GTESS Technologies for Complete Claims Processing

So that clients benefit from streamlined, lower-cost, higher-quality claims, all GTESS applications seamlessly integrate with the technology and processing of The GTESS System™. All GTESS applications are powered by underlying business process management (BPM) technologies to drive downstream efficiencies and provide process transparency.

Document Management System | PPO Network Management System
Duplicate Claim Protection System | Workflow and Work Queue System

Document Management System - DocControl™ 3.0

DocControl mitigates risk, reduces cost and improves quality by serving as a single-source repository for all your claims and claim-related documents. This Internet-based document management solution streamlines and manages documents to provide control and easy access to claim data, while significantly reducing labor exposure and increasing customer service.

The GTESS document management system offers advanced features, including HIPAA-compliant, secure ASP accessibility, entitlement-based user authorization and two years of historical claims archiving.

PPO Network Management System - PPO Connect™ 3.1

A facilitated repricing solution for benefit administrators' networks, PPO Connect automates workflow for network routing, offering real-time, multi-network tracking of claim location and age. In addition, PPO Connect facilitates layered repricing strategies including wraps and fee negotiations, enabling even mid-sized benefit administrators with limited in-house IT support to benefit from available discounts. Available on an ASP basis, PPO Connect features an easy-to-use interface to facilitate operation and training.

Duplicate Claim Protection System - AssuriT™ 3.0

GTESS offers over-payment detection of incorrect or duplicate claims early in the claims process, before manual intervention is required or payment is made. Clients benefit from savings achieved by eliminating additional adjudication expenses and costly recovery adjustments.

Workflow and Work Queue System - G-Queue™ 3.0

Functioning at the intersection of GTESS' core technologies, the G-Queue workflow system drives improvement, visibility and control over the entire claims payment business process. G-Queue enables GTESS clients to achieve as much as 75% improvement in business process efficiency.