Case Study: a coordinated care organization achieves lien recovery success with EXL Health

a coordinated care organization recovers 71.9% of lien amounts with EXL

A coordinated care organization handling Medicare and Medicaid claims faced a significant challenge when its state enacted a new law mandating a specific process to perfect liens. Without adherence to these requirements, the organization would be legally unable to make recoveries, risking substantial financial losses. They lacked the internal resources to handle the new process and turned to EXL Health for a solution.

EXL Health developed and implemented a comprehensive, agile solution to perfect liens, meeting all regulatory requirements. This included providing dedicated FTEs with full system access who communicated directly with the state. As a result, the client lost no recovery opportunities, and EXL achieved significant results, recovering 71.9% of the total lien amount and generating $2,009,718 in total savings for the client between 2018 and 2021.