142   M
Insurance documents processed annually
12 M  +
Adjudication annually
Top U.S. payers rely on Exela
700 K 
Claims processed daily

What we offer

Exela Healthcare delivers a complete portfolio of technology-enabled solutions that support the entire spectrum of back-office processes used by healthcare insurers.

From enrollment and claims processing to full adjudication and reimbursement integrity, Exela offers automated, secure, and streamlined processes designed to deliver exceptional financial accuracy and less reprocessing, while also reducing costs significantly.

How We Can Help

Member Enrollment Services & Healthcare Exchanges

Quote to card

Secure, web-based platform for effectively managing healthcare enrollments and documentation

Member installation

Learn more

Health Line

Nurse guidance and advice

Appointment Scheduling App

Scheduling appointments

Insurance verification

Dashboard analytics: view by provider/facility/date 

Learn more

Provider Data Management


Contract management


Learn more

Claim Submitted via PCH Global™

Accomodate large volumes of claims electronically or via mailroom

Single channel for paper and EDI

Mailroom: sorting, scanning, data capture

Data verified and pre-claim edits → clean claim

Real-time notification and visibility of any deficiencies and status of claim

Client-specific validation

Learn more


Clean claims

Business rules integration | pre-edits | authorization

Contract fee schedule


Explanation of benefits/liabilities mailed

Exception management

ePresentment of denials

Learn more

Claims Audit Services

Nurse review

Customized compliance audits

Consistent rule updates

Claims checked against contract database for optimal billing

Learn more

Payer Payments

Paper or electronic transactions, and lockbox

Manage reports


Daily deposit log

ERA conversion

Learn more

Revenue Integrity

Overpayment identification and recovery

Dashboards and solutions-driven reports using big data analytics

Predictive analytics

Learn more

Call Center Support

Claims-related inbound and outbound call center support with 24/7 coverage

Learn more

Storage, Archival & Retrieval

On-premises and/or cloud-hosted

Security and compliance

Amendment tracking

Summarization and dashboards

Learn more

Unified Communications Services

Live or virtual agent

Patient outreach and disease management


EOB correspondence: print and mail

Billing automation (payment by IVR)

Scheduling and support

Mobile apps

Learn more

Accounts receivable management, Debt Collection

Pre-delinquency, third-party debt, and legal collections

Credit reporting

Learn more

Read what our customers have to say

See how our customers are using Exela products and services to improve their business

Customer stories

Get in touch with our sales team

Call us today to discover how Exela can support your success with platform-driven business process solutions

Contact us