Waystar Claims Management
Waystar
Enterprise claims management module with AI-powered scrubbing, real-time status tracking, and automated denial workflows processing $3T+ annually.
About Waystar Claims Management
Waystar Claims Management is the core claims submission and tracking module within Waystar's comprehensive RCM platform. Built on technology from the 2017 Navicure-ZirMed merger, the system processes over $3 trillion in gross claims annually for 450,000+ providers. The Claims Management module includes AI-powered claim scrubbing that identifies potential denials before submission, real-time claim status checking across all payers, batch and single claim submission capabilities, and automated workflows for claim corrections and resubmissions. The platform supports all claim types (837P, 837I, 837D) and connects to virtually every US payer. Hubble AI technology analyzes billions of historical data points to predict and prevent claim denials, significantly improving first-pass acceptance rates. Best suited for mid-size to large organizations needing sophisticated claims management beyond basic clearinghouse functionality.
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
- • Multi-location practices wanting centralized claims management
Not Ideal For
- • Solo practitioners seeking simple, affordable billing
- • Small practices with limited claims volume
- • Organizations needing mental health-specific billing expertise
- • Practices wanting all-in-one EHR with integrated billing
Integrations
Pricing
Contact for pricing
Compliance & Security
Always verify compliance directly with the vendor.
Target Audience
Roles
Settings
Related Tools
Waystar
Leading healthcare RCM platform combining Navicure, ZirMed, and Patientco, processing $3T+ in claims annually with AI-powered denial prevention.
Waystar Eligibility
AI-powered real-time eligibility verification processing 90M+ transactions monthly across commercial, Medicare, and Medicaid payers.
Availity
Free multi-payer portal for eligibility verification and claims submission.
Change Healthcare (Optum)
Enterprise healthcare clearinghouse and revenue cycle management from Optum.