CENCAL CARECONNECT

Owner

Goods & Services

Healthcare in the nature of health maintenance organizations; managed healthcare services; providing health information

Medicare claims administration services rendered to individuals; medical insurance case and utilization review and insurance claim adjustment services for healthcare purchasers and payors and providers and Medicare beneficiaries; insurance services, computer databases for the purpose of view and verification of Medicare eligibility status and related information; administration of pre-paid healthcare plans; electronic processing of insurance claims and payment data; insurance claims of administration; insurance claims processing; organizing pre-paid healthcare plans

Cost management for the health benefit plans of others; doctor referrals; healthcare cost containment; healthcare cost review; healthcare utilization and review services; pharmaceutical cost management services and drug utilization review services; verifying and monitoring the credentials of doctors and other medical professionals