Claim + Denial Management

Transform Your Workflows

For providers of all kinds, managing claims and denials is one of the most demanding parts of the revenue cycle. With Waystar, you can prevent rejections and denials before they happen, automate claim monitoring, easily send batch appeals and much more.

Work claims and denials within our intuitive interface or directly in the PM system or HIS you’re used to. Because implementation and integration are seamless, switching to Waystar has never been easier—or more worth it. Let’s illuminate a quicker, clearer path to reimbursement.

Get in touch

Honestly, after working with other clearinghouses, Waystar is the best experience that I have ever had in terms of ease of use, being extremely intuitive, tons of tools to make the revenue cycle clean and tight, and fantastic help and support.

Jessica Jankowski, Chief Operations Officer at Integrated Behavioral Health Network

The right clearinghouse can make all the difference

You’ve likely invested a lot of time and money in your HIS or PM system, but are you getting the most value out of it? Our Best-in-KLAS claims and clearinghouse solution offers the visibility and scope of data you need to streamline AR workflows, reduce your cost to collect and bring in more revenue. That’s the power of the industry’s largest, most accurate unified clearinghouse.

  • Intelligent algorithms help you determine when to status claims
  • Automated, precise remit matching and reconciliation uncovers missing deposits and ERAs
  • Confusing payer messages are translated into plain English so your team can work claims more quickly
100%
automation of claim status inquiries with Waystar
98.5+%
our clients’ average first-pass clean claims rate

Claim monitoring calculator

Say goodbye to manual claim status inquiries. Our technology automatically alerts you when a claim needs attention, so you can cut down on payer follow-up and focus your resources where they’re needed most. See how much you could save with Waystar.

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A simpler way to manage denials

Whether you’re using our award-winning clearinghouse or working with another system, our automated Denial Management solution can help your team more easily track and appeal denials—and even prevent them in the first place—so you’re not leaving revenue on the table. Increase your collection speed and recover more revenue.

  • Scrubs 835 data to uncover unpaid and underpaid line items
  • Identifies root causes so you can make process improvements upstream
  • Prioritizes denials that can realistically be overturned 
  • Pre-populates appeal packages with remit and provider data
76%
of providers ranked denials as their greatest challenge*
2 of 3
denials can be recovered*
90%
of denials are avoidable

Use our simple calculator to see what Denial Management could mean for your organization.

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*Becker’s Hospital Review, May 2018

We’ve helped providers across all care settings streamline their workflows and achieve unprecedented financial performance. Here are just a few examples.

$400k

Reduction in costs for Cincinnati Children’s

99.9%

First-pass clean claims rate for Vibra Healthcare

40%

Reduction in denial rate for John Muir Health

99.8%

First-pass clean claims rate for IBHN

$2.5M

Additional revenue recovered by BAYADA

$4.1M

In rebilled claims for Preferred Home Health Care

Get extra insights

Looking for more information about claim and denial management—common challenges providers like you are facing and ways to solve them? Check out our resources below.

Just a few of our clients

BUNDLED BENEFITS.
BETTER VALUE.

We’re proud to offer more RCM functionality at a lower price. Check out our new product packages, featuring our most in-demand solutions grouped for your success.

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