maxRTE Success Stories

Premier Health Uncovers $2.9M in the First Three Months of Leveraging Insurance Discovery from maxRTE

Project Background

Following the end of the public health emergency (PHE), Premier Health experienced an increase in self-pay patients and sought an insurance discovery solution that could identify the correct plan upfront to ensure timely reimbursement and reduce denials. With their extensive network of hospitals, medical organizations and physicians, Premier Health is one of the largest comprehensive health systems in Ohio.

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Results

56K

accounts processed in the first three months

50x

return on their
investment 

$2.9M

in remits from insurance discovery in three months

Receives results that are 100% customized to Premier’s payer mix, reducing their need to manually weed out non-billable discoverables

Able to run insurance discovery at multiple stages of the revenue cycle, including pre-service, day of service, and during look-back periods, ensuring comprehensive coverage verification

Texas Health System sees $1.2M in average monthly reimbursements with maxRTE Insurance Discovery

Project Background

Texas’s largest not-for-profit healthcare system, with more than 51 hospitals and 800 patient care sites, needed a new Insurance Discovery solution that integrated seamlessly with Epic. Their goal was to recover missed reimbursements from self-pay accounts while keeping operational costs predictable.

After partnering with maxRTE in 2022, the system implemented real-time Epic API integration, automated billing workflows, and Medicare Beneficiary Identifier (MBI) lookup capabilities—all designed to maximize recoveries and reduce manual effort across registration and eligibility workflows.

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Results

13%

of self-pay accounts converted to billable coverage

$1.2M

average monthly reimbursements

55x

return on investment

maxRTE delivered $1.2M in average monthly reimbursements and a 55× ROI.

See how automation and Epic integration can unlock hidden revenue for your organization.

Acute Care Facilities Are Uncovering Insurance Sources for Self-pay Patients

Project Background

The frenetic pace of emergency rooms in acute care facilities makes them especially vulnerable to missing insurance coverage during the registration/admission process. An established provider of self-pay conversion services uses affordable, efficient pre- and post-service processes that are helping hospitals, clinics, physician groups, and other healthcare providers strengthen their financial picture by uncovering commercial and government insurance coverage for self-pay patients.

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Results

348%

average increase in self-pay conversions across two facilities (800-bed & 40-bed)

2.7M+

contingency fee elimination, 80K+ transaction fee savings (800-bed facility)

70K

contingency fee elimination, 10K transaction fee savings (40-bed facility)

Automated processes dramatically reduce costs of unearthing unknown insurance coverage for self-pay patients to maximize ROI for healthcare providers.