EVERNORTH PRECISION PATH

Owners

Goods & Services

Advisory services and consultancy regarding healthcare; healthcare services, namely, disease management programs

Organization and coordination of healthcare services, namely, personal concierge services for member individuals with chronic diseases comprising making requested clinical healthcare doctor's appointments to meet individual needs in the nature of oncology, radiation therapy, diagnostic radiology, and surgery appointments

Software as a service (SAAS) services featuring software for use in connection with evidence-based healthcare and insurance, namely, the development and implementation of algorithms and analytical models from evidence-based medical criteria for purposes of a medical utilization review and reporting, and verifying the requesting provider's adherence to evidence-based medicine guidelines and determining the appropriate intensity of medical utilization review based upon the requesting provider's prior history; Application service provider, ASP, featuring software for use in developing, analyzing, and maintaining information and database management in the fields of healthcare, benefits programs, employee productivity, and risk management; Software as a service (SAAS) services featuring software for optimizing healthcare utilization, managing utilization and financial risk for healthcare payers, assisting physicians in making clinical decision, and analyzing data to help health care providers track clinical decisions and develop best practices

Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and beneficiaries of health plans; Organization and administration of networks of preferred healthcare providers being organization and administration of preferred provider programs in the field of oncology; Claims administration services in the field of health insurance; Insurance administration in the field of health care; administration of healthcare benefit plans for Medicare and Medicaid-eligible individuals; administration of health insurance plans in the nature of managed health care plans; insurance services, namely, administration of healthcare benefit insurance plans

Medical cost management; managed care services, namely, utilization review and pre-certification and post certification review services in the field of oncology; organization and administration of networks of preferred healthcare providers, namely, arranging of managed care contractual services in the field of oncology; Managed care services, namely, electronic processing of health care information; Organization and coordination of health care services in the nature of arranging managed care contractual services in the field of oncology; health care cost management services for healthcare benefit plans of others and risk-bearing provider organizations being medical cost management services