maxRTE
Real-Time Health Insurance Eligibility.
Overview
maxRTE is a healthcare revenue-cycle software solution that provides three key capabilities: insurance discovery, real-time eligibility verification, and prior authorization monitoring. Its insurance discovery module is designed to find unknown or unclaimed payer coverage for self-pay patients. The real-time eligibility component allows registration staff to verify patient insurance and benefits quickly, aiming to reduce denials and accelerate cash flow.
✨ Key Features
- Real-time Eligibility Verification
- Insurance Discovery
- Prior Authorization Monitoring
- Batch Processing
- API Integration
🎯 Key Differentiators
- Strong focus on insurance discovery for self-pay patients
- Combination of eligibility and prior authorization monitoring
- Flat monthly subscription pricing model (not transaction-based)
Unique Value: maxRTE helps healthcare organizations significantly boost revenue by uncovering billable insurance for self-pay accounts and streamlining front-end verification processes.
🎯 Use Cases (3)
✅ Best For
- Insurance discovery for self-pay accounts in hospitals and health systems
- Single-click eligibility verification for registration staff
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Organizations looking for a full claims submission and clearinghouse service.
🏆 Alternatives
The key differentiator is its insurance discovery feature, which goes beyond standard eligibility checks to find previously unknown coverage. This can provide a direct and substantial return on investment by converting self-pay bad debt into billable claims.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Varies tier)
🔒 Compliance & Security
💰 Pricing
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