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Waystar Denial Prevention + Recovery

Simplify healthcare payments.

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Overview

Waystar provides a cloud-based platform that simplifies and unifies the healthcare revenue cycle. Their Denial Prevention + Recovery solution uses AI and predictive analytics to identify claims with a high probability of denial, allowing providers to address issues proactively. The system automates workflows, prioritizes denials most likely to be overturned, and generates pre-populated appeal forms to increase efficiency and accelerate cash flow.

✨ Key Features

  • AI-powered predictive analytics
  • Denial prioritization based on overturn probability
  • Automated appeal generation
  • Root cause analysis reporting
  • Customizable, exception-based workflows
  • Integration with EMR/PM systems

🎯 Use Cases (3)

Hospitals and health systems looking to reduce denial rates. Physician groups aiming to accelerate revenue recovery. RCM teams seeking to automate manual appeal processes.

✅ Best For

  • Automating the identification and prioritization of high-value denied claims.
  • Reducing the time and manual effort required to submit appeals.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Small practices with very low claim volume.

💻 Platforms

Web API

🔌 Integrations

Allscripts Epic Cerner athenahealth eClinicalWorks NextGen

🛟 Support Options

  • ✓ Email Support
  • ✓ Live Chat
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ ISO 27001 ✓ SSO ✓ SOC 1 Type 2 ✓ SOC 2 Type 2 ✓ ISO 27001 ✓ PCI DSS ✓ EHNAC

💰 Pricing

Contact for pricing
Visit Waystar Denial Prevention + Recovery Website →