GetMax
getmaxhealthcare.com
What it is
GetMax is a revenue cycle management platform for US healthcare, with a stated scope spanning eligibility, coding, billing, prior authorization, A/R follow-up, denial management, and payment posting. Its live Practice Portal offers eligibility checks, A/R summaries, denials and appeals, fee schedule lookup, underpayment detection, and provider search. The coding assistant proposes ICD-10 and CPT codes, validates them against the live NIH ICD-10-CM set with deterministic rules, and flags ambiguous cases for certified-coder review. It can build claims in CMS-1500, X12 837P, FHIR, and XML formats. Other described AI workflows include claim pre-checks, denial routing by root cause, worklist prioritization, and payer-rule memory. GetMax says it connects with existing EHRs and clearinghouses, without naming specific systems. The Practice Portal and coding assistant are live; eligibility, prior authorization, denials, and collections agents are in build. The coding demo is free to try, with no sign-in, trial timer, or card. Revenue cycle pricing is quoted as a percentage of collections, varying by specialty, claim volume, payer mix, and scope.
Spec sheet
- Purpose
- GetMax provides AI-assisted revenue cycle management for US healthcare, including eligibility verification, coding, billing, prior authorization, denial management, A/R follow-up, and payment posting.Read 5 Oct 2026 · getmaxhealthcare.com
- Intended users
- The company lists hospitals, medical groups, physician practices, dental clinics, behavioral health, and telehealth among its target industries.Read 5 Oct 2026 · getmaxhealthcare.com
- Integrations
- GetMax says it is built to work with existing EHRs and clearinghouses so organizations can keep their current systems.Read 5 Oct 2026 · getmaxhealthcare.com
- Security
- The privacy policy says data is encrypted in transit with TLS 1.2+ and at rest with AES-256, with least-privilege access controls and continuous monitoring.Read 5 Oct 2026 · getmaxhealthcare.com
- Headquarters
- The site lists operations in Thiruvanmiyur, Chennai, and a registered office in Velachery, Chennai, India.Read 4 Oct 2026 · getmaxhealthcare.com
- AI workflow
- Its clinic AI OS can read and pre-check claims, assist coding with a human in the loop, route denials by root cause, prioritize worklists, and retain payer rule memory.Read 4 Oct 2026 · getmaxhealthcare.com
- Claim formats
- The agent workflow page says claims can be built in CMS-1500, X12 837P, FHIR, and XML formats.Read 5 Oct 2026 · getmaxhealthcare.com
- Coding
- The coding agent proposes ICD-10 and CPT codes and applies deterministic rules to correct model errors.Read 4 Oct 2026 · getmaxhealthcare.com
- Coding assistant
- The coding assistant proposes ICD-10 and CPT codes, then validates them against the live NIH ICD-10-CM set using deterministic rules.Read 5 Oct 2026 · getmaxhealthcare.com
- Current availability
- The FAQ says the coding assistant is live and open to use, while eligibility, prior authorization, denials, and collections agents are in build.Read 4 Oct 2026 · getmaxhealthcare.com
- Data handling
- The privacy policy says PHI is processed under HIPAA and a client BAA, is not used for marketing or sold to third parties, and is not used to train public generalized AI models.Read 4 Oct 2026 · getmaxhealthcare.com
- Encryption
- The privacy policy states that data is encrypted in transit using TLS 1.2+ and at rest using AES-256, with least-privilege access controls and continuous monitoring.Read 4 Oct 2026 · getmaxhealthcare.com
- Human review
- Ambiguous coding cases are flagged for a certified coder in the open demo and routed to one on a real account.Read 5 Oct 2026 · getmaxhealthcare.com
- Model hosting
- GetMax says its models run on its own GPUs rather than a third-party AI provider.Read 5 Oct 2026 · getmaxhealthcare.com
- Notable pricing limit
- GetMax does not publish a fixed price and says its percentage-of-collections quote varies with specialty, claim volume, payer mix, and the stages it handles.Read 5 Oct 2026 · getmaxhealthcare.com
- PHI handling
- GetMax says it signs a Business Associate Agreement with each client, does not use PHI to train public generalized AI models, and masks HIPAA Safe Harbor identifiers before its coding model receives text.Read 5 Oct 2026 · getmaxhealthcare.com
- Practice Portal
- The Practice Portal includes eligibility checks, A/R summaries, denials and appeals, fee schedule lookup, underpayment detection, and provider search.Read 4 Oct 2026 · getmaxhealthcare.com
- Product availability
- The Practice Portal is described as live today, while the coding assistant is open to use and some eligibility, prior authorization, denial, and collections agents are listed as in build.Read 5 Oct 2026 · getmaxhealthcare.com
- Support and contact
- GetMax offers workflow-specific demos and lists [email protected] as its contact email.Read 4 Oct 2026 · getmaxhealthcare.com
- Support and sales
- Prospective customers can request a demo tailored to their practice, and the site lists [email protected] for contact.Read 5 Oct 2026 · getmaxhealthcare.com
- Try before sales
- The FAQ says the AI coding assistant can be used without sign-in, a trial timer, or a card.Read 4 Oct 2026 · getmaxhealthcare.com
Plans and prices
AI Coding Assistant Free Free to try; no sign-in, trial timer, or card. Open coding demo · Do not submit identified patient data Read 5 Oct 2026 · getmaxhealthcare.com
Revenue cycle management Priced on request Quoted as a percentage of collections; the percentage depends on specialty, claim volume, payer mix, and scope. No published rate · Pricing depends on claim volume · Specialty and service scope affect pricing Read 5 Oct 2026 · getmaxhealthcare.com
Strong points and limits
Strong points
- Practice Portal includes eligibility and denial tools.
- Coding assistant proposes and validates ICD-10 and CPT codes.
- Claims can be built in four listed formats.
- Coding demo is free to try without sign-in.
- Models run on GetMax's own GPUs, it says.
Limits
- Revenue cycle pricing is not published as a fixed rate.
- Several agents are still in build.
- Specific EHR and clearinghouse integrations are not named.
Who it suits
GetMax is intended for US healthcare organizations, from single clinics to multi-site health systems. Its free coding assistant may suit users who want to try code suggestions before requesting a workflow-specific demo.
Verdict
GetMax specifies a broad revenue-cycle workflow and gives concrete details about its portal, coding assistant, claim formats, and data handling. Buyers should distinguish the live portal and coding assistant from agents still in build, and request a quote for the collections-based service.
Where Specifiction places it
- Revenue Cycle Management Software#5 of 278.0
Alternatives to GetMaxAll alternatives →
ArkCloud RCM From $499/mo 8.2 Visit 
eCareHealth Revenue Cycle Management From $99/mo 8.2 Visit 
CareCloud RCM 7.6 Visit