JSON twin: https://www.healthaidb.com/software/maxrte.json
maxRTE
https://maxrte.com/insurance-discovery-software-billable-coverage/
maxRTE is a commercial revenue-cycle software suite that provides insurance discovery, real-time eligibility verification, and prior authorization automation to help providers recover uncompensated care and accelerate payment.
maxRTE offers cloud-based insurance discovery (uncovers unknown coverage for self-pay patients), one-click real-time eligibility checks at registration, and automated prior authorization submission/tracking. The platform supports batch and single-file processing, flat-rate monthly pricing with unlimited transactions, payer portal monitoring, CAQH CORE / SOC 2 / DirectTrust/EHNAC compliance, and integrations with EHRs and RCM workflows.
yes
2014
P0986
2025-09-07
commercial proprietary
Flat monthly subscription (vendor advertises flat-rate, unlimited transactions); offers test file/demo; contact vendor for tiers and quotes.
subscription
product
1.0
{
"company_name": "maxRTE",
"company_url": "https://maxrte.com/",
"company_offices": [
"United States"
],
"company_founding": "2014",
"product_url": "https://maxrte.com/insurance-discovery-software-billable-coverage/",
"categories": [
"administrative",
"revenue cycle management",
"eligibility verification",
"insurance discovery",
"prior authorizations"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://maxrte.com/",
"https://maxrte.com/insurance-discovery-software-billable-coverage/",
"https://maxrte.com/real-time-insurance-eligibility-verification/",
"https://maxrte.com/prior-authorizations/",
"https://maxrte.com/partners-and-integrations/",
"https://maxrte.com/about-us/",
"https://maxrte.com/resources/",
"https://elion.health/products/maxrte",
"https://www.g2.com/products/real-time-eligibility-by-maxrte/reviews",
"https://www.capterra.com/p/230097/maxRTE/"
],
"summary": "maxRTE is a commercial revenue-cycle software suite that provides insurance discovery, real-time eligibility verification, and prior authorization automation to help providers recover uncompensated care and accelerate payment.",
"description": "maxRTE offers cloud-based insurance discovery (uncovers unknown coverage for self-pay patients), one-click real-time eligibility checks at registration, and automated prior authorization submission/tracking. The platform supports batch and single-file processing, flat-rate monthly pricing with unlimited transactions, payer portal monitoring, CAQH CORE / SOC 2 / DirectTrust/EHNAC compliance, and integrations with EHRs and RCM workflows.",
"target_users": [
"revenue cycle managers",
"billing/coding teams",
"patient access staff/registrars",
"medical billing companies",
"hospital administrators",
"revenue integrity teams"
],
"specialties": [
"hospital medicine",
"emergency medicine",
"ambulatory/clinic",
"revenue cycle management",
"medical billing services"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "subscription",
"pricing_details": "Flat monthly subscription (vendor advertises flat-rate, unlimited transactions); offers test file/demo; contact vendor for tiers and quotes.",
"license": "commercial proprietary",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Insurance discovery for self-pay accounts (finds primary/secondary/tertiary coverage)",
"Real-time insurance eligibility verification",
"Retro eligibility / look-back searches",
"Payer plan mapping and normalization",
"Prior authorization automation",
"Batch file processing via SFTP",
"API-based integrations for real-time queries",
"Customized payer mapping aligned to client EHR",
"Flat-fee pricing and ROI reporting",
"EHR integration and workflow embedding",
"Zero-balance account submission for Medicaid recovery",
"Case/results reporting and dashboards",
"Implementation and onboarding support"
],
"optional_modules": [
"Prior authorizations",
"Real-time eligibility (if not part of base package)",
"Custom payer mapping services",
"Batch processing service"
],
"integrations": [
"Epic",
"Oracle (Oracle Health/DB systems)",
"Athenahealth",
"Meditech",
"EHR systems (general)",
"Billing systems / clearinghouses"
],
"data_standards": [
"API",
"HL7 v2",
"FHIR",
"X12",
"SFTP"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA"
],
"certifications": [],
"security_features": [
"Encryption (in transit and at rest)",
"Role-based access control (RBAC)",
"SSO/SAML support",
"Audit logging"
],
"privacy_features": [
"BAA available"
],
"data_residency": "",
"customers": [
"Premier Health",
"Sampson Regional Medical Center",
"Onslow Memorial Hospital",
"OCH Regional Medical Center",
"Monroe County Hospital"
],
"user_reviews": [],
"ratings": [],
"support_channels": [
"email",
"phone"
],
"training_options": [
"documentation"
],
"release_year": "",
"integration_partners": [
"Athenahealth",
"Epic",
"athenahealth Marketplace"
],
"id": "P0986",
"slug": "maxrte",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/maxrte.json"
}
}