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.

Regional Health System Generates 52x ROI with maxRTE Day 1 Insurance Discovery

Project Background

Faced with mounting self-pay volumes, a regional health system spanning more than 700 beds across three acute care hospitals needed a proactive solution. The organization partnered with maxRTE to find hidden coverage and recover uncompensated care. By shifting from reactive write-offs to Day 1 Insurance Discovery executed before AR aging, the health system successfully captured lost revenue and accelerated their cash flow

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Results

$720K

remits from insurance discoveries in first 90 days

48 hrs

after kickoff hidden converge found and fully operational within two weeks

52x

average monthly return on investment using maxRTE

By identifying coverage on Day 1, the health system accelerated cash and prevented avoidable self-pay write-offs.