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A rev cycle roadmap to reduce denials + increase cash flow

Medical laboratory leaders know that operational and revenue challenges are steep—and will only grow as lab reimbursement and operating margins continue to shrink. With Waystar, labs like yours receive a rev cycle roadmap to improve efficiencies, increase cash flow and realize opportunities for growth.

Your lab deserves the right tools and visibility on patient demographics, eligibility and payment information to optimize your billing performance. And in order to get paid faster and fuller, you need a lab billing expert and implementation partner, not just a vendor.

High volume laboratories can see high numbers of denials per day. And the costs to appeal a denial or rework a claim can be far more than the claim is worth. Waystar can help your lab achieve a 98.5% clean claim rate and reduce denials immediately.

Source: Waystar data

Find out how

Waystar’s end-to-end lab solutions:

Imagine verifying eligibility, getting procedures authorized and triaging payer exceptions were fast and simple. This would not only take the burden off your team, but also ensure a smoother and less stressful experience for your patients and their families. With Waystar, your team will be empowered to:

  • Verify eligibility prior to claim submission
  • Find coverage for uninsured or self-pay patients
  • Eliminate denials due to lack of or inactive coverage
  • Quickly identify and correct claims with suggested edits
  • Identify unpaid and underpaid claims and recover revenue
  • Create options for easy patient payment collection pre- or post-service
  • Automate the authorization process and free up your staff with artificial Intelligence and RPA technology

Eligibilty Verification

Waystar’s eligibility tools confirm active coverage for patient including third- party plans, secondary benefits, and any other supplemental coverage.

Prior Authorizations

Staff can quickly identify whether an authorization is required, initiate, and quickly return authorization status; eliminating denials due to auth requirements.

Reduced Denials

Waystar’s denial management tools make it easy to track and appeal denials, increasing revenue by uncovering unpaid and underpaid claims.

Coverage Detection

Identify patient coverage—and eligibility for coverage—for uninsured and underinsured patients.

Clinical Laboratories


Leading coverage detection hit rate in the industry

With coverage information for 1 in 2 patients in the United States, Waystar is able to identify 2.8x more coverage than our competition. Leveraging over a decade and a half of robust data from hospitals, health systems, physicians, specialty groups, ancillaries, payers and more, we make finding coverage faster, easier and more cost effective while delivering a superior hit rate. Using billions of data points, our average coverage detection hit rate is 30%. How would capturing up to 30% more billable insurance impact your lab’s revenue goals?

Source: Waystar data

Find out now

clinical lab revenue cycle management

Automated prior authorizations

Waystar’s solutions are driven by process automation and artificial intelligence, presenting an enormous opportunity for lab and diagnostic providers.

Tedious, error-prone claims-filing and prior authorization workflows that your staff is currently handling manually can be automated to accelerate operations and improve accuracy. Waystar’s artificial intelligence identifies and eliminates common errors that contribute to costly claims rejection and write-offs.

Get faster approvals at a lower cost with automated prior authorizations from Waystar. Our breakthrough revenue cycle technology integrates with all major EMRs and payer systems, constantly working behind the scenes and gaining speed and accuracy with every exchange. Find out what greater productivity and fewer denials can mean for your lab.

See how it works

Clinical Laboratories

Prior Authorizations by the numbers

Cost savings opportunity per manual authorization transaction alone

Let’s work together to transform your lab’s performance

We’d love to hear about your lab’s challenges and how we can work together to deliver solutions that will help you improve efficiencies and optimize your lab billing cycle. Fill out the form below, and a Waystar expert will be in touch shortly. We look forward to talking to you!