Industries / Telehealth
Telehealth
POS codes, modifiers, and payer policies that change quarterly — virtual care billed right.
Where the revenue leaks.
Policy drift by payer
What one payer covers with modifier 95, another denies without POS 10 — and both changed since last quarter.
Eligibility for virtual visits
Telehealth benefits differ from in-person benefits on the same plan; assuming parity produces denials.
Multi-state complexity
Providers seeing patients across state lines multiply licensure and payer-rule combinations.
How GetMax runs it.
Telehealth rules per payer, current
POS and modifier requirements applied by payer policy as it stands today, not as it stood in 2023.
Virtual-specific eligibility
Telehealth benefits verified specifically — not inferred from in-person coverage.
Clean claims across state lines
Provider, location, and payer combinations validated before submission.
Questions, answered.
Do you keep up with changing telehealth rules?+
Yes — payer telehealth policies are tracked and applied per claim, which matters because they genuinely change quarter to quarter.
Can you verify telehealth-specific benefits?+
Yes — virtual-visit coverage is verified explicitly, since telehealth benefits often differ from in-person benefits on the same plan.