Janus Health Enriched Claim Status is a game-changer, automating claim status checks and sending rich, line-level claim status data back to your EHR. Save time, accelerate cash flow, and reduce manual claim follow-ups, freeing up your staff for higher-value work. The solution seamlessly integrates with your existing EHR, facilitating easy data exchange and keeping staff in their preferred workflows. 

For even greater AR efficiency, pair Enriched Claim Status with Teleport for Claims. Teleport enables one-click payer portal and account access from within the EHR, saving 60–90 seconds per claim worked.

In the complex environment of Case Management and Utilization Review, a people-driven process inherently leads to error and lost revenue. To optimize the process to capture appropriate revenue, prevent denials and reduce Length of stay requires people and their ability review a case consistently. The legacy tools accessible today create a process highly dependent on human capital. What humans can’t do, Artificial Intelligence can. XSOLIS uses Artificial Intelligence (AI) to predict appropriate patient status (observation vs. inpatient), build automated defense of patient status, and identify Length of Stay reduction opportunities. Our technology can now interpret a medical record more accurately and more often than a person in many cases, and technology becomes unparalleled when it isolates risk in the complexity of a hospital today so issues can be mitigated in real-time. To assess a case today – the appropriate patient status, denial risk, and when a patient is ready for discharge – involves highly complex processes with thousands of variables and decision trees that are reliant on a manual review process. The XSOLIS Cortex platform transforms the manual review process today and automatically interprets a patient’s medical record in real-time. It automatically suggests appropriate status, brings awareness to revenue sensitive cases, drives intervention to denial mitigation situations (in real-time where it’s most preventable), and identifies Length of Stay opportunities to ensure highly efficient operations. Over 150 hospitals are currently contracted with XSOLIS and have seen significant results in denial prevention, throughput, Length of Stay, appropriate status conversions, and more. Automation has significantly impacted their revenue capture and has also shifted high value resources toward higher value processes – the clinical, not the clerical.

XSOLIS is a healthcare technology firm focused on improving healthcare operations through cognitive computing in Case Management and Utilization Review. By aligning cognitive computing behind clinical expertise, we're creating a new framework for decision-making to prevent denials in real-time and drive automation in status determinations.

Enriched Claim Status automates the claim status process.

• Exceptionally rich status details returned to the EMR
• More frequent statusing at a flat rate
• Impressive automation success rates and minimal down time
• Connectivity to >80% of payer mix
• Teleport expedites working appeals