Vincent Vallejo
972-792-5529
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February 5, 2007 — (GTESS Corporation, Richardson, TX) GTESS Corporation, a healthcare claims transaction technology provider, today announced it is implementing The GTESS System™ for six major healthcare organizations, including one of the nation's largest managed care organizations serving more than 2.5 million members; an East Coast-based Medicare provider; a leading West-Coast Medicaid provider, a national multiemployer health plan covering entertainment industry employees; a provider-based health plan; and, in a pilot project, a technology provider to Blue Cross® Blue Shield® organizations.
"The GTESS team is proud to be serving these progressive health plans and Medicaid/Medicare payers as they focus on installing technologies that improve automation, attain higher rates of adjudication and enable their movement toward real-time claim processing," said GTESS President & CEO, Deborah M. Gage. "Among leading plans, the pace of automation to achieve straight-through claims processing has picked up significantly."
"In fact, in our recent survey* of health plans and related organizations, a majority of executives confirmed their plans to invest in automation technologies to drive cost and process improvements in their healthcare claim processing operations," continued Gage. "The research certainly confirms our real-market experience that health plans are beginning to shift away from offshore labor-arbitrage BPO services in favor of less risky, more flexible technology-based services."
About The GTESS System
The GTESS System™ is the company’s core technology. Its performance is strikingly different from traditional outsourced labor and BPO solutions, as its claim-cleaning power is derived from automation. Our 'clean-claim' HIPAA-compliant electronic data interchange (EDI) delivery systems go beyond what can be achieved by automating parts of the process or outsourcing operations off-shore. We do not employ a labor arbitrage model to drive cost reductions, choosing instead to create and implement unique software services that apply key data to claims to achieve high first-pass rates.
*The survey, conducted in the summer of 2006, included telephone interviews with executives and relevant health plan personnel. These executives represented organizations that process 7.5 million claims annually, segmented by organization size into three main groups – Tier 1 (more than 11 million claims annually), Tier 2 (between 2.9 and 11 million claims annually) and Tier 3 (between 1.2 and 2.9 claims annually). For more information about this survey’s findings, please log on to www.GTESS.com.
About GTESS Corporation
GTESS is a Dallas, Texas-based provider of software as a service technology 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 only 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.
GTESS (www.GTESS.com) is headquartered in Richardson, Texas with technical operations facilities located in Dallas and Irvine, California.
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