Xsolis new GenAI tool speeds up medical necessity reviews, slashing time and improving payer approvals for healthcare systems.
Xsolis has launched a GenAI powered solution that dramatically shortens the time needed for medical necessity reviews in healthcare. In a pilot with Beacon Health System, the tool reduced review times by 68%, lowering the process from 15 minutes to under 5 minutes per case. This efficiency helps healthcare teams process more cases daily while easing onboarding for new staff.
The GenAI solution ensures greater consistency and accuracy in reviews across geographically spread teams. It generates comprehensive summaries of patient records, reducing the need for internal peer checks and ensuring continuity of care. Nurses reported higher confidence in the system, as the tool minimized errors and variability.
Beacon Health System also saw faster payer approvals, with decision times cut from five days to as few as two. This means quicker treatment decisions and fewer claim denials. The GenAI-driven process reduces unnecessary back-and-forth with insurers, helping hospitals secure payments faster and improve the overall patient billing experience.
By integrating GenAI into its Dragonfly platform, Xsolis not only automates low-value tasks but also frees clinical teams to focus on patient care. The solution enhances system-wide efficiency and reduces administrative strain. As healthcare faces staffing shortages and rising denials, this innovation offers a timely advantage.