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GTESS Corporation announces new level of SAS 70 Type II Certification

Additional controls ensure quality process outsourcing for health claim processing

March 2, 2011 — GTESS Corporation (Richardson, Texas) today announced that it has completed a rigorous external review of all its core business processes, resulting in a successful SAS 70 Type II certification for its core operations. This certification represents SAS 70 Type II compliance for the primary functions GTESS performs as an outsourced provider of healthcare claim processing. The Company, which has held SAS 70 Type II certifications for its data center operations since 2004, applied for the audit of an additional 11 control objectives related to its Technology and Business Operations, Product Development, and Engineering and Client Services.  GTESS successfully demonstrated that its internal controls were well-designed and that processes and procedures are in place to meet those control objectives.

“This audit and certification confirm our ever-increasing standards in data security, technology and product management, claim handling and customer service,” said GTESS Chief Technology Officer, John Christopherson.  “As a leading provider and trusted partner to health plans and payers nationally, we are committed to completing every client interaction with this level of excellence,” continued Christopherson.

“As a long term partner of GTESS’, we often count on them to implement solutions that help our company be more productive,” said Mac McIntyre, VP of Information Technology at Dallas, Texas-based TPA, Group & Pension Administrators, Inc.  “In true partner fashion, they always accomplish mandated regulatory compliance demands – which would otherwise create a burden for GPA – ahead of schedule.  GTESS’ enhanced SAS 70 Type II certification also helps us comply with our own SAS 70 auditor, who demands that our partners be SAS 70 certified.”

About SAS 70

SAS 70 is an internationally recognized auditing standard developed by the American Institute of Certified Public Accountants (AICPA). Based on an independent audit, SAS 70 certification allows service organizations to guarantee process integrity based upon adequate controls and safeguards used when they host or process data belonging to their customers.  This recent audit concluded that GTESS’ control systems are appropriately designed to achieve effective performance and that GTESS has fully implemented and satisfactorily complies with these controls and processes. 

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