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EpiCue

Nexillo offers smart, data-driven solutions to manage care episodes efficiently—enhancing coordination, reducing administrative burdens, and improving patient outcomes through intelligent automation.

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EpiCue logo by Nexillo
Prioritizing patient outcomes

Transforming
Episode Management

EpiCue is a robust platform that revolutionizes how Health Plans manage episodes of care. Leveraging advanced technology and a powerful rule-based engine, EpiCue simplifies the definition, tracking, and categorization of care episodes. This ensures accurate claims identification while eliminating operational ambiguity—creating a smarter, more transparent system for managing care.

98%

Accuracy

3x

Efficiency Boost

20+

Hospital Collaborations

25%

Less Manual Work
Why Choose Epicue

A new way to approach
Care Episodes

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Operational Efficiency

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Enhanced Financial Clarity

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Better Care Coordination

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Cost-EffectiveAdoption

Cost-effective solutions

Enabling Value-Based Contracting

Designed for Health Plans transitioning to or scaling Value-Based Contracting (VBC), EpiCue offers a cost-effective, scalable solution that integrates seamlessly with existing claims workflows. It consolidates payments, streamlines financial operations, and facilitates a smooth shift to value-based care models. With flexible episode definition tools aligned with provider pricing agreements, Health Plans gain control and agility in contract execution.

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Get Started with Intelligent Automation

Power your shift to value-based care with EpiCue. Streamline contracts, align payments, and gain full control over your financial and care outcomes

Book a demo
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Emphasizing value & precision

Value-Based Contracting & Impact

EpiCue's intuitive interface and automated rule engine ensure precision in categorizing claims. This reduces manual oversight, improves accuracy, and frees up internal resources to focus on strategic objectives. By enhancing financial accountability, fostering provider collaboration, and improving the patient experience, EpiCue helps Health Plans achieve a seamless blend of efficiency, precision, and value.

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we offer a range of next-gen products

Seamlessly Integrating
With Your Existing Ecosystem

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Simplify billing, invoicing, and reconciliation across Medicare and commercial group accounts.
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Achieve financial accuracy by automating capitation payment reconciliation, streamlining risk adjustments and financial oversight.
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Improve patient engagement through secure, modern healthcare portals, fostering better communication and access to information.
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EpiCue logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
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Simplifying provider data management with AI-driven accuracy, compliance, and centralized access.
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Speeding up medical authorization with streamlined workflows and reduced manual intervention.
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Streamline prescription authorization processes with Nexillo's intelligent automation, ensuring faster approvals and patient access to medication.
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CNex logo by Nexillo
Revolutionize claims processing with our fast, AI-powered, configurable platform built for payers and efficiency.
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EnSwift logo by Nexillo
Transform enrollment with Enswift—intuitive, fully configurable, scalable, and designed to grow with your needs.
learn More
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BillSwift logo by Nexillo
Simplify billing, invoicing, and reconciliation across Medicare and commercial group accounts.
learn More
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CapSwift logo by Nexillo
Automate capitation payments and reconciliation—simple to risk-adjusted— for payers, IPAs, and MSOs.
learn More
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AccessSwift logo by Nexillo
Better healthcare starts with secure, modern portals connecting and empowering all healthcare stakeholders.
learn More
Left arrow icon
EpiCue logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
Left arrow icon
hProviDM logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
Left arrow icon
MediSwift logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
Left arrow icon
Rxswift logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
Left arrow icon
EpiCue logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
Left arrow icon
hProviDM logo by Nexillo
Simplifying provider data management with AI-driven accuracy, compliance, and centralized access.
learn More
Left arrow icon
MediSwift logo by Nexillo
Speeding up medical authorization with streamlined workflows and reduced manual intervention.
learn More
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Rxswift logo by Nexillo
Optimizing prescription authorization through intelligent automation, enhanced accuracy & faster approvals.
learn More
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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 EpiCue and how does it support episode management?

How does EpiCue help with Value-Based Contracting (VBC)?

Is EpiCue scalable for large health plans or regional providers?

How does EpiCue ensure accuracy in claims categorization?