Traditionally, payers and providers have been at odds while managing healthcare utilization and spend: Cortex, the Precision Utilization Management platform, allows payers and providers to work together within the same platform powered by real-time predictive analytics, optimizing outcomes for every person they serve - the patient, the member, the human.
Predictive analytics for medical necessity, efficiently prioritize case reviews, physician advisor and denials management services.
Reframe payer relations, centralize utilization review, undertake UM by exception, supplemental physician advisor coverage.
Decrease provider abrasion, automate case approval with analytics, decrease administrative work due to denied claims.
XSOLIS
655 Grassmere Park
Nashville, TN 37211
Call: (855) 371-0867