Fathom Health vs Waystar
Fathom Health and Waystar both compete in billing & coding, but answer different questions. Fathom Health is our pick for large health systems: High-volume autonomous coding deployed at large systems. Waystar earns the full-stack RCM slot: Full RCM stack with 98.5% first-pass clean rate via AltitudeAI. The right choice depends on whether your priority is large health systems or full-stack rcm.
- Billing & coding
- 02
- October 20, 2026
Waystar
by Waystar
AI-powered healthcare payments platform for revenue cycle: eligibility, authorizations, claims, denials and patient payments (AltitudeAI).
- No public price. Enterprise contracts.
- HITRUST (badge on waystar.com, scope not stated) / SOC 2 (badge on waystar.com, scope not stated) / PCI (badge on waystar.com)
How Fathom Health and Waystar compare
Pricing, compliance, and integrations sourced from vendor documentation. Verified October 20, 2026.
| Spec | Fathom Health | Waystar |
|---|---|---|
| Pricing | Enterprise. | No public price. Enterprise contracts. |
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | — | — |
| HQ | US | US |
| Best for | Best for large health systems | Best full-stack RCM |
Scroll horizontally to see both columns.
When to pick each one
Best for large health systems
High-volume autonomous coding deployed at large systems.
- Sequoia-backed
- Specialty across inpatient + outpatient
Best full-stack RCM
Full RCM stack with 98.5% first-pass clean rate via AltitudeAI.
- NASDAQ:WAY
- Eligibility, claims, denials in one platform
Other head-to-heads worth reading
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.