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The First Fully AI-Native Payer Platform

Built on AI that automates configuration, claims processing, and enrollment management, delivering in days what takes legacy systems months.

Explore Our AI Solutions
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Our identity

The Cost of
Falling Behind

Without AI-native automation, health plans are drowning in operational chaos. Manual processes, vendor fatigue, and legacy technology are crushing health plans, while competitors move faster.

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50%

Admin Cost Increase year over year

6-18

months legacy implementation time

3

months per configuration change

<10%

Auto Adjudication rate across legacy platforms
we offer a range of next-gen products

Seamlessly Integrating
With Your Existing Ecosystem

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Accelerate revenue cycles with Nexillo's intelligent claims automation, reducing manual effort and ensuring precision.
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Simplify patient onboarding with Enswift's intuitive and scalable enrollment tools, designed for seamless patient experience.
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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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Redefining modern care episode management with seamless, intelligent rule-based automation.
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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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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.
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BillSwift logo by Nexillo
Simplify billing, invoicing, and reconciliation across Medicare and commercial group accounts.
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CapSwift logo by Nexillo
Automate capitation payments and reconciliation—simple to risk-adjusted— for payers, IPAs, and MSOs.
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AccessSwift logo by Nexillo
Better healthcare starts with secure, modern portals connecting and empowering all healthcare stakeholders.
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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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hProviDM logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
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MediSwift logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
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Rxswift logo by Nexillo
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
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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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hProviDM logo by Nexillo
Simplifying provider data management with AI-driven accuracy, compliance, and centralized access.
learn More
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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.
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Cutting edge tools, one click away

Next-Gen Platform, Built to scale

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Implementation at your pace

AI-driven automation configures your platform in days instead of months, getting you operational fast without risking your business.

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99% Auto-Adjudication

Our AI handles claims automatically, freeing your teams from repetitive tasks and cutting processing costs dramatically.

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One Platform, Zero Vendor Fatigue

Claims, enrollment, billing, and portals in one AI-native platform, no more managing endless integrations and vendor relationships.

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Slash Admin Costs

Reduce operational overhead by eliminating manual processes, streamlining workflows, and getting more done with fewer resources.

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Same-Day Configuration Changes

What takes legacy systems three months, Nexillos does in one day. Our rules engine updates benefits, contracts, and rules.

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Built for Everyday Reality

Get the automation and capabilities of enterprise platforms with the agility and practicality your health plan needs to compete.

Committed to You

Your Operations Shouldn’t Hold You Hostage

We built Nexillo because we've been on your side of the table. Our team has spent an average of 20+ years building, scaling, and operating health plans. We've lived through the painful implementations, the vendor chaos, and the manual processes that burn through budgets and teams.

We knew there had to be a better way. So we built it.

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Built by Operators, For Operators

Our leadership team has built and exited successful companies in the healthcare payer space. We don’t just understand your challenges we’ve solved them firsthand. That’s why our platform focuses on real operational pain points, delivering practical solutions that drive measurable efficiency and growth.

Manage Provider Data
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Licensed Third-Party Administrator

Operating as a TPA across all 50 states, we manage regulatory complexity so you don’t have to. Our experienced team ensures compliance, accuracy, and transparency at every step allowing you to focus on what truly matters: serving your members, improving outcomes, and growing your health plan sustainably.

Explore Support Services
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Stop Managing Vendors.
Start Serving Members.

Your health plan deserves technology that works in days, not months. See how Nexillos eliminates vendor chaos and gives you back control of your operations.

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Latest News

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23rd Nov, 2024

What’s next in AI and healthcare?

Witness how AI transforms healthcare operations, enhancing efficiency in key areas like payments and patient care...

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1st April, 2024

Future of Healthcare with Wearables for mHealth Apps

Enhance remote patient monitoring with wearable tech and mHealth apps, empowering users to track health data conveniently...

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Healthcare team in a meeting, discussing data or patient care
5th April, 2024

Modernizing Data Management in Public Health

Efficiently collect and consolidate public health data, enabling comprehensive analysis and informed decision-making...

Right arrow icon linking to blog posts
Person interacting with a smartwatch, showing digital health integration
1st April, 2024

Future of Healthcare with Wearables for mHealth Apps

Enhance remote patient monitoring with wearable tech and mHealth apps, empowering users to track health data conveniently.

Right arrow icon linking to blog posts
Healthcare team in a meeting, discussing data or patient care
5th April, 2024

Modernizing Data Management in Public Health

Efficiently collect and consolidate public health data, enabling comprehensive analysis and informed decision-making.

Right arrow icon linking to blog posts
Image related to Nexillo news or press releases
23rd Nov, 2024

What’s next in AI and
healthcare?

AI is transforming healthcare by enhancing operations, improving payment integrity, and reshaping consumer and provider...

Right arrow icon linking to blog posts
Person interacting with a smartwatch, showing digital health integration
1st April, 2024

Future of Healthcare with Wearables for mHealth Apps

Wearable technology, combined with mHealth apps, allows users to monitor health metrics like blood pressure...

Right arrow icon linking to blog posts
Healthcare team in a meeting, discussing data or patient care
5th April, 2024

Modernizing Data Management in Public Health

Streamlining the collection and consolidation of public health data to enhance decision-making capabilities...

Right arrow icon linking to blog posts