Claim creation & scrubbing
Claims assembled from verified eligibility and coding, checked before they leave.
Services / Medical Billing
Medical Billing
Most billing problems are self-inflicted: claims that leave with missing information, wrong payer formats, or errors a scrubber should have caught. GetMax builds each claim from verified data, scrubs it against payer requirements, and submits it clean — so first pass becomes the normal pass.
What's included
Payer-specific formatting
Each payer's quirks handled automatically — commercial, Medicare, Medicaid.
Clearinghouse submission
Electronic submission with rejections caught and corrected same-day.
Secondary & tertiary claims
Coordination of benefits handled through the full payer chain.
Rejection management
Front-end rejections fixed and resubmitted without landing on your desk.
How it works
- 01
Assemble
Claims built from verified eligibility, coding, and charge data.
- 02
Scrub & submit
AI checks payer rules and formats, then submits electronically.
- 03
Track to paid
Every claim followed from submission to posting — nothing goes quiet.
Questions, answered
Which payers do you bill?+
Commercial payers, Medicare, Medicaid, and workers' comp — across the clearinghouses your practice already uses.
What happens when a claim is rejected?+
Front-end rejections are corrected and resubmitted by GetMax, typically without your staff touching them. You see the status, not the busywork.
Do we have to change our EHR or clearinghouse?+
No. GetMax embeds into the systems you already run — the workflow changes, your stack doesn't.