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GTESS Helps Nova Healthcare Administrators with Claims Processing Automation

Technology to drive Workflow and Process Improvements

November 15, 2011 — GTESS Corporation today announced that it has completed the implementation of services to Nova Healthcare Administrators Inc., a premier administrator of self-funded plans that provides a full range of medical, dental, vision and prescription benefit plans.  Nova Healthcare Administrators will use GTESS’ automated pre-adjudication technology to improve workflow processes and drive enhanced claim handling automation.

“As Nova expands our membership base and the types of programs we offer, we continue to invest in technology to directly support our process improvement goals,” said Laura Smith, Executive Director at Nova Healthcare Administrators.  “We are already realizing the benefits GTESS’ systems and automated processes add to our administrative efficiencies.”

Donna Taylor, GTESS Chief Operating Officer, noted, “Nova Healthcare, like many TPA’s, is focused on streamlining its administrative processes to gain efficiencies and drive down overall costs.  We’re thrilled about building a partnership with NOVA as it strengthens for future business.”

“Working with an organization like Nova Healthcare Administrators demonstrates the true value of automation applied to complex healthcare processes,” said Jim Gallagher, GTESS VP Sales, Eastern Region.  “NOVA sets a strong standard for the use of technology platforms and services to help improve its operational processes.

About Nova Healthcare Administrators
NOVA Healthcare Administrators, Inc. is one of the largest third party administrators (TPA) of Self-Funded employee benefit programs in New York State. Based in Western New York, NOVA administers customized benefit plans for all types of businesses including corporations, municipalities and unions.

Since 1982, NOVA has been recognized nationally as a premier administrator of Self-Funded plans. NOVA provides a full range of services Medical, Dental, Vision and Prescription benefit plans. Additional services include Flexible Spending Account administration, COBRA and HIPAA administration and Medical Resource Management services.

About GTESS
GTESS is a Dallas, Texas-based provider of claims pre-adjudication technology and services for advancing the efficiency, accuracy and speed of healthcare transactions. We provide technology that allows our clients to achieve their goals for increased automation, speed and lower costs of claims processing. GTESS serves health plans, benefit administrators and networks, and our team of healthcare-experienced professionals delivers industry-leading service levels and guaranteed high-quality results every day.

The GTESS System™ drives automation and straight-through processing, allowing healthcare payers to accelerate their initiatives to achieve lower transaction costs, improve payment accuracy and move toward real-time transaction processing. Our patent-pending technologies include applications that increase straight-through processing of claims by editing, enhancing and correcting submitted data, completing network routing and re-pricing, implementing business rules and correcting provider and member claim data to match client system files to insure auto-adjudication, and achieve automated workflow, tracking and repository access to their healthcare claims.

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Events

2012 CAHP Claims Seminar

April 25, 2012
San Francisco, CA
http://calhealthplans.org/events.php

2012 Genelco User Conference

April 29 - May 2, 2012
St. Louis, MO
www.genelco.com/userconference

2012 EDI Summit

April 30 - May 3, 2012
Savanah, GA
http://www.ndedic.org/

2012 Western Claim Conference

August 19 - 21, 2012
Indian Wells, CA
www.westernclaimconference.com

NADP CONVERGE 2012

September 10-13, 2012
Phoenix, AZ
www.nadp.org

SIIA 32nd Annual Conference and Expo

October 1-3, 2012
Indianapolis, IN
www.siia.org

27th Annual CAHP Conference

October 15 - 17, 2012
Huntington Beach, CA
http://calhealthplans.org/events.php