GetMax
The site lists operations in Thiruvanmiyur, Chennai, and a registered office in Velachery, Chennai, India.
What it is
GetMax provides revenue cycle management software for US healthcare, with workflows spanning eligibility, coding, billing, prior authorization, accounts-receivable follow-up, denial management, and payment posting. Its live Practice Portal includes eligibility checks, A/R summaries, denial and appeal functions, fee schedule lookup, underpayment detection, and provider search. The coding assistant is available without sign-in, a trial timer, or a card. It proposes ICD-10 and CPT codes, validates them against the live NIH ICD-10-CM set using deterministic rules, and flags ambiguous cases for certified-coder review. Claims can be built in CMS-1500, X12 837P, FHIR, and XML formats. GetMax says it connects with existing EHRs and clearinghouses but does not name specific systems. The coding assistant and Practice Portal are described as live; eligibility, prior authorization, denial, and collections agents are listed as in build. GetMax says its models run on its own GPUs and patient data stays within infrastructure it controls. Its privacy policy describes HIPAA processing under a client BAA, encryption, access controls, and limits on use of PHI. Revenue-cycle pricing is quoted as a percentage of collections, varying by specialty, claim volume, payer mix, and service scope.
For and against
For
- Coding assistant is open to use without sign-in or a card.
- Practice Portal includes eligibility, denial, and payment tools.
- Claims can be built in four listed formats.
- GetMax says patient data stays within infrastructure it controls.
Against
- Several agents are listed as in build.
- Revenue-cycle pricing is quoted rather than published as a fixed rate.
- The site does not name specific EHR or clearinghouse integrations.
The verdict
GetMax combines a live Practice Portal with a coding assistant and broader revenue-cycle workflows. Check the availability of specific agents and request a quote to understand pricing for your scope.
Who it suits
GetMax is intended for US healthcare organizations ranging from single clinics to multi-site health systems. Its coding assistant may suit users who want to try coding support, while teams evaluating broader workflows should note which agents are still in build.
Plans and prices
AI Coding Assistant
Open coding demo · Do not submit identified patient data
Read 5 Oct 2026 · getmaxhealthcare.com
Revenue cycle management
No published rate · Pricing depends on claim volume · Specialty and service scope affect pricing
Read 5 Oct 2026 · getmaxhealthcare.com
On the record
- AI workflow
- Its clinic AI OS can read and pre-check claims, assist coding with a human in the loop, route denials by root cause, prioritize worklists, and retain payer rule memory.getmaxhealthcare.com · read 4 Oct 2026
- Claim formats
- The agent workflow page says claims can be built in CMS-1500, X12 837P, FHIR, and XML formats.getmaxhealthcare.com · read 5 Oct 2026
- Coding
- The coding agent proposes ICD-10 and CPT codes and applies deterministic rules to correct model errors.getmaxhealthcare.com · read 4 Oct 2026
- Coding assistant
- The coding assistant proposes ICD-10 and CPT codes, then validates them against the live NIH ICD-10-CM set using deterministic rules.getmaxhealthcare.com · read 5 Oct 2026
- Current availability
- The FAQ says the coding assistant is live and open to use, while eligibility, prior authorization, denials, and collections agents are in build.getmaxhealthcare.com · read 4 Oct 2026
- Data handling
- The privacy policy says PHI is processed under HIPAA and a client BAA, is not used for marketing or sold to third parties, and is not used to train public generalized AI models.getmaxhealthcare.com · read 4 Oct 2026
- Encryption
- The privacy policy states that data is encrypted in transit using TLS 1.2+ and at rest using AES-256, with least-privilege access controls and continuous monitoring.getmaxhealthcare.com · read 4 Oct 2026
- Human review
- Ambiguous coding cases are flagged for a certified coder in the open demo and routed to one on a real account.getmaxhealthcare.com · read 5 Oct 2026
- Integrations
- GetMax says it is built to work with existing EHRs and clearinghouses so organizations can keep their current systems.getmaxhealthcare.com · read 5 Oct 2026
- Intended users
- The company lists hospitals, medical groups, physician practices, dental clinics, behavioral health, and telehealth among its target industries.getmaxhealthcare.com · read 5 Oct 2026
- Model hosting
- GetMax says its models run on its own GPUs rather than a third-party AI provider.getmaxhealthcare.com · read 5 Oct 2026
- Notable pricing limit
- GetMax does not publish a fixed price and says its percentage-of-collections quote varies with specialty, claim volume, payer mix, and the stages it handles.getmaxhealthcare.com · read 5 Oct 2026
- PHI handling
- GetMax says it signs a Business Associate Agreement with each client, does not use PHI to train public generalized AI models, and masks HIPAA Safe Harbor identifiers before its coding model receives text.getmaxhealthcare.com · read 5 Oct 2026
- Practice Portal
- The Practice Portal includes eligibility checks, A/R summaries, denials and appeals, fee schedule lookup, underpayment detection, and provider search.getmaxhealthcare.com · read 4 Oct 2026
- Product availability
- The Practice Portal is described as live today, while the coding assistant is open to use and some eligibility, prior authorization, denial, and collections agents are listed as in build.getmaxhealthcare.com · read 5 Oct 2026
- Purpose
- GetMax provides AI-assisted revenue cycle management for US healthcare, including eligibility verification, coding, billing, prior authorization, denial management, A/R follow-up, and payment posting.getmaxhealthcare.com · read 5 Oct 2026
- Security
- The privacy policy says data is encrypted in transit with TLS 1.2+ and at rest with AES-256, with least-privilege access controls and continuous monitoring.getmaxhealthcare.com · read 5 Oct 2026
- Support and contact
- GetMax offers workflow-specific demos and lists [email protected] as its contact email.getmaxhealthcare.com · read 4 Oct 2026
