Accelerate Revenue Cycle Management

Locate coverage for up to 25% of your self-pay population with maxRTE Insurance Discovery

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maxRTE software solutions for insurance discovery, eligibility, and prior authorizations

Insurance Discovery

Unlock hidden coverage and boost revenue

Real-Time Eligibility

Real-time insurance verification check

Prior Authorizations

Maximize reimbursements and reduce denials

MAXRTE’s INSURANCE DISCOVERY

Recover Uncompensated Care and Maximize Revenue

maxRTE Insurance Discovery solution is the most efficient and cost-effective way to uncover unknown medical coverage for self-pay patients, including commercial, government, and exchange plans. Our solution helps identify coverage for up to 25% of self-pay patients, more than any other tool on the market.

With flat monthly subscription pricing, you get unlimited transactions and flexible processing options, including both batch and single-file processing, making it easier than ever to recover uncompensated care and improve cash flow.

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MAXRTE Real-Time Eligibility

Get Paid Faster with Real-Time Insurance Eligibility Verification

maxRTE’s Real-Time Eligibility solution provides instant insurance verification at the point of registration with just a single click. Our flat-rate, all-in pricing makes it the preferred choice for value-driven healthcare organizations looking to avoid denials, payment delays, and claim rejections.

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maxRTE Prior Authorizations

Automate and Streamline the Approval Process

maxRTE’s Prior Authorizations solution helps healthcare organizations reduce denials and administrative burdens by automating the submission, tracking, and status updates of prior authorizations. Built-in intelligence identifies which procedures require authorization, ensuring your team submits only when necessary and stays compliant with payer requirements.

With real-time status checks and alerts, maxRTE monitors payer portals and notifies your team of updates, helping you meet tight deadlines and avoid revenue loss. A centralized dashboard provides full visibility, eliminating the need to log into multiple payer portals and call payers for updates.

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The maxRTE difference.

At maxRTE, our proprietary algorithm and deep expertise in payer filing and retro-approval periods create a solution that consistently outperforms other insurance discovery software. maxRTE excels in uncovering previously unknown coverage and streamlining revenue cycle management.

Our solution offers:

Flat pricing for healthcare providers seeking cost-effective solutions

Easy implementation with minimal disruption to your workflow

Exceptional customer support that ensures smooth operations

maxRTE’s advanced technology eliminates uncompensated care, boosting revenue and reducing denials.

Learn how easy maxRTE is to use.

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maxRTE upholds the highest industry compliance standards for data privacy and security. Our organization is CAHQ Core Eligibility and Benefits certified, SOC 2 Type 2 compliant, and Direct Trust EHNAC HNAP-EHN accredited.

maxRTE CAQH CORE Certification for electronic eligibility and benefits verification

maxRTE DirectTrust and EHNAC Accredited: HNAP-EHN certification

A Few of Our Loyal Customers

Flexible and full payer access

“maxRTE is great to work with because they are responsive, are willing to modify and customize their web portal for all our clinics as needed and maxRTE’s web portal gives us the ability to access all the payers that we require.”

Catherine M. Ellingson

Business Office Manager, West Side Community Health Services, Inc.

Discovery checks anytime, across all payers

“maxRTE allows my ED staff to instantaneously check patient eligibility even when our EHR system is down. maxRTE also gives my staff easy access to verify multiple payers with a single eligibility request.”

Kakieta Harvey

Regions Supervisor, Admitting ED.

Eligibility solution for a great price

“We don’t have authorization or medical necessity issues. I don’t need a QA tool because my EMR does a good job with QA. All I need is an eligibility solution. In that regard, I don’t need a suite of patient access solutions. I got maxRTE for a great price, and I am as happy as a pig in mud that I made that decision.”

VP of Revenue Cycle at FastMed

News from maxRTE

All News

The AI Arms Race in Revenue Cycle: Why Medical Necessity and Prior Auth Automation are No Longer Optional

Hospitals face climbing write-offs from medical necessity and prior authorization denials. Insurers are using automated algorithms to issue split-second, high-volume denials. Under the CMS-0057-F Interoperability and Prior Authorization Rule, payers must support electronic prior authorization (ePA) via HL7 FHIR APIs, forcing providers to modernize their front-end workflows. Instead of trapping staff in slow, external vendor […]

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What to Expect at the 2026 East Coast CORE Meeting

Whether your organization is in the middle of a new Epic implementation or you’re a seasoned user looking to optimize your workflows, the Fall 2026 East Coast CORE gathering is the place to be.

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Stop Preventable Self-Pay with Day 1 Insurance Discovery

Discover how a 700-bed health system tackled mounting self-pay volumes, finding $720K in hidden coverage in 90 days and achieving a 52x ROI. Read the story.

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Automating Medicare Discovery with MBI Lookup

Stop costly COB denials and manual portal lookups. Discover how maxRTE automates Medicare MBI lookups and instantly finds hidden Medicare Advantage plans.

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Verify if a Prior Authorization is Required by CPT Code

Stop wasting time on unnecessary prior authorizations. Learn how maxRTE’s ‘No Auth Required’ check instantly eliminates 50% of your manual auth workload.

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