GTESS Claims Gateway Solution and Portal Delivers Enhanced Connectivity, Visibility and Cost Savings for Healthcare Industry Customers
Unique hybrid solution of Business Process Outsourcing services and ASP applications, featuring the GTESS client portal, offer a 99 percent guaranteed accuracy rate and an average savings of $2.55 per claim
all focused on driving downstream adjudication rates.
The GTESS Claims Gateway Solution is a single-point medical claims processing and management solution. Not simply a “front end” solution for claim conversion, the Claims Gateway Solution offers fully integrated, automated medical claims processing for paper and EDI claims, powered by business process management technologies to facilitate and speed workflow and quality.
Currently, payer clients may access GTESS’ document management, repricing and network management facilitation modules, as well as operational reporting, through its client portal. In the future, the GTESS client portal will allow the client’s claims personnel to access and interact with real-time claims information through a single, integrated dashboard interface, handling exceptions and pends quickly and seamlessly.
“The GTESS Claims Gateway Solution is a unique and unmatched integrated suite of applications that offers a seamless technology platform across multiple applications,” said Deborah M. Gage, president and CEO. “Our solution, featuring the GTESS portal, provides our clients with streamlined implementation processes, superior data accuracy and compliance and a guaranteed ROI with little or no technology or implementation risk.”
The GTESS Claims Gateway Solution also addresses many of the complexities inherent in medical claims processing, including converting client claims into the right system language for most of the widely used adjudication systems.
“Throughout 2005, the Claims Gateway Solution will evolve with additional ASP applications and specialized Business Process Management tools,” said John Olsen, chief technology officer. “We’re continually innovating toward our goal of creating next-generation solutions in terms of client value, usability, and connectivity.”
For an online demonstration of the GTESS Claims Gateway Solution client portal, please log on to www.gtess.com/demo.
For more information about GTESS and its healthcare Business Process Outsourcing services, please log on to www.GTESS.com or contact John McGahey, Sr. Vice President of Sales, at 972.792.5512, or sales@gtess.com.
About GTESS
GTESS is a provider of business process outsourcing (BPO) solutions for healthcare plans and benefit managers. The Company leverages proprietary technology that replaces error-prone human processes with automated workflow in a superior service model to lower the cost and improve the quality of healthcare payment systems. Our services include a total pre-adjudication medical claims processing system of integrated, client-customized applications (the “Claims Gateway Solution”) for claims receipt, verification, data quality improvement, duplicate claim detection, member and provider verification, PPO-Connect™ network management and repricing services, claim routing and tracking, and document management. The Claims Gateway Solution uses business process management (BPM) technologies to create new efficiencies and offer process transparency throughout the claim process. Our ‘clean-claim’ HIPAA-compliant electronic data interchange (EDI) delivery systems go beyond what can be achieved by automating parts of the process, or outsourcing operations off-shore. We deliver higher-quality data and cleaner claims which result in dramatic improvements in turn-around times and processing costs.