
GTESS provides an outsourced front-end solution including paper, web and EDI claims conversion and cleaning, correspondence and non-standard claim management, coordination of benefits (including Medicare), repricing facilitation and a full document management solution. Their core systems feature years of progressive functionality based on solid artificial intelligence and neural net technology. They operate in partnership with leading healthcare payers and networks in the country. Helping TPAs, PPOs and HMOs outsource their front-end operations to gain quality and service improvements while focusing on strategic initiatives and positively impacting their bottom line.

GTESS provides an outsourced front-end solution including paper, web and EDI claims conversion and cleaning, correspondence and non-standard claim management, coordination of benefits (including Medicare), repricing facilitation and a full document management solution. Their core systems feature years of progressive functionality based on solid artificial intelligence and neural net technology. They operate in partnership with leading healthcare payers and networks in the country. Helping TPAs, PPOs and HMOs outsource their front-end operations to gain quality and service improvements while focusing on strategic initiatives and positively impacting their bottom line.
Founded: 1990 — Richardson, Texas
What they do: Outsourced front-end healthcare claims processing and document management
Technology: Automation with artificial intelligence / neural network-based systems
Exit & funding: Last VC round Series B (May 2, 2005); acquired by BancTec (June 2012)
Healthcare claims front-end processing, claims data conversion/cleaning, correspondence handling, coordination of benefits, and document management.
1990
Healthcare operations / Document management / Business process outsourcing
“Backed by institutional investors including General Catalyst, Kodiak Venture Partners, HLM Venture Partners, SnowMark Corporation, Seed Capital Partners, and Adams, Harkness & Hill Technology Ventures.”