eCareHealth Revenue Cycle Management vs GetMax

eCareHealth Revenue Cycle Management is an EHR module for insurance eligibility checks, claims, denials, payment posting and revenue reporting. It verifies coverage in real time before visits. The built-in claim scrubber is stated to catch 94% of common rejection reasons before submission, and the company reports a first-pass clean-claim rate above 99%. Denials move through a workqueue with payer-specific playbooks and automated routing; the system suggests ICD-10 and CPT codes from documentation with compliance checks. It automatically posts electronic remittance advice and provides dashboards for A/R aging by provider and payer, days in A/R, denial trends and net collection rate. Connections include Change Healthcare, Waystar, Availity, Office Ally and other clearinghouses, with direct payer links available for high-volume payers. An optional managed service covers claims, follow-up and appeals. Credentialing is not part of the base module and is offered separately. The broader platform lists FHIR R4 API, HL7 v2 and other integrations. A two-week trial includes Group-tier feature access and does not require a credit card. Solo costs $99 a month; Group costs $129 a month. Pricing for Enterprise is custom.

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.