GetMax vs Quadax

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.

Quadax provides revenue cycle management software and services for healthcare organizations, covering patient access, claims, denials and appeals, reimbursement, analytics, and patient engagement. Its QDXOne platform brings automation, AI, task management, and revenue cycle operations together in a cloud service. Patient Access includes eligibility checks, insurance discovery, prior-authorization workflows, estimates of patient responsibility, and digital engagement tools. Xpeditor, its medical claims clearinghouse, validates claims in real time, applies payer-specific logic, and routes them automatically; it supports 837I, 837P, 837D, 276, and 277 transactions. Remittance Management provides payer electronic remittance advice access and can create secondary and tertiary COB claims automatically. Integrations include EHR/EMR, LIS, portals, CPOE, and IVR, using REST/JSON API, HL7, and CSV among other methods. Quadax also describes multi-factor authentication, role-based access controls, monitoring, audit logs, and TLS encryption. It serves hospitals, health systems, ambulatory and physician providers, laboratories, pathology groups, and DME/HME providers. Pricing is on request.