Embed end-to-end intelligence within your complex audit operations
Claims auditing is a core function of health plan payment integrity operations. However, many payment integrity departments lack the ability to track and manage inventory effectively, and others struggle with disparate processes or workflow solutions that require custom builds and integration workarounds into claims platforms.
EXL Health’s audit management platform EXLMINE™ simplifies the manual, labor-intensive audit process by implementing automation into the end-to-end audit workflow. This robust digital business process automation tool supports both pre-payment and post-payment modalities, and is designed to help audit staff identify, manage, and act on potential improper claims payments.
EXLMINE™ is data-led and digitally enabled to achieve results including:
Drive scalability, operational effectiveness, and efficiency by centralizing all the functions needed to manage the entire life cycle of an audit:
