Overview
GetMax delivers AI-native medical coding and managed revenue-cycle services.
What GetMax does
GetMax combines revenue-cycle agents with healthcare billing specialists. Its published scope spans eligibility, prior authorization, coding, claims, denials, collections and accounts-receivable follow-up, connected through a practice portal.
The coding workflow reads clinical material, proposes ICD-10 and CPT codes and applies further checks before claim preparation. Other workstreams address risk adjustment, payer responses and appeals, passing context between stages instead of relying only on disconnected worklists.
The Practice Portal is available with the GetMax team or for an organization to operate itself. It brings claims, payment and AR information into one working view, with specialists handling the decisions that require human judgment. Proposals depend on claim volume, specialty mix and the actual work included.
Differentiation
Connected revenue cycle
The offering links front-end eligibility and authorization with coding, submission and follow-up rather than only automating one billing task.
Portal and managed delivery
A practice can use the software with the service team or on its own, which changes who owns day-to-day billing execution.
Pricing
Proposals are based on monthly claim volume, specialty mix and the agreed revenue-cycle scope.
Company details
- Founded
- 2022
Founders & leadership
