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CombineHealth vs Waystar

Waystar files a 10-K with the SEC. It listed on Nasdaq (WAY) in June 2024, has principal offices in Lehi, Utah, and closed its $1.25 billion Iodine Software purchase around October 1, 2025. CombineHealth's Y Combinator listing gives Winter 2023, San Francisco and Active.

The two cover overlapping tasks. Waystar covers financial clearance, eligibility, authorizations, claim monitoring, remittance, denial recovery, appeals and patient payments, and says it reaches 60% of the U.S. patient population. CombineHealth's tagline is "The AI workforce for healthcare revenue," with a separate AI employee for each step from coding to an RCM analyst that tracks 50+ KPIs. Waystar's homepage gives no EHR list, while CombineHealth's homepage names twelve. Waystar shows HITRUST, SOC 2, PCI and HIPAA badges without scope, and CombineHealth shows a SOC 2 badge without a type.

A practice on CareCloud or Greenway that wants discrete AI coders, billers and appeal writers has CombineHealth's list in front of it. Waystar is the pick where a health system's procurement reads SEC filings.

Billing & coding · Reviewed November 2, 2026

CombineHealth logo

CombineHealth

by CombineHealth

AI agents for healthcare revenue cycle covering medical coding, claims, eligibility, denials and appeals.

Waystar logo

Waystar

by Waystar

AI-powered healthcare payments platform for revenue cycle: eligibility, authorizations, claims, denials and patient payments (AltitudeAI).

When to pick each one

CombineHealth

  • Separate AI roles from coding to the RCM analyst
  • CareCloud and Greenway among its named EHRs
Read the full CombineHealth review

Waystar

  • Files a 10-K as a Nasdaq-listed company
  • Eligibility through denial recovery and patient payments
  • Bought Iodine Software for $1.25B
Read the full Waystar review

Score

Each row shows points earned of points available under the published rubric.

CombineHealth

43of 100

Competitive

Waystar

33of 100

Competitive
Score by dimension for CombineHealth and Waystar
DimensionCombineHealthWaystarDifference
HIPAA / SOC2 / BAA6 / 1010 / 10-4
EHR integrations (count)12.7 / 18.20 / 18.2+12.7
Top-3 EHR coverage (Epic / Oracle / Athena)8 / 80 / 8+8
Bidirectional write-back0 / 5.20 / 5.20
Peer-reviewed papers0 / 70 / 70
RCT / meta-analysis / systematic review0 / 30 / 30
Funding & adoption signal3 / 1212 / 12-9
Pricing transparency3.3 / 6.53.3 / 6.50
Years in market0 / 60 / 60

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How scores are computed

Pricing

CombineHealth

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price.

Waystar

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price. Enterprise contracts.

Compliance and integrations

Documented from each vendor’s own pages.

SpecCombineHealthWaystar
Free tierNo / unverifiedNo / unverified
HIPAANo / unverifiedYes
SOC 2 Type IIYesYes
EHR integrationsEpic, Greenway Health, NextGen Healthcare, Oracle Cerner, eClinicalWorks, Practice Fusion, ModMed, athenahealth, AdvancedMD, CareCloud, DrChrono, AllscriptsNot specified
Foundedn/an/a
HQUSUS

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Common questions

Open the full billing & coding comparison

Autonomous coding (CodaMetrix #1 KLAS 2026), denial prevention, prior-auth automation. The single fastest path to ROI in healthcare AI is RCM — these tools deliver it.