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BaseLine: Medical Authorization

From intake to bill review, we’ve created a 2-minute process for authorizations and escalations.

At a time when the industry is working to focus more attention on supporting the injured worker, administrative tasks are consuming upwards of 80 percent of the claim professional's day. 

BaseLine’s Medical Authorization module is capable of automating all those urgent but non-productive administrative tasks distracting your team from the primary objective. We’ve benchmarked authorization requests to to go from 45 minutes to 2 minutes by utilizing BaseLine!

BaseLine's MedAuth solution integrates the many interdependent functions required to make medical authorization determinations…fast. The solution is configurable to manage:

·    Intake: internal, external or automated

·    Eligibility validation

·    Triage leveraging guidelines

·    Third party integrations to Utilization Review, Service Providers, etc

·    Automation of protocols, business rules and assignment logic

·    Communication & compliance

·    Program analytics & performance dashboards and reporting

 

BaseLine software enables data to flow seamlessly across multiple internal and external resources and workflows. With BaseLine, all of your technology works together so your claims' professionals and support staff can spend more time focusing on the injured worker.

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Vendor Management & Order Processing...
how it all started.

When we first launched this effort, it looked like a straightforward workflow automation task.  It didn't take us long to find out it was much more than that. 

 

Here's the thing, adoption by the users is what drives successful technologies.  Unfortunately, in many claim organizations, the knowledge is tribally-based with little formal documentation.  Consider this, one adjuster had a notepad with 60 pages of rules he had to follow; and he was one of 400. Another workflow change was the last thing they were looking to deal with.

 

Finally at one of the early meetings, one of the key users told us clearly, "Look, if this can't be easier than the telephone, we don't want to be bothered by it."  Sure, they weren't thinking about the larger picture of what automation could deliver, but that didn't matter.  The benchmark was set.

 

What a challenge!  How do you make a technology that's easier to use than the telephone?

After 12 months of working with a team of adjusters and nurses from multiple offices around the country, we finally made their passing grades. We studied the multiple complicated processes and how noise and errors creep into the process.  We also explored what made the telephone so attractive.  Then we applied the power of modern technology to create, in cooperation with the adjusters and nurses, a process that they finally judged to be better than the telephone.

At the end of the day, we created a marvelous piece of technology that has been adopted as a best-in-class solution for managing vendors.

Jim Schlueter, President

Hello!

I'm Don Adams, the CRO with EHS.  The above history of our Vendor Management & Order Processing system is just one example of how we make technology work for our clients.  It makes the point that great innovations don't just pop out of a box.  Crafting great innovations takes patience and skill, that's what we bring to the table.

As you have heard from some of our testimonials, employers expect their business insurance partners to step into the digital age.  This technology has shown itself to be a feature that our clients are using to demonstrate to their clients that they understand technology is the new table stakes in this game. 

 

Drop me an email.  We can make this happen quickly for you.

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