Clean ClAImsFirst Pass

Stedi vs Waystar

Two Claims & Clearinghouses vendors, side by side. Facts from public sources; judgments are ours.

At a glance

Derived from public facts · a rough scale, not a ranking

StediWaystar
Pricing model

Per-transaction / per-chart · Published pay-as-you-go rates, volume tiers, no minimum

Per-transaction / per-chart · per-claim fees plus subscription, quote based

Speed to go live

Self-serve signup, your developers integrate the API

standard EHR/PM integration project

Automation model

Data / network utility · API-first clearinghouse

Software platform · AI-assisted RCM and clearinghouse suite

Built for

Billing companies, Enterprise systems, Payers

Small practices, Mid-size groups, Enterprise systems, Billing companies

Security posture

SOC 2 Type II, HIPAA

HITRUST, SOC 2 Type II, PCI DSS

Company maturity

9 yrs (est. 2017)

9 yrs (est. 2017)

Financial backing

$142M · Series C

Public (Nasdaq: WAY)

Named customers

5 named

5 named

Published results

Specific numbers public

Specific numbers public

Documented integrations

4 listed

5 listed

Third-party validation

None found

None found

Bottom line

  • Pick Stedi if you have engineers and want a modern clearinghouse API with transparent per-transaction pricing you can start testing today.
  • Pick Waystar if you want one proven clearinghouse and claims platform covering eligibility through payments across any practice size.

Stedi

API-first clearinghouse for developers

Founded
2017
HQ
New York, NY
Stage
Series C
Raised
$142M

What it does

  • Real-time eligibility checks via JSON API (270/271)
  • Insurance discovery when patient coverage is unknown
  • Claim submission and claim status via API (837/276)
  • Electronic remittance advice (ERA) retrieval
  • Payer transaction enrollments managed programmatically
  • Batch eligibility checks at high volume

Where it's strong

  • Everything is accessible via API with public docs and transparent self-serve onboarding, which legacy clearinghouses like Availity and Optum do not offer.
  • Support is unusually fast for the category, with a median ticket response under seven minutes across 1,500+ shared support channels.
  • Well capitalized ($142M raised, backed by Stripe and Addition) with rapid traction: paying customers up 6x and billed transactions up 7x year over year into 2026.

What buyers should weigh

  • It is clearinghouse rails, not a billing service; you need engineers to build eligibility and claims workflows on top of it.
  • Its direct payer network is younger than Availity's or Optum's, so some connections still route through intermediary partners.
  • The company only pivoted from general-purpose EDI to healthcare around 2023, so its healthcare-specific track record is short.

Named customers

Pair Team · Tennr · Candid Health · Nirvana · Berry Street

Integrations

3,400+ payer connectionsX12 EDICAQH CORE SOAPJSON REST APIs
Full Stedi profile →

Waystar

Public RCM platform spanning claims to patient payments

Founded
2017
HQ
Lehi, UT
Stage
Public (Nasdaq: WAY)
Raised
$968M IPO (June 2024)

What it does

  • Claims clearinghouse connected to 5,000+ payer endpoints
  • Eligibility verification and prior authorization automation
  • Denial prevention, appeals, and recovery workflows
  • Patient estimates, billing, and payment collection
  • Remit and payer payment management with analytics
  • AI clinical documentation integrity via Iodine Software

Where it's strong

  • True end-to-end RCM platform, so one vendor can replace several point solutions across the revenue cycle.
  • Deep, certified EHR integrations (Epic, Cerner, MEDITECH) mean staff work claims inside existing workflows rather than a separate portal.
  • Named client results are strong and public: Cincinnati Children's cut clearinghouse costs in half and BAYADA reduced denials 72%.

What buyers should weigh

  • Pricing is modular and not published, and total cost climbs quickly as you add suites beyond the base clearinghouse.
  • The $1.25B Iodine acquisition closed October 2025, so clinical intelligence products are still being integrated and roadmaps may shift.
  • Enterprise contracts are multi-year, and switching clearinghouses later means re-doing payer enrollments, a real lock-in cost.

Named customers

Piedmont · Baptist Health (Kentucky) · Cincinnati Children's · Renown Health · BAYADA Home Health Care

Integrations

EpicOracle Health (Cerner)MEDITECHeClinicalWorksNextGen
Full Waystar profile →

Compare against the rest of Claims & Clearinghouses

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