Real-time coverage checks
Active coverage confirmed electronically before the patient arrives.
Services / Eligibility Verification
Eligibility Verification
Billing into a dead policy is the most preventable denial in healthcare — and it happens every day, because manual eligibility checks don't scale. GetMax verifies coverage, benefits, and plan details automatically before the visit, so the claim you build is a claim that can actually be paid.
What's included
Benefit & plan details
Copays, deductibles, and coverage limits surfaced up front.
Coordination of benefits
Primary vs. secondary sorted before the claim, not after the denial.
Batch & same-day checks
Tomorrow's schedule verified overnight; walk-ins verified on the spot.
Auth-requirement flags
Services needing prior authorization flagged before they're delivered.
How it works
- 01
Sync the schedule
Upcoming appointments pulled from your EHR automatically.
- 02
Verify
Coverage, benefits, and auth requirements checked in real time.
- 03
Flag & fix
Problems surface before the visit — while there's still time to solve them.
Questions, answered
How far ahead do you verify?+
Schedules are verified ahead of the visit — typically the night before — with same-day and walk-in checks running in real time.
What happens when a patient's coverage has lapsed?+
Your front desk is flagged before the visit with the specific issue, so it can be resolved with the patient present instead of discovered in a denial 30 days later.
Does this cover coordination of benefits?+
Yes — primary and secondary coverage is sorted during verification, which prevents an entire class of CO-22 denials downstream.