GetMax vs Solventum 360 Encompass System

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.

Solventum 360 Encompass System combines hospital revenue-cycle applications for coding, clinical documentation integrity, auditing and revenue integrity. Computer-assisted coding uses expert-guided AI to review documents and suggest codes for inpatient and outpatient workflows. Autonomous coding handles qualified encounters and routes cases that need evaluation to people; inpatient stays are listed as coming soon for qualification, automation and accuracy results. The Professional System suggests CPT and ICD-10-CM codes and supports queries, code linking and custom edits. CDI tools include electronic queries, prioritized worklists, reference materials and edits. Performance Insights provides role-based dashboards, AI-assisted analysis and daily refreshed data. Connections Software links the platform with major health information and electronic health record systems. It supports workflows from billing to payments, denial management and revenue analytics, and can run on premises or through Solventum Cloud Platform, powered by AWS. Solventum states that the cloud service has SOC 2-certified controls, 24/7 monitoring and incident response, and a 99.9% uptime SLA. Pricing is on request; phone support is available weekdays, with after-hours help limited to Severity Level 1 critical issues.