Xsolis Utilization Management Software | AI‑Powered Utilization Review & Automation

The Leader in AI-Driven Utilization Management

Boost Clinical Efficiency

See the full patient picture in real time, prioritized by risk. Smart automation reduces manual work, streamlining workflows for clinical teams.

Get Medical Necessity Right

Create alignment between clinical and financial teams to improve patient status accuracy from bedside to final payment. Prevent unnecessary medical necessity denials, reduce costly retrospective audits and lower the overall cost of care.

Collaborate and Align with Payers

Utilize aligns utilization review and revenue cycle teams with their payer partners to standardize, automate, and streamline processes-reducing friction and ensuring that patients are in the right status, at the right time, with the right reimbursement.

AI-Driven Workflows

Reduce Manual Work by Automating Tasks

Dragonfly Utilize enables teams to zero in on the cases that need their attention so no time is wasted manually reviewing, driving clinical efficiencies. Dragonfly Utilize’s AI-driven medical necessity score, the Care Level Score™ (CLS™), continuously pulls real-time data from the EMR to identify and prioritize patients as their encounters evolve and predict medical necessity with 94% accuracy. Dragonfly’s Generative AI pulls key information into clinical summaries within the Patient Detail page reducing the time to complete medical necessity reviews by more than half and improving documentation.

Appropriate Revenue Capture

Ensure Correct Payment and Compliance

Using an objective, data-driven view of medical necessity focused on “getting it right”, Utilize helps your organization capture the right revenue for the care provided by improving patient status accuracy, optimizing observation rates and correctly identifying Inpatient Only procedures. Your teams can mitigate unnecessary denials and resolve denials that do occur faster with AI-driven insights, smarter downgrades and predictive appeal support-including automated clinical summaries for medical necessity appeal letters, delivered directly within the workflow.

Actionable Insights

Drive Performance, Reduce Risk and Maximize ROI

Dragonfly Utilize and Care Level Score

Make confident decisions with powerful, data-driven insights at your fingertips. Utilize Performance Insights helps you uncover opportunities for improvement, monitor key trends, and proactively address risks before they become disruptions. With robust reporting on key KPIs and product adoption, you can clearly measure impact and continuously enhance value over time, ensuring you’re getting the most from your investment.

AI-Driven Workflows Appropriate Revenue Capture Actionable Insights

Reduce Manual Work by Automating Tasks

Dragonfly Utilize enables teams to zero in on the cases that need their attention so no time is wasted manually reviewing, driving clinical efficiencies. Dragonfly Utilize’s AI-driven medical necessity score, the Care Level Score™ (CLS™), continuously pulls real-time data from the EMR to identify and prioritize patients as their encounters evolve and predict medical necessity with 94% accuracy. Dragonfly’s Generative AI pulls key information into clinical summaries within the Patient Detail page reducing the time to complete medical necessity reviews by more than half and improving documentation.

Ensure Correct Payment and Compliance

Using an objective, data-driven view of medical necessity focused on “getting it right”, Utilize helps your organization capture the right revenue for the care provided by improving patient status accuracy, optimizing observation rates and correctly identifying Inpatient Only procedures. Your teams can mitigate unnecessary denials and resolve denials that do occur faster with AI-driven insights, smarter downgrades and predictive appeal support-including automated clinical summaries for medical necessity appeal letters, delivered directly within the workflow.

Drive Performance, Reduce Risk and Maximize ROI

Dragonfly Utilize and Care Level Score

Make confident decisions with powerful, data-driven insights at your fingertips. Utilize Performance Insights helps you uncover opportunities for improvement, monitor key trends, and proactively address risks before they become disruptions. With robust reporting on key KPIs and product adoption, you can clearly measure impact and continuously enhance value over time, ensuring you’re getting the most from your investment.