GetMax Healthcare
AI-run US healthcare revenue cycle from eligibility to coding, denials and A/R, with specialists reviewing edge cases.
Company basics
- HQ
- India
- Delivery model
- Managed (they run it for you)
- Pricing model
- Not disclosed
Scope
- Industries
- Healthcare
- Regions
- United States
- Languages
- unstated
About GetMax Healthcare
GetMax Healthcare is an AI-based revenue cycle management platform for US healthcare organizations, including hospitals, medical groups, dental clinics, behavioral health providers and telehealth platforms. It describes seven stages: eligibility verification, prior authorization, medical coding, risk capture, claim submission, denial management, and collections and A/R follow-up.
AI agents handle repetitive, high-volume work, deterministic rules validate model outputs before submission, and certified billing specialists and coders review escalated edge cases. The site says the platform plugs into the EHRs and clearinghouses organizations already use rather than replacing them. It also states that patient identifiers are masked before AI processing and that models are self-hosted on the company's own infrastructure.
The site states that only the AI coding assistant is currently live, and the other agents are still in build. GetMax Healthcare Solution Pvt Ltd is registered in Chennai, India, with operations in Chennai and a US presence.
What they do
- End-to-end delivery (you don't operate the tools)Source · checked 2026-09-29Runs eligibility, coding, billing, denials, A/R and posting on one platform.
- Human review includedSource · checked 2026-09-29Certified coders and specialists review edge cases and escalations.
- Works inside your existing systemsSource · checked 2026-09-29Integrates with existing EHRs and clearinghouses.
Pricing
- Pricing model
- Not disclosed
- Published starting price
- Not published
- Pricing page
- Not published
Evidence of outcomes
CNo publicly verifiable outcomes yet.Real product with a free public coding demo at getmaxhealthcare.com; no named customers or measured outcomes seen.
A: third-party verifiable outcomes · B: outcomes reported by the company or its investors · C: no publicly verifiable outcomes yet. Demos, forecasts and slogans do not count.
Our read
Editorial view based on public information — not an endorsement.
Capabilities
| Check | Status | Source |
|---|---|---|
| End-to-end delivery (you don't operate the tools) | Confirmed | Source · checked 2026-09-29Runs eligibility, coding, billing, denials, A/R and posting on one platform. |
| Human review included | Confirmed | Source · checked 2026-09-29Certified coders and specialists review edge cases and escalations. |
| Signed off by licensed professionals (CPA, attorney…) | Not stated | — |
| Works inside your existing systems | Confirmed | Source · checked 2026-09-29Integrates with existing EHRs and clearinghouses. |
| Private / on-prem deployment available | Not stated | — |
| API or data export | Not stated | — |
| Multilingual delivery | Not stated | — |
Commitments
| Check | Status | Source |
|---|---|---|
| Public delivery SLA | Not stated | — |
| Outcome-based pricing | Not stated | — |
| Refund / satisfaction guarantee | Not stated | — |
| Customer data not used for training | Not stated | — |
| SOC 2 | Not stated | — |
| ISO 27001 | Not stated | — |
| HIPAA | Not stated | — |
| GDPR | Not stated | — |
| Named party responsible for outcomes | Not stated | — |
Funding
Not disclosed
How we check
Every check below links to its source and shows when we checked it. "Not stated" means we found no public statement — it does not mean "no".
Other routes
Use a tool yourself
Get it implemented
Sources
- Company website: https://getmaxhealthcare.com/
Change history
- 2026-09-29 · Listed on Toolsfine