News and Events
GTESS and Eldorado Computing Form Strategic Alliance to Offer Complete Claims Processing Solution to Healthcare Payers
Richardson, TX – June 14, 2004 – GTESS Corporation, a leading provider of business process outsourcing solutions to the healthcare industry, and Eldorado Computing Inc., a nationally recognized provider of health benefits management solutions to healthcare payers, announced the signing of a strategic partnership to offer a comprehensive, automated, receipt-to-adjudication claims processing solution. The new offering will be launched at Eldorado Computing’s Annual User Group Seminar, June 13th – 16th in Phoenix, Arizona.
According to the terms of this agreement, GTESS and Eldorado will jointly deploy their sales, marketing and business development resources to market this solution that comprises the GTESS “virtual front end” and the Eldorado HEALTHpac claim adjudication engine. In addition, both parties agree to support a standardized implementation process and data exchange utilizing the HIPAA-compliant X12 837 4010 EDI format.
“Healthcare payers measure their success in terms of auto-adjudication rates and the operational advantages associated with those higher rates,” said GTESS CEO & President, Deborah M. Gage. “An integrated GTESS-Eldorado solution allows us to offer yet another way to increase auto-adjudication rates, drive operational efficiencies and significantly reduce the total cost of claims processing.”
According to Eldorado Computing’s CEO Zane Bell, “Our top priority has been to increase auto-adjudication rates. Thanks to partnerships with world-class solution providers such as GTESS, payers can now achieve the highest possible rates.”
About Eldorado
Based in Phoenix, Arizona, Eldorado Computing Inc. is a recognized leader in providing integrated software and ASP solutions for health benefits management. The company serves hundreds of third-party administrators (TPAs), health plans, employers and self-funded organizations. Together, Eldorado’s 10 customers manage seven million lives and handle more than 43.2 claims annually. For more information, contact Eldorado at 602.604.3100 or visit the company's Web site at www.eldocomp.com.
About GTESS
GTESS provides business process outsourcing services to managed care organizations and benefit administrators. The company leverages proprietary technology to provide pre-adjudication claims processing, replacing error-prone human processes with automation. The GTESS Virtual Front End suite of services includes outsourcing claim receipt (paper and EDI claims), duplicate claim detection, claim edits and verification, membership and provider validation, PPO Connect™ repricing facilitation, claim routing and tracking, document management, and 'clean-claim' EDI delivery. GTESS has a growing list of more than 20 trading partners, including most regional and national PPO and network providers. For more information call John McGahey, GTESS VP of Sales and Account Management at 972.792.5512.
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Copyright GTESS 2004
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Karen Hallman
GTESS
972.792.5500
Ellen Donahue-Dalton
Dalton Associates
404.442.7900
Jodi Amendola
Amendola Communications for Eldorado Computing
480.664.8412
j.amendola@cox.net
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