Nym Health vs Waystar

A revenue-cycle director on Epic deciding where coding automation should live has a clear split here. Nym Health sends eligible encounters straight to billing and routes uncertain ones to coders, with a rationale attached to each code. It holds an Epic Toolbox designation in the Fully Autonomous Coding category, dated August 2024. Its Inova emergency department case study, the vendor's own, reports a $1.3M reduction in annual ED coding costs. Waystar is a payments platform, covering eligibility, authorizations, claims and denial recovery, with AltitudeAI layered across those workflows, and its function list stops short of autonomous coding. A hospital finance team that wants those front-end and back-end pieces from one vendor buys Waystar. For the director whose open question is the coder queue, Waystar is the weaker shortlist entry, because it publishes no EHR list and shows HITRUST and SOC 2 badges without scope. Nym states SOC 2 Type II mapped to HITRUST, and a third-party profile says that falls short of full HITRUST certification.