# Waystar Clinical Prior Authorization Integration

**URL:** <https://community.open-emr.org/t/waystar-clinical-prior-authorization-integration/26346>\
**Category:** OpenEMR Development\
**Tags:** billing, infrastructure, feature\
**Created:** [November 17, 2025, 7:09pm UTC](https://community.open-emr.org/t/waystar-clinical-prior-authorization-integration/26346 "2025-11-17T19:09:07Z")\
**Posts on this page:** 4\
**Page:** 1

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**Author:** ![juggernautsei](https://community.open-emr.org/user_avatar/community.open-emr.org/juggernautsei/32/10764_2.png) [@juggernautsei](https://community.open-emr.org/u/juggernautsei)\
**Post date:** [November 17, 2025, 7:09pm UTC](https://community.open-emr.org/t/waystar-clinical-prior-authorization-integration/26346/1 "2025-11-17T19:09:07Z")

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I got the green light from Waystar today to begin development to integrate their clinical prior authorization feature. I will update this thread as the project develops for those who would like to support the work. Please use the sponsor link below.

[https://github.com/sponsors/juggernautsei](https://github.com/sponsors/juggernautsei)

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**Author:** ![juggernautsei](https://community.open-emr.org/user_avatar/community.open-emr.org/juggernautsei/32/10764_2.png) [@juggernautsei](https://community.open-emr.org/u/juggernautsei)\
**Post date:** [January 29, 2026, 2:57pm UTC](https://community.open-emr.org/t/waystar-clinical-prior-authorization-integration/26346/2 "2026-01-29T14:57:43Z")

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This has not been a fun ride. WayStar has ghosted the project at this point. It is not high on their things to do list. It has been almost a month since I last heard from the engineer assigned. I will post another update mid February.

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**Author:** ![moussa](https://community.open-emr.org/letter_avatar_proxy/v4/letter/m/90ced4/32.png) [@moussa](https://community.open-emr.org/u/moussa)\
**Post date:** [January 29, 2026, 6:39pm UTC](https://community.open-emr.org/t/waystar-clinical-prior-authorization-integration/26346/3 "2026-01-29T18:39:11Z")

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Thank you for doing this, @juggernautsei . I work with prior authorizations regularly, and the process varies significantly—different requirements across payors, across plans within the same payor, and even across procedures for the same payor.

I wanted to share this link in case it is helpful.

![](https://discourse-uploads-openemr.s3.dualstack.us-east-1.amazonaws.com/optimized/3X/5/2/52db14e2f5e0a12e712e2553b0ebf11f996d662a_2_690x388.jpeg)https://www.youtube.com/embed/wfORXZZ_lBM?feature=oembed&wmode=opaque

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**Author:** ![juggernautsei](https://community.open-emr.org/user_avatar/community.open-emr.org/juggernautsei/32/10764_2.png) [@juggernautsei](https://community.open-emr.org/u/juggernautsei)\
**Post date:** [January 29, 2026, 7:32pm UTC](https://community.open-emr.org/t/waystar-clinical-prior-authorization-integration/26346/4 "2026-01-29T19:32:39Z")

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Sound like horse hockey to me. I will believe it when I see it. Thanks for sharing. It might explain why WayStar clammed up on this.