TruCare vs Waystar: Billing Team vs Clearinghouse Software

Waystar is clearinghouse and payments software that billing teams use to check eligibility, submit claims, and manage denials. TruCare is a revenue operating system with billers who do that work for you. Practices often compare the two when deciding whether to keep billing in house.

How they differ

• Who does the work: Waystar gives your team the software. TruCare gives you the software and the people who use it.
• Credentialing: Waystar helps with EDI and ERA transaction enrollment only. TruCred handles provider credentialing and payer enrollment.
• Intake: We found no scheduling or intake product at Waystar. TruIntake covers both.
• Scale: Waystar is public on Nasdaq and reports about 30,000 clients and more than 6B transactions a year.

Where they overlap

Both cover eligibility, claim submission, denial management, and patient payments. Both connect to common EHRs and practice management systems, and both give you reporting on claims and remittances.

Choose TruCare if

You want billing done for you, your team is too small to work every denial, or you need credentialing handled by the same partner. TruCare publishes rates from 2.49% of collections.

Choose Waystar if

You have an in-house billing team or run a billing company and want strong clearinghouse, denial, and patient payment tools. Waystar was named 2026 Best in KLAS for Patient Access.

Questions to ask on your demo

• Capacity: How many staff hours does billing take today, and what do those hours cost?
• Credentialing: Who handles provider enrollment with payers?
• Switching: What does moving clearinghouses involve for our EHR and our ERAs?

The bottom line

Waystar makes a good billing team faster. TruCare removes the need to build that team, and it adds credentialing and intake. If you are hiring billers just to keep up, compare the cost of that team with a partner.