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Waystar AltitudeAI

by Waystar
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OVERVIEW

An AI-powered suite, including generative AI, purpose-built to automate healthcare revenue cycle management, prevent denials, and accelerate reimbursement.

Waystar AltitudeAI™ is a comprehensive suite of AI and generative AI capabilities integrated into Waystar's unified, cloud-based Revenue Cycle Management (RCM) platform. It is designed to minimize administrative waste and help healthcare providers recover billions of dollars tied to annually denied claims. The platform leverages deep insights from Waystar's extensive payments network, which processes over 5 billion transactions annually, to drive efficiency and financial performance for providers of all sizes.

Key Components and Features:

  • AltitudeCreate™: A generative AI innovation that autonomously generates appeal letters for denied claims, transforming the traditionally labor-intensive and error-prone denial workflow to accelerate reimbursement.
  • AltitudePredict™: Uses predictive analytics to anticipate outcomes, forecast trends, and surface risks in real-time, enabling proactive decision-making to combat denials before they occur.
  • AltitudeAssist™: Automates revenue cycle workflows and streamlines tasks, empowering provider teams to focus on high-value patient care activities.

Value Proposition:

AltitudeAI is positioned to address the significant administrative burden in healthcare, where billions are spent annually fighting denied claims. By automating complex processes like claim appeal generation and integrating with major EHR/PM systems, Waystar aims to deliver elevated productivity, precision, and financial gains for its clients. The platform serves approximately 30,000 clients, representing over 1 million distinct providers.

RATING & STATS

User Rating
4.5/5.0
196 reviews
Customers
1,000+
Founded
2017

KEY FEATURES

  • Autonomous Appeal Letter Generation (AltitudeCreate™)
  • AI-Powered Claim Denial Prevention and Recovery
  • Automated Revenue Cycle Workflow (AltitudeAssist™)
  • Predictive Analytics for Trend Forecasting (AltitudePredict™)
  • Real-time Eligibility Verification (via API)
  • Unified Analytics and Business Intelligence

PRICING

Model: enterprise
Pricing is custom and requires a quote; it is part of the enterprise-grade Waystar platform.

TECHNICAL DETAILS

Deployment: cloud, saas
Platforms: web
🔌 API Available

USE CASES

Claim Denial Management and AppealRevenue Cycle Management (RCM) AutomationAccelerating Reimbursement and Cash FlowReducing Administrative Waste

INTEGRATIONS

EpicCernerMeditechAll major EHR/PM systems

COMPLIANCE & SECURITY

Compliance:
HIPAAHITRUST CSFSOC 2 Type IIPCI DSS
Security Features:
  • 🔒Encryption
  • 🔒Patient Data Security

SUPPORT & IMPLEMENTATION

Support: phone, online portal, email
Target Company Size: small, medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +High automation and efficiency, especially for claims processing (Claims Data Automation score of 9.2).
  • +Intuitive interface and high ease of use (G2 score of 9.1).
  • +Strong compliance and security certifications (HIPAA, HITRUST, SOC 2, PCI DSS).
  • +Faster payer responses and payment turnaround time.
  • +Generative AI for autonomous appeal letter creation (AltitudeCreate™).
✗ Cons:
  • -Can be expensive for smaller, one-person practices.
  • -Rejection and denial information (pre-AltitudeAI) sometimes reported as limited or hard to decipher.
  • -Some users find the software overwhelming with too many alerts.
  • -Customer service quality is occasionally inconsistent (pre-AltitudeAI).

TRY IT OUT

ABOUT WAYSTAR

Other software by Waystar:
Waystar (Medical Billing & Claims ManagementElectronic claims submission (EDI 837))
Waystar AltitudeCreate (Denials Management & AppealsDenial prevention analytics)
Waystar Denial Appeal Mgmt (Denials Management & AppealsAppeals workflow management)
Waystar Eligibility (Medical Billing & Claims ManagementInsurance eligibility verification)

BROWSE SOFTWARE IN REVENUE INTEGRITY MONITORING