ENTER vs GetMax

ENTER describes an AI-powered revenue cycle management platform for healthcare providers, spanning billing work from an electronic health record through payment. Its automation covers claim creation and submission, eligibility checks, payment posting and reconciliation, denial follow-up, and reporting. ENTER says it can build a custom integration for any EHR and retrieve billing data and documents after an encounter is locked. It connects with leading clearinghouse vendors and can also work with a customer's current clearinghouse. The API-driven platform offers 30+ healthcare endpoints using JSON, HL7, and X12. CTRL ENTER is a separate desktop assistant that reads healthcare screens and provides answers, summaries, and next-step suggestions without an integration. Download options include Windows, Mac, Debian Linux, and Fedora Linux; its page links to a free trial. CTRL ENTER is listed at $99 a month per seat. Small Practices pricing starts at $2,500 a month, plus a 6% collection fee and usage-based passthrough fees. Large Practices starts at $5,000 a month, plus a 5% collection fee and usage-based passthrough fees. Enterprise has custom pricing and a customized collection fee, with usage-based passthrough fees. ENTER says it is HIPAA compliant and SOC 2 Type 2 certified, encrypts stored data at rest, and offers role-based access controls.

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.