Waystar

1. Patient eligibility is verified through Waystar's API.

2. The system identifies required prior authorizations based on the patient's insurance and treatment plan.

3. Waystar automatically submits the prior authorization request to the payer.

4. The system monitors the status of the request and alerts staff of any issues.

5. Upon approval, the authorization is automatically recorded in the patient's chart.

1. Waystar provides patients with personalized video EOBs explaining their charges.

2. Patients can access self-service payment options through a secure online portal.

3. The system provides accurate estimates of out-of-pocket costs before services are rendered.

4. Patients receive automated reminders for upcoming payments.

5. Waystar integrates with patient portals to streamline communication and billing.

1. Waystar analyzes claim data to identify common denial patterns.

2. The system provides alerts for potential coding errors or missing information.

3. Automated claim scrubbing ensures claims are clean before submission.

4. The system tracks the status of denied claims and provides guidance on appeals.

5. Waystar generates reports to monitor denial rates and identify areas for improvement.

1. Waystar identifies missing charges using machine learning algorithms.

2. The system analyzes coding patterns to detect underpayments.

3. Certified coding experts review potential errors and make corrections.

4. The system automatically resubmits corrected claims to payers.

5. Waystar provides detailed reports on recovered revenue.

1. Waystar aggregates data from multiple sources, including EHRs and billing systems.

2. The system generates easy-to-understand reports on key performance indicators.

3. Users can customize reports to meet their specific needs.

4. Reports can be shared with stakeholders through secure channels.

5. Waystar provides actionable insights to improve financial performance.