Providers
Flexible partnerships to reduce the cost of care, enhance the patient and provider experience, and improve quality and clinical outcomes, at the intersection of how care is delivered and paid for.
Healthcare systems and provider organizations are urgently working to enhance the patient and staff experience, improve care outcomes, and optimize operational efficiency and profitability. At EXL, we help provider organizations address these challenges with data-driven solutions that offer the right level of support to solve the biggest challenges.
If you are a Provider who has received a request for documentation or has a question regarding correspondence received from EXL, please visit this link
Expert data scientists, architects, engineers, and clinicians with provider domain expertise are the foundation that drives success
Experience serving providers with a thorough understanding of the complexities caused by competing and aligned incentives to reduce cost of payments and maximize revenue capture.
Thousands of healthcare data scientists, architects, and engineers with deep provider domain and operations expertise to extract value hidden in data.
Deep, enterprise-wide understanding of where automation is most needed to drive up staff productivity and patient satisfaction.
Thousands of U.S. licensed nurses and administrative staff to augment providers’ clinical and operational capacity.
Together, let’s find a better way
We use Human Ingenuity — our innate ability to collaborate and work together — to understand your unique needs. We solve your complex problems by discovering the best path forward and applying analytics.
We offer best-in-class operations to give you agile solutions that are nimble, seamlessly integrated, and customer-centric, resulting in faster improvements in outcomes and efficiencies.
Achieve your operational goals by infusing digital solutions in the right places.
We are a true partner with flexible, modular solutions tailored for your organization. Apply our expertise only where you need it.
What we do
Improve Operating Margins
- HCC coding analysis and risk suspecting
- NLP driven chart review and coding services
- Best in KLAS Risk Adjustment
- Provider performance dashboards
Improve the Patient Experience
- Contact center operations
- AI driven patient engagement
- Clinical nurse triage
- Customer journey mapping
Drive Health Outcomes
- Predictive risk stratification
- Gap identification and quality improvement
- SDOH and barrier identification
- Predictive risk models
Increase Operational Efficiency
- Intelligent process automation
- Conversational AI
- Natural language processing
- AI payment planning and collections
Latest insights
Transformation starts with inspiration. See the
latest ideas from some of our leaders.
Case study
Digital plus human ingenuity helps value-based care clie...
Case study
Digital plus human ingenuity helps value-based care client streamline outreach for rapid growth
The Challenge
When a major physician-led value-based care organization began searching for a partner in early 2022 to help create a scalable, world-class clinical contact center to accommodate growth, they chose EXL Health. Our expertise in call center operations, experience in mitigating outsourcing risk, and deep domain experience contributed to their decision.
Prior to awarding EXL the work, the client was in a rapid expansion mode, expecting to h
The Challenge
When a major physician-led value-based care organization began searching for a partner in early 2022 to help create a scalable, world-class clinical contact center to accommodate growth, they chose EXL Health. Our expertise in call center operations, experience in mitigating outsourcing risk, and deep domain experience contributed to their decision.
Prior to awarding EXL the work, the client was in a rapid expansion mode, expecting to h
White paper
The patient experience: Leveraging data for personalized...
White paper
The patient experience: Leveraging data for personalized care
In a recent study from Forrester, 90% of respondents acknowledged that their business’s overall success relies on consistent, accurate, and fast access to data and insights. 1
In the 21st century, healthcare is at one of its most transformative phases. As technology advances at an unprecedented rate, it intertwines with medicine, redefining patient experiences and expectations. Today’s patients are digital natives, well-informed and more connected than
In a recent study from Forrester, 90% of respondents acknowledged that their business’s overall success relies on consistent, accurate, and fast access to data and insights. 1
In the 21st century, healthcare is at one of its most transformative phases. As technology advances at an unprecedented rate, it intertwines with medicine, redefining patient experiences and expectations. Today’s patients are digital natives, well-informed and more connected than
Case study
EXL’s data-driven analytics helps U.S. healthcare provid...
Case study
EXL’s data-driven analytics helps U.S. healthcare provider reach goal of $15 million in savings
A not-for-profit academic medical center in a major U.S. metropolitan area has a strong history for outstanding patient care and medical research. The organization’s technology department was under pressure to meet growing operational and business demands on its technology infrastructure—and this was before the Covid-19 pandemic.
EXL Health began working with this client over five years ago to enable 24-hour operations of their technology framework incl
A not-for-profit academic medical center in a major U.S. metropolitan area has a strong history for outstanding patient care and medical research. The organization’s technology department was under pressure to meet growing operational and business demands on its technology infrastructure—and this was before the Covid-19 pandemic.
EXL Health began working with this client over five years ago to enable 24-hour operations of their technology framework incl
White paper
Intelligent operations in today’s health care landscape:...
White paper
Intelligent operations in today’s health care landscape: Why adding digital is the key to success
Facing growing pressure to drive down costs, increase quality outcomes, and improve member and provider satisfaction rates, today’s health care organizations are looking to digitize operations to streamline business processes. By doing so, stakeholders hope they’ll exponentially increase efficiencies and make it possible to deliver next-level care.
To survive and even thrive in this challenging business climate, health care organizations must take advan
Facing growing pressure to drive down costs, increase quality outcomes, and improve member and provider satisfaction rates, today’s health care organizations are looking to digitize operations to streamline business processes. By doing so, stakeholders hope they’ll exponentially increase efficiencies and make it possible to deliver next-level care.
To survive and even thrive in this challenging business climate, health care organizations must take advan
Case study
Cognitive AI solution transforms contact center for lead...
Case study
Cognitive AI solution transforms contact center for leading healthcare organization
Cognitive AI solution transforms contact center for leading healthcare organization
The challenge
A leading healthcare organization was looking to improve its provider-focused contact center operations for precertification processing. After an in-depth assessment of their operations, which included the types of calls, call volumes, average handle time, and provider satisfaction, the organization identified several areas of challenge, including
Cognitive AI solution transforms contact center for leading healthcare organization
The challenge
A leading healthcare organization was looking to improve its provider-focused contact center operations for precertification processing. After an in-depth assessment of their operations, which included the types of calls, call volumes, average handle time, and provider satisfaction, the organization identified several areas of challenge, including
Case study
New staffing and operating model increase contact center...
Case study
New staffing and operating model increase contact center operations and patient satisfaction
Leveraging human ingenuity, deep domain expertise, and highly comprehensive solutioning experience, EXL Health created a process that provided our client with a scalable and expandable economic model for improved contact center operations
Challenge
A leading care provider’s contact center was overwhelmed with high call volumes, and needed additional support with managing appointment scheduling, cancellation requests, medication refill requests, and o
Leveraging human ingenuity, deep domain expertise, and highly comprehensive solutioning experience, EXL Health created a process that provided our client with a scalable and expandable economic model for improved contact center operations
Challenge
A leading care provider’s contact center was overwhelmed with high call volumes, and needed additional support with managing appointment scheduling, cancellation requests, medication refill requests, and o
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