Waystar vs Availity

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Health Portal Solutions

Compare Waystar and Availity based on features, pricing, verified reviews, integrations & more on GetApp. Find out which software is best for your business in 2026.

EZClaim

Software that makes your life easier
EZClaim software is affordable, easy-to-use, and is designed to simplify and assist providers with every aspect of the medical billing and scheduling process.
EZClaimPay makes software and payments better together.

Tebra

Tebra helps medical providers optimize clinical processes by handling administrative tasks so that doctors can focus on patient care

Tebra is popular with physician practices with 1-10 providers and medical billing companies with 1-100 providers.

ModMed

ModMed offers a cloud-based EHR system designed specifically for medical specialty practices including dermatology, ophthalmology, and orthopedics. The platform integrates AI-based documentation tools, such as ModMed Scribe with practice management features to streamline clinical workflows and patient engagement. The solution connects clinical and administrative aspects of healthcare practices through specialty-specific interfaces and analytics capabilities.

Waystar provides a next-generation, cloud-based technology platform that modernizes the healthcare revenue cycle. Our technology, data and client support work together to eliminate friction in payment processes, streamline workflows and improve financials for providers in every care setting.

Accounting Integration

Appointment Scheduling

Audit Management

Billing & Invoicing

Case Management

Charting

Claims Adjuster Management

Claims Management

Claims Scrubbing

Claims Tracking

Code & Charge Entry

Compliance Tracking

Co-Pay & Deductible Tracking

Customer History

Customer Management

Data Verification

Dunning Management

EHR/EMR Integration

Electronic Claims

Electronic Payments

EMR/EHR

For Anesthesiologists

For Healthcare

Forms Management

HIPAA Compliant

ICD-10 Compliance

Insurance Eligibility Verification

Invoice History

Medical Billing

Medication Management

Monitoring

Multi-Location

Multi-Physician

Paper-Based Claims

Patient Intake

Payment Collection

Payment Processing

Payor Management

Practice Management

Quotes/Estimates

Remittance Advice

Revenue Management

Risk Assessment

Search/Filter

Therapy Notes

Third-Party Integrations

Transaction History

Waystar

Web-based

Basic

Surgery Coordinator

It allows me to attach to every visit which is super helpful and if a patient comes in more than once we can see that they are already on a payment plan and it helps a lot.

Practice Administrator

It's infuriating when they just decide to close a case without even checking to see if the problem has been resolved.

Clinic Director

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.

Self Pay Collector

Too many fields to fill out when the system recognizes the account number

Revenue cycle manager

Easy to make claim edits and claim resubmissions

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.

Patient Service Representative

Sometimes has long loading times and won't refresh automatically.

Business Manager

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

I love how convenient it is to take credit card payments and setup payment plans

In January 2025, we received only 60 days’ notice (not the required 90) that our prices would increase.

Waystar is much easier to use than our previous clearinghouse.  

Managing Partner

Some times went by and they placed our company in collection.

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.

Billing

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.

Billing Manager

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.

We had been customers for 10 years, back when it used to be Navicure.

Manager

Good tracking of claims and errors in those claims to fix.  

Certified Medical Biller

Waystar use to sign up the payers for us and now I have to print forms, get them to Waystar etc etc.

Claims processing has too many categories, somethings should be combined - ex. professional claims and institutional claims data, reports, etc.

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.

lead

I like that we are able to check eligibility and check that claims were submitted and received by the payer.

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.

Biller Specialist

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.

Chiropractor

They make sure everything within a claim is correct before submitting it to insurance companies, and are always ready to assist you when necessary.

Pediatric Biller

This saves a huge amount of time and minimizes errors by resolving claims issues directly via Waystar.  

Billing Specialist

I can normally verify coverage easily, able to get detailed information needed for patient's insurance coverage

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

Technology Integration Analyst

Having the ability to check eligibility without going to a payer portal is a game changer.

This feature assures the user that their claims will be billed in a time sensitive way.

coding/billing

I like the fact it adds another layer of check to claims before they are sent to the insurance carriers.  

Main biller

end up having to delete everything to zero and redo it all even adding the payments back it.

Waystar has a well-trained workforce that focuses on customer service while knowing how to use the product in its entirety.

Hearing Instrument Specialist

Claims get submitted with ease and if there is an issue, we are notified right away.

Billing manager 

Being able to  bill electronically  and electronically pull remit advice.

Practice Manager

This software catches errors, user friendly, additional functions compared to other products.

Business Office Coordinator

Waystar covers the needs for our billing claims with ease.

Billing/Authorizations

Signed up for the denial tracking but I am not finding it as useful as I thought I would.

Claims management & remittance are most used by our company.

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

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.

The helpful coding related edits and easy UI interface

PATIENT ACCOUNT REP

I can catch the claims as they deny and get them corrected.

Overall, Waystar is an excellent tool for Medicare and non Medicare Billing, user friendly and very dynamic.

Administrator

New features and functions that are added require additional fees.

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

Front Desk

Biller

Extremely important for claim processing and revenue.

Thus ensuring clean claims and less denials.  

Claims Processing

Claim Submission

Bugs and Issues

Contract and Cancellation

User Interface

Claim Rejections

Payment Posting

Credit Card Processing

Customer Support

Ease of Use

Small Business

Mid-size Business

Large Enterprises

Freelancers

MocDoc HMS

MocDoc HMS is a hospital management system designed to help businesses in the healthcare sector streamline appointment scheduling, patient check-in, and billing operations. It enables medical professionals to enhance productivity, prepare electronic prescriptions, and capture as well as and store patients’ medical records in a centralized repository.

eHospital Systems

Enterprise Hospital Information System (HIS) designed for hospitals and medical centers, integrating EHR, inpatient and outpatient management, billing, laboratory, radiology, pharmacy, inventory, and analytics in one unified platform with cloud, on-premise, and hybrid deployment options.

Smartsheet

Smartsheet, an online work execution platform, empowers organizations to plan, track, automate, and report on work. Over 80,000 brands rely on Smartsheet for project and work management because of its easy-to-use interface, real-time gantt charts and dashboards, and work automation features.

Availity is designed to help businesses in the healthcare industry manage medical benefits, insurance claims, and payment authorizations on a unified platform. The revenue cycle management system enables healthcare professionals to log and track revenue from initial appointments to final payments.

Access Controls/Permissions

Communication Management

Data Import/Export

Document Management

In-Patient Management

Out-Patient Management

Patient Records Management

Physician Management

Availity

You can also keep track of all the claims data on availity.

You can submit and keep track of health claims.

Administrative Assistant

We use it daily and I like that you can chat with most payers and usually get more information that way.

Licensed Professional Counselor

After submitting claims, I can only see limited data, so if the claim does not go through at insurance company, I can’t review it readily.

CEO - Speech-Language Pathologist

Availity is my one stop location for 75% of the insurance companies I work with.

Often, clients don’t provide their insurance number, or it's recorded incorrectly, so having the option to search by name and date of birth would be a helpful enhancement.

owner

first responder team is not adequately trained and tries to assist but in the end wastes the callers time  - need to escalate the call quicker if support does not know what to do

Patient Accounting and Insurance Coordinator

I like that it saves clients so I can go back to look them up when verifying monthly.

My overall experience has been a learning curve as far as what insurances I can submit for prior authorization on availity for.

We have to go to another place to get some of our claims info.

I tried to explain it is a valid question to ask any rep before beginning if I am in the correct dept and area and she cut me off and was condescending and rude to me as the client  - terrible!

I am not a fan of creating a new password, what feels like every two months, but it is good to have extra protection I suppose.

Too many places to search for Remits and Authorizations.  

Counselor, owner, sole proprietor

Online accounting of claims submitted, payment received.

It is nice to go to one place for our insurance info.

I like Availity and the way it's organized better than other Insurance lookup portals.

I like that it's quick and easy to access eligibility and benefits, even if a patient is standing right in front of you.

Office Manager

Its a one stop shop for everything from EOB's to prior authorizations.

My least favorite thing about availity is how much the premium account costs.

Did not like using so found a different billing platform that much easier to use and met my needs better.

Prior Authorizations

Intuitive dashboard that changes as you use features.

The ease of having most of my insurance providers all in one spot.

Waystar vs Availity Comparison (2026)

Waystar

Availity

Overview

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Pricing

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Key features

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