We get it. Health plans increasingly demand that service providers address top-of-mind objectives.
To meet today's challenges, EXL offers a wide variety of solutions.
Clinical claim review
Claims prep and consult
Prospective, concurrent, and retrospective reviews
Appeal and denial management
Peer review support
Identification and stratification of potential participants
Enrollment and scheduling for assessments
Risk assessments and surveys
UR coordination for authorizations including inpatient, outpatient, DME, specialty, pharmacy
Special investigation unit
End-to-end HEDIS solution
Interventions for Star Rating improvements
Digital Intelligence is the foundation of everything we do, and inspires our ideas and research.
For businesses that aren't satisfied by good enough, or profitable enough, we use Digital Intelligence to deliver real results.
EXL’s clinical teams, analytics experts, and care management technologists, backed by unparalleled knowledge of the changing healthcare landscape, deliver solutions that address the industry’s most critical challenges. We partner with clients to achieve optimized outcomes, both financial and clinical.
These efforts have received recognition from healthcare industry analysts; most recently we were awarded a full URAC Health Utilization Management (HUM) accreditation until March 2022. We were also named a “Leader” in the “IDC MarketScape: U.S. Healthcare Clinical and Financial Analytic BPO Services 2017 Vendor Assessment,” and we were positioned in the “Winner’s Circle” in the “HfS Blueprint Report: Healthcare Business Operations Services 2017.”