Waystar

Waystar Authorization & Referral API

Automates prior authorization and referral determination and status, modeled on the X12 278 health care services review request/response. Covers submitting authorization requests, checking auth/referral status, and returning determinations. Waystar layers RPA and payer-portal automation on top of EDI where payers lack a transaction. Modeled from public product docs.

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Documentation

📖
Documentation
https://developer.waystar.com/
📖
Documentation
https://www.waystar.com/our-platform/financial-clearance/authorization-referral-status/

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API entry from apis.yml

apis.yml Raw ↑ 
aid: waystar:waystar-prior-authorization-api
name: Waystar Authorization & Referral API
tags:
- Prior Authorization
- Referrals
- X12 278
image: https://kinlane-images.s3.amazonaws.com/shared/apis-json/apis-json-logo.jpg
humanURL: https://www.waystar.com/our-platform/financial-clearance/authorizations/
baseURL: https://priorauthorizationapi.waystar.com/1.0/
properties:
- url: https://developer.waystar.com/
  type: Documentation
- url: https://www.waystar.com/our-platform/financial-clearance/authorization-referral-status/
  type: Documentation
description: Automates prior authorization and referral determination and status, modeled on the X12 278
  health care services review request/response. Covers submitting authorization requests, checking auth/referral
  status, and returning determinations. Waystar layers RPA and payer-portal automation on top of EDI where
  payers lack a transaction. Modeled from public product docs.