GTESS Corporation, a leading provider of Business Process Outsourcing (BPO) services to the healthcare industry, today announced that Assuri-T™, which is powered by its new technology partner Bloodhound, Inc., is available as part of the Claims Gateway Solution™, GTESS’ full suite of integrated, pre-adjudication applications. Assuri-T is a comprehensive application that proactively detects instances of overpayment before claims are loaded into a client’s core claim system. The Assuri-T overpayment protection services include solutions for duplicate claims, clinical editing and elements of fraud & abuse detection, saving payer customers an average of 1-7 percent in medical costs. This translates into millions of dollars annually in savings.

“Claim overpayment due to fraud, waste, duplication or abuse is a $125 billion annual problem for payers,” says Deborah M. Gage, President and CEO, GTESS Corporation. “Targeted applications like Assuri-T, when part of a comprehensive system such as the Claims Gateway Solution, not only help our customers reduce annual overpayment liability, but also provide them with an agile business process management solution that can adjust as their needs change.”

Assuri-T is also an intuitive solution that is flexible enough to fit customers’ payment policies. With an ASP delivery model through the Claims Gateway Solution, the application can be modified as clinical guidance and regulations change. Assuri-T saves administrative costs because overpayment can be detected and stopped prior to adjudication. This helps GTESS customers save a significant portion of the average cost to adjudicate a claim.

“With Assuri-T, GTESS customers get a powerful overpayment detection solution that is integrated into a complete pre-adjudication system and works with other ‘clean claim’ technologies to maximize the quality and accuracy of the claim as efficiently as possible,” said John Olsen, Chief Technology Officer, GTESS. “The result is significant savings, both in a payer’s bottom line as well as in top-line expenses such as human resources and adjudication system upgrades.”

GTESS selected Bloodhound to be its technology partner of choice to power the Assuri-T product after undergoing an exhaustive search.

“We are pleased to be a core part of GTESS’ service offerings,” said Bloodhound’s CEO Gary Twigg. “With Bloodhound powering Assuri-T, GTESS is able to leverage our expertise in overpayment protection, seamlessly incorporating this service into GTESS’ stream of pre-adjudication claims processing services.”

For more information on Assuri-T and demonstrations of other features of the Claims Gateway Solution, go to www.gtess.com/demo. For more information about GTESS and its technology solutions for the healthcare industry, please log on to www.GTESS.com or contact Ivan Boyd, Senior Vice President of Sales, at 972.792.5514, or sales@gtess.com.

About GTESS Corporation GTESS Corporation provides business process outsourcing (BPO) solutions that help healthcare plans and benefit managers automate the management and administration of healthcare payment systems, greatly improving process efficiencies and productivity, while reducing errors, overpayments and costs. GTESS provides customers with a total pre-adjudication medical claims process system called the Claims Gateway Solution — a suite of integrated, client-customized software modules 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.

About Bloodhound, Inc. Bloodhound, Inc. provides claims editing and business analytics services to all participants in the claims revenue cycle. Its services, technologies and products combine to offer any payor of claims the most comprehensive solution to preventing overpayment or miscoding of claims. Delivered as an ASP application, Bloodhound’s premier service, ClaimsGuard, enables real time edit processing of claims for accuracy including duplicates, up-coding, re-bundling, and unbundling of codes. Their customers engage Bloodhound to improve their profitability, gain insight into provider/payer historical behavior and assist them in building more efficient claims processes. For more information, please visit www.bloodhoundinc.com.