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What is XSOLIS CORTEX?

CORTEX signifies a revolutionary step forward in utilization management software, offering an all-encompassing 360° solution designed to effectively manage the intricacies of utilization management and revenue cycle operations. Fueled by a sophisticated machine learning engine and real-time predictive analytics, CORTEX ensures timely and appropriate case handling, whether by the designated personnel or through established exceptions. By merging precision medicine with a solid base of evidence-based practices, CORTEX improves the assessment of patient populations through its real-time machine learning models. Our analytics solutions have successfully made their mark across hospitals and health plans across the nation, showcasing their efficacy. For uncomplicated inpatient cases, CORTEX simplifies the process by automating decisions based on your specific criteria, thereby significantly alleviating staff workload. Conversely, in the face of complex cases, CORTEX provides your team with essential insights to support informed decision-making. This innovative strategy offers substantial advantages to both payers and providers, leading to enhanced healthcare outcomes and operational efficiency. Additionally, CORTEX's flexibility enables it to adapt to the evolving demands of the healthcare environment, ensuring that it continues to provide lasting value. As a result, CORTEX not only addresses current needs but also positions itself as a long-term partner in healthcare management.

What is InsightPro.ai?

InsightPro serves as an online tool tailored for workforce analytics and operations, specifically targeting health insurance payers, third-party administrators, benefit administrators, and health plans. It streamlines claims management, quality assurance, and the support of member contact-center teams. The claims management features include inventory tracking, task assignment and distribution, production planning, forecasting capabilities, KPI dashboards, activity monitoring, and query resolution functionalities. Quality assurance teams benefit from tools that allow for customizable audits, sampling techniques, capacity planning, error feedback systems, rebuttal workflows, and performance reporting capabilities. The platform enhances contact-center operations through member and call history access, customizable workflows, real-time data insights, and performance metrics. Furthermore, workforce dashboards provide managers with the ability to monitor productivity levels, workload distribution, quality metrics, and overall operational trends, while user and workflow management tools simplify administrative tasks. As a Software as a Service (SaaS) offering, this platform can be tailored to meet the specific operational requirements of payers, with pricing and plan options customized to fit individual customer needs, ensuring a flexible and adaptable service delivery model. Ultimately, this extensive array of features equips organizations to significantly boost their operational efficiency while also enhancing the quality of services provided to their members. By leveraging InsightPro, health insurance stakeholders can ensure they stay ahead in a competitive market while maintaining high standards of member satisfaction.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

Flexible payment options include monthly plans and pay-per-transaction billing. SaaS pricing is tailored to selected features and customer requirements; no long-term commitment is required.

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Not specified

Training Options

Documentation Hub
Webinars
Online Training

Training Options

Not specified

Company Facts

Organization Name

XSOLIS

Date Founded

2013

Company Location

United States

Company Website

www.xsolis.com/solutions/cortex

Company Facts

Organization Name

MDI NetworX

Date Founded

2014

Company Location

United States

Company Website

insightpro.ai/

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