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Healthcare intelligence for RCM agencies

Run every revenue cycle from one screen.

One workspace for every client practice you bill — writing the note, coding the claim, and posting the payment.

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What you get

Voice to EHR
AI medical coding
Claims, ERA & posting
HIPAA-ready

AI workforce

Six agents.One revenue cycle.

They work the book between visits — checking coverage, reading bills before they go out, chasing what never left, and deciding which denials are worth the fight. Each one proposes; you decide what it may do on its own.

01Active

Gandalf

Eligibility

Checks coverage before the patient walks in, and flags the gaps while there's still time to fix them.

Real-time coverage

02Active

Neo

Coding & pre-bill

Reads every bill before it goes out, so the claim leaves clean the first time.

ICD-10 · CPT

03Active

Hermes

Submission & follow-up

Gets claims out, then finds the ones that never left and the ones nobody has chased.

Priority worklist

Six agents active

GetMax AI OS

Orchestrating the whole cycle, with your team deciding what runs on its own.

04Active

Saul

Denials & appeals

Works out which denials are winnable, then writes the letter that wins them.

Appeal drafting

05Active

Moneypenny

Payment posting

Matches every dollar to a claim, and surfaces what came in short of contract.

ERA matching

06Active

Samantha

Voice

Sits on hold so nobody on your team has to, and writes up the call when it ends.

Payer calls

The revenue cycle

1
Referral
Patient enters
2
Eligibility
Coverage verified
3
Coding
Charges prepared
4
Claims
Submitted clean
5
Denials
Worked & appealed
6
Payments
Posted & reconciled
✓
Collected
Cycle closed

Put the agents to work

Generating

Built-in AI

The model is alreadyinside the workflow.

Not a chatbot bolted to the corner of the screen. It reads the referral, answers the phone, explains the denial and picks the provider, in the same places your team already works.

Referral intake

Paste a faxed referral, a forwarded email or a phone note. It comes back as a structured patient, payer and reason, ready for staff to confirm.

Voice agent

An inbound receptionist that answers, takes the referral and books the slot, running the same brain as intake on your own number.

Assistant

Ask your book a question in plain English and get an answer back with real tables, drawn from your own connected data.

Natural-language search

Type “Aetna denials over $500 older than 60 days” and the grid filters itself. No query builder, no saved-view sprawl.

Denial explain

Plain-English analysis of a denial or rejection: what the code actually means, and the specific fix for this claim.

Bulk triage

Select a pile of denials and get a verdict on which are worth appealing, so the winners get worked first.

Scheduling match

Scores the right provider for a referral and surfaces their genuinely open slots, bookable in one click.

Run it on your own data

Bring one week of referrals and denials. We will show you what it does with them.

Book a demo

Answers are generated from your own connected data. Staff confirm before anything is written back.

Credentialing

Credentialing thatactually verifies.

100%

Primary-source

Secure by default

AES-256-GCM on stored portal credentials, isolated per tenant and never shared between clients.

Watched after enrollment

Verification is not a one-off. Every source re-runs nightly, so a lapse surfaces the day it happens.

Expiry engine

Credentials, documents and contracts tracked to their effective dates, with warnings long before a lapse costs you claims.

Every provider, every payer

Enrollments tracked per provider and per payer, with the full PSV document trail filed and retrievable for audit.

Dr. A. Rao

Dr. M. Ellis

Dr. J. Park

Who it's for

Built for the people who
run the billing.

Most teams start here

For RCM agencies

Manage a fleet of client practices without a fleet of spreadsheets. Assign billers to workflows, track AR across every client, and see which practices and payers are dragging collections, all in one tenant-isolated workspace.

getmax/All practices5 practices

Riverside Behavioral

Behavioral health

$42,180

On track

Summit Family Practice

Primary care

$129,020

Working

Lakeshore Counseling

Behavioral health

$19,110

Filing risk

See the agency view

For practices

Your own clean view

Work with a billing company on GetMax, or run billing in-house? Get a clean view of your charges, AR, and denials, plus a provider directory patients can actually find you through.

getmax/This practice

Your practice

Multi-specialty

$24,550

On track

Works with what you already run

We sit on top of your client's EHR.

Inside the cycle

What actually runsat every step.

getmax/Voice to EHR · live

Telehealth visit · 14:02

Agent joined

Provider

Any change in the shortness of breath?

Patient

Worse on stairs, about two weeks now.

Provider

We will adjust the inhaler and recheck in a month.

Assessment drafted

Asthma, worsening exertional dyspnoea. Step-up therapy, 4-week review.

Voice to EHR

The visit writes the note

Let the agent join the telehealth call, or switch on the mic in the room. The consultation comes back as a structured note the provider signs — not a recording somebody has to type up later.

getmax/Coding · suggested

99214
Level 4 established
E/M
Two chronic problems, moderate risk
J45.41
Moderate persistent asthma
Dx
Diagnosis from the note
94640
Nebuliser treatment
Dx
Documented in the visit

AI medical coding

Codes, with the reasoning attached

The note becomes CPT, ICD and modifiers, and every code shows what in the documentation justified it — so a coder is reviewing a decision instead of starting from a blank claim.

getmax/Referrals · inbox

Fax · Riverside Behavioral
Parsed 2 min ago
Auto-parsed
Portal · Summit Family
Parsed 14 min ago
Assigned
Email · Cedar Park Peds
Awaiting triage
Needs review

Referrals

Intake that stops leaking

Fax, portal and email referrals land in one queue and get parsed on arrival, so nothing sits in an inbox nobody owns.

getmax/Eligibility · check

Aetna PPO

Active

Copay: $25
Deductible: $1,400
Met: $860

Checked automatically 48h before the visit.

Eligibility

Verified before they arrive

Coverage, copay and deductible checked automatically ahead of the visit — the front desk stops guessing and patients stop getting surprise bills.

getmax/Credentialing

Dr. A. Rao · Aetna
Expires in 21 days
Dr. M. Ellis · BCBS
Active · 8 months
Dr. J. Park · UHC
In progress

Credentialing

No expiry catches you out

Every provider, payer and effective date tracked, with warnings long before a lapse costs you claims.

getmax/Claims · pre-submission scrub

Payer ID + member format

Passed

Modifier 95 for telehealth

Added

POS 02 vs 10 mismatch

Fixed

Filed to clearinghouse

14 claims

Claim submission

Scrubbed, then filed

Claims are checked against payer rules before they leave — telehealth modifiers, place of service, member ID formats — so the rejection gets caught here instead of coming back a week later.

getmax/Payments · ERA 835

BCBS · EFT #4471

Posted

Billed: $4,180
Allowed: $2,940
Paid: $2,655

Underpaid

99214 paid $18 under contract — flagged, not written off.

ERA, EFT & posting

The 835 posts itself

Electronic remittance is read line by line and posted against the right claim, and anything paid under contract is flagged for a human rather than quietly closed.

getmax/Denials · root cause

CO-197
No auth on file
12
CO-16
Missing modifier
8
PR-204
Not covered
5

Denials

Fix the cause, not the claim

Denials grouped by reason code so you can see the pattern behind them and stop it repeating next month.

getmax/AR follow-up

0–30

31–60

61–90

90+

Queues sort themselves by what is closest to timely-filing.

AR follow-up

Work the money, not the list

Aging buckets across your whole book, sorted so the work closest to timely-filing surfaces first.

ROI calculator

Calculate what manualeligibility is costing you.

Your current process

Eligibility checks your team runs per month

Staff minutes spent on each manual check

Loaded staff cost per hour

Defaults reflect published industry estimates of staff time per verification. Change them to your own numbers.

ROI calculation results

Checks automated per year

12,000

Staff hours reclaimed per year

1,200

Manual labor cost per year

$28,800

GetMax eligibility cost per year

$3,000

Labor reclaimed per year

$25,800

Eligibility is metered separately from your platform subscription at $0.25 per check.

Also included

& When you need to go further, an API for your providers.

Embed your live directory, show real openings, take bookings, accept referrals — or hand the whole practice to an AI agent. REST + JSON, one key.

Get API access

GET/external/providers

Your live provider directory

Search and filter the providers a practice actually publishes — specialty, location, whether they're taking new patients. Drop it straight into a website or patient portal; it stays in sync because it reads the same records your staff edit.

Request

// authenticate with your API key
const response = await fetch(
  'https://api.getmaxrcm.com/external/providers?specialty=Cardiology',
  { headers: { 'x-api-key': 'gmax_live_••••' } }
);

200 OK · 142ms

{
  "success": true,
  "providers": [{
    "firstName": "Sarah",
    "specialty": "Psychiatry",
    "acceptingNewPatients": true
  }]
}