Change Healthcare (Optum) vs Waystar
Side-by-side from the Top 11 ranking of The 11 Best Revenue Cycle Management Software (2026). Last verified July 12, 2026.
The short answer
Waystar ranks higher on Top 11 (#1 vs #6) for Practice administrators, CFOs, and billing leaders at hospitals, physician groups, and specialty practices. Best-in-class clearinghouse with a near-99% clean claim rate across 5,000-plus payers.
At a glance
| Change Healthcare (Optum) | Waystar | |
|---|---|---|
| Top 11 rank | #6 / The 11 Best Revenue Cycle Management Software (2026) | #1 / The 11 Best Revenue Cycle Management Software (2026) |
| Score (out of 9.4) | 8.2 | 9.3 |
| Best for | Very large clearinghouse and payer reach | Highest clean claim rate |
| Pricing | $$$ (custom, per-transaction) | $$$ ($200 to $500/provider/mo est. plus per-claim fees) |
| HQ | Nashville, USA | Louisville, USA |
| Founded | 2007 | 2017 |
Change Healthcare (Optum)
One of the largest US clearinghouses, with a 2024 outage on its record.
www.optum.com/en/business/insights/change-healthcare.htmlSee full entry in The 11 Best Revenue Cycle Management Software (2026)
Waystar
Best-in-class clearinghouse with a near-99% clean claim rate across 5,000-plus payers.
www.waystar.comSee full entry in The 11 Best Revenue Cycle Management Software (2026)
Methodology and scoring weights live at /methodology. No vendor pays for placement — see about.