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Waystar: pricing signals, access, and small-practice fit
Publicly-traded (NASDAQ: WAY) RCM/clearinghouse handling >0.5B eligibility transactions/yr. A login-gated developer portal exists but public docs aren't retrievable, and the de-facto REST interface is an unofficial third-party wrapper — a signal the native API is not self-serve. Sales-gated, no public pricing.
What it does
270/271 Eligibility & benefits837 Claim submission835 ERA / remittance276/277 Claim status278 Prior authorization
- 270/271 Eligibility & benefits — Real-time check of whether a patient's coverage is active and what it covers (X12 270 request / 271 response).
- 837 Claim submission — Submit professional/institutional/dental claims to payers (X12 837P/837I/837D).
- 835 ERA / remittance — Electronic remittance advice — how the payer adjudicated a claim and what it paid (X12 835).
- 276/277 Claim status — Ask a payer the status of a submitted claim (X12 276 request / 277 response).
- 278 Prior authorization — Request/inquire on prior authorization for a service (X12 278).
Real-time: yes · Batch: yes
Known pricing signals
| Item | What's public |
|---|---|
| perTxn | reported / estimate Per claim ~$0.11, per remit ~$0.04, per eligibility ~$0.14, paper claim ~$0.91 Rests on ONE reseller — verify against a live quote before relying on it. Source: Single reseller (chartmaker.com / STI) · verified 2026-06-22 |
| tiers | reported / estimate Per claim ~$0.20–$0.35; small/mid ~$200–$800/mo; mid/large ~$2,000–$5,000+/mo; setup ~$1,000–$7,500+ Third-party estimate range, not official. Source: verifytx.com third-party estimates · verified 2026-06-22 |
| free | no public price No free tier found. No official published price. No public source — vendor quotes per account. |
Access requirements
Sales-gated (demo + custom quote, no online signup). Concierge payer enrollment across 5,000+ payers. Reviewers report ~1-yr minimum, ~24-mo auto-renewal, 90-day cancellation notice.
Best-for-small-practice
Mid-market/enterprise; reachable by small practices mainly via resellers. Contract lock-in makes it a poor low-commitment fit.
The unofficial third-party REST wrapper is itself a signal that the native API isn't developer-self-serve.
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Find the right one →Independent transparency directory. Pricing and access details are compiled from public vendor pages and practitioner reports and are dated and confidence-tagged — published = vendor's own public page, reported = third-party/forum estimate, no public price = none found. We do not invent numbers. Last verified 2026-06-22. Not affiliated with any vendor; verify current terms directly before contracting. Some outbound links may be referral links.