Workflow Automation For Claims Processing
BaseLine
BaseLine is a technology platform that saves claims management organizations time and money. Since 2012, BaseLine has automated tasks and assisted claims professionals with intelligent decision-making technology. The BaseLine platform is modular and can be integrated into existing workstreams without disruption. Keep scrolling to learn more about BaseLine!
BaseLine ClaimSync
BaseLine ClaimSync utilizes AI-driven technology to automate mailroom operations. BaseLine ClaimSync indexes all incoming mail packets via fax or email and matches the incoming information to the claim record. Fully automated, BaseLine ClaimSync can process 1000’s of mail packets per day - eliminating the daunting manual task of identifying and connecting the medical treatment requests, medical notes, and RFAs to the correct claim file.
BaseLine RPT
BaseLine.RPT automates the referral intake process. Utilizing AI technology, BaseLine.RPT can index and extract data from unstructured documents such as medical treatment requests, RFAs, medical notes, and state specific documents. Our Rapid Process Technology (RPT) is capable of processing 1000's of documents per day with incredible accuracy. BaseLine.RPT can route documents for auto intake and downstream processing - minimizing manual data entry.
BaseLine MedAuth
BaseLine's MedAuth module delivers incredible savings! Year over year, MedAuth has delivered millions of dollars in savings to organizations tasked managing medical authorization determinations. The application is configurable to manage and automate several tasks during the RFA process.​​
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Eligibility validation
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Triage leveraging guidelines
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Third party integrations to Utilization Review, Service Providers, PBM, and Bill Review
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Automation of protocols, business rules and assignment logic
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Communication & compliance
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Program analytics, performance dashboards and reporting
BaseLine UR
BaseLine's UR module fully supports URAC accredited UR operations. Together with the capabilities, automation and integrations delivered in the BaseLine MedAuth software tools, BaseLine UR also includes capabilities like:
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Automated Claims Eligibility Validation
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Integration to 3rd Party Guideline Tools
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Integrated connection to Peer Reviewers
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Letter & Documents Management
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Compliance Tracking & Reporting Support
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Internal/External Appeals Process Management
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Claim level Notes / SOAP Notes
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Time Tracking for Nurse Billing Acitivities
BaseLine VMOP
VMOP, or Vendor Management & Order Processing module connects claim organizations to their panel of service vendors. Completely agnostic, enjoy the ability to connect to your desired vendors. Create your panel from our extensive list of active vendors, new vendors, or configure a combination of both. Possibilities are endless and the impact evident.
Our software solution easily integrates with your existing systems. Is designed to streamline, automate and track performance and deliver speed, accuracy & compliance.
Tech tools that automate workflow processes and rules. Eliminating redundant steps, the need to track and remember the order submission preferences for each customer and the multitude of costly errors in referral process
BaseLine MedNote
BaseLine MedNote utilizes cutting edge AI technologies to summarize medical notes. Working with our auto intak e process, BaseLine MedNote quickly displays summaries of all medical notes and records with links that provide instant access to original document...all in one place, easy to navigate, and saving claims and healthcare professionals a lot of time!
