Welcome to the Waystar Innovation Showcase. Healthcare providers are navigating margin pressures, staffing shortages, and shifting policy landscapes. Amid this complexity, momentum is building towards smarter operations, stronger financial health, and a better experience for providers and patients. A future where healthcare organizations operate with greater clarity and confidence. Waystar is proud to lead this transformation and accelerate our mission to simplify healthcare payments. Our AI-powered software platform plays a mission-critical role in helping providers get paid faster, more accurately, and with less administrative burden. We are committed to reducing friction, unlocking revenue, and lasting outcomes. Thank you for joining us as we spotlight our latest advancements. The opportunity to transform healthcare payments has never been greater, and we are proud to move forward together. AI is redefining what's possible in healthcare, and Waystar is at the forefront of this transformation. At the center of our innovation: Waystar Altitude AI. Waystar Altitude AI is a comprehensive set of AI-powered capabilities designed to enhance efficiency and accuracy in healthcare. With Waystar Altitude AI, providers are achieving breakthrough gains across the revenue cycle. Manual processes are eliminated, denials are prevented, reimbursement is accelerated and accurate. Fully embedded in the Waystar s oftware platform, Altitude AI continuously learns from one of the largest payments data networks in the U.S. With over 6 billion transactions and $1.8 trillion in gross claims processed annually, these network effects fuel smarter automation, sharper accuracy, and stronger financial outcomes. Backed by more than a decade of real-world AI deployment, Waystar brings unmatched experience in solving healthcare's most complex payment challenges, turning innovation into measurable impact at scale. These outcomes accelerate cash flow, boost workforce efficiency, and improve financial performance across care settings. Momentum continues to build. A recent Forrester study found that 82% of provider organizations now consider AI essential to revenue cycle operations. Nearly 60% plan to increase investment, and 72% say their teams rely on AI to streamline manual work. Leaders confirmed a strong preference for trusted partners like Waystar over new market entrants, citing scale, integration, and proven results as top priorities. AI is no longer a future promise. It's a proven multiplier. With Altitude AI, Waystar is helping providers reimagine what is possible. Waystar Altitude AI powers the revenue cycle, transforming effort into impact and data into ROI. Waystar's award-winning software platform empowers healthcare providers to transform the financial experience, improving outcomes, streamlining operations, and ensuring the care delivered receives the reimbursement it deserves. Purpose-built for healthcare, our AI-powered end-to-end software platform acts as a true value multiplier. By embedding intelligence across every transaction, we translate complex processes into simple, high-impact outcomes, reducing friction, driving faster reimbursement, and increasing staff productivity. Waystar's software platform replaces fragmented systems with one unified experience, eliminating silos, accelerating performance, and delivering consistency across the revenue cycle. The result is stronger financial outcomes, greater efficiency, and a better experience for patients and providers, all delivered through one secure cloud-based software platform. Here are just a few recent examples of the impact Waystar is making across healthcare payments. Starting with financial clearance, Waystar Altitude AI transforms complex payer authorization policies into real-time, actionable rules, reducing denials and accelerating reimbursement. With up to 90% auto-approval on prior authorizations, a mid-size health system can free up enough capacity to redeploy more than 12 full-time employees to higher-value work. Next, in patient financial care, we're making digital-first billing accessible to practices of every size. When up to 80% of patients use self-service payment capabilities, providers see a 17.5% drop in statement costs and up to 20% lift in patient revenue. Our ambulatory and specialty clients are already realizing the same level of benefits the largest healthcare providers have experienced by leveraging these innovations. In revenue capture, Waystar Altitude AI helps identify and recover missed reimbursement, delivering an average of more than $3 million in additional annual revenue for our clients. In claim submission, Waystar Altitude AI in Claim Manager takes what used to be three days of manual work and completes it in three minutes. Rule Manager proactively blocks issues. In the first half of 2025 alone, it prevented up to $5.6 billion in denied claims before they happened. When it comes to denials and AR follow-up, Waystar Altitude AI powers fast, automated appeals, boosting denial overturn rates by double digits. Early adopter clients have already seen $33 million in recovered revenue. If coverage is missing, the software platform reverifies and discovers insurance, converting write-offs into payments. For a mid-size health system, that's more than 19,000 hours saved annually, freeing up the equivalent of nearly 10 full-time employees to focus on higher-value work. Analytics and reporting deliver real-time dashboards that illuminate the full revenue cycle, helping teams forecast, plan, and perform with greater precision. This is the power of a unified, purpose-built software platform, designed to address some of the most persistent operational and financial burdens in healthcare. One that prevents denials, accelerates cash flow, reduces complexity. and unites every part of the revenue cycle in one modern, intelligent experience. In healthcare payments, standing still means falling behind. This is especially true when addressing denied claims. Across the country, providers are leaking revenue due to preventable denials and manual front-end tasks. Industry studies show that over 60% of denials stem from issues like eligibility errors and missing prior authorizations, issues that could be resolved through automation. In fact, $2.6 billion could be saved annually by automating manual steps in the claim submission process. Meanwhile, the burden of prior authorization continues to grow. 94% of physicians report that these delays directly impact patient care, while hospitals spend more than $10 billion every year trying to navigate complex payer requirements. The result? Delayed care, diminished trust, and disrupted cash flow. At Waystar, we believe there is a better way. We're bringing the power of Waystar Altitude AI to the front end of the revenue cycle, where accuracy isn't optional, it's essential. Eligibility verification is enhanced with generative AI that analyzes real-time payer behavior and surfaces critical plan and network details directly within your team's workflow. With Altitude AI-powered alerts and eligibility verification, Waystar can instantly flag whether a patient's procedure is in or out of network long before care is delivered. This means no more manual digging, no more overlooked red flags, just clarity and confidence up front. It's not only smarter, it's critical for compliance. These real-time insights empower your staff to meet No Surprises Act requirements by informing patients early. This improves financial transparency and prevents unexpected bills and helps your organization avoid penalties that are significant. Less friction, fewer denials, stronger, more transparent decision-making before care is delivered. When you're out of network, that one alert alone helps our organization navigate financial complexities with a patient, having the right type of conversations up front. You can put scripting with it. You can train your employees on what to say right in the system based on those alerts. It's just there, it's easy, and it allows us to tell right up front what we can do differently, how we can navigate conversations. It helps us tremendously in the organization. Waystar is helping us identify those patients that are either eligible or ineligible. Waystar has been so wonderful working with us to bring back the data the way we need to see it, and it's just been a wonderful experience. Consider how much time and effort your team pours into managing claim edits, manually reviewing rejections, keeping up with changing payer rules, and interpreting new regulations. It's tedious, it's expensive, and often delays claim submission. It becomes even more complex when switching revenue cycle partners. Teams spend weeks auditing every edit, debating what to keep, revise, or retire, all before they can begin to realize value. Waystar Altitude AI changes that. It scans years of historical edits regardless of format to surface the most impactful recommendations. Revisions are no longer manual or time-consuming. They are eliminated. Each suggestion is intelligently tailored to your organization's unique patterns and priorities. The result? Claims go out faster, accuracy improves. For a mid-size health system, the time required to stand up edits drops from 133 hours to under six, and 95% time savings. That accelerates your ability to realize the full value of the Waystar software platform. Guess what? This is just the beginning. Waystar Altitude AI will soon continuously learn from payer behavior, regulatory changes, and your organization's denial patterns, making recommendations that are smarter, sharper, and increasingly aligned with your evolving needs. Fewer resubmissions, higher first pass clean claim rates, less time chasing errors, and more time delivering an exceptional patient experience. A denial is a hugely expensive effort. When we do have those edits in Waystar, we're able to get the rules that fire for all that rich information that Waystar has with billions of claims. We have an opportunity to fix it before it goes through, and I never get the denial, and the payment comes in on time. We have some particular challenges that make some of our edit logic complex. I think Waystar's rule edit capabilities, the flexibility of those edits, is great. There really hasn't been a situation that I've encountered where the logic is not possible. I feel like Waystar does a very good job in accommodating our needs and is able to establish the logic, however complex it might be, so that we can effectively submit accurate claims. We're really trying to get to zero-touch resolution, and Waystar has solutions for us to be able to try to achieve that, ensuring that the claims that we are sending out are as squeaky clean as possible, so that when they actually go to the payer, we have the best chance of it getting paid without anybody touching. Authorizations are one of the most complex, frustrating pieces of the healthcare journey for providers and for patients. That's why we're expanding Authorization Manager to support even more payers and specialties than ever before. Our advanced automation capabilities now cover a broader range of your patient population, enabling faster, over 90% touchless approvals at scale. While payers have recently begun signaling improvements to prior authorization, Waystar clients are already experiencing what that future looks like. Take Prisma Health for an example, an organization that serves more than 1.5 million patients annually. In the first 90 days since deploying Auth Accelerate, they experienced a 70% reduction in the time it took to complete authorizations. Other organizations are experiencing similar results. One of the things we've done as part of the early adopter program is work through the different APIs that are coming on. The first API that we have up is getting a 90% touchless rate. That's a huge win. As we've turned back to the product team and said, "Hey, that one's really great. Thanks. We need like 10 more." We're working through the other APIs. It's the promise of what we saw in APIs, but it's actually bringing that promise to reality. We use Waystar's Auth RTA and RTE to help support our front-end staff to get the Auth much faster, much more accurately. Our accuracy rate is in the 90%, which is tremendous. Denied claims aren't just a financial nuisance. They represent a persistent systemic failure within healthcare. Each denial must be meticulously reviewed, corrected, and resubmitted, a process that costs providers between $25 - $63 per claim, resulting in billions annually. Yet, despite the effort and opportunity, more than 60% of recoverable denials are never appealed. Why? Revenue cycle teams are overextended, relying on outdated tools and highly manual workflows that make it nearly impossible to manage appeals at scale. To meet the challenge head-on, Waystar has reimagined the appeal process from the ground up. Earlier this year, we launched a first-of-its-kind capability: AI-generated appeal letters powered by Waystar Altitude AI. Now we've taken that innovation further. Waystar's Altitude AI-powered appeal automation transforms the entire appeals workflow end-to-end. The software platform automatically identifies and groups similar denials, gathers and attaches the necessary supporting documentation, drafts payer-ready appeal letters, and submits up to 100 appeals simultaneously. It's a seamless, intelligent software platform that turns manual rework into denial resolution at scale, reducing operational costs significantly and accelerating payments. Waystar's denial management product has been a game changer for our team. In the event that there is a denial, denial management will route, queue, and put it in a place where your team knows how to work it, when to work it, and what to do with it. Our team has seen a decrease in the number of hours required just to identify the work that needs to be done in bulk. If I receive 1,000 denials this week—I hope I don't receive 1,000 denials this week, but if I did—Waystar's default reporting is going to bucket it into 10 different groups. My coordination of benefits denials is a separate bucket, and it can directly go to the person who has the capability of picking up the phone and talking to the patient if needed. Waystar Altitude AI will soon add deeper intelligence to denial and appeal management. By By uncovering the root cause behind every claim denied, it doesn't just identify what went wrong, it reveals why and recommends the best next step, whether that's reversing the decision, validating a timely filing, or writing off uncollectible debt. It also surfaces broader denial trends across your enterprise, helping teams address problems at the source. This is more than automation. It's intelligent strategic denial recovery that helps transform $6 billion in workable denials into recoverable revenue. The fact that you've got a root cause analysis, the fact that Waystar suggests what to do in order to fix a certain denial, you can actually edit the claim on Waystar itself, send it out with the taxonomy code, so that you can get paid quicker. I've been in healthcare for over 30 years, and you know we've always had denials. It's just frustrating that we figure out a way to resolve a certain grouping of denials, and then the rules change. It's a complex process because every payer has different timing, different codes, different rules on how claims should be resolved. With Waystar, I know exactly this is the roadmap for how we would work that denial, focus those resources and dollars on providing even better care and providing even better quality of healthcare and lower cost to our communities. That's my dream. When patients don't understand their bill, everyone pays the price. Nearly 2/3 of patients are surprised by their final bill, and 56% report receiving a charge they didn't expect. That lack of clarity leads to hesitation to seek care, delayed payments, and overwhelmed call centers. Providers now face over $17 billion in uncompensated care tied to bad debt from lower patient collections. At the same time, the recent One Big Beautiful Bill Act changes government and commercial payer coverage for millions, shifting even more financial responsibility to patients, which makes clear upfront communications more critical than ever. Even the best communication can't overcome operational breakdowns. When payment devices go down without a warning, operations grind to a halt. Patients can't pay, check-ins are delayed, and staff scramble for a fix. Without real-time device health monitoring, healthcare systems face lost revenue, frustrated patients, and service disruptions that ripple across the organization. We've reimagined the financial journey, delivering a seamless, modern experience that drives meaningful results for patients and providers. Within the Waystar Patient Wallet, patients can now receive accurate, upfront estimates paired with intuitive self-service payment options and automated communications that guide them through every step of the way. No surprises, no confusion, just clarity and transparency. For staff, it's equally smart. A real-time dashboard shows when a patient views or responds to their estimate, empowering teams to follow up proactively and reduce call center traffic. The impact is tangible. For example, since implementing e-estimates, SCA Health, a national provider serving over 2 million patients across over 370 locations, has seen pre-payments rise from 17% to 40%. That's a 135% increase, a major acceleration in patient payment velocity. Waystar seems to have tools for most, if not all, of our challenges. Thinking about a patient payment portal and how do we collect patients at time of service in a more manageable way, in a way that's easier for the patient to pay. We're going to send you a text message literally as we're standing in front of you. You can click on it and you can pay your patient portion right there through the portal. We know it's safe and we know it's secure. This has made the process so seamless for our patients. Waystar makes it easy. Patient healthcare costs shouldn't be a surprise. Waystar's patient estimation tool allows us to import our patient schedule data and, through automation, give patient estimates based on our contract rates to the patient in advance. When we talk about patient financial health, we're able to provide care with no surprises to the patient right from the start. Waystar is extending the same intelligence and transparency we bring to patient communications into the payment infrastructure itself. Soon, healthcare organizations will gain real-time visibility into the health of every payment terminal across every location, all from a single intuitive dashboard. Device monitoring surfaces potential issues before they disrupt workflows, ensuring seamless check-ins, smoother transactions, and uninterrupted care. Staff stay informed and focused while patients experience consistent, hassle-free interactions. With smarter infrastructure and connected capabilities, Waystar is helping providers deliver not just care, but confidence at every point of the financial journey. Waystar is the intelligent, unifying layer that brings next-level capabilities and frictionless connections across your software ecosystem. Our solutions embed seamlessly into core workflows and hundreds of EHR systems, modernizing the financial experience for both patients and staff. Let's explore a few examples. For Epic users, our integrated patient payment solution fuels payment interactions from MyChart payments to quick, contactless check-ins and personalized, guided financial conversations at the point of service. One connected journey that builds trust, reduces friction, and increases satisfaction. Waystar continues to expand its impact through strategic partnerships, like joining Oracle's Health Network to deliver Waystar Altitude AI and our industry-leading claim edits intelligence to more healthcare organizations. As a MEDITECH Alliance partner, we enable rapid deployment and seamless integration, helping health systems modernize the payment experience from the inside out. This empowers providers to accelerate reimbursements, reduce administrative burden, and drive smarter financial outcomes at scale. Waystar integrates with over 500 EHR and PM systems, with even more integration points on the way, including real-time coverage detection in eClinicalWorks to seamless payment enablement in NetHealth and PointClickCare, just to name a few. Waystar seamlessly connects the healthcare ecosystem, no matter the EHR. We work with a wide variety of software systems, and integrating everything together to make it seamless is so important. I know we wouldn't be able to be where we are today if we didn't have the advantage of Waystar and all that they're able to do to help us integrate our systems into one seamless process. Our practice management system has a deep integration with Waystar. When you deal with the volume of claims and remits and transactions that we do, you end up having a significant amount of disparate systems. What I like about the Waystar platform is that it allows us to have that one central place, and the deep integration that Waystar has with our PM system allows us to continue to have that automation and scalability for the organization. With so many other clearinghouses, it was a manual download from the PM system and then manually upload to the PM system. Using Waystar's end-to-end platform, you don't have to log into different places to get all of your information. Our payment posters can just one-click post, review it, and then finalize everything. Previously, they were manually downloading all that information from the clearinghouse and keying it into the PM system. The integrations and making that a seamless process make everyone's lives easier. At the foundation of it all, security and trust. Threats are evolving fast. In 2024 alone, HHS reported over 730 large-scale healthcare breaches impacting over 275 million individuals. Waystar stays ahead with a rigorous cybersecurity framework, proactively monitoring, testing, and reinforcing our systems to keep your data safe and operations running. Our AI-powered innovations are protected by layered safeguards, ensuring accuracy without compromising security. Independent studies rank Waystar as the number one most trusted vendor in our category. Forbes named us one of America's most trusted companies. This isn't just compliance, it's trust at scale. With Waystar, you gain an end-to-end software platform that protects every integration, every transaction, and every patient touchpoint so you can focus on what matters most: delivering exceptional care. As we close today's Innovation Showcase, I want to thank you for joining us and contributing to the momentum we're building together. We've launched new capabilities across the revenue cycle to help providers navigate complexity, strengthen financial performance, and enhance the experience for patients and staff. From front-end engagement to back-end reimbursement, we empower providers to bring greater clarity, efficiency, and connection to every step of the process. Together, we set a new standard. AI does the heavy lifting, teams operate at the top of their skill set, and patients experience clarity from start to finish. This is innovation that doesn't stop at the edge of our platform. It connects, integrates, and elevates your entire ecosystem with security and trust at its core. To our clients, thank you. Your insight shapes our innovation, and your trust fuels our momentum. Now, we invite you to explore these new capabilities for yourself, reimagine the possibilities for your teams, your patients, your mission, and continue this journey with us as we transform healthcare payments together.