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Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Our Prior Authorization solution, powered by Waystar’s Hubble: - Automatically verifies, initiates, statuses and retrieves comprehensive authorization details - Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes - Integrates directly with all major HIS and PM systems - Provides end-to-end authorization platform, including authorizations submissions for unscheduled admissions, as well as auto-generating ABNs or Notice of Non-coverage forms for Medical Necessity - Adapts to constantly shifting payer rules and requirements - Was built and is maintained by our in-house team of experts
About Waystar:

Waystar delivers innovative technology that simplifies and unifies healthcare payments. The company’s cloud-based platform helps healthcare providers across all care settings streamline workflows, improve financial performance and bring more transparency to the patient financial experience. Waystar solutions have been named Best in KLAS or Category Leader by KLAS Research 16 times (across multiple product categories) and earned multiple #1 rankings from Black Book. The Waystar platform is used by more than half a million providers, 1,000 health systems and hospitals, and 5,000 payers and health plans—and integrates with all major hospital information and practice management systems. On an annual basis, Waystar’s AI-powered solutions process $5B in patient payments, generate $4B in out-of-pocket estimates and process claims representing approximately 40% of the U.S. patient population. For more information, visit www.waystar.com.

Product Description:

Cedar Pay makes it simpler for patients to navigate the post-service financial journey and take control of their medical bills. We deliver enterprise-grade patient billing and payment solutions that leverage Cedar's cutting-edge consumer engagement technology, unique payer integrations and aligned incentives to help provider organizations increase collections, boost efficiency and deliver an exceptional patient experience. More than 55 of the nation's leading health systems and physician groups turn to Cedar to transform the patient financial experience. On average, Cedar Pay lifts patient collection rates by 30%, with 88% of patients reporting a positive experience.

About Cedar:

Cedar offers the first and only holistic solution that enables providers and payers to come together to offer an exceptional and affordable consumer financial healthcare experience. We’re reimagining the consumer aspects of healthcare, from the time an appointment is booked all the way to final payment. Only Cedar can take advantage of critical payer information and bring it together with provider financial and administrative processes to create the optimal experience for consumers navigating our challenging healthcare system. 

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

By integrating with real-time eligibility and patient estimation tools, Cedar Pre--our pre-visit patient engagement solution--sets appropriate payment expectations and drives more collections by personalizing the communication of out-of-pocket cost estimates. Cedar Pre dynamically presents the right financial context, payment options and calls to action to drive optimal financial outcomes and patient satisfaction.

Cedar Pay provides a modern, consumer-first billing experience with clear, accurate and empathetic communications via digital (email and SMS) and paper-based channels. Cedar creates powerful digital engagement by communicating with patients at the best times to collect, using their preferred channels, and messages and calls to action that resonate, which is why our clients typically see 60-70% of payments self-serviced digitally.

Cedar Pay’s consolidated patient financial statement includes both professional and facility charges as well as bills for guarantors and their dependents. The unified bill is presented in a patient-centric design, translating complex medical information into straightforward language for improved patient comprehension.

Cedar Pay is the only patient billing and payment solution that directly integrates with payers to simplify and streamline the patient financial experience. We build confidence in the billing process by prominently displaying payer branding next to balances to indicate that a payer has finished processing a claim, as well as that a bill and EOB matches. We also present detailed EOB information alongside bills, eliminating the need for patients to call in to customer service or log in to multiple portals.

Cedar Pay allows patients to pay bills on their own terms through modern, personalized payment options. As a mobile-first platform, Cedar presents patients with several payment methods and options including credit card, debit card, ACH, Apple Pay, and Google Pay. The platform dynamically engages with patients in a personalized manner by incorporating relevant patient-specific payment options and/or amounts (e.g., discounts, payment plans, etc.). Additionally, Cedar Pay supports traditional payment methods such as check by mail via a provider’s lockbox and secure pay by phone via interactive voice response.

Use Cases

Description:

With over 300+ payers and a broad array of deployable service lines and patient types, we provide a full cycle automation solution for prior authorization: from pre-scheduled prior auth submission, status checking and denial prevention worklist alerts, as well as medical necessity verification and notification of admission.

Pediatric use cases:

None provided

Users:

Pre-service financial clearance teams, auth cert teams, any prior authorization staff doing medical necessity as well as authorization for services at acute care facilities or OP areas.

Description:
  • Patient billing and collections
  • Patient engagement
  • Statement consolidation
  • Customer service
  • Reporting and reconciliation
Pediatric use cases:

Guarantors (i.e., parents and legal guardians) can access and manage bills on behalf of their dependents (i.e., children receiving healthcare services). 

Users:
  • Patients
  • Guarantors
  • Revenue cycle leaders
  • Business office representatives (e.g. customer service; treasury)

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, Athenahealth, Self-developed

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:
Many hospitals, health systems, and IDNs have invested in billion dollar EMR/EMRs which are an extraordinary vehicle for clinical and billing functions -- but lack the ability to elevate automation in key business areas such as prior authorization. This is due to their lack of payer connections and the absence of advanced intelligent software. Together, Waystar brings the intelligence that powers today's EMR/EHR platforms and automation efforts.
Differentiators vs Competitors:
With nearly a decade in the business of automating prior authorizations, we are known for our internal expertise when it comes to payers, process change, and technology. We believe pushing the envelope in know-how across all 3 is what gives our clients the edge on automation. With more payer connections, more relationships with payers, and greater flexibility in accessing payer data we can access the best and most timely data. We not only seamlessly integrate with EPIC but offer full-stack integration capabilities or a powerful stand-alone application -- all because each patient access team is different. And powered across our Hubble platform (a blend of RPA, machine learning, NLP, and advanced auth rules) we are well positioned to power your automated enterprise.
Differentiators vs EHR Functionality:

Consumer engagement is in our DNA: Cedar was founded as a consumer-oriented company and our commitment to improving the consumer-aspects of healthcare remains unwavering. We have built a team of professionals that come from the world's leading consumer companies, and incorporate this unique expertise and perspective into the development of Cedar Pay.

Industry-leading personalization for optimal patient experiences: At the core of Cedar Pay is a personalization engine that's powered by insights from millions of patient interactions as well as direct integrations with EHR and billing systems. Through a proven process rooted in expert data science and world-class user experience design, only Cedar Pay can surface the right information and interventions at the right moments along the financial journey to drive the best patient experience and payment outcomes.

Outsized results today, ongoing value into the future: Cedar Pay customers see an immediate impact to their bottom line with high patient satisfaction, and don’t have to wait for the next product release cycle to unlock additional business value. Cedar is constantly releasing new features and optimizations in Cedar Pay as well as making focused investments in innovation.

Differentiators vs Competitors:

Unparalleled investment in the future: Unlike other point patient billing solutions that have been acquired by larger companies and competing for resources, Cedar operates independently and is investing heavily in Cedar Pay and other products to solve a very specific problem--improving the consumer financial aspects of healthcare.

Industry-leading personalization for optimal patient experiences: At the core of Cedar Pay is a personalization engine that's powered by insights from millions of patient interactions as well as direct integrations with EHR and billing systems. Through a proven process rooted in expert data science and world-class user experience design, only Cedar Pay can surface the right information and interventions at the right moments along the financial journey to drive the best patient experience and payment outcomes.

Keywords

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Videos

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Downloads

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Company Details

Founded in 2000

Founded in 2016

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