Together, we work with you to meet your current and dynamic business challenges.
Payers
We help you find more recoverable savings, reduce provider abrasion, quickly respond to industry changes, and maximize performance.
Providers
We help provider organizations proactively manage risk, improve quality outcomes, optimize network performance, accelerate revenue recognition, and drive member experience.
Payment Integrity Services
Medical and Pharmacy Claims Auditing: Mitigate overpayments, maximize savings, and reduce fraud, waste, and abuse
Data Mining: Uncover savings through analytic data modeling
Subrogation: Software and services for third-party liability case management, from identification to recovery
Integrated Revenue Management Solutions
Workflow Design: An assessment of your RCM workflow
Optimal Analytics: Identifying strategies and levers improve overall workflow performance
Payment Posting: Expediting payment posts and turn-around times
Denials Management & Insurance A/R Follow-Up: Understanding denied claims and how they drive A/R days and staffing allocation
EXL Health delivers intelligence to shape strategies that transform your business.
Real Results
Human ingenuity is the catalyst with which we solve your complex problems.
6 of the Top 10
US health plans partner with us
Delivered over $1 Billion
in business value for a top 5 national health plan over the past 10 years
Gartner Peer Insights Customers’ Choice for Data and Analytics Service Providers, 2020*
KLAS Top Ranking, Risk Adjustment & Analytics, 2020
Leader in NelsonHall's NEAT for "Healthcare Commercial Payer BPS" (2019)
Major Contender and Star Performer in Everest Group's "Healthcare Payer Business 2019
*The GARTNER PEER INSIGHTS CUSTOMERS’ CHOICE badge is a trademark and service mark of Gartner, Inc. and/or its affiliates and is used herein with permission. All rights reserved. Gartner Peer Insights Customers’ Choice constitute the subjective opinions of individual end-user reviews, ratings, and data applied against a documented methodology; they neither represent the views of, nor constitute an endorsement by, Gartner or its affiliates. Gartner, Gartner Peer Insights ‘Voice of the Customer’: Data and Analytics Service Providers, 22 September 2020, Peers
