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Exela - Healthcare Payer BPS 2023

Vendor Analysis

by John Willmott

published on May 09, 2023

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Report Overview:

This NelsonHall vendor assessment analyzes Exela Technologies’ offerings and capabilities in healthcare payer business process services

Who is this Report for:

NelsonHall’s Healthcare Payer BPS profile on Exela Technologies (Exela) is a comprehensive assessment of Exela’s offerings and capabilities, designed for:

  • Sourcing managers monitoring the capabilities of existing suppliers of healthcare payer BPS and transformation services and identifying vendor suitability for healthcare payer–related RFPs
  • Vendor marketing, sales, and business managers looking to benchmark themselves against their peers
  • Financial analysts and investors specializing in the healthcare payer sector.

Scope of this Report:

The report provides a comprehensive and objective analysis of Exela’s healthcare payer BPS and operational transformation offerings, capabilities, and market and financial strengths, including:

  • Identification of the company’s strategy, emphasis, and new developments
  • Analysis of the company’s strengths, challenges, and outlook
  • Revenue estimates
  • Analysis of the profile of the company’s customer base, including the company’s targeting strategy and examples of current contracts
  • Analysis of the company’s offerings and key service components
  • Analysis of the company’s delivery organization, including the location of delivery centers.

Key Findings & Highlights:

Exela serves both payers and providers and aims to digitally connect the various stakeholders in the claims ecosystem across payers, providers, banks, and plan members.

Its offerings for payers, often delivered on an end-to-end basis, are:

  • Enrollment processing
  • Provider data management, including provider credentialing
  • Prior authorization
  • Claims editing/EDI
  • Claims processing
  • Intelligent Document Processing (IDP)
  • Payment integrity
  • Contact center services.

This report on Exela will be of particular interest to potential buyers seeking solutions for paper claims ingestion and validation.

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