Max AI provides an agentic orchestration platform that automates the entire healthcare revenue cycle, from real‑time clinical data validation and AI‑driven auto‑coding to claim submission and denial appeals. By integrating seamlessly with existing EHR and clearinghouse systems, the platform delivers clean, compliant claims within an average 18‑hour turnaround, reducing manual effort and lowering denial rates while maintaining HIPAA and SOC 2 Type II security standards.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare providers often face fragmented clinical documentation and manual billing processes that lead to data errors, delayed claim submissions, and high denial rates, ultimately reducing revenue and increasing administrative burden.
Solution
Max AI offers an agentic orchestration platform that automates the end‑to‑end revenue cycle by validating clinical data in real time, applying AI‑driven auto‑coding, and managing claim submission and denial appeals without human intervention. The system continuously monitors upstream clinical inputs, corrects inconsistencies before they become claims, and orchestrates workflow steps across EHR and clearinghouse integrations. By delivering clean, compliant claims within an average turnaround of 18 hours, Max AI improves revenue capture while maintaining clinical integrity. The platform is HIPAA‑compliant and meets SOC 2 Type II standards, ensuring data security for healthcare organizations.
Target Audience
Primary customers are hospitals, health systems, and large physician groups that manage high volumes of claims and seek to automate revenue cycle operations while preserving clinical data integrity.
Features
- AI agents that autonomously execute chart review, auto‑coding, claim generation, and denial appeal workflows
- Real‑time validation engine that detects and resolves clinical data errors before claim submission
- Seamless integration with existing EHR and clearinghouse systems via standard APIs
- Automated denial management with proactive appeal generation to reduce denial rates
- Dashboard displaying live metrics such as claims processed, revenue captured, denial rate, and turnaround time
- Enterprise‑grade security compliance (HIPAA, SOC 2 Type II) for protected health information