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List of Exela PCH Global Customers

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Logo Customer Industry Empl. Revenue Country Vendor Application Category When SI Insight
AmeriHealth Caritas Pennsylvania Insurance 3000 $1.0B United States Exela Technologies Exela PCH Global Revenue Cycle Management 2023 n/a
In 2023, AmeriHealth Caritas Pennsylvania provisioned Exela PCH Global as an alternative claims submission channel after a security incident caused an interruption at the Change Healthcare electronic data interchange clearinghouse. Exela PCH Global was used to enable direct claims entry into the payer claims processing system and to support Revenue Cycle Management for AmeriHealth Caritas Pennsylvania, AmeriHealth Caritas Pennsylvania Community HealthChoices CHC, and AmeriHealth Caritas Pennsylvania VIP Care Providers. The deployment emphasized manual claims capture and submission workflows, with providers registering on the PCH Global web portal and selecting Payor as the referral source during sign up. Functional capabilities implemented included direct claims entry, user account registration, promo code based fee waivers using Exela-EDI, and access to a PCH Global Registration manual hosted in the portal Resource Menu. The solution mirrored the claim submission functionality previously available through the NaviNet provider portal by enabling provider-side claim construction and electronic transmission. Operational coverage focused on external provider organizations interacting with AmeriHealth Caritas Pennsylvania reimbursement processes, rather than internal back office reconfiguration. Exela PCH Global functioned as an alternate EDI channel into the existing claims processing pathway, ingesting manually entered claims for adjudication by the payer claims system while the Change Healthcare clearinghouse was unavailable. Providers were instructed to register at https://pchhealth.global and complete self-service registration steps to gain access. Governance for the interim rollout assigned provider organizations frontline submission responsibility, while AmeriHealth Caritas Pennsylvania retained Provider Services as the escalation point for questions and noted Provider Services could not accelerate payment processing. The interim arrangement was positioned as a temporary operational workaround to restore claim intake continuity, with portal-hosted documentation and registration controls used to standardize provider onboarding.
Blue Cross Complete of Michigan Insurance 7000 $1.4B United States Exela Technologies Exela PCH Global Revenue Cycle Management 2015 n/a
In 2015, Blue Cross Complete of Michigan implemented Exela PCH Global as its Revenue Cycle Management application to provision direct claims entry and electronic claims intake for provider billing workflows. The deployment used Exela PCH Global to enable web-based provider registration, profile management, and subscription controls tied to payer mappings, with providers instructed to register at pchhealth.global and select payer AmeriHealth during onboarding. The Exela PCH Global implementation included functional capabilities aligned to Revenue Cycle Management, specifically electronic claims submission, manual direct claims entry, user account and profile administration, and subscription-level access controls. Providers were guided through Manage User and My Profile flows and to use the Subscription Details screen to apply the promo code Exela-EDI when completing registration. Operationally the Exela PCH Global rollout sat alongside alternative electronic intake channels, with Blue Cross Complete establishing a parallel connection to Availity to receive electronic claims while Change Healthcare connectivity was intermittent. Blue Cross Complete communicated an operational extension to the standard claims filing time limit by 30 days due to a Change Healthcare network interruption and confirmed that payments for claims submitted prior to the incident were resumed, reflecting coordinated intake and adjudication continuity across Exela PCH Global and other electronic channels. Governance and provider support for the Exela PCH Global implementation emphasized self-service registration, a published PCH Global User Manual, and Provider Inquiry support through Provider Services and account executives. The implementation narrative positions Exela PCH Global as the Revenue Cycle Management application supporting provider-facing claims workflows, registration governance, and alternate electronic submission paths during third party network outages.
CareSource Insurance 4500 $11.8B United States Exela Technologies Exela PCH Global Revenue Cycle Management 2021 n/a
In 2021 CareSource deployed Exela PCH Global for Revenue Cycle Management. The cloud based PCH Global rollout was scoped to process claims and provider correspondence for approximately 2 million members across several states, establishing Exela PCH Global as a centralized claims intake and adjudication platform for Medicaid operations. Implementation emphasized claims processing and correspondence capabilities, including edit resolution engines, digital appeals workflows and payment transparency features. The deployment configured Exela PCH Global to expose self service data analytics and reporting, with ongoing enhancement of analytics as additional claim volumes are processed. Architecture used a cloud hosted network designed for scalability, high uptime and business continuity protections, enabling centralized processing of provider submissions and member communications. Integrations targeted digital connections between providers, members and the payer to enable cleaner claims and more transparent payment workflows, reflecting the platform focus on correspondence handling and edit resolution for submitted claims. Operational coverage included claims operations, provider relations and analytics teams across multiple states, with rollout priorities on automated edit resolution and digital appeals to reduce manual correspondence handling. Governance incorporated provisioning of self service analytics access for internal stakeholders and ongoing platform investment by the vendor to expand edit resolution and reporting capabilities as stated.
McKesson Professional Services 45000 $400.0B United States Exela Technologies Exela PCH Global Revenue Cycle Management 2018 n/a
In 2018, McKesson Specialty Health selected Exela PCH Global to streamline enrollment, claims processing, adjudication, and payment/copay services as a Revenue Cycle Management solution. The engagement targeted specialty program administration across manufacturer copay programs and provider networks, extending functional coverage to hospitals, clinics, physician practices and patient access workflows. Exela PCH Global was implemented to deliver core modules for enrollment management, claims intake and adjudication workflows, copay calculation and payment processing, with program specific configuration to meet individual drug requirements. The implementation emphasized workflow automation and orchestration to enforce manufacturer rules, program eligibility logic, and compliance controls while enabling rapid configuration for changing program requirements. Deployment used Exela's proprietary PCH Global platform and secure, cloud-enabled global delivery model to provide hosted processing and operational support. Operational scope included servicing McKesson Specialty Health manufacturer customers and provider partners, and the solution was designed to interface with manufacturer program data and payer inputs necessary for adjudication and copay fulfillment. Governance and operational controls centered on custom program design, configuration management, and standardized adjudication policies to render each copay program to its unique specifications. According to the announcement, the program delivered streamlined claims management, faster patient access to drugs, enhanced manufacturer compliance support and increased customer satisfaction.
Select Health of South Carolina Insurance 100 $10M United States Exela Technologies Exela PCH Global Revenue Cycle Management 2015 n/a
In 2015, Select Health of South Carolina implemented Exela PCH Global to support Revenue Cycle Management for provider claims enrollment and submission. The deployment focused on using Exela PCH Global as the central claims submission and subscription management interface for external providers to register and transmit payer-directed claims files. Configuration centered on user self-service registration workflows within Exela PCH Global. Providers access the Sign-Up link on pchhealth.global, complete the registration process, and when prompted indicate how they heard about PCH Global by selecting Payer then AmeriHealth. Administrators complete account records by selecting Manage User and My Profile and filling all profile fields, then use the Subscription Details screen and the More option to enter the promo code Exela-EDI before submitting claims. For payer look-up when submitting claims the system references Payer name AmeriHealth-ACFC-South Carolina and P.O. Box 7120, London, KY 40742. Operational coverage emphasized provider billing and enrollment workflows, with Exela PCH Global handling identity and subscription governance for claims access. Process documentation and role-based steps are published in the PCH Global Registration manual located in the Resource Menu on the PCH Global website, which guides ongoing user onboarding and claim submission procedures.
Insurance 1400 $1.7B United States Exela Technologies Exela PCH Global Revenue Cycle Management 2018 n/a
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FAQ - APPS RUN THE WORLD Exela PCH Global Coverage

Exela PCH Global is a Revenue Cycle Management solution from Exela Technologies.

Companies worldwide use Exela PCH Global, from small firms to large enterprises across 21+ industries.

Organizations such as McKesson, CareSource, Utica National Insurance Group, Blue Cross Complete of Michigan and AmeriHealth Caritas Pennsylvania are recorded users of Exela PCH Global for Revenue Cycle Management.

Companies using Exela PCH Global are most concentrated in Professional Services and Insurance, with adoption spanning over 21 industries.

Companies using Exela PCH Global are most concentrated in United States, with adoption tracked across 195 countries worldwide. This global distribution highlights the popularity of Exela PCH Global across Americas, EMEA, and APAC.

Companies using Exela PCH Global range from small businesses with 0-100 employees - 16.67%, to mid-sized firms with 101-1,000 employees - 0%, large organizations with 1,001-10,000 employees - 66.67%, and global enterprises with 10,000+ employees - 16.67%.

Customers of Exela PCH Global include firms across all revenue levels — from $0-100M, to $101M-$1B, $1B-$10B, and $10B+ global corporations.

Contact APPS RUN THE WORLD to access the full verified Exela PCH Global customer database with detailed Firmographics such as industry, geography, revenue, and employee breakdowns as well as key decision makers in charge of Revenue Cycle Management.