EXLMINE™

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EXLMINE™

Digital, automated workflow platform for full audit lifecycle management

Delivering $1 billion in savings for a Fortune 500 health plan with EXLMINE™:

EXL Health and our health plan client began our partnership over two decades ago, and since then, have steadily expanded the breadth and depth of our services to include multiple large-scale payment service programs and the EXLMINE™ platform. The client leverages EXLMINE™ to support both pre- and postpay claims modalities, with medical record based clinical audit services including in-patient, outpatient and specialty services. The client currently has over 600 auditors on EXLMINE™, which has been configured and customized to support their workflows, and includes reporting and branding in their own custom correspondence templates.

EXLMINE™ and EXL Health’s payment integrity services have been able to support the client and their claim audit needs through multiple initiatives, resulting in $1 billion in savings.

EXL Health payment integrity

At EXL Health, we believe in a modular approach to payment integrity, allowing our customers access to the right software, analytics, people, and processes to transparently identify and address overpayments, trends, and unique business challenges. Our innovative approach provides payers deeper insights into their payment integrity program through transparent and accessible information, resulting in reduced costs, improved payment operations, and accelerated savings recognition.

EXL Health recognizes the need for digital enablement at every phase of a payment integrity program and uses innovative technologies to select more claims with greater accuracy, capture greater savings volumes, and improve operational productivity.