GTESS Services for High Quality Processing Operations

To ensure high-quality implementation and operations, GTESS also offers services that are a lower cost, higher quality alternative to off-shore outsourcing and in-house processing.

Mailroom Services | Exception Processing Services | Clearinghouse Integration Services

Mailroom Services

To improve clients' front-end processing, GTESS provides complete mailroom services in a secure, HIPAA compliant locked down environment. With independent client-focused teams working in our fully equipped technology and operations center, GTESS meets or exceeds customer promises.

Client Advantages

Scalability
Ensure audit compliance
Peace of mind
Complexity of client diminish to "everyday event"
Clients maintain autonomy

Client Benefits

Minimize HIPAA risk
Minimize compliance issues
Ensure accuracy of sorting as well as learning filing patterns
Standardization which equates to accuracy, reliability and consistency
Client does not have to incur cost to expand its mailroom operations

Clearinghouse Integration Services

Clearinghouse Integration Services couple the power of The GTESS System with a network of high-quality national and regional clearinghouses providing competitively priced services. GTESS clients achieve high-quality, low-cost EDI connections with complete access to the GTESS web-deployed solution. To gain consistent electronic processing for all claims and eliminate multiple electronic claims sources, GTESS can serve as single clearinghouse aggregator.

Client Advantages

Single file being received
Single repricing workflow for all claims
Accurate data
Fewer adjustments
Reduce duplicate claims receipt

Client Benefits

Increase adjudication rates
Cost savings
Improve provider relationships
Decrease turn-around times

Exception Processing Services

Exception Processing Services are performed as part of The GTESS System™ and can be provided as a service from GTESS. Due to the flexibility of GTESS, clients may elect to perform these services themselves.

The GTESS System is designed to perform data extraction and enhancement using technology in place of a labor-based model. A minimal staffing component is employed to ensure that all technology works as expected and to meet service level agreements.

The exception processing and audit are the only functions of The GTESS System requiring human labor to verify the performance of The GTESS subsystems. These functions are based on basic statistical process control methodology. This function involves the visual inspection of a small amount of data on selected fields identified through our systems for quality assurance.