News and Events

GTESS Announces Third Annual Claims Processing Benchmark Awards

GTESS began tracking the operational metrics of its clients in its annual Benchmark Survey during the 2003 Partners Forum. Each year, the survey significantly expands in both client participation and benchmark statistics. The aggregate benefits administrator/HMO/indemnity data presented in the 2005 report represents 13.6 million covered lives and 27.3 million claims per year.

The Survey provides an analysis of clients' operational metrics such as claim auto-adjudication rates, turn-around time and cost. Additionally, participating in the Survey provides an opportunity for clients to work directly with their GTESS account executive and assess their client-specific data to identify best practices and areas for improvement. We plan to conduct this survey annually and offer our clients the ability not only to benchmark themselves against each other, but also over time.

2004 - 2005 Results Comparisons:

• TPA client reporting shows a 34% decrease in the average processing cost per claim.
• The average processing cost per claim decreased 56% for HMO/PPO clients who reported during both survey years.

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Ellen Donahue-Dalton
GTESS
404.442.7900