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CNex
Streamline Claims.
Empower Payers

Transform claims processing with our intelligent payer platform—AI-driven, highly configurable, and built for speed. Achieve faster resolutions, reduce admin costs, and enhance satisfaction for members and providers alike.

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CNex logo by Nexillo
our SOLUTIONS

Accelerate Claims. Simplify Operations.
Power Payer Success.

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Fast, Intelligent Claims

Eliminate delays and rework with 90%+ accurate, audit-ready auto-adjudication—fast, compliant, and cost-effective.
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Zero-Code Configuration

Modify plans, pricing, and edits in minutes with our intuitive, no-code engine. No IT support needed.
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Smarter Workflows

AI-powered queues prioritize and route tasks automatically—so nothing slips through and resolutions happen faster.
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Easy Integration

Cloud-native and standards-compliant, our platform connects seamlessly with your systems and scales effortlessly as you grow.
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Real-Time Analytics

Cloud-native and standards-compliant, our platform connects seamlessly with your systems and scales effortlessly as you grow.
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Purpose-Built for Payers

Cloud-native and standards-compliant, our platform connects seamlessly with your systems and scales effortlessly as you grow.
Unveiling Cnex

The Next-Gen Healthcare
Payer Platform

CNex is a next-generation healthcare payer platform that accelerates claims processing and simplifies operations. It eliminates delays and manual costs through intelligent auto-adjudication and smarter workflows, empowering payer teams to reduce rework, achieve superior results, and drive overall success.

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Key Features

Smarter, Faster, and
Seamlessly Configurable

CNex is purpose-built to meet the evolving demands of modern claims administration. With an exceptionally high auto-adjudication rate, intuitive configuration tools, and an AI-optimized work queue, we help payers reduce administrative overhead, accelerate resolution times, and improve member and provider satisfaction.

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High Auto-Adjudication Rate

Achieve over 90% straight-through claims processing with smart automation, reducing costs, errors, and manual effort

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Simplified, No-Code Configuration

Easily configure plans with no IT needed using intuitive tools, enabling fast, accurate setup and quick adaptation to changes.

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Speed-Optimized Work Queue

Smart triage and routing boost efficiency with real-time insights for faster resolution.

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Streamline Claims with CNex

Discover how CNex is helping payers transform operations and lead with speed. Whether you’re managing Medicare, Medicaid, commercial, or value-based contracts, CNex is your foundation for better outcomes, lower costs, and happier members.

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we offer a range of next-gen products

Seamlessly Integrating
With Your Existing Ecosystem

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Transform enrollment with Enswift—intuitive, fully configurable, scalable, and designed to grow with your needs.
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Simplify billing, invoicing, and reconciliation across Medicare and commercial group accounts.
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Automate capitation payments and reconciliation—simple to risk-adjusted— for payers, IPAs, and MSOs.
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Redefining modern care episode management with seamless, intelligent rule-based automation.
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Rxswift logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
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EpiCue logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
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hProviDM logo by Nexillo
Simplifying provider data management with AI-driven accuracy, compliance, and centralized access.
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MediSwift logo by Nexillo
Speeding up medical authorization with streamlined workflows and reduced manual intervention.
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Rxswift logo by Nexillo
Optimizing prescription authorization through intelligent automation, enhanced accuracy & faster approvals.
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Frequently Asked questions

Any Questions?
We got you.

Explore commonly asked questions to better understand our services, solutions, and how Nexillo supports your healthcare goals.

What is CNex and who is it for?

How accurate is CNex’s auto-adjudication?

Can CNex integrate with our existing systems?

What kind of insights can I get from the platform?