We build custom AI agents that run intake, billing, charge audits, MME compliance, claim intelligence, and HIPAA-compliant communication — across the lawyer, provider, and pharmacy stack.
Lawyers need coordination. Providers need workflow that lives above their EHR. Pharmacies need clean billing and reconciliation. Maximal Labs ships AI agents purpose-built for each.
End-to-end care coordination for PI, WC, and MVA cases. Track every encounter, lien, document, and provider interaction from sign-up to settlement.
An AI workflow layer that sits above your EHR. Chart-note summarization, intake automation, charge audits, scheduling, and patient-experience agents.
EOB-aware billing and reconciliation agents, controlled-substance compliance, MME monitoring, and trigger-based alerting on every claim, refill, and remit.
Watch the agent ingest medical records, bills, lien letters, and EOBs — classify them, extract structured data, and route every artifact to the right place in the case file.
Off-the-shelf RPA breaks the moment a fee schedule updates. Our agents reason, research, and adapt — and we build them around your exact case lifecycle.
Captures referrals from any source — fax, portal, email, phone — and stands up a complete case in seconds with verified demographics and injury details.
Scans every charge against the latest payer fee schedules and CPT modifier rules. Flags under-coding, duplicates, and missed line items before submission.
Reads every EOB line, matches it to the originating claim, and writes back posting, adjustments, and denial reasons — no human re-keying.
Predicts denials before submission, surfaces aging risk, and recommends the highest-yield next action on every open claim in the pipeline.
Continuously monitors morphine milligram equivalents across every patient. Alerts before thresholds are crossed, with a full audit trail of decisions.
Configurable rules engine that routes the right alert — over MME, missed appt, lien hot, denial received — to attorney, provider, or pharmacy in real time.
Three sliders, transparent math. Drag to match your monthly volume — see annual savings update in real time.
Most healthcare ops still run on people, spreadsheets, and screen-share tools. We replace the repetitive 80% with reasoning agents — and let your team focus on the work that requires judgment.
Tell us about a workflow that's stuck on people and paper. We'll show you the agent that fixes it — usually within a 30-minute working demo.