ArkCloud RCM vs GetMax

ArkCloud RCM provides claims, denials, payments, collections and revenue analytics for healthcare organizations. Claims features include X12 837 submission and tracking, ERA/835 remittance processing, claim scrubbing, payer rules, denial management and appeals. Collections tools cover queue routing, account prioritisation, promise-to-pay tracking, contact controls, letter cadences, skip tracing workflows and agent scripting. Billing functions include payment posting and reconciliation, payment plans, patient statements, refunds, adjustments, write-offs and bank file matching. Reports cover AR ageing, denial analytics, agent and queue performance, collections forecasting and executive dashboards, with scheduled reports and CSV, XLSX and PDF exports. Connections listed include Epic, Oracle Health (Cerner), athenahealth, FHIR, Availity, Waystar, Change Healthcare, payment services and communications platforms. Essentials costs $499.00 per month; Professional costs $999.00 per month, while Enterprise pricing is custom. A 14-day trial of ArkCloud RCM and ArkCloud Rehab requires no card and does not charge at its end. ArkCloud says its safeguards are designed to support HIPAA obligations but does not claim HIPAA certification; its SOC 2 Type II audit programme is in progress.

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.