Max AI

Max AI provides an autonomous orchestration platform that bridges clinical documentation and revenue cycle management for healthcare organizations. The platform validates clinical data upstream to ensure documentation integrity before billing occurs, then automates downstream processes including medical coding, claims submission, denial management, and payment reconciliation.

The platform offers two integrated workflows: a Provider Workflow focused on clinical integrity orchestration with automated chart review, compliance validation, and CDI, and a Biller Workflow handling revenue cycle operations from autonomous coding through payment posting. Max AI integrates with major EHR systems including Epic, Athena, ModMed, and EZDerm, as well as clearinghouses like Stedi, Availity, and Waystar, supporting HL7 FHIR, EDI X12, and custom API connections.

The company reports a 99.8% documentation accuracy rate, 50% year-over-year denial reduction, 10x faster coding compared to manual processes, and 24-hour claim turnaround from encounter to submission. The platform maintains SOC 2 Type II certification and HIPAA compliance with AES-256 encryption, role-based access controls, and US-based data centers.

Consider Max AI when seeking a unified platform that addresses both clinical documentation integrity and revenue cycle management rather than point solutions for individual problems. The platform's autonomous approach is particularly valuable for organizations with limited coding staff or experiencing claim submission backlogs.

Expect an implementation that connects existing EHR and clearinghouse systems through a central orchestration layer. The platform is designed for organizations ready to transition from manual or semi-automated revenue cycle processes to fully autonomous workflows with continuous monitoring and real-time validation.

Max AI is exclusively focused on healthcare revenue cycle and clinical documentation integrity, with HIPAA compliance and SOC 2 Type II certification built into the platform architecture. The solution addresses healthcare-specific challenges including medical necessity validation, E/M level justification, CDI requirements, medical coding accuracy, and payer claim adjudication.

The platform's integrations with healthcare-specific systems like Epic, Athena, ModMed, EZDerm, and major clearinghouses demonstrate purpose-built healthcare infrastructure. Support for HL7 FHIR and EDI X12 standards indicates deep understanding of healthcare interoperability requirements.

Healthcare practices and health systems with established EHR implementations looking to reduce manual effort in revenue cycle operations while improving documentation compliance. Organizations experiencing high denial rates, coding backlogs, or audit concerns who want to prevent revenue leakage through proactive validation rather than reactive correction.