Healthcare AI & Utilization Management

We are always pushing towards the future. As healthcare reforms and these things change, if we are not ahead of the curve, then we are going to be left behind.

—Rikki Moye
Vice President of Case Management

We can’t collaborate about how to improve the health outcomes for our members and our providers’ patients if we’re not being collaborative with the data.

—George Renaudin
Sr. Vice President

The way utilization management works now is entirely different, and we’ve been able to do our best work. Our nurses are very happy and love their UM jobs.

—Kim Petram
Director of Case Management

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The most compelling result is that the payer-provider relationship has thrived.

—Sherri Ernst
Revenue Integrity & Utilization Management Officer

Not only has the platform paid for itself, but it has obviously exceeded our expectations with reimbursement dollars as well as staff and clinical efficiencies.

—Mary Beth Mitchell
Senior Executive Director, Care Transformation Strategies
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$265 billion in administrative waste.

Revenue challenges amidst staffing shortages.

A fully optimized healthcare system that elevates the human experience and clinical expertise is not only possible, but attainable. XSOLIS applies the power of data science to ensure medical necessity and appropriateness of care across the healthcare ecosystem. We create efficiencies that open the door for more collaboration, partnerships, and transformation among our connected network of providers and payers.