Case Study: a large national payer improves audit efficiency and quality with EXL's AQA solution

AQA (smart audit) offers efficiency gains and quality improvement

EXL worked with a large national payer that was struggling to automate the process of finding diabetes medication gaps. The payer was doing this manually across daily contact reports, Salesforce, call recordings, and other sources, which was reducing efficiency.

EXL Health implemented an intelligent AQA (smart audit) solution to automate the client’s gaps in the care audit process using advanced domain expertise and a holistic digital approach. The client reported near 100% quality improvement for static data and 70% for audit automation, along with measurable process efficiency gains and a business case for a wider rollout that aimed to deliver 30% greater efficiency.