When medical necessity determinations are reduced to "checking a box" the focus shifts from the patient to the criteria. XSOLIS' evidence-based, predictive analytics assess the clinical merit of each case and provide a full clinical picture for each patient — enabling hospitals to take a patient-centered approach to utilization management.
Today's manual utilization management processes create inefficiencies and enable inconsistent case reviews that result in incorrect status determinations and denials. Stop digging through the EMR and break down silos across your health system with a new, precision-based approach to utilization management.
Misalignment of documentation, limited access to clinical data, and the burden of administrative tasks can be blamed for provider abrasion at the forefront of member dissatisfaction. XSOLIS connects health plans to providers by streamlining authorization communications and giving staff a real-time view of the clinical data of each case escalated by providers.
CORTEX's real-time predictive analytics continuously assign an objective medical necessity score and create game-changing efficiencies for our customers — now bolstered with the most proactive data security and compliance measures available.