GTESS Meets HIPAA 5010 Standard

Clients enjoy quick and cost-effective 5010 adoption

January 31, 2011 — (GTESS Corporation, Richardson, TX) GTESS Corporation, a provider of health claims pre-adjudication technology and services for the healthcare industry, today announced that it has completed the Companion Guide to assist with the transition to 5010 HIPAA data exchange standards for its healthcare payer clients.  The HIPAA regulation, which mandates that U.S. healthcare payers upgrade to the more complex 5010 standard for claims data exchange with healthcare providers and networks, includes a deadline for conversation of January 2012.

GTESS is working closely with those clients that are prepared to convert before the deadline. Additionally, the Company is ready to assist payers who might find this mandate challenging for any of the following reasons:

• The existence of a legacy claim adjudication system that does not support the 5010 standard,
• Scarcity of IT resources required to upgrade the software to handle 5010, or
• They are in the middle of a claim adjudication system conversion and won’t be ready to meet the January 2012 deadline.

For those payers, GTESS is equipped to manage the government mandate on their behalf by accepting the 5010 transactions and reformatting claims files as required by their claims system.

"Our clients – like many healthcare payers – are concerned about the resources required to implement the conversion within the required timeframe,” said Donna Taylor, GTESS Chief Operating Officer. “Because we have already established business rules for the claims, as well as communication avenues for file transfers, we can handle our client’s EDI claims on an ongoing basis.  Alternatively, we can serve as a bridge until a new or upgraded claims system is in place.”

About GTESS Corporation
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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