URAC-Accredited Administrative Services Organization

Clinical and administrative teams that work like your own.

We staff, manage and run the work behind your care, from utilization management and credentialing to dementia care and pharmacogenomic testing. Our teams plug into your systems so your people can focus on patients and members.

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Your GCS team, right now Live
38%Faster claims turnaround
98.1%First-pass claims accuracy
5–10Days to go live
Prior authorization review completedUtilization management
Discharge follow-up call completedTransitional care
Claim adjudicated and remittance sentClaims team
Appointment rescheduled and reminder sentPatient access
After-hours triage call answered24/7 RN line
Medication therapy management call completedPharmacy support
Provider file verifiedCredentialing
Health risk assessment completedCare management
PGx results reviewed with patientPharmacist review
Spanish-language member call resolvedMember services
Caregiver check-in loggedCMS GUIDE coordination
Member eligibility verifiedEnrollment and eligibility
Prior authorization review completedUtilization management
Discharge follow-up call completedTransitional care
Claim adjudicated and remittance sentClaims team
Appointment rescheduled and reminder sentPatient access
After-hours triage call answered24/7 RN line
Medication therapy management call completedPharmacy support
Provider file verifiedCredentialing
Health risk assessment completedCare management
PGx results reviewed with patientPharmacist review
Spanish-language member call resolvedMember services
Caregiver check-in loggedCMS GUIDE coordination
Member eligibility verifiedEnrollment and eligibility
Activity shown is illustrative. Results from a published GCS case study.

Working alongside

Hospital Council of Northern & Central California AchieveDx Michigan State Medical Society Healthcare Association Coalition Northern Metropolitan Hospital Association Dallas-Fort Worth Hospital Council Nassau-Suffolk Hospital Council South Florida Hospital & Healthcare Association
Built for compliance
URAC AccreditedHealth Contact Center
HIPAA CompliantSecure PHI handling
NCQACredentialing standards
CMS-CompliantOperations

Who we serve

Built for every part of healthcare.

Every organization carries a different operational load. Choose yours to see how we lighten it.

Keep members served and claims moving.

Clinical review, claims and member operations for commercial, Medicare and Medicaid plans, staffed by teams trained on your policies.

Utilization management and prior authorization
Claims review, adjudication and payment
Member services, enrollment and eligibility
NCQA-compliant credentialing
Case management and 24/7 nurse triage
Quality, HEDIS and risk adjustment support

What we do

One partner across the care continuum.

Start with one service or build a program around many. Every team is healthcare-trained, HIPAA-compliant and managed by us.

Clinical Services

Utilization Management
Intake, prior auth and concurrent review
Case Management
Hospital stays, discharges and transfers
24/7 Nurse Triage
Multilingual licensed nurse line
Transitional Care
Post-discharge follow-through
Medication Therapy Management
Comprehensive medication reviews
Health and Mental Health Coaching
Motivational interviewing and follow-up
Condition Monitoring
Real-time diabetes management
Health Risk Assessments
At enrollment, annually and after transitions
All clinical services →

Administrative Services

Claims Processing
Review, adjudication and payment
Credentialing
NCQA-compliant, full lifecycle
Member and Patient Services
Inbound, outbound and after hours
Enrollment and Eligibility
Timely member data processing
Revenue Cycle Support
Verification, auths and billing inquiries
Provider Relations
Engagement and compliance training
Medical Records
Retrieval, indexing and processing
ESRD Transportation
Dialysis rides and census review
All administrative services →

How we work

Your goals. Your systems. Our team.

1. Scope
We learn your structure and challenges, then point support where it is needed most.
2. Staff
Handpicked dedicated or shared staff, from 20 hours a week, in the languages you need.
3. Integrate
Our teams work inside your existing technology. Most clients go live in 5 to 10 days.
4. Manage
A dedicated manager tracks KPIs and replaces anyone who misses the mark.

One all-in hourly rate

Covers payroll, benefits, workers' compensation, employer of record, IT, implementation, management and facilities. Only client-specific software and phone systems sit outside it.

Security built in

URAC HIPAA ISO 27001 NCQA CMS-Compliant

Remote desktop environments keep data on your systems. NDAs available before onboarding.

Owned and operated locations

Our teams work in facility-based locations we run ourselves, not in someone else's building or at home.

Why GCS · What is an ASO?

An operations partner, not a staffing agency.

An Administrative Services Organization (ASO) takes on the clinical and administrative operations work behind healthcare, from utilization management and claims to member services and credentialing.

Unlike a staffing agency, we recruit, train and manage the team for you. Unlike a generalist outsourcer, everything we do is built for healthcare.

We run it
Hiring, training, management, facilities and IT, all included in one hourly rate.
You direct it
Goals, priorities, timelines and clinical policy stay yours.
It is built for healthcare
URAC accredited, HIPAA compliant and staffed by healthcare-trained teams.

How we compare with a typical outsourcing vendor

What you get Global Clinical Services Typical outsourcing vendor
Who does the work Healthcare-trained clinical and administrative staff Often generalist agents
Where they work Facility-based locations we own and operate Often subcontracted or home-based
Accreditation URAC Accredited Health Contact Center Varies by vendor
Management A dedicated manager who tracks KPIs and replaces underperformers Performance issues land back on you
Control You set goals, priorities and timelines Vendor-defined processes
Pricing One all-in hourly rate covering payroll, benefits, IT, facilities and management Base rate plus add-on fees
Flexibility Dedicated or shared staff from 20 hours a week Large minimum commitments
Speed to launch Most clients live in 5 to 10 days Often weeks or months
Systems We work inside your systems through secure remote desktops Often requires moving to vendor tools

Featured programs

Turnkey programs for today's care priorities.

Complete programs you can launch without building them from scratch.

Pharmacogenomic testing · Lab partner AchieveDx

One quick test. No more trial and error in prescribing.

A turnkey PGx program for hospitals, pharmacies and physician groups. A simple cheek swab goes to our CLIA high-complexity partner lab, and our team runs everything around it.

A send-out test
No equipment, validation or added lab cost
No new staff
Enrollment, benefits verification and results handled
Pharmacist review
Drug-gene interactions flagged for the care team
Role-based training
PGx training for clinicians and pharmacists

CMS GUIDE Model

Scale dementia care without scaling headcount.

Care coordination, a 24/7 RN support line, caregiver education and GUIDE documentation. Your team keeps diagnosis and treatment.

GUIDE support →

PACE Organizations

Operations built for all-inclusive care.

UM, HRAs, risk adjustment support, claims and transportation coordination in one partner that knows QuickCap.

PACE support →

Credentialing

Audit-ready from day one.

NCQA-compliant primary source verification, committee support, expirables tracking and continuous exclusion monitoring.

Credentialing →

Value-based care

Support that moves your quality and cost measures.

Value-based contracts reward outcomes, not activity. Our clinical and administrative teams work the gaps that drive your scores, from risk capture to readmissions.

Quality and HEDIS
Verification and outreach that help members get needed screenings and follow-ups.
Risk and HRAs
Health risk assessments and risk adjustment support that set accurate baselines.
Fewer readmissions
Transitional care, nurse triage and PGx insight that help avoid ED returns.
Population health
Care coordination, disease management and risk stratification across your members.

Get a support plan

Tell us where your team is stretched.

A specialist will follow up with:

A recommended team structure
Services matched to your goals
An all-in hourly rate proposal
A realistic go-live timeline
Step 1 of 3Your organization

What kind of organization are you?

Results

Measured in turnaround times and dollars saved.

Regional health plan · 180,000+ members

38%faster claims turnaround
13 → 8
Days to process
−57%
Claims backlog
98.1%
First-pass accuracy
Read the case study →

Health Plan

$2.2Msaved per year

Our clinical and administrative teams grew with this plan from 3,000 to more than 80,000 members, saving an average of $2.2 million a year in labor costs.

See what a team would look like for you.

Tell us your goals and we will recommend a team structure and an all-in hourly rate.

Get a support plan

FAQ

Questions we hear first.

Something else on your mind? Add it to your support plan request and a specialist will answer it directly.

Most clients are up and running within 5 to 10 days of engaging us. We have scaled 30 agent teams in 14 days.