GTESS Corporation, a provider of Business Process Outsourcing (BPO) services to the healthcare industry, announced the general availability of its Claims Gateway Solution, featuring the GTESS client portal.
The Claims Gateway Solution is the first hybrid Business Process Outsourcing (BPO)/ASP model offering a complete suite of medical claims processing applications based upon integrated, client-customized technologies. GTESS clients can now reportedly employ broader pre-adjudication automation to further reduce administrative costs per claim, streamline processing, increase visibility and control — on driving downstream adjudication rates.
The GTESS Claims Gateway Solution is a single-point medical claims
processing and management solution. The Claims Gateway Solution offers fully integrated, automated medical claims processing for paper and EDI claims, powered by business process management technologies to facilitate and speed workflow and quality.
Currently, payer clients may access GTESS’ document management, repricing and network management facilitation modules, as well as operational reporting, through its client portal. In the future, the GTESS client portal will allow the client’s claims personnel to access and interact with real-time claims information through a single, integrated dashboard interface, handling exceptions and pends quickly and seamlessly.
The GTESS Claims Gateway Solution also reportedly addresses many of the complexities inherent in medical claims processing, including converting client claims into the right system language for most of the widely used adjudication systems.
For an online demonstration of the GTESS Claims Gateway Solution client portal, log on to http://www.GTESS.com .
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