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Claim Manager

Cleaner claims. Fewer denials.

Claim management software is one of the biggest investments for your healthcare organization, and making the right decision is critical to see high returns and powerful results. As part of a unified healthcare payments platform, Waystar’s Claim Manager offers intelligent AI capabilities, advanced automation, and data to streamline your workflows, reduce the cost-to-collect, and bring in revenue — faster and more easily.

To overcome ever-increasing complexity in today’s healthcare environment, Waystar’s software platform offers one, seamless solution for claim types across payers — and integrates with 530+ HIS and PM systems to support your healthcare organization’s needs.
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98.5%+

Average clean claim rate

Source: Waystar data

Waystar Claim Management by the numbers

2.5M
continuously updated edits
5K+
payer connections
1M+
providers
Source: Waystar data
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What makes Waystar Claim Manager different

Get your claim right, the first time

Gain greater visibility into and more control of your claims with highly customized technology that produces cleaner claims, prevents denials, intelligently triages payer responses, and makes custom claim rule creation a breeze. Waystar Claim Manager improves operational efficiency and accuracy with advanced automation, minimizing manual effort and allowing staff to focus on higher-value tasks.

Claims clearinghouse software

Features + Benefits

  • Get claims right the first time with precise claim edits for the right payers using configurable rules and crowdsourced insights
  • Waystar’s Rule Manager allows custom rule creation in minutes, now enhanced with AltitudeAssist™ for generative AI-powered precision and speed
  • Automated Eligibility Verification + Coverage Detection integration helps prevent eligibility denials by ensuring accurate coverage data prior to claim submission
  • Flexible claim search options allow staff to easily find and review claims
  • Simple rejection messaging removes the cumbersome task of interpreting payer responses
  • Quickly and easily complete enrollments with eSignature and enrollment services
  • Waystar’s Automation Intelligence Center provides a clear view of automation and AltitudeAI™ features available for workflow optimization

Claim Management Implementation

Switching to Waystar is easy — and it’s worth it

We know you can’t afford cash or workflow disruptions. That’s why Waystar works hard to make enrollment easy and seamless, and why we’ve invested in in-house implementation and support experts with decades of experience. We’ll be with you every step of the way, customizing workflows to fit your needs and preferences, whether you’d like to work in your HIS or PM system or in the Waystar interface. Find out why our clients rate us so highly.

96%
client support satisfaction
<11s
average time to reach live support
96%
same-day support case resolutions
Source: Waystar data

Experience the Waystar difference

Claim Manager resources

Success that speaks for itself

For years, we’ve helped clients increase efficiency and collect payments faster and more cost-effectively. Check out the success stories below to see just a few examples.

99.4%
clean claim rate for Preferred Home
Health Care & Nursing Services

Read story

$10M
in payment lift for Piedmont

Read story

98.16%
payer acceptance rate for CPA Lab

Read story

50%
cut in costs for Cincinnati Children’s

Watch story

1%
average claim denial rate for Healthcare Provider Solutions

Read story

44%
fewer claims touched manually by Sadler Health Center

Read story

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Access a world of possibility in one platform

When you work with Waystar, you get more than just a top-rated clearinghouse and expert support. You get access to an end-to-end software platform that can automate and streamline your entire revenue cycle, give you insights into your operations, and more. Explore the solutions that complement Claim Manager to help you get even better results:

Claim Monitoring  |  Claim Attachments  |  Medicare Enterprise

Take the next step to see measurable revenue cycle results  

Switching revenue cycle partners can be daunting. But with Waystar’s white-glove client support and innovative, user-friendly software it’s worth it. Reach out to an expert below to see how your healthcare organization can reach peak performance.