Together, we work with clients across the healthcare ecosystem to help them transform how care is delivered, managed, and paid.
We help payers increase enrollment, engage members, and reduce costs.
We apply digital solutions to ease the pain of claims administration and improve utilization management.
We help providers automate operations to improve care coordination and care management. Our digital solutions enhance patient experience and enable better decision making to improve outcomes.
Our solutions help Life Sciences companies augment knowledge and perspectives about their therapeutic markets, improve health outcomes, and create targeted marketing strategies using our extensive data assets, advanced analytics, and domain expertise.
Pharmacy Benefit Managers (PBMs)
We help Pharmacy Benefit Managers (PBMs) manage member drug benefits and reduce drug spending while maintaining quality.
Our digital solution suite provides PBMs with robust tools to manage claims, streamline authorizations and perform virtual pharmacy audits.
Personalized Call Center Services
Improve call capacity, increase self-service capabilities, and reduce average handling time with an innovative combination of conversational AI and proactive human assistance.
Solve the end-to-end collections value chain using a modular AI-powered solution. Improve efficiencies and accuracy in enrollment & eligibility, billing, and claims administration. Proactively minimize fraud, waste, and abuse, and increase payment capture in the revenue cycle.
Data Automation Services
Improve accuracy and data management processes through automated data processing of unstructured and unstructured health data to gain actionable insights using a combination of natural language processing and AI. Reduce cost in manual efforts and turnaround times.
Improve clinical excellence in case review, case management, and utilization management with a platform that integrates into legacy systems and data sources. We personalize our services to meet your needs.
Help consumers be self-sufficient through next-gen natural language processing and contextual understanding. Combined with proactive human assistance, EXeLia.AI reduces average handling time, increases data accuracy and enables real-time auto population of data.
An innovative payment assistant solution that covers collection operations, analytics, and all aspects of full-cycle collections. Improve debt collections by increasing the liquidation rate, making it cheaper and faster, while improving customer experience.
EXL Xtrakto.AITM addresses manual effort involved in searching and keying in information to transform the process with “Heavy Digital + Thin Human” components, resulting in cost reduction, higher accuracy, and new data for better decisions.
DigiCA transforms pre-authorization process operations, automated administrative efforts, and RPA capabilities to improve case and utilization management efficiencies.
The EXL NerveHubTM platforms helps payers and providers digitize operations management, link operational metrics with outcomes, manage digital workforce and provide real-time insights for better decision making.
EXL Health delivers intelligence to shape strategies that transform your business.
Human ingenuity is the catalyst with which we solve your complex problems.
"What makes the difference with EXL is they're very forward-thinking... Other partners we deal with have capabilities, but... EXL is always pushing the envelope in terms of automation, AI. Other partners we have in many cases, perhaps stand to benefit from the current environment and, and processes and controls and so forth. Well, I can get that. You want to make money while you can make money."
Director, Cost and Contract Analysis,
TriWest Healthcare Alliance