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
Attachment Form Digitization | Web-based SLA Tracking

Document Management System - DocControl™

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™

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.

Attachment Form Digitization - Data Capture

Pertinent information from designated fields is captured and included in structured data files sent to Client. Forms include but not limited to EOBs, EOMBs & Repricing Sheets, Enrollment Forms, Superbills and Prescription Drug Receipts.

Web-based SLA Tracking - Reporting

GTESS Dashboard Reporting examines the success of our delivery against contractual benchmarks. The reports are produced daily and are available online through the secured GTESS reporting portal.