Waystar Alternatives for Medical Practices and Groups (2026)

Waystar is clearinghouse and payments software for in-house billing teams, billing companies, and health systems. Practices look elsewhere when they want the billing done for them, need credentialing, or want lower software costs. Waystar is public on Nasdaq and reports about 30,000 clients.

Why teams look for Waystar alternatives

• Software only: Your team still works every claim.
• No credentialing: Only EDI and ERA enrollment.
• No intake: Scheduling and intake need separate tools.

The best Waystar alternatives

1. TruCare: Software plus certified billers who do the work for you, from eligibility to cash posting. It includes intake and credentialing, with rates from 2.49% of collections.
2. Availity: A multi-payer portal with a free tier for eligibility, authorizations, and claim status. Best for free eligibility and authorization lookups.
3. Office Ally: A low-cost clearinghouse with published, per-transaction pricing. Best for cost-conscious practices that bill themselves.
4. TriZetto: A clearinghouse with optional billing, coding, and credentialing services. Best for practices whose EHR already connects to it.
5. Stedi: An API clearinghouse for teams that build their own billing workflows. Best for product teams that build their own workflows.

How to choose

If you are keeping billing in house, compare clearinghouses on payer coverage, denial tools, and cost per claim. If your team is stretched, switching software will not close the gap. A partner that works your claims will. Ask for a cost per claim that includes denial work.

Questions to ask every vendor

• Capacity: Is our problem the software, or the hours our team has?
• Credentialing: Who enrolls new providers?
• Cost: What does each option cost per claim at our volume?

The bottom line

Waystar fits strong in-house teams. If you need capacity rather than another tool, TruCare provides the billers along with the platform.