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There is a new administrative screen under Practice Setup

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The following fields are requriedrequired:

  • Username / Password - Your Waystar credentials that can access the Waystar API

  • Inquiring Provider Name - The doctor or facility that will be making the benefits request in the format of First Last name

  • Inquiring Provider NPI - The NPI number for the doctor or facility that will be making the benefits request

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The following fields are required for Waystar:

  • NamePayerId

  • Payer Id

You can get this data from multiple sources; but Waystar customers can access a search feature in there console by going to Patient Tools -> Eligibility -> Payers

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List of Waystar Payor Payer IDs:

View file
nameWaystarEligibilityPayerIDs.csv

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  • Insurance Provider - This is the insurance provider on there their medical card that was configured above

  • Member Id - This is the insurance policy number on there their medical card

The following fields are optional:

  • Patient Relationship to Subscriber - Waystar technically requires this field; but if the participant is using there own insurance we tell people not to fill out the subscriber section. So if this is the case we default the empty value to “S” which stands for “Self”“self”, then this can be left empty. The empty field will default to the “S” value which stands for “self”.

Waystar VoB Component

In the form editor there is a new Waystar component. You can add this by clicking Actions and selecting Add Waystar. If you hover over the component, you will see a tool tip display with an edit option. Clicking this brings up a modal window that will allow you to choose if this component pulls the Primary or Secondary insurance information.

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If you have reached this point, all the hard work is done. All that is What’s left is to smash that click theRUN NEW WAYSTAR button. Below is an example of a valid response. According to Waystar, different providers will send back different information and they respond with what they are given. If certain plain data is not provided, users may still have to call the insurance provider.

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