Prior to implementing Waystar, Proliance did not have have a revenue cycle partner and the organization was mired in ineffecient manual processes. A single FTE was responsible for submitting claims by going direct to the payers or using plug-ins that created a disparate workflow to manage the high volumes. Proliance had no rejection management capabilities—no claim scrubbing, rejection updates or responses from payers. They also faced a looming Medicare deadline at the end of 2020 which would prevent them from being able to submit directly.