
Billing Features
Claims Submission
No
Yes
Claims Submission
Waystar Eligibility
No
Waystar
Yes
Eligibility Verification
Yes
Yes
Eligibility Verification
Waystar Eligibility
Yes
Waystar
Yes
ERA Processing
Yes
Yes
ERA Processing
Waystar Eligibility
Yes
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 Eligibility
Medium (11-50), Large (51-200), Enterprise (200+)
Waystar
Medium (11-50), Large (51-200), Enterprise (200+)
Customer Base
Unknown
Unknown
Customer Base
Waystar Eligibility
Unknown
Waystar
Unknown
Ready to Get Started?
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