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Head-to-head · Revenue Cycle Management Software

Waystar vs NextGen Enterprise Revenue Cycle Management

  • Updated Oct 2026
  • Both researched from official sources
  • 3 checks side by side
Higher score Waystar #2 in Revenue Cycle Management Software 9.2/10 Pricing on request ✓ 3 of 5 features Visit Waystar

Waystar leads on 0 checks, NextGen Enterprise Revenue Cycle Management on 0, and 3 are even. Who comes out ahead on the 3 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreWaystar · 9.2/10

Waystar scores higher on our rubric for revenue cycle management software: 9.2 against 8.6 out of 10; our editors rank them #2 and #7.

Waystar is the better fit for organizations wanting broad RCM automation. NextGen Enterprise Revenue Cycle Management is the better fit for established practices using broad RCM controls.

  • Waystar fits best

    Organizations wanting broad RCM automation

  • NextGen Enterprise Revenue Cycle Management fits best

    Established practices using broad RCM controls

Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.

Side by side

Feature Waystar 9.2/10 Visit ↗ NextGen Enterprise Revenue Cycle Management 8.6/10 Visit ↗
At a glance
Editor score 9.2 8.6
Ranking #2 in Revenue Cycle Management Software #7 in Revenue Cycle Management Software
Best for Organizations wanting broad RCM automation Established practices using broad RCM controls
Pricing model Paid Paid
Starting price — Pricing on request
Free plan Not checked yet Not checked yet
Free trial — —
Deployment Cloud Cloud
Support Phone, Docs Phone, Community, Docs
Compliance SOC 2, HIPAA, PCI DSS SOC 2, ISO 27001, GDPR, HIPAA
Integrations 530+ integrations 4 integrations
Built for Small business, Mid-market, Enterprise Mid-market, Enterprise
Features Waystar 3/5 · NextGen Enterprise Revenue Cycle Management 3/5
Eligibility verification ✓ ✓
Denial management ✓ ✓
Payment posting ✓ ✓
Patient collections Not checked yet Not checked yet
Revenue analytics Not checked yet Not checked yet
Specs
Workflow scope Not checked yet Not checked yet
Our review
Pros
  • Covers eligibility, claims, denials, remittances, posting, and patient payments
  • Adds coding, revenue capture workflows, dashboards, and analytics
  • Supports web and API access with Epic, eClinicalWorks, and AdvancedMD integrations
  • Covers eligibility, claims, coding edits, denials, payments, and collections
  • Financial dashboards include more than 100 KPIs
  • Supports credentialing and accounts-receivable workflows
Cons
  • Pricing requires a request rather than published plan prices
  • The four tiers have broad descriptions with limited published differentiation
  • Its broad scope may exceed the needs of narrow point-solution buyers
  • Pricing is quote-based and requires contact with sales
  • Listed integrations center on the NextGen Enterprise ecosystem
  • Optional RCM services add an operating-model decision for buyers
Our verdict

Waystar is a cloud-based healthcare revenue cycle management platform for physician practices, billing services, hospitals, and health systems. It brings financial clearance, claims, denials, payments, coding, revenue capture, and…

Read the review →

NextGen Enterprise Revenue Cycle Management is an end-to-end platform and services offering for mid-size to enterprise ambulatory medical practices. Its scope spans eligibility verification and reporting, claim creation and submission,…

Read the review →
  1. WaystarRevenue Cycle Management Software 9.2Pricing on request
  2. NextGen Enterprise Revenue Cycle ManagementRevenue Cycle Management Software 8.6Pricing on request

Strengths and trade-offs

  • Waystar — where it wins

    • Covers eligibility, claims, denials, remittances, posting, and patient payments
    • Adds coding, revenue capture workflows, dashboards, and analytics
    • Supports web and API access with Epic, eClinicalWorks, and AdvancedMD integrations

    Where it doesn't

    • Pricing requires a request rather than published plan prices
    • The four tiers have broad descriptions with limited published differentiation
    • Its broad scope may exceed the needs of narrow point-solution buyers
  • NextGen Enterprise Revenue Cycle Management — where it wins

    • Covers eligibility, claims, coding edits, denials, payments, and collections
    • Financial dashboards include more than 100 KPIs
    • Supports credentialing and accounts-receivable workflows

    Where it doesn't

    • Pricing is quote-based and requires contact with sales
    • Listed integrations center on the NextGen Enterprise ecosystem
    • Optional RCM services add an operating-model decision for buyers
  • Waystar9.2/10 · Pricing on request

    Broad RCM automation spanning eligibility, claims, denials, payments, coding, and analytics.

    Visit WaystarFull verdict →
  • NextGen Enterprise Revenue Cycle Management8.6/10 · Pricing on request

    A broad RCM offering for established ambulatory practices that need control across financial workflows.

    Visit NextGenFull verdict →

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026

Last updated · How we research and update