# Optum (Optum360) vs Waystar

| Attribute | Optum (Optum360) | Waystar |
|---|---|---|
| **vioscaleAI score** | 45.3 (7% (low)) | 45.7 (14% (low)) |
| content.faq | `[{"answer":"A comprehensive healthcare platform that combines patient care access, health management tools, pharmacy services, billing and financial management, and health information resources to make healthcare more accessible and affordable. It is indexed under Medical Billing Rcm.","source":"https://www.optum.com","question":"What is Optum (Optum360)?","confidence":0.6},{"answer":"Optum (Optum360) supports the web, iOS and Android. Platforms we have not confirmed are simply not listed here rather than ruled out.","source":"https://www.optum.com","question":"What platforms does Optum (Optum360) support?","confidence":0.6},{"answer":"We have only confirmed a cloud / SaaS deployment for Optum (Optum360), so it appears to be vendor-hosted. If a self-hosted option exists we have not found it documented publicly.","source":"https://www.optum.com","question":"Can Optum (Optum360) be self-hosted?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for Optum (Optum360). Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as Optum (Optum360) not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.optum.com","question":"What security certifications does Optum (Optum360) have?","confidence":0.6},{"answer":"Optum (Optum360) is available in the United States. Its primary market is the United States. The vendor is headquartered in the United States.","source":"https://www.optum.com","question":"Where is Optum (Optum360) available?","confidence":0.75}]` | `[{"answer":"A cloud-based platform that simplifies healthcare revenue cycle management for providers and billing services. The software automates claim processing, eligibility verification, denial management, and patient payments while using AI and data analytics to reduce costs, accelerate reimbursement, and improve financial performance. It is indexed under Medical Billing Rcm.","source":"https://www.waystar.com/news/waystar-announces-pricing-of-initial-public-offering/","question":"What is Waystar?","confidence":0.6},{"answer":"We have confirmed browser-based access to Waystar. That is the extent of what we could verify from public sources, so it may well offer desktop or mobile clients we have not indexed.","source":"https://www.waystar.com/news/waystar-announces-pricing-of-initial-public-offering/","question":"What platforms does Waystar support?","confidence":0.6},{"answer":"We have only confirmed a cloud / SaaS deployment for Waystar, so it appears to be vendor-hosted. If a self-hosted option exists we have not found it documented publicly.","source":"https://www.waystar.com/news/waystar-announces-pricing-of-initial-public-offering/","question":"Can Waystar be self-hosted?","confidence":0.6},{"answer":"We have confirmed 3 integrations for Waystar, including Epic EHR, Epic MyChart and Elavon Payments. This is what we could verify from public sources, so the vendor may support others we have not indexed.","source":"https://www.waystar.com/news/waystar-announces-pricing-of-initial-public-offering/","question":"What does Waystar integrate with?","confidence":0.6},{"answer":"We have independently confirmed HIPAA for Waystar. Certifications we do not list are ones we have not been able to verify from public sources, which is not the same as Waystar not holding them. Always confirm compliance directly before you rely on it.","source":"https://www.waystar.com/blog-from-documentation-to-compliance-mastering-sep-1-requirements-in-healthcare/","question":"What security certifications does Waystar have?","confidence":0.7},{"answer":"Waystar is available worldwide. Its primary market is the United States. The vendor is headquartered in the United States.","source":"https://www.waystar.com/news/waystar-announces-pricing-of-initial-public-offering/","question":"Where is Waystar available?","confidence":0.75}]` |
| deployment.options | `{"cloud":true}` | `{"cloud":true}` |
| description.long | An integrated digital health service offering billing management, patient portal access, prescription home delivery, health savings account management, and health information resources. | A cloud-based platform that simplifies healthcare revenue cycle management for providers and billing services. The software automates claim processing, eligibility verification, denial management, and patient payments while using AI and data analytics to reduce costs, accelerate reimbursement, and improve financial performance. |
| features.capabilities | `{"hipaa_baas_business_associate_agreement":true,"patient_statement_generation_and_portal_payments":true}` | `{"iso_27001":false,"soc2_type_ii":false,"automated_claim_scrubbing_rules":true,"icd_10_and_cpt_coding_assistance":true,"direct_edi_clearinghouse_connections":true,"medicare_medicaid_macra_mips_reporting":false,"hipaa_baas_business_associate_agreement":false,"era_electronic_remittance_advice_auto_posting":true,"automated_denial_management_and_appeal_workflows":true,"patient_statement_generation_and_portal_payments":true,"real_time_patient_insurance_eligibility_verification":true}` |
| integrations.count | - | 3 |
| integrations.list | - | `[{"name":"Epic EHR"},{"name":"Epic MyChart"},{"name":"Elavon Payments"},{"name":"Epic","native":true,"category":"ehr","direction":"bidirectional"}]` |
| market.availability | `{"primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` | `{"hqCountry":"US","primaryMarkets":["US"],"availabilityScope":"global","availableCountries":[],"notAvailableCountries":[]}` |
| platform.support | `{"web":true}` | `{"web":true}` |
| pricing.model | - | commercial |
| security.hipaa | yes | yes |
| security.trust_center | - | https://www.waystar.com/our-platform/analytics-reporting/quality-compliance/ |

## Capabilities (Medical Billing Rcm)

| Capability | Optum (Optum360) | Waystar |
|---|:--:|:--:|
| **Capabilities** |  |  |
| Automated claim scrubbing rules | - | ✓ |
| Direct edi clearinghouse connections | - | ✓ |
| Icd 10 and cpt coding assistance | - | ✓ |
| Real time patient insurance eligibility verification | - | ✓ |
| Automated denial management and appeal workflows | - | ✓ |
| Patient statement generation and portal payments | ✓ | ✓ |
| Medicare medicaid macra mips reporting | - | ✗ |
| Era electronic remittance advice auto posting | - | ✓ |
| HIPAA baas business associate agreement | ✓ | ✗ |
| SOC2 type ii | - | ✗ |
| ISO 27001 | - | ✗ |
| Pricing model | - | - |

*Source: vioscaleAI. Generated 2026-10-16T19:19:02.778Z. "-" = undocumented, not absent.*