Best-in-class Technology

Over the years, GTESS has been acknowledged as a leading innovator of propriety technology that solves a specific healthcare challenge. Today, GTESS technology experts develop and apply best-in-class solutions to the claims administration process. This continual process improvement ensures unsurpassed operational efficiency for GTESS clients now and into the future.

Just a few of the reasons GTESS technology is superior:

• Proven to increase claim accuracy, improve speed and generate time and cost savings.
• Readily accepts paper and EDI claims and automates pre-adjudication processing to deliver a clean, homogeneous stream of claim data back to customers.
• Customized for specific client needs. GTESS understands the unique requirements of current healthcare options. With vast experience in the Medicare, Medicaid and TPA markets, GTESS will customize business rules that apply specifically to the processing needs of your claim system.
• Ensure healthcare policy and regulatory compliance with a partner that is focused 100% on the health and dental market. GTESS continuously updates operating platforms to stay current with industry requirements.
• High-quality solutions confirmed by SAS 70 Type II accreditation.
• Scalable so when you're ready to grow, be assured that GTESS maintains the technological infrastructure and staffing to support your new business without missing a beat.
• Innovative technology driving pre-adjudicaiton efficiencies. For example, with GTESS Advanced Claim Validation (ACV), GTESS accomplishes through technology what takes many BPO organizations years, if ever, to master—claim review based on deep industry knowledge and actual historical claims experience with individual providers, geographies, specialties and settings of care.
• Secure tamper proof technology ensuring HIPAA compliance is always maintained.