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Use Cases

Wherever patient history is the bottleneck.

80% of healthcare data is unstructured – and every team feels it differently: chart-review hours, denied claims, missed risk, endless chart chases. Different workflows, same root cause. One engine serves all six use cases, because fixing the record fixes more than one problem at a time. Find yours.

One Problem

Same records. 
Different decisions.

Deliver care

Providers

A comprehensive patient history for every case.

Clinicians lose hours to manual chart review. xCures replaces the 200-page chart with a decision-ready summary, every answer linked to its source.

Consumer Health

Every patient interaction, fully informed.

Clinicians lose hours to manual chart review. xCures replaces the 200-page chart with a decision-ready summary, every answer linked to its source.

Protect reimbursement

Diagnostics

Close the loop on medical necessity.

Missing documentation delays eligibility and denies claims. xCures delivers validated clinical evidence, so cases keep moving, and reimbursement reflects 
the work.

Speciality Pharmacy

Move patients to therapy without delays.

Incomplete records stall prior auth and benefits verification. xCures delivers complete, validated documentation, so approvals move the first time, and patients start therapy sooner.

Manage risk 
& quality

Value-Based Care

Close gaps in risk adjustment.

Risk adjustment runs on incomplete data, and care gaps surface too late. xCures delivers structured, audit-defensible evidence for every HCC code, HEDIS® measure, and quality determination.

Payers & Health Plans

Every determination, fully evidenced.

Determinations run on records your teams don’t hold, chased chart by chart on regulatory clocks. xCures retrieves and structures member records at scale, every data point source-linked and audit-ready.

Credibility

Built for scale, reach, and accuracy.

1.5m

Documents processed per day (trailing 90-day avg.)

550,000+

care locations reachable through network partners

99.7%

Combined accuracy across 200+ comorbidity assessments.

Trusted across healthcare

See clinical clarity in your workflow.

A 30-minute demo with our team. No prep required. Test it out on your own data.

Frequently asked.

What use cases does xCures support?

xCures supports seven use cases across four groups. Providers and consumer health teams use it to support care. Diagnostics labs and specialty pharmacies use it to move patients through testing, prior authorization, and reimbursement. Value-based care organizations and health plans use it for risk adjustment, quality, and determinations, and channel partners embed it in their own platforms.

Why can one platform serve so many different teams?

Every team here faces the same root cause: patient history buried in unstructured records. Over 80% of healthcare data is unstructured, spread across notes, PDFs, faxes, and images. The xCures Clinical Clarity Engine structures those records into a source-linked patient history that can support many different decisions.

Which xCures products power these use cases?

Every use case runs on the same three products. Decision-Ready Checklists define what each decision requires and return structured, source-linked evidence. They are built from Automated Patient History, which assembles records into a usable timeline, and backed by Evidence Grade Data, which uses thousands of validated extractors.

How does xCures perform at scale?

xCures processes 1.5M+ documents per day (trailing 90-day average) and reaches 550k+ care locations across all 50 states. It reports 99.7% combined accuracy across 200+ comorbidity assessments. Results based on a retrospective analysis of a defined historical dataset and do not guarantee future performance.