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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
we offer a range of next-gen products

Seamlessly Integrating
With Your Existing Ecosystem

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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Transform enrollment with Enswift—intuitive, fully configurable, scalable, and designed to grow with your needs.
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Simplify billing, invoicing, and reconciliation across Medicare and commercial group accounts.
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Automate capitation payments and reconciliation—simple to risk-adjusted— for payers, IPAs, and MSOs.
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Better healthcare starts with secure, modern portals connecting and empowering all healthcare stakeholders.
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Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
Simplifying provider data management with AI-driven accuracy, compliance, and centralized access.
learn More
Speeding up medical authorization with streamlined workflows and reduced manual intervention.
learn More
Optimizing prescription authorization through intelligent automation, enhanced accuracy & faster approvals.
learn More
Redefining modern care episode management with seamless, intelligent rule-based automation.
learn More
Simplifying provider data management with AI-driven accuracy, compliance, and centralized access.
learn More
Speeding up medical authorization with streamlined workflows and reduced manual intervention.
learn More
Optimizing prescription authorization through intelligent automation, enhanced accuracy & faster approvals.
learn More
Cutting edge tools, one click away

Next-Gen Platform, Built to scale

Implementation at your pace

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

99% Auto-Adjudication

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

One Platform, Zero Vendor Fatigue

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

Slash Admin Costs

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

Same-Day Configuration Changes

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

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

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.

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Stop Managing Vendors.
Start Serving Members.

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

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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...

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...

5th April, 2024

Modernizing Data Management in Public Health

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