Product Roadmap

Xpress™ AI Workflow – Next Gen Configurable Workflow

• Users can configure tasks in the web UI and link them to create workflows.
• Machine learning identifies automation points and configures them in the UI.
• It learns over time and can recommend workflows. The workflows and screen layouts can be saved in each module/core system.
• The workflow is flexible to any core system creating a standardized workflow engine.

Examples:

• Prior Auth review workflow
• Appeals and Grievances workflow
• Enrollment TRC management

In development: Available June 2026

Xpress™ Appeals and Grievances

If you’re interested in partnering with us on the next generation, state-of-the-art Appeals and Grievance module, let us know.

Xpress™ User Assistant (All Modules)

The Xpress™ User Assistant will be added to all modules (e.g., Prior Auth, Claims, Appeals and Grievances) to guide users on tasks based on their level of experience. For example, a new user would receive different assistance than an experienced user.

Xpress™ User Assistant is also available for health plans to add to their systems.

Xpress™ Clinical Assistant – AI-Driven Clinical Decisionmaker

This is an AI-driven web and mobile tool to help make clinical decisions for Prior Auth and Clinical Appeals. The AI identifies the reason for the Auth request or Appeal denial, links to decision-making criteria, and makes decisions in minutes: Approve, Deny, or Pend. It learns over time making references more accurate.

Xpress™ AI Intake for Authorizations or Appeals and Grievances

• AI-powered case intake automation with over 95% accuracy. Authorizations are categorized and prioritized.
• Approvals in minutes, not days. Includes TAT reporting, inventory management, and a web-based interface for visibility.
• It is customizable to your workflow.

Introducing our new AI Agents for Claims - these sit on top of existing systems

• Mass Claims Adjustments.
• Provider (claim) disputes with Calling Agents.
• Benefits Configuration.

Xpress™ User Assistant (Medicare Advantage Enrollment and Xpress™ Communication)

Currently live with the Enrollment module (for Medicare) and Xpress™ Communication. The AI-User Assistant helps users explore how the software works and recommends next steps based on the user’s level of experience. This is customized per client workflows.

Features:

• AI-driven contextual user assistant
• Flexibility – can be used with any core systems
• Guided next steps for less experienced users
• Contextual help in real-time
• Real-time error detection (phase 2)
• Integration with major payer systems
• Lower admin costs and improved ROI

New Portal UI for Claims and Prior Auth

This modern UI simplifies the entering of claims or prior auths into the Xpress™ platform. It syncs with the core system but displays all information in a visually appealing modern layout.

Monument IRE Nexus - with no system replacement

Monument IRE Nexus provides operational excellence for IRE submissions and no system replacement is required. It automates case gathering from multiple data sources and generates reports like Case Summary Reports, IRE Submission, and Tracking Decisions. It also implements best practices, ensuring timely case handling and a high percentage of upheld IREs, even during reopenings.