Health Plans

Health Plans face increasingly complicated medical claims-handling processes – at the same time encountering rising healthcare costs and declining per-case prices.

The GTESS System™ is focused on one goal:

• Improving adjudication rates by guaranteeing data quality,
• Decreasing turnaround times and
• Significantly reducing costs associated with claim handling.

From claim receipt and pre-conversion cleaning to repricing and document management—all with state-of-the-art business process management technologies for maximized operational control and reporting—GTESS offers a medical claim process management technology solution even for the most complex health plans.