HealthBASE is an Internet-based healthcare service that automates diagnostic, specialty, and ancillary medical provider workflow with insurance, health plan and other payer programs through a direct online exchange. Our closely integrated services deliver complete provider-to-payer and client functionality, including provider network contracting and credentialing, order and referral management with decision support, patient event tracking, administrative task processing, quality reporting, and payment transactions.
The appropriate ordering, completion, and cost of an imaging study is closely managed by numerous inter-dependent parties and processes, now involving 12 or more steps between the physician, patient, diagnostic provider, payer, and administrators. HealthBASE links these parties and automates tasks instantly through a secure website, so that all 12 + steps are performed electronically and on demand.
Clients and providers have secure, role-specific access to electronic versions of their previously paper-based documents and file systems. The HealthBASE services are subscription-based, with modular components and multiple subscription levels.
The HealthBASE services:
- Complete provider contracting, profiling, network management, and patient services platform
- Organized enrollment, registration and processing of provider, client and user groups
- Fully integrates provider networks, client and payer rules, user preferences, and partner collaboration to automate workflow processes and intelligent coordination of benefits and patient care, at all levels
- Delivers better, on-demand information, choices, performance and service levels
- Comprehensive patient diagnostic and ancillary services event record
- Integrates medical, administrative, and benefit information into a secure, online file system
The HealthBASE services integrate:
Contracting and Payer Programs
Provider Information
Provider Networks
Patient Event Management
Workflow Automation
Client Service Tools
Reporting
Contracting and Payer Programs
Online provider contracting tools include
- professional and facility applications
- provider profiling
- contract directory
- contract and rules manager
- reminder and update system
- client and trading partner directory
- fee schedule manager
- coding and re-pricing engine
- claims billing programs
- integrated reporting
Provider Information
A detailed Provider Profile organizes information about
- services
- professionals
- locations, including maps and driving directions
- equipment
- media and other resources
- quality and outcome levels
Provider Networks
Guide PPO and HMO members, and worker’s compensation, auto and casualty insurance beneficiaries to optimal in-network providers. The system allows for sorting by provider type, location, service level and health plan, and financial information, with access to
- provider directories
- payer rules
- network policies
- provider selection and referral programs
- provider calendars
Patient Event Management
This coordinated tracking system features real-time updates and on-demand status from the referral order through the appointment process, including reporting and billing. See the HealthBASE patient event process in action.
Workflow Automation
From beginning to end for each patient event, the workflow automation includes
- injury report
- initial diagnosis
- ordering and referrals
- decision support
- eligibility and authorizations
- provider selection
- appointment scheduling
- pre-registration
- appointment tracking and status
- discharge and appointment summary
- reporting
- billing and payment
Client Service Tools
Authorized, role-specific and rules-based access to just the information and documents needed, and only when they’re necessary. These tools include
- directories
- contracts and re-contracting
- network development and management
- credentialing and privileging
- quality and pricing programs
- on-demand reporting
- targeted and network-wide communication
- dispute resolution
Reporting
Safely, and from any computer, generate, share, and print documents and reports
- patient event summaries
- utilization reports
- cost/savings reports
- quality reports
