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

Just like every patient's visit is personal, their billing and payment experience should be too.

Trusted by hundreds of provider clients, including 4 of the top 10 health systems in the US. Flywire’s analytics-driven payment platform engages patients at every stage in the financial journey with easy-to-understand, affordable payment options.

About Flywire:

Flywire is a global payments-enablement and software company, trusted by organizations around the world to deliver on their customers’ most important moments. Our responsive billing and payments platform leverages deep analytics and machine learning to understand your patients capacity to pay, their preferred method of engagement, and where on their healthcare journey we need to meet them. We're delivering on your patients most important payments and maximizing collections for you and financial peace for your patients.

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

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:

Built for today. Designed for the future.

We infuse a deep knowledge of analytics into the heart of everything we do, guiding patients to the financial path that is right for them, while providing you and your staff with real-time insights to chart the best future for your organization.

  • Data
  • Predictive Analytics
  • Matching
  • Results
Pediatric use cases:

None provided

Users:

Patients, Hospitals and Health Systems

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Cerner

Hardware Compatibility:

None provided

Client Types

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:

Affordability and engagement driven by analytics

You can’t solve for affordability unless you know what your patients need. Flywire’s responsive billing and payments platform leverages deep analytics and machine learning to understand your patients capacity to pay, their preferred method of communication, and where on their healthcare journey we need to meet them, placing them on their best path to financial success.

Differentiators vs Competitors:

Tap into a wealth of insights and automation

Our proprietary predictive analytics system offers a tremendous opportunity for revenue cycle leaders to fortify revenue streams and increase profitability by achieving better customer experiences, revenue attainment, cash acceleration, and securing stronger competitive differentiation.

Matching your patients with the best offer to meet their needs

Our unparalleled access to data allows us to have deeper insights into patients than any other patient financial engagement platform on the market. 3 out of 4 patients choose our affordable options when presented. That number continues to grow daily with each happy patient served.

A platform built on results

A strong analytics platform doesn’t mean anything if it doesn’t drive results. Our patient financial engagement solution has proven to be instrumental in driving key revenue cycle metrics at some of the largest health systems in the country, including AdventHealth, Banner Health, and CommonSpirit Health.

  • 65% increase in self-service adoption
  • 10% decrease in staff-generated plans
  • 50% increase in payment plan creation

Keywords

Images

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https://www.flywire.com/resources/case-study-penn-highlands-healthcare

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Company Details

Founded in 2000

Founded in 2011

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