Featured Insights
2026 EXL AI Enterprise study for healthcare
Agentic AI and the rise of intelligent automation for payment integrity
The Agentic AI imperative: Accelerating prior authorization and case management
Where we operate
Payment Integrity
Identify, prevent, and recover from improper claims payments at every stage.
Clinical Services
Digital-first, end-to-end care management services and solutions.
Data and AI solutions
Build a modern data foundation and embed AI into core workflows to drive smarter decisions and better outcomes.
Customer experience
Elevate member and provider satisfaction with AI-powered, omnichannel engagement built for payers.
Highmark
AI is no longer a differentiator but a business imperative
How EXL drives payer transformation
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"50-70% reduction in manual processing."
"30%+ increase in call deflection."
"100% audit coverage for compliance."
Gain the benefits of working with EXL
"10%+ faster claims turnaround times."
"20% improvement in revenue and operating margins."
"Stronger member trust and satisfaction across every interaction."
Recognized by leading analysts
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Teaming with <br><span class="wm-orange-text">top partners</span>
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Frequently asked questions
AI cuts operational costs by automating high-volume manual tasks such as claims intake, data entry, and audit reviews. EXL clients see a 50–70% reduction in manual processing. By connecting siloed operations and embedding AI into core workflows, we help payers lower costs, reduce errors, and redirect staff to higher-value work.
Health plans that deploy AI at scale see a 20% improvement in revenue and operating margins, 10%+ faster claims turnaround, and 100% audit coverage for compliance. These gains come from smarter decisions, fewer errors, and leaner operations. The result is stronger financial performance and greater member trust.
EXL uses AI-powered audits, rules, and cost benchmarking to detect errors and prevent improper payments across the entire claim lifecycle, from prepay to postpay. One Medicaid plan achieved a 93% findings rate and recovered $1.1 million in behavioral health overpayments. We help reduce revenue leakage while maintaining compliance.
EXL protects sensitive data with encryption for protected health information and personally identifiable information, role-based access controls, and secure, compliant architectures. We uphold rigorous data quality, transparency, and security standards, so you can exchange data with confidence.
Yes. EXL specializes in seamless integration with both legacy and modern systems. We meet you where you are, connecting siloed data and embedding AI into existing workflows while minimizing disruption. Partnerships with Databricks, NVIDIA, AWS, Microsoft, and Google Cloud help accelerate deployment and scale.
EXL improves member and provider experience with conversational AI, omnichannel engagement, and digital audits. These tools reduce abandoned calls, drive 30%+ call deflection, and resolve inquiries faster. The result is personalized, consistent service that boosts retention and builds stronger member trust across every interaction.
EXL has deployed AI at scale across claims, payment integrity, utilization management, care coordination, and member engagement. Trusted by ten of the top 12 U.S. payers and backed by 11,000+ healthcare professionals, we embed agentic AI and intelligent automation into core workflows to speed decisions and improve outcomes.
Let's <span class='o_highlight'>solve together</span>
Work with us to modernize payer operations, cut costs, and build better experiences for your members and providers.
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