Payment services

Payment services

Ensure payment claim accuracy and reduce fraud, waste, and abuse

Payment services

Ensure payment claim accuracy and reduce fraud, waste, and abuse

Let’s partner your way to ensure payment accuracy and improve payment integrity

We help payers and providers reduce costs, improve payment operations and processes, maximize performance and accelerate revenue recognition.

Our payment services combine auditing capabilities & expertise, payment business services, workflow digitization, and predictive & prescriptive analytics that deliver a complete cost optimization solution.

Featured insights
As generative AI makes the transition from novelty to an indispensable business tool, healthcare companies (among others) are exploring how they can capitalize on the technology to power their business. And for good reason.
EXL Health in partnership with REVELOHEALTH™, an independent healthcare re-pricing and information solutions provider, was selected to assist a large national vision care management services organization to support their revenue cycle operation through a combination of leadership and staff augmentation. 
A large pharmacy benefit management organization came to EXL Health several years ago to provide a solution to a major issue they were experiencing. EXL Health solved the issue within three months, subsequently going on to generate massive incremental performance improvements for this client with total net recoveries increasing from $35M in 2021 to $52M in 2022.
Payment integrity programs are moving beyond a post-payment approach to identify billing and payment anomalies before claims are paid. By shifting payment integrity audit activities earlier in the claims-adjudication process, payers achieve improved efficiencies, greater insights, and higher savings through improper payments prevention, without upsetting the claim adjudication lifecycle.