Waystar unveiled AltitudeAI, an AI-powered platform designed to uncover post-payment recoupments, or silent denials, that reverse more than $40 billion in provider payments annually. The solution leverages a proprietary dataset encompassing 7.5 billion healthcare payment transactions and $2.4 trillion in gross claims to deliver end-to-end visibility of payer take-backs.

In early deployments, AltitudeAI reduced reconciliation time by over 80% and surfaced $32 million in hidden recoupments for a health system with $4 billion in annual revenue, replacing roughly 27,000 manual hours. Providers can now automatically match recoupments to originating claims and pursue appeals at scale, transforming previously written-off adjustments into recoverable revenue.

Recoupments have grown at twice the rate of overall claim volume over the past three years, driving unpredictable cash flow and administrative burden. By surfacing systemic drivers of revenue leakage, Waystar’s solution enables providers to prioritize appeals, improve cash flow predictability, and advance toward a fully autonomous revenue cycle.