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

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Categories

Solutions

Description

Product Description:
PayMedix is our proven payment solution for all in-network allowed charges. All patients regardless of individual credit rating, receive the financial security of guaranteed credit, up to their out-of-pocket maximum. And providers are guaranteed up-front payment.
About Health Payment Systems, Inc.:
Health Payment Systems (HPS) offers a fully outsourced technology and services solution set that delivers an enhanced consumer experience that no one else offers today in healthcare. Headquartered in Milwaukee, WI , the HPS solution set includes “one statement, one payment and one place to call” for the consumer to access all of their providers’ claim data and payment options.
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.

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:
  • PayMedix guarantees direct payment for all allowed in-network out-of-pocket charges, from all patients, not just those most likely to pay. PayMedix assumes responsibility for collecting patient balances.
  • PayMedix automatically enrolls all employees regardless of credit history. All employees get one simplified bill that summarizes all their charges, offers flexible payment options, and provides increased financial protection for their families. PayMedix helps employees pay for the care they get and get the care that they need. With over $5B in payments processed and a Net Promoter Score of 75, PayMedix helps you to better help your employees.
  • PayMedix gives TPAs a new way to expand their business and differentiate their offerings. Clients get a solution that enables them to improve access to quality care for all employees.
  • The PayMedix "SuperEOB" gives you one simple consolidated statement, instead of separate and confusing bills for each medical treatment. You are guaranteed full credit up to OOP maximums, regardless of individual credit history, with the option to pay at little or no interest.
Pediatric use cases:

None provided

Users:

Providers, Employers, TPAs, Patients

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.

EHR Integrations

Integrations:

Other

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Other

Hardware Compatibility:

Desktop, Other

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

PayMedix is a complete solution for all stakeholders, not a partial solution for some.

Differentiators vs Competitors:
  • PayMedix guarantees direct payment to Providers for all covered and in-network charges
  • PayMedix provides credit to all employees, regardless of individual credit history, up to their OOP maximum for all in-network charges
  • PayMedix is a proven solution that has processed more than $5 billion in medical payments
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.

Keywords

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Company Details

Founded in 2000

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