Global Reach Insurance Electronic Gateway

More than a traditional TPA. One secure gateway.

GR Gateway connects international carriers and health benefit organizations to U.S. and international healthcare networks, providers and transaction workflows.

Connected market access

Payers in. Networks connected. Providers within reach.

One coordinated connection helps reduce the operational friction between international benefit programs and the U.S. healthcare market.

Payers
International carriersCross-border health plans
Regional TPAsAdministrative partners
Benefit organizationsEmployers and programs
GR

Insurance Electronic Gateway

Eligibility, claims and network connectivity through one accountable operation.

Care access
U.S. networksNational, regional and specialty
International networksRegional and local partners
ProvidersHospitals, physicians and ancillary care

Gateway services

The operating services behind the connection.

Eligibility data management

Secure exchange and maintenance of member eligibility, demographics and plan information.

Network enrollment

Operational support to establish and manage access to appropriate U.S. and international network groups.

Claims exchange

Receive, route and reconcile claim information, acknowledgments and remittance data.

Benefit and plan mapping

Align international plan rules with U.S. transaction requirements and provider workflows.

Eligibility exchange

Real-time questions and responses

Eligibility inquiry, member demographics, plan benefits, copays, deductibles and benefit details.

Standards-ready
Claims exchange

Electronic claims and remittance flow

Claim submission, status inquiry, adjustments, acknowledgment, remittance and payment information.

X12 / FHIR where applicable

Value to carriers and members

Connectivity that supports a better healthcare program.

The gateway is not only technology. It is backed by GRH network, claims, clinical, pharmacy and support teams.

Market access

Enter and scale in the U.S. healthcare market through established network connections.

Efficiency

Reduce manual handoffs with structured eligibility and claims workflows.

Transparency

Give payer teams clearer visibility into transaction status and case activity.

Cost control

Combine network discounts, payment integrity and active case coordination.

One connection, broader reach

Connect your health plan to the markets where members need care.

Tell us about your eligibility, network and claims workflow.