Waystar

Pros

Navicure is absolutely great for daily reporting! There are various reports that can be review such as the daily productivity, rejection and denial type on your claims. You can work them by the denied reason, insurance company or the dates of service.

Cons

Some of the rejections reason/descriptions are not that clear and sometimes will need the help from customer service to determine the best way to fix however here is short wait time to get assistance. The rejection also sometime duplicate in more than on category but when one is completed it does remove it's self from the other categories as well.

Pros

Integrates with eClinicalworks EMR. Claim information drops immediately into our EMR

Cons

New features and functions that are added require additional fees.

Pros

We had been customers for 10 years, back when it used to be Navicure. I can't believe this is how they treat long term customers.

Cons

🚨 Predatory Auto-Renewals: The contract renews for two years at a time, and they do not send proper reminders before you’re locked in again.
🚨 Unlawful Price Increases: They increased our rates without contractually required notice and far beyond what was allowed (over 200%)
🚨 No Way to Leave: They refuse to let clinics exit the contract early unless you pay the entire balance upfront—even if you’re not using the service.
🚨 Data Access Held Hostage: If you terminate, you instantly lose access to all claims and financial data unless you pay additional fees to reactivate.

Pros

I liked everything being easily accessible and able to be viewed and had most insurances

Cons

The thing i didnt like is you arent able to see if a patient has any active insurances without knowing what theyvhave

Pros

I really like the ease of use between all the apps in Esolutions. The eligibility checks for monthly is a great feature to have.

Cons

Sometimes the eligibility takes a long period of time.

Pros

I didn’t feel that their software was very useful.

Cons

The company is costly. There clearinghouse isn’t very effective with all insurances. I had to manually bill some insurances since their clearing house couldn’t do it. They charge you extra to find out about denials. When you have issues, you can’t reach customer service well. There customer service isn’t good with getting back to you. When you leave their service, they require 90 notice to get there money. When you give notice on April 24, they cancel you on 7/30 to get as much money as they can. By the way, my renewal date was June 1, but they still made me go to 7/30 to pay them. When asked to talk to a supervisor, [SENSITIVE CONTENT HIDDEN] in Customer Relations kept telling me that I had to pay up to 7/30 or could pay all 90 days fees now to be done on 4/30. I asked 3 times for a supervisor and didn’t hear from anyone. They just want money and don’t care about their customers.

Alternatives Considered

Reasons for Choosing Waystar

Switched From

Reasons for Switching to Waystar

Pros

Hands down the BEST clearinghouse we have found yet!

Cons

So far nothing. Everything has gone smoothly and efficiently.

Pros

They lied about their product, and didn’t deliver

Cons

Platform is not user friendly. They don’t deliver on their promise

Pros

comprehensive payer list and easy function

Cons

extremely poor and slow customer service.

Pros

For my company, this product offers revenue cycle management and auto insurance verification. Contracting with Zirmed has allowed the organization to speed up their verification process and provide visits to patients faster.

Cons

As with every service, the software is not infallible. Quite unfortunately so, since it is an accurate product. Where it fails is with insurances that are not verified or for those that do not reach the clearing house, the insurance processor has to revert to a manual process to verify eligibility.

Pros

Broad scope of services, ease of use, fantastic customer support, fantastic technical support. Especially love the "live chat" option. The abilty to quickly and accurately correct claims that have been returned to provider (making corrections through Medicare Ace.). Love the Roster Billing. Love the ease to "create a claim" when needed. Also that there are prompts and scrubs when checking and fixing a returned claim. The ability to track ADRs is fantastic.

Cons

When there is an internet/technical problem with eSoutions or one of the intermediaries, eSolutions does not place a warning at the opening screen which would be extremely helpful. (Zirmed does doe this.)
Because then time is spent trying to ascertain whether this is a corporate IT problem or a general internet/provider problem.

Pros

You have the ability to correct claims that reject by the insurance company. Waystar also provides "scrubbing" for the electronic claims and sends back "Waystar level rejections" so that edits can be made before claims transmit to the payer source. The layout is very user-friendly and straightforward.

Cons

Customer service is very poor. There is a failure to fix problems in a timely manner. Each customer service team (claims solution, remit solution, patient statements, credit cards, client billing, etc.) clearly lacks the initiative to set a higher standard of customer service which allows critical issues and problems to go unresolved for unreasonable lengths of time.

Pros

I really love the ease of use and therefore highly recommend this product to other colleagues.

Cons

I do not have any so far my experience is going well.

Pros

Waystar has a nice interface and is fairly user friendly. Many features makes claim processing quite efficient, and is very easy to use. Claim scrubbing is good.

Cons

Claims processing delays are way too frequent. Especially during the first part of the month when many are billing. But these delays can and do happen all through the month. When I say processing delays, I mean it may take 30 or more minutes to process one claim! I process a high volume of claims, and these delays really make me less efficient in my job.

Pros

This software offers a number of different services. My company uses 10 services to manage all of our Medicare/Medicaid and Commercial Billing as well as supplemental insurances. It is very easy to use, it offers a number of different reports that the user can decide what they want to receive daily in the email inbox. It also has some of the best support I have had the experience to work with, they are very respondent to questions and issues are resolved very timely.

Cons

The Maven service allows the user to manage their Post Pay Reviews, RAC's ADR's CERT reviews, etc. I have problems flipping claims to the Appeals Manager within the Maven service, but it is probably because I don't use it enough to remember how to do that operation. But the pros out weight the cons with this service as the ease of electronically submitting the different reviews is very time saving and all your records are saved in one place within system.

Pros

it has the info I need . Customer service is helpful and knowledgeable when issues arise

Cons

love it all. we use daily and always has our needed info

Pros

Claims management & remittance are most used by our company. Its very easy, convenient & helpful in researching claim denials.

Cons

Adding insurance & providers, submitting of secondary claims.

Pros

The program's ease of use. It is very user-friendly. I find the tutorial tool to be extremely helpful.

Cons

The only con I can think of is that Waystar only keeps data for two years. Although you can request information going beyond two years, it is a lengthy process.

Pros

Benefits include the effectiveness of having quick customer service based in the USA

Cons

I love everything about waystar, it's friendly and the customer service is amazing. I have always a fast resolution and the way we can view claims and add notes it's amazing.

Pros

easy to use, able to be used for billing, AR and Payment posting.

Cons

too many search filters and sometimes it can break thigs down to much and I am looking for mass findings.

Pros

Waystar is easy to use. Eligibility works pretty good.

Cons

There are not enough remits available.
Customer service takes to long to respond to tickets and are bad about closes them out before the client says the problem is resolved.

Pros

What I like most is that the software is user friendly and easy to use.

Cons

There's really not anything I don't like about the software.

Pros

its accurate and easy to use with all the info in one place

Cons

some things i need arent there for use and i may need a bit more options or up to time with adding and deleing medical drs

Pros

the ease of the system and moving the software

Cons

im not sure and don't have an answer. 40 characters is too much for this field

Pros

I love the dashboard, and rejected claim dashboard. I can make corrects and resubmit claims directly through waystar. it shows all the history. we can verify most insurances including medicare on waystar.

Cons

it take to long to receive the same/similar information back from medciare. other programs that I have used in the past the information comes back instantly. I don't think I have ever been able to get he information in under 5 minutes on waystar. also there has been many time the same/similar function was not working. I also wish there was a way to get the payments run in waystart to post automatically into our system and we need more auto options.

Pros

Good tracking of claims and errors in those claims to fix. Easy to navigate the site and pages.

Cons

Can't think of anything I like Least, everything runs smoothly.

Pros

None. I dont like it. They cheated on advertising.

Cons

Our company opted for this service because it was advertised as a partner with another clinical software we use, promising smooth integration for billing purposes. However, the reality has been quite the opposite. The integration has never functioned properly, and the Waystar team has consistently avoided taking responsibility. Adding to the frustration, despite using their software for less than two months at a monthly cost of under $1000, we were astounded to find an additional charge of $15,000 on our bill. Do more testS before you decide to move to their software.

Pros

is an accurate program that integrates with our very difficult operating system, allowing easy claims processing, monitoring and corrections or resubmissions as needed

Cons

Overall we are very pleased with Waystar - it is cost effective and works well with our billing program Allscripts, the only negative per say is that not all payors are included so a second system for insurance verification is needed at times or for claims submissions.

Pros

The product is easy to use as long as nothing goes wrong.

Cons

They seem to have system issues every other day and they are in no rush to help you. They really don't seem to care that there are timely filing restraints on hospices to submit claims.

Pros

Waystar is very easy to use. Its features are robust and we have very limited issues with Waystar. We have to give very little Waystar training to our new employees because it is so easy to use.

Cons

In general I feel things run fairly smoothly with Waystar but when they *don't* I feel it is hard to get help or clarification on issues. We are often advised to contact the payer or it takes a while to hear back on more complicated tickets.

Downtime of various applications has increased recently as well.

Pros

Waystar is an easy to use software to manage your revenue cycle. It is simple to teach those that have had no experience using it. The RA's are easy to post in your system. It is easy to navigate.

Cons

They only keep information up to 2 years, so when you are audited or are researching old balances, you can't find the EOB's. There needs to be a feature that you can send claims to Waystar and make changes to the claim without it electronically going to a payor. (IV home health claims).
Customer service is lacking people who have actually used the product. So, when you call they don't understand the issue. They are slow.... in responding to tickets/issues.

Pros

what I like most about this software is their ability to manually entering claims daily. While other clearing houses take 48 to 72 hours to process claims, Waystar does so daily and within a few minutes. This feature assures the user that their claims will be billed in a time sensitive way. It is simple to use to run insurance verification, making the software useful not only to the billers, but also to other departments like Intake, and Authorizations. It has a lot of options to run Revenue Cycle reports, and it has improved our collections tremendously.

Cons

The only negative aspect that I see is that lately their customer support is lacking resources. A few months ago, we were able to get someone to help over the phone after a few minutes of hold, and lately, their call hold time exceeds 45 minutes to an hour sometimes. Their customer service through email option, even though is very efficient, it takes a couple of days to receive an answer back, and some issues need to be resolved faster than that.

Pros

I like the way that you can check you invoices to see when they were accepted by the payor and that it tells you the reason for the denial, whether it be, wrong ID, name/number, DOB, needs NDC, whatever and you are able to fix in the screen and resend the claim.

Cons

Having to go back and forth from this to the actual EMR, it would be nice if it was all in one, so you could fix the claim and it would show on the other side that you fixed it, instead of fixing and going into the other side to fix on that side.

Pros

The function I like the most how easy and user friendly it is to submit a claim, verify the information is correct and it has been accepted, reviewed and submitted to the payer.

Cons

With my experience using Waystar, I really can not think of any aspect that I do not like or that needs to be better.

Pros

Very user friendly for both the clinical and office staff

Cons

would like to see all doc information interchangeable if wrong doc was utilized

Pros

what I like most about waystar/zirmed is the ability to perform most of the functions I need with one program, I can verify most of the insurances we use including medicare and getting same/similar information from medicare. i love the rejected claims dashboard and how I can sort to be able to notice trends. they show the claim rejected by waystar/zirmed and claims rejected by the payer. patient payments are easy to use to make payments and have the ability to email a receipt immediately for a payment you took. but what I like most about the patient payments is the ability to set up an autopay this can be done with ca credit card or through a bank account. there are so many great functions with this I cannot possibly write them all down. a new function that was added when they switched from Zirmed to Waystar was the homepage. it allows you to set a homepage so now when log in it takes me the remit tab where I can see payments. we use waystar as our clearinghouse and submit and receive claims, remits electronically and can autopost payments from waystar to our billing software which cuts down on time if we would have to manually post.

Cons

I would like to them to add a way to have an open-ended autopay. if we have a patient on oxgyen and it rents forever we still have to put in a total amount so at some point it will stop.

Pros

It is just easy to work with. I don't use all of the features but the ones I do use are very user friendly. The charge entry is very easy and so is looking up the remits for payments. When I post payments it is so much easier to look in waystar then other websites.

Cons

I don't really have a any problems with it other then lately if we reverse and rebill an account it won't let me rebill it again if it needs to be done again. I end up having to delete everything to zero and redo it all even adding the payments back it. It didn't used to be this way.

Pros

Waystar is the most user friendly and comprehensive clearinghouse I’ve ever used. It’s extremely simple to search out needed information.
It links with our Practice Management software systems making file submission a breeze. And the batch history And search options make it easy to Find anything you’re looking for.
I like that it has a patient credit card payment feature, but I admit, we’re not using that to the full extent it’s capable of, yet.

Cons

The reporting could be more extensive. We don’t have the analytics feature because the same info is in our systems, but I’m sure that would solve that issue.
The billing is a little confusing. We have a parent account that used to be Zirmed and another large account that used to be Navicure. They are now both Waystar since they merged but the billing is completely different on both accounts.

Pros

You have the ability to correct claims that get rejected by the insurance company. Waystar will scrub your claims even before they sent it off you the insurance company. The layout is very user-friendly and straight forward. If the Payer allows it, remittance advice can be downloaded and uploaded to the EHR software. Claims can be copied if you have to enter them manually. YOu don't need to reenter the whole patient information over and over again.

Cons

You'll need to call in order to add a child account. The claims status should be updated if the claim has been paid. Right now, the last status you'll get us if the claim is recieved by the Payer.

Pros

We are able to have claim sweeps hourly and 277 transactions feed back into our system to ensure full claims process. Any errors are routed appropriately. We also use the eligibility and claim status functions. Having the ability to check eligibility without going to a payer portal is a game changer.

Cons

Support seems to have declined since the beginning of Covid. We have reached out multiple times with questions on our invoices with no response. Our account representative insists this is not their place to assist with invoices.

Pros

This is a very important product/feature to keep control of payments coming in and also claims being rejected. This is a feature that I use daily!

Cons

I think it's very hard to sign up new Payers in the the account tab. Waystar use to sign up the payers for us and now I have to print forms, get them to Waystar etc etc.

Pros

Waystar is integrated with my electronic records program. It was very straightforward to get started. This makes my daily life better. We are all humans and being able to review what I did or didn't do is a blessing.

Cons

We are a small company and do not need a lot if the features meant for physicians.

Pros

The payments for the patients were listed and you can access it anytime to verify payments.

Cons

All the hidden fees and it got expensive with them not having a chip reader for the credit card transactions. They have a magnetic stripe credit card swipe that you can buy for $99 that doesn't work 90% of the time, so we ended having to manually key in each transaction which causes the processing fees to be much higher and on top of that we had to pay them a monthly fee to use their product.

Pros

We've used Zirmed for quite a few years. The product itself is great! Intuitive, effective, everything. We prefer to every other clearinghouse we've tried.

Cons

Waystar purchased Zirmed a couple years ago. Now, the service is amount the worst I've ever heard of. Currently, about 65% of my bill goes toward a feature that I don't believe we're using. I've been through months and months of emails, calls and service tickets trying to get an answer to the very simple question, "What am I paying for?". The only confident answers I've gotten have been inaccurate, but most simply don't know. They refer me to other departments. The best part is that they also caution us not to turn off the feature, because if it is serving a purpose (which no one can confirm/deny), then we may not be able to restore it after it is turned off. It is an awful shame that this ridiculous company bought and ruined our favorite clearinghouse. We are currently looking for a product (all of which we prefer less than the zirmed product) that is being offered by a minimally operative company. The transition is very challenging - please, if you're looking for a clearinghouse, DO NOT allow yourself to become dependent on these clowns. Its where we are now and its a bad spot to be in.

Pros

It is very user friendly. Their customer service has always been very responsive.

Cons

Medicare Secondary billing is clumsy. (Not a Con but) there are several features we don't need/use. They clutter up the dashboard.

Pros

my abilities to work claims as they come in, before thing get out of hand. I can catch the claims as they deny and get them corrected.

Cons

there are a few times when things just don't seem to work correctly, but that would be the only time.

Pros

Able to run my clinic day to day knowing that patients have valid insurance and possible deductible amount. Allows us to give best patient care without unknowing giving the patient a big bill that will be from care rendered and deductible amount. Zirmed increases my clinic's ability to inform patient of deductible amounts prior so that patient understands amount they may be billed and the reason for the bill. From this, it gives patients the autonomy in their care. Zirmed also has a billing service that allows for import from billing software with set prices per bill (not page) and it checks a national database with address to make sure the bill is going to the correct patient.

Cons

The may con I have had with this is that our clinic representative left the company and we were not informed and the phone number wasn't reassigned or disconnected, which left me waiting for a return call that never came. After calling customer service, I was then reassigned

Pros

The software is easy to maneuver through. I can easily find results for claims that have been submitted. Such as received date and time.

Cons

I have no dislike about the software. When there are issues with the software we are immediately notified. When payors cancel service with the software we are immediately notified.

Pros

Their customer service lives up to the 3 ring rule. Customer service are very pleasant and helpful on the phone. If your question is beyond that department they listen to all of your questions or concerns and directly transfer you to the right person/department to help with your needs. I am been very happy with their live training. The videos for additional tools and training are very specific you are able to accomplish what you need to learn. I have found the sales team to be very accommodating when renewing products. I have found their fees for the credit card /Payleap to be the best prices out there.

Cons

Not able to interface payments directly in to our EMR software. I know they have plans to eventually make this happen. I am hoping it will be soon.

Pros

I like that it will reject unclean claims and you can edit right online

Cons

Name matching because I am unaware of if it is the insurance and insurer