Denial Management and Resolution Services

Xsolis applies powerful Machine Learning algorithms to identify and prioritize denial resolution cases with strong clinical merit and most appropriate for appeal.

Our denial management services paired with our proprietary data management platform, defend admissions decisions to payers both concurrently, while the patient is still in the hospital, and retrospectively in the event of a denial. Complex denials are reviewed and resolved 3–5 times more efficiently than with typical methods.

No two cases or corresponding appeal letters are the same. We identifiy denial resolution cases with demonstrated clinical merit though an analytics-based approach. We offer actionable denial management analytics for key case metrics, including admitting or discharge diagnosis, procedure, length-of-stay, or downgrade and denial outcomes.