Case Study: Covenant Health transforms utilization management with XSOLIS

Covenant Health boosts case reviews 150% with XSOLIS

Covenant Health, a nonprofit health system, faced challenges in utilization management (UM) efficiency and payer collaboration. Their centralized UM team was burdened with clerical tasks and needed a better way to communicate with payers after an electronic medical record transition. They partnered with vendor XSOLIS and implemented its artificial intelligence-driven UM platform, Dragonfly, to address these issues.

XSOLIS developed a customized portal using the Dragonfly platform that allowed Covenant Health's staff and a key national payer to collaborate. The solution dramatically increased the team's efficiency, with staff moving from 20 to 50 case reviews per day and reducing the time per review from 15 minutes to 5. This allowed them to reallocate time to other critical tasks. Most significantly, the collaboration facilitated by XSOLIS led to a marked decrease in average monthly patient status denials and reduced the associated appeal burden for both the provider and the payer.

Covenant Health