# Optum (Optum360) vs Waystar

| Attribute | Optum (Optum360) | Waystar |
|---|---|---|
| **Vioscale score** | 24.3 (14% (low)) | 34.9 (21% (low)) |
| deployment.options | `{"cloud":true}` | `{"cloud":true}` |
| description.long | 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. | 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"}]` |
| market.availability | `{"hqCountry":"US","primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` | `{"hqCountry":"US","primaryMarkets":["US"],"availabilityScope":"regional","availableCountries":["US"],"notAvailableCountries":[]}` |
| platform.support | `{"ios":true,"web":true,"android":true}` | `{"web":true}` |
| pricing.model | - | commercial |
| security.hipaa | yes | yes |

## 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: Vioscale. Generated 2026-09-01T15:20:03.552Z. "-" = undocumented, not absent.*