Powered by the Dragonfly platform, Utilize gives clinical teams a complete view of every patient to confidently support medical necessity and ensure the right care at the right time. By streamlining utilization review, case management, and revenue cycle tasks into one platform, Utilize reduces manual work, speeds up decision-making, and helps teams stay focused on what matters most-delivering appropriate, efficient care. Bidirectional (inbound and outbound) integration capabilities allow information to flow automatically to and from your EMR for streamlined workflows and fully integrated data.
REQUEST A CONSULTATION
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.
Utilize now includes powerful Generative AI capabilities that streamline the utilization review (UR) process, helping clinicians spend less time on documentation and more time on patient care. AI-guided initial reviews generate concise, comprehensive summaries directly within the UR workflow, saving nurses an average of 15 minutes per case. With our Human-in-the-Loop approach, UR nurses can easily review, refine, and finalize summaries ensuring accuracy, while accelerating approvals and reducing denials. The result is greater efficiency, improved coordination, and tools that truly make a difference in day-to-day clinical practice.
LEARN MORE
“The Xsolis platform and the CLS enable our nurses to focus on cases requiring their clinical expertise, while automating cases that don’t need an in-depth review. This allows our nurses to practice at the top of their license and apply their valuable clinical knowledge more effectively..”
Pamela Foster, MBA, MSW
Vice President of Care Coordination at HonorHealth
Featured Resources
HEALTHLEADERS MEDIA WEBINAR
MEDTECH BREAKTHROUGH AWARD
Utilization management is an integral part of how insurance companies, or health plans, assess clinical treatment decisions and coordinate patient care. The utilization review process ensures the collection of information at the initial point of entry and during treatment in a patient’s care to evaluate medical necessity and the appropriateness of care related to desired outcomes.
Utilization management automation applies patient real-time data, analyzed through algorithms and decision logic to help clinicians prioritize cases,. This automation saves time, reduces administrative burden, and allows staff to focus on the right cases at the right time.
Utilization management software enables real-time assessment of patient care across settings to ensure clinical appropriateness and cost efficiency. It replaces manual reviews with streamlined workflows, enabling teams to make faster, consistent decisions that support both patient outcomes and financial integrity.