News and Events

GTESS Introduces Improved Document Management Solution
Helps healthcare payers and networks manage non-standard claims a d nelated documents/correspondence

June 23, 2003 GTESS Corporation (Richardson, TX), a leading provider of business process outsourcing solutions to the healthcare industry, today announced a new version of its integrated document management system, DocControl™. DocControl™, designed specifically to index and track various healthcare claim types and related non-standard documents, now offers clients the ability to view claims, correspondence, contracts, enrollment forms and member-related documents in a single web-based application.

GTESS CEO and President, Deborah M. Gage, said, "For every claim processed in the healthcare industry, 3-5 other related documents exist. Now, through the advanced electronic indexing and archiving capability of DocControl™, clients can efficiently connect these ancillary paper or EDI documents to create a single claim and/or member record. – all with client-defined control and security."

As a provider of a "Virtual Front-End" to healthcare payers and network providers, GTESS automates - with proprietary technology - manual and time-consuming processes, such as mailroom operations, data entry, eligibility verification and repricing. DocControl™ goes far beyond traditional claims processing system capabilities for indexing and archiving, offering GTESS clients a path to seamless management of their members’ data. DocControl™ continues the GTESS tradition of creating proprietary technology solely for the control and display of healthcare documents, and has been shaped by more than three years of customer feedback. In addition, this automated handling of private patient information helps clients achieve and maintain HIPAA compliance.

Product Specifications

Efficiency

DocControl™ handles physician, institutional, and dental claims with full indexing capabilities, as well as all types of non-standard claims and correspondence, including the following:

• COBRA notifications
• "Shoebox" claims
• RX claim receipts
• Enrollment forms
• Stop loss contracts
• Refund letters
• Appeals
• Provider contracts Control
• Access control and auditing.
• No loss of paper. In fact, coupled with GTESS mailroom services, DocControl™ provides an instant electronic backup at the beginning of claims processing.
• EDI claims are "printed" to the archive system to provide a single customer service window into all claims (whether paper or EDI).
• User-based entitlements allow clients to control individual user access to restricted documents and to dictate whether a user is allowed to update document indexes.
• HIPAA Privacy compliance.

GTESS Corporation offers significant operating efficiencies to the healthcare industry through a range of outsourced solutions that streamline electronic claims processing. The company specializes in providing full front-end services, from paper and electronic claims receipt and validation to data archival and retrieval. By receiving "clean claims" in HIPAA-compliant formats, GTESS clients achieve higher auto-adjudication rates, maintain peak-level processing capacity and eliminate their backlog -- all with guaranteed turnaround time and data accuracy.

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Karen Hallman
GTESS
972.792.5558