Is ZirMed Still a Clearinghouse, and Who Supports ZirMed Work Now?
ZirMed merged with Navicure in 2017 and has operated as Waystar since 2018. The daily claims work did not go anywhere, and we staff it: dedicated HIPAA-trained specialists run eligibility, claim submission and status, rejection queues, ERA enrollment, and denials alongside your own PM or EMR. Flat weekly pricing from $299 per FTE (volume based), with a trained backup included at no charge. Live in 14 days.
What Happened to ZirMed?
ZirMed was founded in Louisville, Kentucky in 1999 and spent nearly two decades as one of the best known names in claims clearing. Along the way it became the analytics brand of its category: financial performance dashboards and predictive tools layered on top of the clearinghouse, aimed at hospitals and larger ambulatory groups as much as independent practices. For years, ZirMed and its Georgia-based rival Navicure took turns at the top of the industry ratings for clearinghouse and claims management vendors.
Then the rivals joined up. ZirMed and Navicure merged in November 2017, and on February 1, 2018 the combined company announced its new name: Waystar. The payer connections, products, and people continued inside Waystar, but the ZirMed brand began winding down that year. In practical terms, the name on the login page changed while the work underneath it did not.
That is why this page exists. Agreements signed under the ZirMed name, SOP binders written against ZirMed screens, and a decade of muscle memory keep the searches alive years later. If your team still says “send it through ZirMed,” you are in the right place.
Who Still Searches for ZirMed?
Three groups, mostly. Billing managers whose SOPs and training documents were written in the ZirMed era and handed down biller to biller. Practices on long-running arrangements that started under ZirMed and carried into Waystar, where nobody has revisited enrollments or settings since the merger. And new staff who inherited “the ZirMed process” from someone who has already left. If any of those sound familiar, the fix is the same: put a trained team on the queues and update the documentation as a side effect.
Where the ZirMed-to-Waystar Years Left Gaps
Screens and menu paths in your documentation were renamed years ago, so new hires improvise. Improvised claim workflows leak money quietly.
See the fixWhen clearinghouse knowledge lives in one head, rejections stall the day that head walks out the door, and nobody else knows which queue to open.
See the fixAuto-posting rules configured years ago can quietly write denials off as adjustments, and the write-offs only surface at year end, if at all.
See the fixWhen front-end coverage checks stopped happening consistently, denials climbed, and nobody traced the rise back to its source at the front desk.
See the fixEligibility and Benefits Verification
We run eligibility and benefits checks before the visit, whether your team checks inside the PM system or in the clearinghouse portal, and we enter coverage correctly the first time. The 270/271 eligibility transaction has not changed no matter what name is on the network, and consistent front-end checks remain the cheapest denial prevention a practice can buy. Our team owns the daily batch, the exceptions, and the follow-up calls to payers when the response is ambiguous.
Claim Submission and Status Follow-Up
Dedicated billers prepare and submit claims from your PM system, confirm batch acceptance at the clearinghouse, and work claim status until each claim resolves, instead of letting “submitted” stand in for “paid.” On ZirMed-era accounts this usually starts with mapping how claims actually route today, because the path your binder describes and the path your claims take are often two different things.
Rejection and Edit Queues
Clearinghouse rejections are cheap to fix on day one and expensive at day thirty. We work the rejection queue daily, correct and resubmit, and log recurring rejection reasons so the same error stops repeating month after month. The queue gets a named owner on our team, which is the single change that keeps rejections from becoming write-offs.
ERA, EFT, and Enrollment Paperwork
Enrollment is the least glamorous work a billing office owns and the most common casualty of a brand transition. We inventory the ERA and EFT enrollments that are actually active, chase missing agreements payer by payer, and keep 835 remit files posting where they should. When a payer changes its enrollment process, someone on our team notices, because it is their job to notice.
Denial Routing and Follow-Up
We route denials to the right owner the day they land, work them oldest deadline first so timely filing does not expire in the queue, and prepare appeal packets your team or ours can send. Denial work on a legacy account also doubles as a diagnostic: the denial mix tells us where the front end drifted during the transition years.
Put a Dedicated Team on the Work ZirMed Left Behind
The name on the clearinghouse changed; the daily queues did not. Meet us, pick the seats you need, and watch a trained team work your own eligibility, rejection, and denial queues before you commit to anything.
Book Your 2-Week Free TrialHow Our Teams Train and Go Live on Your Claims Workflow
A legacy-brand account starts the same way as a current-brand account: we learn your workflows as they exist today, not as the binder says they existed in 2016. New team members train on your SOPs and your PM system, drill the claim lifecycle, eligibility, submission, status, rejection, remit, and denial, in our SOP library and training environment, and then enter supervised production. Every specialist works under an individual HIPAA agreement with named, auditable credentials, never shared logins, and reports production to you every evening in your own format.
Why Outsource This Work, and Why Staffingly
We know what became of ZirMed and Navicure, and we rebuild your documentation as we work so your claim workflows stop depending on a brand name that no longer exists.
Eligibility through denials with one owner, so rejections stop falling into the gap between the front desk and the biller.
A flat weekly fee per dedicated specialist, with no setup fees. Predictable in the exact way percentage-of-collections pricing is not.
Live in 14 days. 2-Week Free Trial. Replace any team member in 48 hours. 800+ providers served, 4.9 Google rating you can verify on our listing.
Process and Onboarding
20 to 30 minutes on Teams. We map where your claims actually route today and which queues hurt most.
Named user credentials per specialist in your PM and portals, least-privilege roles, your approval on every account.
Your SOPs plus our claim-lifecycle library; the ZirMed-era binder gets rewritten as a side effect.
Daily production reports, weekly KPI review, month-to-month after your 2-Week Free Trial.
Security and Compliance
HIPAA-trained staff. Business Associate Agreements executed with every client. Workflows designed to support HIPAA compliance, with SOC 2 Type II attestation, ISO 27001:2022, $5M E&O and cyber liability coverage, and named individual credentials with full audit logs. Read the complete program, including our corporate structure and evaluation framework, at HIPAA and Security at Staffingly.
Flat Weekly Pricing Per Dedicated Specialist
1 to 4 dedicated FTEs.
5 to 9 FTEs.
10+ FTEs.
45 hours of coverage for less than others charge for 40.
$399 per week works out to $8.87 per hour across 2,340 hours of coverage a year, flat. Your dedicated specialist covers a 9 hour day, Monday to Friday, a full hour more than a standard shift: the day starts by clearing what arrived after you closed, overnight rejections, remit files, and portal messages, and it ends past your close so far less rolls into tomorrow. A trained backup steps in at no charge whenever they are out. Flat weekly fee per dedicated specialist, never a percentage of your collections, no setup fees.
Start with a 2-Week Free Trial. Month-to-month after, with no long-term contract.
- Salary + payroll taxes + benefits
- Recruiting + turnover replacement
- Training on your specialty + systems
- PM seat + equipment + PTO coverage
Calculate Savings
ZirMed Support: Frequently Asked Questions
Is ZirMed still a clearinghouse?
Not as a standalone company. ZirMed merged with Navicure in November 2017, and the combined company has operated as Waystar since February 2018. The network and payer connections continued under the new name.
What happened to the ZirMed login our office used?
Accounts moved to the successor platform after the merger. If your internal documentation still points at ZirMed URLs and screens, that is usually a sign the SOPs have not been touched since the transition; refreshing them is part of our onboarding.
Do we need to redo ERA or EDI enrollments set up under ZirMed?
Enrollments typically carried forward through the merger, but payer requirements change over time and gaps accumulate quietly. We inventory what is active today and confirm payer by payer rather than assume.
Can you outsource the claims work our team did in ZirMed?
Yes. Dedicated specialists run eligibility checks, claim submission and status follow-up, rejection queues, ERA and EFT enrollment paperwork, and denial routing inside your own PM system and portals, with daily production reporting.
Do your teams work with Waystar today?
We staff the practice’s side of the workflow on whichever network your claims ride, including the ZirMed successor. The work is the same family of queues: eligibility, submission, status, rejections, remits, and denials.
How do your staff access our systems?
Through named individual user accounts you approve, with least-privilege roles, MFA where your systems support it, and full audit logging. No shared logins, no offline exports of PHI.
How fast can a dedicated team start?
Typically live in 14 days: access setup, workflow training on your SOPs, then supervised production. The engagement starts with a 2-Week Free Trial.
What does it cost, and do we stay in control?
A flat weekly fee per dedicated specialist, from $299 at volume, never a percentage of your collections. Your systems stay yours: your data, your logins to grant or revoke, and daily reports you can audit.
Clearinghouse and Denial Resources
Guides from our library that billing teams use on any claims network, ZirMed-era or current.
Written By
Dan Nandan has spent 25+ years in IT consulting and healthcare BPO, was among the first in the US to build an RPO/BPO delivery network overseas, and has been featured in Computerworld. He runs the operations and the dedicated virtual teams behind the clearinghouse and billing workflows described on this page.
Connect on LinkedInSee what a dedicated claims team changes in 14 days.
Book a strategy meeting. Dan Nandan, CEO, joins most calls personally. Real conversation, real numbers for your practice.
Claim Your 2-Week Free TrialZirMed, Navicure, and Waystar are trademarks of Waystar Health or its affiliates. Staffingly, Inc. is an independent outsourcing company and is not affiliated with or endorsed by Waystar. Staffingly works inside client-owned systems under client-granted access.