Xsolis
Xsolis is a private healthcare AI company that builds the Dragonfly platform, combining predictive analytics, ML, NLP, and Generative AI to deliver objective medical-necessity scoring and payer-provider collaboration tools for 600+ U.S. hospitals and 550+ payer endpoints, supplemented by outsourced Physician Advisor and Denial Resolution services.
- Company typePrivate
- Founded2013
- HeadquartersFranklin, United States
- Headcount251–500
- GTM typeB2B
- OfferingSoftware
What Xsolis does
Xsolis is a Franklin, Tennessee-based private healthcare AI company founded in 2013 by Joan Butters and Jim Sohr. The company builds and sells the Dragonfly platform (rebranded from CORTEX in 2023), a cloud-based SaaS solution that combines real-time predictive analytics, machine learning, natural language processing, and Generative AI to deliver the proprietary Care Level Score (CLS) — an objective medical-necessity score continuously updated from EMR data, trained on 300M+ encounters and stated at 94% accuracy. Dragonfly is organized into four core modules — Utilize (utilization review), Navigate (discharge planning), Advise (physician advisory), and Align (payer-provider collaboration) — plus a Revenue Integrity Insights analytics offering, all supported by bidirectional EMR integration and a shared payer-provider workflow.
The platform serves 600+ U.S. hospitals and 550+ payer connections, with stated 95% client retention and an average 5x-7x customer ROI. Xsolis supplements the SaaS product with outsourced Physician Advisor Services (50+ advisors handling approximately 6,850 case reviews per month, ranked No. 1 Best in KLAS for five consecutive years), Denial Resolution Services, and the Xsolis University training program. The company monetizes exclusively through quote-based, multi-year enterprise contracts sold via a direct field sales motion, with no self-serve or freemium pricing.
Xsolis has raised a single disclosed $75 million minority growth investment from Brighton Park Capital in June 2021, has grown from 5 founders to 275+ employees, and is led by co-founder and CEO Joan Butters alongside a CFO (Vic Pierni, appointed February 2026), CMO, COO, CTO, and CPO. The company faces material risk from a January 2026 phishing-related data breach exposing approximately 1.4 million individuals' data, which has triggered a US Office for Civil Rights HIPAA investigation and multiple class action lawsuits.
Xsolis firmographics
Firmographics- Name
- Xsolis
- Legal name
- Xsolis, Inc.
- Website
- https://xsolis.com
- Company type
- Private
- Founded year
- 2013
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- Xsolis is a private healthcare AI company that builds the Dragonfly platform, combining predictive analytics, ML, NLP, and Generative AI to deliver objective medical-necessity scoring and payer-provider collaboration tools for 600+ U.S. hospitals and 550+ payer endpoints, supplemented by outsourced Physician Advisor and Denial Resolution services.
- Ownership category
- akta.pro rank
Xsolis industry classification
Industry- Product category
- Healthcare Utilization Management Software
- NAICS
- Custom Computer Programming Services (541511), Computer Systems Design Services (541512)
- SIC
- Services-Computer Integrated Systems Design (7373), Services-Computer Programming Services (7371)
- akta.pro primary industry
- End-to-End Enterprise AI Platforms (MLOps & Model Lifecycle Management) (HDAEANAA)
- akta.pro secondary industries
- AI/ML Engineering & Model Development Services (BPAEAHAF), AI Application Enablement Platforms (Copilot/Agent Frameworks, SDKs) (HDAEANAJ)
Keywords
Where Xsolis is headquartered
LocationHeadquarters
- HQ city
- Franklin
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Xsolis business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Dragonfly SaaS Platform Subscriptions: Recurring SaaS subscriptions for the Dragonfly AI platform across Utilize, Navigate, Advise, Align, and Revenue Integrity Insights modules. Sold primarily to hospitals, health systems, and health plans on multi-year contracts.
- Physician Advisor Services: Outsourced physician advisory services with 50+ physician advisors handling 6,850 billable case reviews per month; offered in hybrid or fully outsourced models supplementing internal hospital teams. Recognized as No. 1 Best in KLAS for five consecutive years.
- Denial Resolution Services: Dedicated denial management and recovery services combining clinical, legal, and revenue cycle experts (auditors, denial specialists, CDI specialists, recovery experts). Outsourced end-to-end appeal management priced on service scope.
- Training and Education (Xsolis University): Client training delivered via the Xsolis University (XU) learning management system with instructor-led sessions, eLearning courses, and certifications, supporting implementation and ongoing education.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Multi-year contract | Quote-based enterprise SaaS subscription for Dragonfly platform modules (Utilize, Navigate, Advise, Align, Revenue Integrity Insights) |
| Outcome Based/ Performance | Multi-year contract | Outsourced Physician Advisor Services billed on engagement scope (50+ physician advisors, ~6,850 case reviews/month) |
| Other | Multi-year contract | Denial Resolution / Recovery managed services priced on case volume and scope |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels9 records
Xsolis product offering
Product offeringCore offering
Xsolis develops and sells the Dragonfly AI platform, a cloud-based SaaS solution that combines predictive analytics, machine learning, natural language processing, and Generative AI to automate medical-necessity scoring (Care Level Score) and support bidirectional utilization management workflows between hospitals, health systems, and health plans. The company also offers outsourced Physician Advisor Services and Denial Resolution Services as professional services built on top of the Dragonfly platform.
Product overview
Xsolis sells a single integrated AI-driven platform called Dragonfly, supplemented by a small set of professional services and a training program. Dragonfly is organized as a core platform with four named modules — Utilize (utilization management), Navigate (care coordination), Advise (clinical decision support), and Align (payer-provider alignment) — plus the Revenue Integrity Insights analytics offering. On top of this platform, Xsolis provides Physician Advisor Services and Denial Resolution Services as outsourced clinical services, and Xsolis University (XU) as a training and certification program for healthcare staff using Dragonfly.
Differentiator
Problem solved
Functional benefit
Brands
- Dragonfly: Xsolis' proprietary AI-driven platform (rebranded from CORTEX in 2023) used for real-time predictive analytics, medical necessity scoring, and payer-provider collaboration.
- Dragonfly Utilize
- Dragonfly Navigate
- Dragonfly Advise
- Dragonfly Align
Quantifiable outcome
- 5x-7x average customer ROI
- +13 more outcomes
Companies that use Xsolis
Customer profileNamed customers28 records
Segments3 records
Ideal customer profiles2 records
Xsolis technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability7 records
Feature7 records
Xsolis partnerships and signals
Strategic signalPartnerships
Eight partnerships are on record, tiered core and minor.
- American Case Management Association (ACMA)coreXsolis is a Platinum Sponsor of ACMA's annual National Conference and partner on the Case Management Hero Award program. ACMA and Xsolis jointly announced the 2026 Case Management Hero Award Honorees on April 29, 2026, with Xsolis covering COBRA insurance costs for honoree Joan Brueggeman and donating to the Alberto Rangel Legacy Fund.
- EPAMcoreEPAM and Xsolis co-presented AI-powered solutions at HLTH 2025 (published March 27, 2026) aimed at improving payor-provider collaboration in healthcare. The solutions focus on reducing administrative burdens, increasing data transparency, and automating complex workflows.
- WEDI (Workgroup for Electronic Data Interchange)minorXsolis was selected to present at the WEDI National Conference (November 3-6 in Washington, D.C.) alongside Inova Health to discuss the application of AI in revenue cycle management, focusing on data exchange, interoperability, and AI-powered metrics.
- America's Health Insurance Plans (AHIP)coreXsolis became an AHIP Affiliate Organization Member (announced March 19, 2024), reflecting its commitment to elevating health plan and provider collaboration. AHIP is the national trade association representing health insurance providers.
- KLAS ResearchcoreKLAS Research is the awarding body for the Best in KLAS awards that Xsolis has won for five consecutive years. Xsolis is also featured in KLAS' Second Look Report and ongoing performance monitoring.
- KrollminorFollowing the January 2026 data breach, Xsolis engaged Kroll to offer 12 months of complimentary identity-monitoring services to the approximately 1.4 million affected individuals, demonstrating a vendor partnership for breach response and customer protection.
- HealthfirstminorHealthfirst co-presented with Xsolis at an AHIP SmartBriefs webinar on elevating health plan and provider collaboration with AI, discussing how AI can analyze member data in real time and offer objective insights to optimize utilization management.
- Inova HealthminorInova Health co-presented with Xsolis at the WEDI National Conference (November 3-6, 2025) on AI in revenue cycle management. Inova is also a major enterprise customer of Xsolis.
Scale indicators12 records
Recent moves6 records
Expansion highlights5 records
Xsolis competitors and assessment
Company assessmentDirect peers
- Cohere Health: Cohere Health is an AI-driven utilization management and prior authorization platform serving health plans and providers, with bidirectional clinical data exchange — directly overlapping Xsolis' Dragonfly Align and Precision UM offerings. Both companies compete for the same payer-provider workflow modernization budget.
- LeanTaas: LeanTaas provides AI-driven hospital operations software including length-of-stay prediction, discharge planning, and care coordination — directly overlapping Xsolis' Dragonfly Navigate module. Both target the same hospital operations buyers with predictive analytics for inpatient throughput.
- Waystar: Waystar is a healthcare revenue cycle management SaaS platform serving hospitals and health systems, with denial management and revenue integrity capabilities that overlap Xsolis' Revenue Integrity Insights module. Both target hospital revenue cycle leaders and compete for similar mid-revenue cycle budget.
- nThrive: nThrive (formerly MedAssets/Precyse) provides revenue cycle management, health information management, and physician advisory services to hospitals, overlapping Xsolis' Physician Advisor Services and Revenue Integrity Insights modules. Both serve hospital CFO and CMO buyers with combined technology and services.
Emerging players
- Avizia (now part of Cohere Health) / Anterio: Anterior is a clinical AI company that automates prior authorization and utilization management decisioning for health plans, directly competing with Xsolis' Dragonfly Align in the payer workflow. Like Xsolis, it uses AI to reduce manual medical-necessity reviews, but is earlier-stage and software-only.
- Olive AI: Olive was a healthcare AI company automating hospital administrative workflows including utilization management and revenue cycle tasks. While it has scaled back and pivoted, it was a notable adjacent competitor to Xsolis in AI-driven hospital workflow automation.
- Myndshft: Myndshft provides AI-driven prior authorization and eligibility automation for payers and providers, directly overlapping Xsolis' Dragonfly Align and Precision UM capabilities. It is an emerging, software-only competitor focused on automating authorization workflows.
Broad incumbents
- R1 RCM: R1 RCM is a large, publicly-traded revenue cycle management and physician advisory services provider to U.S. hospitals, with outsourced services and technology that overlap Xsolis' Physician Advisor Services and Denial Resolution offerings. As an incumbent, R1 competes on both technology and outsourced labor.
- Optum (UnitedHealth Group): Optum is the largest healthcare technology and services incumbent, with utilization management, analytics, and population health capabilities through OptumInsight and OptumHealth. It competes broadly with Xsolis in payer-provider AI workflows and has unmatched scale and data assets.
- Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving hospitals and health systems, with adjacent capabilities to Xsolis' Revenue Integrity Insights and Dragonfly Navigate modules. Both target the healthcare CIO/CMO buyer with data-driven decision support.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks5 records
Key highlights7 records
Customer concentration
Xsolis social profiles
Digital presenceXsolis financial estimates
Financial estimateRevenue estimate
Valuation estimate
Xsolis leadership team
Management profileNumber of profiles
Profiles6 records
Xsolis funding detail
Funding detailFunding overview
Funding rounds2 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Xsolis M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Xsolis
What does Xsolis do?
Xsolis develops and sells the Dragonfly AI platform, a cloud-based SaaS solution that combines predictive analytics, machine learning, natural language processing, and Generative AI to automate medical-necessity scoring (Care Level Score) and support bidirectional utilization management workflows between hospitals, health systems, and health plans. The company also offers outsourced Physician Advisor Services and Denial Resolution Services as professional services built on top of the Dragonfly platform.
Is Xsolis a public or private company?
Xsolis is a private company. It is classified as venture growth investor backed and is currently operating.
When was Xsolis founded?
Xsolis was founded in 2013. It employs 251 to 500 people.
Where is Xsolis based?
Xsolis is headquartered in Franklin, United States, in the North America region.
How does Xsolis make money?
Four revenue lines are on record. Dragonfly SaaS Platform Subscriptions are the primary driver. The others are physician Advisor Services, denial Resolution Services and training and Education (Xsolis University).
Who are Xsolis's main competitors?
Direct peers on record are Cohere Health, LeanTaas, Waystar and nThrive. Emerging players are Avizia (now part of Cohere Health) / Anterio, Olive AI and Myndshft. Broad incumbents are R1 RCM, Optum (UnitedHealth Group) and Health Catalyst.
Does Xsolis have an API?
No public API is recorded for Xsolis.
What industry is Xsolis in?
Xsolis's product category is Healthcare Utilization Management Software. Its primary akta.pro industry code is HDAEANAA, End-to-End Enterprise AI Platforms (MLOps & Model Lifecycle Management), with a secondary code of BPAEAHAF, AI/ML Engineering & Model Development Services. Its NAICS code is 541511 and its SIC code is 7373.