GetMax provides revenue cycle management for US healthcare, covering eligibility, coding, billing, prior authorization, A/R follow-up, denial management, and payment posting. Its live Practice Portal includes eligibility checks, A/R summaries, denials and appeals, fee schedule lookup, underpayment detection, and provider search. The coding assistant is available to try without sign-in, a trial timer, or a card. It proposes ICD-10 and CPT codes, checks them against the live NIH ICD-10-CM set using deterministic rules, and flags ambiguous cases for certified-coder review. Claims can be built in CMS-1500, X12 837P, FHIR, and XML formats. GetMax says it can plug into existing EHRs and clearinghouses but does not name specific systems. The coding assistant is live; eligibility, prior authorization, denial, and collections agents are still in build. GetMax says its models run on its own GPUs and that patient data stays within infrastructure it controls. Its privacy policy says PHI is handled under HIPAA and a client BAA, is not sold or used to train public generalized AI models, and is encrypted in transit and at rest. Revenue-cycle pricing is quoted as a percentage of collections, with the rate varying by specialty, claim volume, payer mix, and scope.
Who it is for
GetMax is designed for US healthcare practices, from a single clinic to multi-site health systems. The coding assistant may suit teams seeking a no-sign-in way to try coding support, while organizations considering broader workflows can request a tailored demo.
What is good
- Practice Portal includes eligibility, denial, and A/R tools.
- Coding assistant is available without sign-in or a card.
- Flags ambiguous coding cases for certified-coder review.
- Supports CMS-1500, X12 837P, FHIR, and XML claims.
- States patient data stays within controlled infrastructure.
What to know first
- Revenue-cycle pricing is not published as a fixed rate.
- Eligibility, prior authorization, denial, and collections agents are in build.
- Specific EHR and clearinghouse integrations are not named.
Verdict
GetMax combines a live practice portal with a coding assistant that can be tried without a sign-in. The broader workflow is not fully available yet, and revenue-cycle pricing depends on collections and service scope.
GetMax plans and pricing
All plansCompared on revenue cycle management software
- Workflow scope
- end-to-end
- Eligibility verification
- Yes
- Denial management
- Yes
- Payment posting
- Yes
- Revenue analytics
- Yes
