Backed by time-tested processes and services, GTESS implementation experts help you quickly achieve maximum benefits and a solid return on investment from your GTESS solution. We provide implementation tools and expertise to meet the needs of your mailroom, claims system, claims processing, and EDI systems. We guide you step-by-step, providing a structured, but flexible process to design business rules and workflows to meet the needs of your organization. Our project management approach utilizes best practices in the industry to keep projects on-time and on-budget.
Implementation Process Highlights:
GTESS partners with the client's team to review roles, project plan, benchmarks and deliverables.
Workflow, EDI interfaces, edits, mailroom procedures, and document management processes are documented and implemented, and iterative testing is conducted.
GTESS begins processing small batches of client claims through the production system. The client accepts and processes these claims using their production system and personnel. During this phase, system edits are made as needed to continually improve auto-adjudication rates.
Claim volume is sent to GTESS. Additional edits are implemented, as needed, to continually improve auto-adjudication rates. Production-level customer service and quality auditing begin.