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Claim Manager

Get greater visibility into claims + prevent denials

Claim management technology 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 technology 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 single 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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Average clean claim rate

Waystar Claim Management by the numbers

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payer connections
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, and intelligently triages payer responses. Waystar Claim Manager improves operational efficiency and accuracy with smart automation, minimizing manual effort and allowing staff to focus on higher-value tasks.

Claims clearinghouse software

Features + Benefits

  • Apply accurate edits to the right claims for the right payer at the right time with crowdsourced and configurable edits
  • Waystar’s Rule Manager supports timeliness and flexibility by allowing clients to create and apply their own edit rules to support their unique workflow needs
  • Pre-Claim Eligibility + Coverage Detection edits ensure patient information is accurate and complete before the claim is submitted to the payer
  • 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

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 we work 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.

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Source: Waystar data

Experience the Waystar difference

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Claims submission was the easiest with Waystar compared to other systems we had experience with. The Remits and Denial and Appeal solutions were also great because they could all be used in the same platform. The different solutions offered overall, as well as the way the information was provided to us, made a difference. These are really good products that are easy to teach and use. Waystar is very user friendly.


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 case studies below to see just a few examples.

reduction in costs for Cincinnati Children’s

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first-pass clean claims rate for Vibra Healthcare

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reduction in denials for John Muir Health

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first-pass clean claims rate for IBHN

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in additional revenue recovered by BAYADA

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in rebilled claims for Preferred Home Health

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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 expanded 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 in reimagining your revenue cycle

Changing clearinghouses can be daunting. But with our white glove client support — and the results we know you’ll see on the other side — it’s worth it. Fill out the form below to start a conversation about your challenges and opportunities. We look forward to speaking with you.