Case Study: AdventHealth achieves 88%+ same-day cash posting and $1B monthly realized cash with Waystar Remit Deposit Management

A health system’s journey to redesign reconciliation + realize more revenue

AdventHealth, a large not‑for‑profit health system with 50+ hospital campuses and 83,000+ team members, faced a complex reconciliation challenge: decentralized central billing offices, a single tax ID across multiple EHRs, and comingled payer remittances that led to unapplied cash and missed journal entries. To address this, AdventHealth partnered with Waystar and implemented Waystar’s Remit Deposit Management (RDM) and rebatching capabilities.

Waystar automated splitting of comingled remits, upstream splitting, and journal entry posting while AdventHealth consolidated its ERA clearinghouse and centralized payment posting. The Waystar solution produced dramatic results: 88%+ same‑day cash posting (about $1B monthly or ~$50M/day), 99%+ remit‑to‑deposit match, <1% of deposits requiring manual posting, and roughly 96% of electronic payer payments auto‑matched (3% manual, ~1% external reassociation).

AdventHealth

Matthew Brodis

Corporate Director of Reconciliation Services