Healthcare IP

What Healthcare IP does

Healthcare IP is a private for-profit healthcare information technology company founded in 2013 and headquartered in Edmond, Oklahoma. The company provides fully integrated HIPAA transaction processing solutions to hospitals, large health systems, and academic medical centers in the United States, targeting enterprise healthcare provider organizations with stringent regulatory and administrative compliance requirements. The company operates as a focused, specialized B2B vendor in the healthcare administrative transaction processing segment of the U.S. healthcare IT market.

Name

Healthcare IP

Legal name

Waystar

Website

https://maws1.healthcareip.com

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

11–50 employees

Short description

Healthcare IP is a private healthcare technology company founded in 2013 in Edmond, Oklahoma, providing HIPAA-compliant transaction processing solutions to hospitals, large health systems, and academic medical centers in the United States.

Ownership category

akta.pro rank

Headquarters

HQ city

Edmond

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales

Revenue model

1. Healthcare RCM SaaS Platform: Waystar generates revenue through a cloud-based SaaS platform for healthcare revenue cycle management. The platform is subscription-based, serving healthcare providers across various segments including health systems, hospitals, and physician specialty practices. The company offers enterprise agreements with pricing based on organization size and scope of utilization.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels8 records

Core offering

Healthcare IP provides hospitals, large health systems and academic medical centers fully integrated HIPAA transaction processing. The company delivers electronic HIPAA-standard transaction handling for institutional healthcare providers through its processing platform hosted at maws1.healthcareip.com.

Product overview

Waystar is a unified AI-powered healthcare revenue cycle management (RCM) platform with a modular architecture. The core platform is Waystar AltitudeAI™, which powers three AI capability pillars: Agentic AI (autonomous end-to-end intelligence), Generative AI (content generation), and Predictive AI (forecasting and analytics). The platform is organized into six interconnected modules: Financial Clearance (eligibility, authorizations, patient estimation, charity screening, price transparency), Clinical Integrity + Revenue Capture (utilization management, documentation integrity, charge integrity, anomaly detection), Claim Management (claims, attachments, monitoring, Medicare), Payment Management (payer reimbursement, remittance, patient payments, agency manager), Denial Recovery (appeal management, recoupment), and Analytics + Reporting (business intelligence, Medicare analytics, compliance reporting). The Waystar Innovation Lab™ program drives ongoing innovation through semi-annual showcases. The platform serves over 1 million providers and covers approximately 60% of the U.S. patient population.

Differentiator

Problem solved

Functional benefit

Brands

• AltitudeAI: AI platform encompassing Agentic AI, Generative AI, and Predictive AI capabilities for healthcare revenue cycle management
• Waystar Innovation Lab
• Waystar True North
• Waystar Early Adopters Program

Products and services

• HIPAA Transaction Processing Fully integrated HIPAA-standard electronic transaction processing service for hospitals, large health systems, and academic medical centers. Handles HIPAA-mandated EDI transactions end-to-end, delivered via the company's processing platform at maws1.healthcareip.com.

Quantifiable outcome

• 60% of U.S. patient population covered by Waystar's platform
• +13 more outcomes

Named customers15 records

Segments4 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability8 records

Feature9 records

Partnerships

Four partnerships are on record, tiered core and flagship.

• EHR Vendors (Epic, Cerner, and others)coreTechnology or IntegrationWaystar maintains deep integration partnerships with major EHR vendors including Epic and Cerner, enabling seamless data exchange and workflow automation within existing healthcare IT infrastructure. Client satisfaction with EHR integrations rated at 94%.
• Payer PartnerscoreTechnology or IntegrationWaystar integrates with payer systems for eligibility verification, claim status, remittance processing, and prior authorization. The platform maintains a comprehensive payer list for real-time connectivity.
• in2itive Business SolutionscoreChannel Partner/ Reseller/ DistributorBilling services provider that leverages Waystar's platform to streamline operations, improve efficiency, and empower its team serving ASCs (Ambulatory Surgery Centers).
• Waystar Early Adopter Program MembersflagshipStrategic or Co-development PartnerExclusive program providing early adopters like Advocate Health with exclusive access to innovation, enabling them to shape product development and be first to deploy new AI capabilities. Program includes spring and fall Innovation Showcases.

Scale indicators8 records

Broad incumbents

• Waystar: AI-powered healthcare revenue cycle management platform serving 1M+ providers and covering 60% of the U.S. patient population. Direct functional overlap with Healthcare IP's HIPAA transaction processing, but at vastly greater scale and with a much broader end-to-end RCM module suite.
• Change Healthcare (Optum): One of the largest healthcare clearinghouse and RCM operators, now part of Optum. Operates HIPAA X12 transaction processing and payer connectivity at national scale, directly competing for the same hospital/health-system customers as Healthcare IP.
• Experian Health: Healthcare-focused arm of Experian providing eligibility verification, claims management, and identity-driven RCM automation. Competes for the same hospital/health-system transactions and analytics use cases as Healthcare IP.
• Trizetto (Cognizant): Healthcare clearinghouse and claims processing platform owned by Cognizant, providing HIPAA transaction processing and payer connectivity to hospitals and physician practices nationwide. Directly comparable X12 EDI capabilities to Healthcare IP.

Direct peers

• Availity: Healthcare clearinghouse and payer-provider data exchange platform focused on eligibility, claims, prior authorization, and remittance. Closely comparable business model and customer profile to Healthcare IP's core transaction-processing offering.
• Office Ally: Independent clearinghouse providing HIPAA-compliant claims processing, eligibility verification, and payer connectivity, with similar target customers and a comparable pure-transaction-processing positioning relative to broader RCM platforms.
• ABILITY Network (Inovalon): Healthcare connectivity and transaction processing platform serving hospitals, health systems, and post-acute providers. Competes directly in the same HIPAA X12 transaction niche as Healthcare IP.
• Claim.MD: Independent medical clearinghouse offering claim submission, eligibility, remittance, and ERA/EFT processing. Closely comparable to Healthcare IP as a focused, smaller-scale HIPAA transaction processor.
• Quadax: Healthcare transaction processing and revenue cycle solutions provider serving hospitals, labs, and physicians. Comparable HIPAA EDI transaction focus and similar mid-sized independent operator profile.

Emerging players

• Health-e-Web: Smaller healthcare clearinghouse focused on electronic claims and HIPAA transactions for hospitals and physician practices. Niche peer with similar scope but smaller operating footprint.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights4 records

Customer concentration

• Xx.com/healthcare_ip
• YouTubeyoutube.com/channel/UClK8V4mKfF1_paNzPIUJlHQ
• Facebookfacebook.com/WaystarRCT
• LinkedInlinkedin.com/company/healthcare-ip
• Instagraminstagram.com/waystarsoftware

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Healthcare IP