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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Nexillo offers smart, data-driven solutions to manage care episodes efficiently—enhancing coordination, reducing administrative burdens, and improving patient outcomes through intelligent automation.
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.
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.
Power your shift to value-based care with EpiCue. Streamline contracts, align payments, and gain full control over your financial and care outcomes
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.
Explore commonly asked questions to better understand our services, solutions, and how Nexillo supports your healthcare goals.
EpiCue is a robust platform that simplifies how Health Plans define, track, and manage care episodes using advanced rule-based automation, enhancing accuracy and efficiency.
Definitely. EnSwift includes real-time dashboards that monitor application status, track exceptions, show drop-off points, and provide insights for continuous improvement.
Absolutely. EnSwift is built to comply with CMS, HIPAA, and ACA regulations, with configurable workflows that support AEP, OEP, SEP, and other mandated periods.
The platform includes real-time eligibility checks, address validation, intelligent pre-fill, and duplicate detection to reduce rework and ensure cleaner submissions.
