Effective Health Systems, Llc

Effective Health Systems (EHS) provides Intelligent Decision Solutions and Workflow Automation Services for claims management organizations. EHS's BaseLine platform accelerates and automates the medical compensability, utilization review & escalation, ancillary services, letter generation, and bill review processes for claims organizations. BaseLine delivers the ability to integrate disparate software systems that enables data to become fluid, transparent, and transactional across multiple systems. In addition, BaseLine provides several reporting tools that capture metrics for consistent performance improvements. EHS's BaseLine raises the core competencies of the claims organization, creates work environments that are more conducive to attracting and retaining the highest quality workforce, and delivers technologies that foster performance, transparency, and accountability throughout the system. Our clients include some of the largest insurance carriers and TPAs, and dozens of third-party services partners that serve the insurance industry. Our clients report that they like us because we are easy to work with, our systems do what we say they will do, and we don’t break.