Business Details
29 Years
experience
Healthcare Revenue Cycle Management Solutions
At maxRTE, we have dedicated over two decades to advancing healthcare revenue cycle management through innovative technology solutions. Founded in 1997, our company has consistently delivered cutting-edge tools to help healthcare providers recover uncompensated care, streamline eligibility verification, and automate prior authorization processes. Our proprietary algorithms and deep expertise in payer filing periods enable us to outperform competitors, identifying coverage for up to 25% of self-pay patients.We prioritize seamless implementation, offering flat-rate pricing models with unlimited transactions and flexible processing options. Our team of specialists provides white-glove support, ensuring clients achieve measurable ROI while maintaining compliance with industry standards like HIPAA and SOC 2 Type II. With integrations to leading EHR systems and partnerships across the healthcare technology landscape, we empower organizations to reduce denials, accelerate payments, and focus on patient care.
Services
Insurance Discovery
Real-Time Eligibility
Prior Authorizations
Revenue Cycle Management
EHR Integration
Details
- Year established: 1997
Highlights and features
- 20+ years of specialized expertise in healthcare revenue cycle technology
- Proprietary algorithms identify coverage for up to 25% of self-pay patients
- Flat-rate pricing with unlimited transactions and no contingency fees
- 24/7 customer support with rapid response times for urgent matters
- Seamless integrations with Epic, Cerner, Meditech, and Athena Health EHR systems
Associations and certifications
- CAQH Core Eligibility
- SOC 2 Type II
- EHNAC HNAP-EHN
- HIPAA
What people say
34x ROI achieved
Phenomenal integration
24-hour implementation
75% denial reduction
Responsive support
Services
Insurance Discovery
Our Insurance Discovery solution identifies hidden commercial, government, and exchange plan coverage for self-pay patients. Using proprietary algorithms, we analyze timely filing limits and retro-approval periods to uncover billable accounts that other systems miss. Healthcare providers benefit from flat-rate pricing with unlimited transactions and flexible processing options, including batch and single-file processing.
Real-Time Eligibility
This solution provides instant insurance verification at point of registration through single-click access to 900+ payers. The platform eliminates manual portal navigation by delivering consolidated eligibility information directly to staff. Features include patient responsibility estimation, bulk processing capabilities, and seamless EHR integration without requiring additional software.
Prior Authorizations
Our Prior Authorizations solution automates submission tracking, status monitoring, and payer compliance. The system identifies required authorizations, submits requests electronically, and provides real-time status updates through a centralized dashboard. Built-in intelligence reduces unnecessary submissions while ensuring adherence to payer-specific requirements and deadlines.
EHR Integration
We offer direct API integrations with major EHR platforms including Epic, Cerner, Meditech, and Athena Health. These integrations enable seamless data exchange for eligibility checks, insurance discovery, and prior authorization workflows without requiring staff to switch between systems or use separate portals.
Revenue Cycle Management
Our comprehensive RCM solutions address front-end revenue cycle challenges through combined Insurance Discovery, Real-Time Eligibility, and Prior Authorization capabilities. The platform reduces denials by verifying coverage upfront, accelerates cash flow through rapid implementation, and provides scalable growth with predictable pricing models.
Questions
How does maxRTE Insurance Discovery find hidden coverage?
Our proprietary algorithm analyzes timely filing limits and retro-approval periods to identify commercial, government, and exchange plans for self-pay patients.
What makes maxRTE different from other eligibility solutions?
We offer flat-rate pricing with unlimited transactions, same-day implementation, and direct EHR integrations without requiring additional software.
Can maxRTE integrate with our existing EHR system?
Yes, we provide seamless API integrations with Epic, Cerner, Meditech, Athena Health, and other major EHR platforms.
How quickly can we start using maxRTE solutions?
Most clients complete implementation within 24 hours of account setup, with immediate access to payer networks.
What security standards does maxRTE comply with?
We maintain SOC 2 Type II compliance, CAQH Core Eligibility certification, EHNAC accreditation, and HIPAA compliance.
Do you offer prior authorization automation capabilities?
Yes, our Prior Authorizations solution automates submission tracking, status monitoring, and payer portal integration.
