DRAGONFLY UTILIZE FOR PROVIDERS

Re-envision your utilization management process with a 360° view

By leveraging our proprietary Dragonfly platform, Utilize for Providers enables users and clinical leaders to go beyond the boxes and ensure appropriate level of care for every patient, while automating and streamlining decision-making within utilization review, case management and revenue cycle activities — all on one platform.

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Hero Image
2B
Predictions
94%
Accuracy
XX
Hospitals
XX
Patients Helped

Dragonfly Utilize for Providers

AI-Driven Analytics

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Increased Care & Productivity

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Patient-Provider Collaboration

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Case Priorities
Align With Patients

Case Priorities

With access to a real-time view of their patient census, prioritized by risk, Dragonfly Utilize enables teams to focus on the cases that need their attention without wasting time manually reviewing-driving clinical efficiencies without adding increased administrative tasks. Dragonfly Utilize’s AI-driven medical necessity score, the Care Level Score™ (CLS™), synthesizes relevant clinical & financial data from the EMR to identify and prioritize patients in real-time. With a remarkable track record of over 2 billion predictions and counting, care teams and their leaders can confidently rely on the CLS, presented for each patient in a work queue, to predict inpatient or observation status with up to 94% accuracy. Leveraging this data allows your teams to offer consistent care and ensure every decision is truly objective.

Align With Patients

Providers and payers collaborate and engage on a common platform, allowing for a real-time, standardized view of the patient's medical necessity that can enable automated Level of Care determinations using the Care Level ScoreT. This proprietary analytic is a numerical representation of severity of illness, intensity of service, and the overall clinical merit of the case. As the CLS increases, the alignment with appropriate status also increases. As a result, hospitals spend less time in the UM/UR and revenue cycle processes with payer partners, which enhances collaboration and relationships.

Case Priorities

Case Priorities

With access to a real-time view of their patient census, prioritized by risk, Dragonfly Utilize enables teams to focus on the cases that need their attention without wasting time manually reviewing-driving clinical efficiencies without adding increased administrative tasks. Dragonfly Utilize’s AI-driven medical necessity score, the Care Level Score™ (CLS™), synthesizes relevant clinical & financial data from the EMR to identify and prioritize patients in real-time. With a remarkable track record of over 2 billion predictions and counting, care teams and their leaders can confidently rely on the CLS, presented for each patient in a work queue, to predict inpatient or observation status with up to 94% accuracy. Leveraging this data allows your teams to offer consistent care and ensure every decision is truly objective.

Align With Patients

Align With Patients

Providers and payers collaborate and engage on a common platform, allowing for a real-time, standardized view of the patient's medical necessity that can enable automated Level of Care determinations using the Care Level ScoreT. This proprietary analytic is a numerical representation of severity of illness, intensity of service, and the overall clinical merit of the case. As the CLS increases, the alignment with appropriate status also increases. As a result, hospitals spend less time in the UM/UR and revenue cycle processes with payer partners, which enhances collaboration and relationships.

Optimize clinical and financial resources

Help your clinical and revenue cycle teams as well as connected payers do more through an objective, data-driven view of medical necessity focused on “getting it right” that creates efficiencies and improves patient status accuracy from bedside to final payment.
Dragonfly Utilize strategically aligns utilization review and revenue cycle teams with their payer partners to reduce the need for wasteful retrospective audits and reviews and significantly reduce the cost of care. Standardizing and automating much of the process, Dragonfly Utilize improves payer relationships, reduces friction, and helps to mitigate medical necessity denials.  Dragonfly works to improve patient care by getting them in the right status, at the right time, with the right reimbursement.

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Testimonial image

“With Xsolis , I am assured that when my nurses review a chart, they’re all reviewing it the same way with the same lens, ensuring a very consistent process and leading to improved outcomes.” 

Heather Wagner, MBA, BSN, RN

Director of Utilization Review and Case Management, Beacon Health

Resources

Xsolis Ranked No. 1 Best in KLAS for Physician Advisory Services for Fourth Year

Xsolis’ PA Services achieved a 71% peer-to-peer success rate for Hackensack Meridian Health  FRANKLIN, Tenn., February 5, 2025 – Xsolis, an AI-driven technology company that reduces administrative waste by enabling collaboration between […]

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Xsolis Press Releases

ACMA and Xsolis Announce 2024 Case Management Association Hero Awards

Hero Award Honorees are recognized as outstanding professionals who have faced a life challenge yet continue to deliver exemplary service for their patients and families NASHVILLE, Tenn., April 30, 2024 […]

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6 Takeaways: Artificial Intelligence to Optimize Revenue Integrity and Enhance Payer Alignment, HFMA Webinar

What Is Utilization Management In Healthcare?  According to McKinsey & Company, administrative spending accounts for one quarter of the $4 trillion spent on healthcare annually in the United States.1 Of […]

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Frequently Asked Questions

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Let’s Talk

Dragonfly Utilize can help your organization yield better results through smart payer-provider collaboration.

Elevate care with smarter insights and seamless collaboration with Dragonfly Utilize.

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