Waystar Features
Administrative (5)
Systems Interoperability - Payer Care Management Workflow Applications
Manages the entire continuum of care to increase organizational ability and transparency
Applications Integration - Payer Care Management Workflow Applications
Brings together disparate solutions and systems for a seamless experience
Workflow Optimization - Payer Care Management Workflow Applications
Consolidates care applications and utilizes collected data to enable efficient workflows
Patient Care Plan Management - Payer Care Management Workflow Applications
Automates or facilitates the creation of QAed patient care plans
Data Ingestion - Payer Care Management Workflow Applications
Aggregates, analyzes, and manages clinical data
Processes (3)
Compliance - Payer Care Management Workflow Applications
Facilitates compliance and adherance to industry regulation
Payer Support - Payer Care Management Workflow Applications
Provides a unified platform for payers to centralize their processes
Provider Support - Payer Care Management Workflow Applications
Provides a unified platform for providers to centralize their processes
Clinical (11)
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Software Integrations - Revenue Cycle Management (RCM)
Easily integrates with health care IT solutions like EHRs, medical scheduling, and medical billing softwares
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Task Automation - Revenue Cycle Management (RCM)
Automates manual administrative tasks to reduce error
ICD-10 Compliance
Manage the intricacies of ICD-10 cataloging and ensure clinic compliance
Sarbanes-Oxley Compliance
Regulations on a company's internal process when dealing with financial reporting
Invoice Management
Captures invoice data and maintains comprehensive records for auditing and reporting purposes
Workflow Management
Create, design and manage workflows for repetitive tasks
Financial Management
Plan, manage, and track the financial activities of an individual or organization
Denial Management
Process of investigating, analyzing, and resolving denied insurance claims
Cash Flow Management
Monitoring, analysis, and projection of the movement of cash into and out of a business over a specific period
User Management
Manage user accounts, profiles, roles, permissions, and other details across applications, devices or networks
Claims Management
Process of submitting and following up on claims with insurance companies
Financial (8)
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Billing Automation - Revenue Cycle Management (RCM)
Automates manual financial management tasks to reduce error
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Clearinghouse Integration - Revenue Cycle Management (RCM)
Streamlines any communication and data share between provider and clearinghouse
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Claims Management - Revenue Cycle Management (RCM)
Streamlines the processing, scrubbing, and submission of healthcare insurance claims
Medical Billing
Manage billing and payments for a healthcare provider
Recurring/Subscription Billing
Automated process of charging customers at regular intervals for repeated access or use of a product or service
Reimbursement Management
Manage compensation for out-of-pocket expenses incurred by an employee, client or another party
Insurance Eligibility Verification
Checking eligibility of patients for different insurance claims
EHR/EMR Integration
Allows integration with Electronic Medical Records (EMR) and Electronic Health Records (EHR) systems
Efficiency (4)
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Claims Data Automation - Healthcare Claims Management
Automatically populates data in claim submission fields
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Electronic Submissions - Healthcare Claims Management
Supports electronically uploading and sending of healthcare insurance claims
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Clearinghouse Integration - Healthcare Claims Management
Provides integration or facilitates relationships with clearinghouse(s)
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Claims Process Workflow - Healthcare Claims Management
Provides or facilitates a structured process to support the entire claims lifecycle
Accuracy (3)
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Claims Resubmission - Healthcare Claims Management
Promptly re-submits denied claims once providers update missing or lacking information
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Patient Data Security - Healthcare Claims Management
Ensures that patient data remains secure and confidential and that only pertinent information is shared
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Claims Scrubbing - Healthcare Claims Management
Digitizes, tracks, and vets submitted health insurance claims to check for errors
Data Management (8)
Data Warehouse
Maintain a health care-specific data warehouse that organizes all clinical, operational, financial, and patient data
Data Analysis
Process collected data to pull out relevant insights
Data Capture
Accurately capture and store health care data
Data Integration
Consolidates data from various sources including Electronic Health Records (EHR), billing systems, and patient management systems into a unified platform.
Integration with Wearable Devices
Connects with wearable health devices to capture real-time patient data like heart rate, activity levels, and sleep patterns.
Interoperability
Ensures compatibility with various healthcare systems and standards like HL7, FHIR, and DICOM, facilitating seamless data exchange.
Security and Privacy Controls
Implements data security mechanisms and compliance with regulations like HIPAA to safeguard patient data.
Data Querying
Provides a user-friendly interface to construct custom queries for in-depth data analysis without needing advanced technical skills.
Platform Content (2)
Automation
Automates some or all operation related tasks related to prior authorization
File Sharing
Provides robust sharing options for communication with both internal and external stakeholders, such as the medical practice and insurance company
Platform Performance (1)
Reporting
Provides pre-built or customizable performance reports
Platform Additional Functionality (3)
Messaging
Facilitates communication and data share between outside systems, specialties, laboratories, practices, or insurance providers
Task Management
Provides task prioritization and management abilities
Dashboard
Has a centralized dashboard for users to interact with
Platform Interoperability (1)
API
Provides a robust external interface for integrating data, logic and workflows with other software applications.
Platform Data (2)
Alerts and Notifications
Monitors updates to cases and sends notifications to users in-app or through email, text message or otherwise.
Platform Search
Find important content or files using keywords, metadata, tags, etc.
Platform Basics (1)
HIPAA Compliance
Platform adheres to and meets HIPAA regulations, to protect, audit, and secure sensitive data
Analytic Tools - Healthcare Analytics (6)
Data Visualization
Provides graphical representations of data through charts, graphs, and dashboards to facilitate easier interpretation and decision-making.
Cost Analysis
Evaluates treatment costs, resource utilization, and financial performance to optimize healthcare expenditures.
Real-Time Analysis
Enables the analysis and monitoring of healthcare data as it is generated, allowing timely interventions.
Predictive Analytics
Employs statistical algorithms and machine learning techniques to predict future outcomes based on historical data.
Patient Risk Scoring
Calculates risk scores for patients based on their health data, helping providers identify those who may need urgent care or preventive measures.
Natural Language Processing (NLP)
Utilizes NLP to extract meaningful information from unstructured text data, such as clinical notes and patient records.
Agentic AI - Medical Billing (1)
Natural Language Interaction
Engages in human-like conversation for task delegation
Additional Functionality (82)
Claims Tracking
Process of tracking new and submitted claims and the status of submitted claims
Task Scheduling
Track and manage the scheduling of tasks
Revenue Recognition
An accounting principle that identifies the specific conditions in which revenue is recognized and determines how to account for it.
Audit Trail
A record of all activities within the system, including user access, changes made, etc.
Customizable Reports
Alter the layout and content of reports
Remittance Advice
Document insurance payer providing an explanation of benefits (EOB).
Reporting/Analytics
View and track pertinent metrics to find patterns and gain insights from data
Accounts Receivable
Track outstanding invoices and the money owed from clients
AI Copilot
A virtual assistant that uses AI to pursue goals and complete tasks on behalf of users
For Healthcare
Software designed for the healthcare industry
Payment Collection
Tracking, managing, and initiating the transfer of funds for overdue customer payments
Dashboard Creation
Creation and customization of dashboards
Transaction History
Record of all transactions such as purchases, deposits, withdrawals and transfers within a specific period
Data Verification
Process of checking different types of data for accuracy to avoid errors or inconsistencies
Document Storage
Store and organize documents in a centralized system
API
Application programming interface that allows for integration with other systems/databases
Forecasting
Form predictions based on past and present data/trends
Claims Scrubbing
Clean up of claims prior to their submission and validating to determine claims are appropriate and accurate
Revenue Management
Monitor sales and make necessary adjustment in order to increase demand and revenue
Payment Processing
Accept, record, and reconcile financial transactions
Generative AI
Use AI to generate content in the form of text, images, videos, etc.
Monitoring
Observe and track the demand, usage, progress or quality of a system, product, or user
Customer History
Access previous interactions or concerns to maintain customer relationships
Credit Card Processing
Accept and process credit card transactions
Search/Filter
Search and filter data across systems to locate required information by entering keywords or certain criteria
Electronic Payments
Electronically collect payments for goods or services
Charting
Manage patient documentation describing all clinical interactions, diagnoses, procedures, medications, etc.
Patient Portal
Online portal where patients can access information such as health records, treatment plants, etc.
HIPAA Compliant
Compliant with HIPAA, which sets standards for sensitive patient data protection
Pre-Registration
Manage the pre-registration process
Patient Intake
Patients can register for appointments in advance online
Customer Database
A collection of customer information such as contact details, demographics, previous interactions, etc.
Batch Processing
Software's ability to perform similar action on multiple similar files simultaneously
Reminders
Timed notification for any upcoming task, deadline, appointment, or activity
Patient Scheduling
Book and manage patient appointments and follow-ups
Workflow Management
Create, design and manage workflows for repetitive tasks
Charting
Manage patient documentation describing all clinical interactions, diagnoses, procedures, medications, etc.
Practice Management
Managing day-to-day operations of a medical practice such as scheduling appointments, generating reports and more
Secure Data Storage
Securely stores data to prevent data loss or breaches
Customizable Dashboard
Alter the layout and content of dashboards
Generative AI
Use AI to generate content in the form of text, images, videos, etc.
Scheduling
Plan availability and assign specific time slots for tasks and resources
Invoice History
Store and view prior invoices for each account/client
HIPAA Compliant
Compliant with HIPAA, which sets standards for sensitive patient data protection
Electronic Payments
Electronically collect payments for goods or services
Online Intake Forms
Online forms for managing client intake
Dunning Management
Process of automatically notifying clients when payments fail to ensure invoices are paid
Records Management
Ability to record, store, update, and retrieve information
Reminders
Timed notification for any upcoming task, deadline, appointment, or activity
Credit Card Processing
Accept and process credit card transactions
Accounting
Built-in accounting to manage ledger, accounts payable/receivable, financial reports, etc.
Document Management
Store, manage, and track all electronic documents in a centralized location
E-Prescribing
Transmit prescriptions to pharmacies electronically
Remittance Advice
Document insurance payer providing an explanation of benefits (EOB).
PACS Integration
Ability to integrate with picture archiving and communication system to store diagnostic imaging files.
Customizable Templates
Pre-designed layouts that can be customized to match preferences and requirements
Historical Reporting
Information, data and reports that are being tracked over time
Compliance Tracking
Track and report regulatory data to either internal management or external stakeholders
Billing & Invoicing
Create, manage, and send invoices or bills to customers
Claims Management
Process of submitting and following up on claims with insurance companies
Data Import/Export
Import and export data to and from software applications
Live Chat
Ability to chat online in real time
Code & Charge Entry
Assigning monetary value to patients' accounts as per medical codes and appropriate fee schedule
Financial Management
Plan, manage, and track the financial activities of an individual or organization
Reporting & Statistics
Collection, analysis, and representation of numerical data and generation of reports to understand various patterns
Claims Scrubbing
Clean up of claims prior to their submission and validating to determine claims are appropriate and accurate
Quotes/Estimates
Generate quotes or estimates for customers
Activity Dashboard
Dashboard to view the status of ongoing processes, identify current incidents and track past activities
Customizable Reports
Alter the layout and content of reports
API
Application programming interface that allows for integration with other systems/databases
Self Service Portal
Online portal through which end users can access the system, manage tasks, or obtain information
Real-Time Reporting
Active reporting of data and metrics
Appointment Management
Manage various aspects of appointments including booking, rescheduling, canceling
Insurance Eligibility Verification
Checking eligibility of patients for different insurance claims
Real-Time Data
Receive data and information in real time
Forms Management
Store, manage and track all forms in a centralized location
AI Copilot
A virtual assistant that uses AI to pursue goals and complete tasks on behalf of users
Revenue Management
Monitor sales and make necessary adjustment in order to increase demand and revenue
Multi-Location
Manage and support multiple locations
Payment Collection
Tracking, managing, and initiating the transfer of funds for overdue customer payments
Customer Database
A collection of customer information such as contact details, demographics, previous interactions, etc.
Calendar Management
Track and manage schedules and meetings via an integrated calendar




