Solutions

GTESS custom solutions edit and clean claims quickly by automating specific, time and cost-intensive processes. Our 'clean-claim' HIPAA-compliant electronic data interchange (EDI) technology goes beyond what can be achieved by automating parts of the process or outsourcing full front-end operations offshore.

We do not employ a labor arbitrage model to drive cost reductions, choosing instead to create and implement a unique set of software services to improve data capture and downstream adjudication improvement. As a result, our clients focus on other business initiatives while achieving improved claim through-put, claim accuracy, compliance, turnaround times, scalability and cost savings.

Offered in a number of delivery models to meet the unique needs of each client, GTESS integrated solutions feature:

Equally important are GTESS Professional and Implementation Services that provide expert guidance and support to ensure your solutions solve your unique business challenges and are maximized.

Choosing a front-end claims processing partner

GTESS is the top choice for organizations that demand a partner that delivers the highest quality and most efficient solutions without risk. In today's changing healthcare environment, you need a partner that uses automation and focuses exclusively on healthcare to keep pace with the industry. A partner that negates struggles with scalability, regulations and rising costs. Choose GTESS.

When clients choose all GTESS offerings, they benefit from a 360-degree claims pre-adjudication solution that:

  • provides highest quality data capture
  • drives downstream adjudication efficiencies
  • provides process transparency
  • and generates an ROI of 30 – 60% within six to 12 months and transaction savings of 25% to 50%