GTESS Corporation Announces In-source Service Option

Processing Option Leverages Cloud Computing in Healthcare Claim Processing

June 13, 2011 — GTESS Corporation, a provider of health claims pre-adjudication technology and services for the healthcare industry, today announced the availability of a new service option for health plans and payers – allowing in-sourcing of the exception processing step in claim data cleansing and validation.  With this option, called The GTESS System – Enterprise Edition™, health plans and payers using The GTESS System™ for claim processing can correct and complete claims for adjudication with in-house personnel using GTESS technology inside their claims processing organization.

"Customers whose circumstances make it difficult to implement a total BPO solution now have the option to give their claims data entry team the productivity and 'power steering' of The GTESS System™," said GTESS Chief Technology Officer, John Christopherson.  "This new service option supports those clients that want to perform this function internally and provides additional cost and quality benefits, with complete HIPAA compliance."

The GTESS System - Enterprise Edition™ gives customers the benefits of cloud computing, yet still provides the security of using GTESS' technology — proven in the healthcare industry with over 30 million claims processed every year.  Enterprise customers operate on a robust, scalable platform dedicated to the health care industry and supported by seasoned technologists and claims experts with a proven track record of helping clients maintain smooth and efficient client operations.

About The GTESS System – Enterprise Edition™
GTESS is offering an alternative to customers so they may gain the cost and quality benefits of The GTESS System™ inside their own claims processing organizations.  The GTESS System - Enterprise Edition™ enables customers to perform exception processing without the hassle of and investment in large-scale computer hardware, software or the technical expertise and administrative overhead of operating a data center.  With minimal hardware investment, a customer can power virtually any number of exception processing personnel as all automated claim data enhancement is done in the GTESS data centers. GTESS secure and hardened data centers are SAS 70 Type II compliant and staffed 24x7x365.

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.