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Case Study: Covenant Health

The Way Payers and Providers Approach Utilization Review is Forever Changed

What if providers and payers could make determinations concurrently from data directly from the Electronic Medical Record? What if both could be assisted by predictive analytics that automate non-clinical, manual tasks? What if nurses could focus on patients, not processes? When Sherri Ernst and Covenant Health asked these questions, the answers were even better than anyone could have expected.

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In this collaborative effort, everyone was willing to ask: 'What if?' The most compelling result is that the provider-payer relationship has thrived.”

Sherri Ernst, 
Revenue Integrity and Utilization Management Officer at Covenant Health

 

Reduce Friction, Minimize Abrasion, Reframe the Relationship

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XSOLIS technology allows payers and providers to:
  • Review Patient Cases in Real Time
  • Collaborate through Predictive Analytics
  • Adopt UM by Exception