AI Health Index
Home Care Operations
E

ExaCare AI

ExaCare AI brings referral intake, admissions review and reimbursement workflows into one platform for postacute providers. Its models extract clinical and insurance details from referral packets, apply facility criteria and highlight risks for staff deciding whether to accept a patient. Referral portals, EHR connections and eFax feed a shared admissions workspace.

The reimbursement product evaluates payer contracts, estimates payment and prepares prior authorizations and concurrent reviews. Bed management and regional reporting help operators coordinate multiple facilities. Pearl Healthcare uses the platform across 14 Chicago area facilities, while Ignite Medical Resorts is another named customer. ExaCare also serves home health and hospice organizations, with its detailed customer results concentrated in skilled nursing.

AI Health Index verifiedOctober 14, 2026
Compare ExaCare AI with other vendors
Founded
—
Headquarters
New York, NY
Website
www.exacare.com
Categories
home-care-operations, rcm-and-prior-auth
Indexed Products
Admissions Screener, Insurance Verification, Reimbursement, Bed Board
Buyer Segments
Skilled nursing operators, Home health agencies, Hospice providers, Centralized admissions teams
Assessment

Capability Axes

An AI Health Index grade measures what a buyer can verify from public sources on the date shown. It is not a rating of how good the product is. A vendor can build an excellent system and grade low on an axis because it publishes nothing an outsider can check. How grades read

AI Capability
AI Centrality
BB on AI CentralityThe model is the engine of a core module. The platform carries other value, but this capability does not exist without it.
Vendor Published

Learned models interpret referral packets and support admissions and reimbursement decisions. These are core modules within a broader platform that also consolidates referral channels, manages beds and tracks activity across facilities.

Autonomy and Oversight Model
BB on Autonomy and Oversight ModelThe oversight structure is described and one part is missing, commonly the threshold at which the system stops or what happens after it is wrong.
Vendor Published

Admissions staff review the AI analysis, collaborate and accept or decline referrals. Facility criteria configure the review, while other agents submit and track authorizations. Confidence thresholds and mandatory escalation conditions for those automated actions are unspecified.

Model and Technology Transparency
BB on Model and Technology TransparencyThe approach or the suppliers are named without the version and update discipline behind them. Naming a supplier is the entry to this band both here and on Model Supply Chain Disclosure, which ask different questions of the same disclosure: who receives the data, and what produces the output.
Vendor Published

OpenAI's Platform API is a named supplier, and the product uses models to read clinical context rather than relying only on keyword matches. The specific models, training population and version change process are unspecified.

Model Supply Chain Disclosure
BB on Model Supply Chain DisclosureSubstantial partial disclosure, or a chain that is structurally short: an in house build, a cleared model that cannot be quietly swapped, or a deployment where the transfer does not occur at all. Naming the model provider exits the band below into this one; the axis rises from here on the completeness of the party list and on the terms that govern data once it arrives.
Vendor Published

The supplier inventory names OpenAI's Platform API, AWS, Google Cloud, Microsoft Azure, Omni Analytics, Pylon, SuprSend and Documo. It identifies the model service, but leaves provider specific retention, training use and processing locations unresolved.

Clinical and Operational Evidence
BB on Clinical and Operational EvidenceNamed deployments with dated outcome figures and enough method to test them, or published research short of independent validation.
Vendor Published

Pearl Healthcare began using ExaCare in April 2025 across 14 facilities. Its case study compares 76% of referrals reviewed within 20 minutes with 62% previously, alongside census growth in the second quarter. This is a customer comparison without independent evaluation or control sites.

AI Safety and PHI Stewardship
BB on AI Safety and PHI StewardshipCategorical commitments are published, such as no training on customer data, without the retention schedule behind them.
Vendor Published

Service terms permit deidentified data reuse and require return or destruction of confidential information subject to continuing rights. Customers retain 30 days of retrieval access after termination. Model training exclusions and safety incident handling remain unspecified.

Regulatory and Compliance
HIPAA and BAA Posture
BB on HIPAA and BAA PostureBusiness associate status is stated and supported by a substantive privacy document, with the agreement or its scope not fully published. For a vendor outside the United States, an equivalent regime documented to this depth grades here. A vendor whose product does not process protected health information grades here too when it says so plainly and explains the scope, with a service privacy document behind it: stating a position a buyer can rely on is the posture this axis grades, and the band above is closed to it because there is no agreement to publish.
Vendor Published

ExaCare commits to executing a BAA when it processes protected information. Service terms cover safeguards and customer data use. The BAA text, tier conditions and subcontractor obligations are not available in the readable agreement.

Security Certifications and Trust Center
BB on Security Certifications and Trust CenterA recognized certification is named in the vendor own material without the artifact, or with a scope or renewal question the buyer has to raise. A recognized certification here is an audit of how the vendor operates security, such as SOC 2, HITRUST or ISO/IEC 27001. A certification has a scope and a clock, and both are part of this grade. A certification the vendor attaches to its data center, hosting facility or cloud provider, rather than presenting as its own, is the host's and does not count here.
Vendor Published

The trust center names SOC 2 Type II and a 2026 report, plus a 2026 penetration test memo. Both artifacts require access approval. Their detailed audit scope and findings are therefore unverified.

FDA and Regulatory Status
CC on FDA and Regulatory StatusNo device claim is made and the product is scoped accordingly. Most administrative and operational products sit here and are not penalized for it, because this axis grades the appropriateness of the positioning rather than possession of a clearance.
Vendor Published

The product supports intake, admission suitability and reimbursement administration. Clinical details inform staff decisions and payment estimates within these workflows. Its positioning does not attach a medical device claim to the admissions or reimbursement modules.

AI Governance and Bias Disclosure
CC on AI Governance and Bias DisclosureResponsible artificial intelligence is committed to in policy language with no evaluation behind it. Most of the index sits here.
Vendor Published

Explainability is an explicit product principle, with reasoning attached to recommendations. Operators configure facility criteria and retain audit trails. No evaluation compares admission recommendations across patient groups or tests whether those criteria introduce disparate treatment.

AI Liability and Recourse
CC on AI Liability and RecourseMechanisms exist that let someone challenge an output, such as audit trails, source traceability or review before commit, with nothing standing behind the output and no route for the harmed party.
Vendor Published

Staff review admission recommendations and can inspect activity trails before deciding. Contract terms exclude liability for use of AI output. The general service warranty does not establish a remedy specifically for an incorrect admission recommendation.

Integration and Deployment
EHR and Interoperability Depth
BB on EHR and Interoperability DepthNamed systems with read access or one directional writing, or standards support with named deployments behind it.
Vendor Published

PointClickCare, MatrixCare and Epic are among the named connections, alongside referral platforms and eFax. Admitted patient details can populate an EHR. The material does not establish a production customer's complete bidirectional connection to each named record system.

Deployment Model and Data Residency
CC on Deployment Model and Data ResidencyA single hosted option with location implied rather than committed.
Vendor Published

The service runs through a hosted web interface with separation of each customer's data. AWS, Google Cloud and Microsoft Azure appear in the supplier list. A product storage region and cross border processing commitment remain unspecified.

Commercial
Commercial Transparency
BB on Commercial TransparencyA price or a pricing basis is published without full tiers, so a buyer can size the cost before making contact.
Vendor Published

Subscription fees are quoted. Standard terms set a default allowance of 2,000 referrals per facility each month and a $0.50 overage per referral unless an order specifies otherwise. Base subscription and implementation prices remain unspecified.

Setting and Specialty Coverage
BB on Setting and Specialty CoverageCoverage is named with validation behind part of it.
Vendor Published

The platform supports skilled nursing, home health and hospice intake. Pearl Healthcare's 14 facility deployment supports use in skilled nursing and related long term care services. Comparable outcome details for home health and hospice are not supplied.

Commercial

Pricing

Vendor-published figures are labeled as such. Figures labeled “Estimated” are derived from third-party sources and have not been confirmed by the vendor.

Entry Price Pricing Basis BAA Tier Implementation Source
Custom quote; standard overage $0.50 per referral
 Quoted subscription with referral usage limits. BAA required when protected information is processed. Specified in the order; no standard amount. Vendor Published

Default allowance is 2,000 referrals per facility monthly unless the order differs. The overage is not a starting subscription price.