01
What it does
Medical coding auditing (per Glassdoor role listings), healthcare analytics, payment integrity/fraud analysis (via SCIOInspire acquisition 2018), data/AI capabilities (Clairvoyant acquisition 2021)
02
Evaluation criteria
IME Hub rubric4 of 8 published
✓
Processing model
Human + AI Hybrid (payment-integrity claims review)
✓
Human QA
Included (pre- and post-payment claims review by EXL Health team)
○
Typical turnaround
Not published
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Pricing model
Not published
○
Indicative cost
Not published
○
Export formats
Not published
✓
Best for
Health plans/payers needing pre- and post-payment claims-integrity review
✓
Customer satisfaction
3.8/5 on Clutch (parent EXL Service, 4 client reviews)
03
Profile notes
Who it serves
Healthcare payers (primary focus per acquisition history)
Claims & platform notes
Not published (named platform not confirmed this session)
Review summary
Not independently rated in v1. Cited public reviews are listed in Sources; MedRecords assigns no star rating without verified evidence.
Competitive coverage
Key facts
| Segment | HIM / RCM Outsourcer & LPO at scale |
| Website | |
| Founded | 1999 |
| HQ | New York, NY (exact street address not confirmed this session) |
| Headcount | 54,000+ professionals |
| Ownership | Publicly traded, NASDAQ: EXLS (listed since October 20, 2006) |
| Certifications | Not published this session |
| Not published | Pricing · Turnaround |
