HEALTHSUITE

Owner

Goods & Services

DOWNLOADABE COMPUTER APPLICATION software for the administration of medical insurance plans: enrollment, billing, benefit administration, provider credentialing, provider contracting and reimbursements, utilization management, claims administration and payment processing, claims auditing services, reporting and compliance with government regulations LICENSED TO HEALTH INSURANCE COMPANIES AND DEPLOYED EITHER ON PREMISE AT THE CLIENT'S LOCATION OR HOSTED BY APPLICANT AT ONE OF OUR HOSTING CENTERS

Application service provider, namely, hosting, managing, developing, analyzing, and maintaining applications, software and websites of others in the fieldS of medical insurance AND healthcare benefits programs. Computer services, namely, PROVIDING A WEBSITE FEATURING interactive NON-DOWNLOADABLE SOFTWARE services for the automation of administrative functions of a health insurance company; SOFTWARE AS A SERVICE (SAAS) SERVICES FEATURING SOFTWARE FOR INTERACTING BETWEEN THE HEALTHCARE ORGANIZATION AND ITS MEMBER AND PROVIDER CONSTITUENTS FOR HEALTH INSURANCE RELATED ADMINISTRATIVE FUNCTIONS

Administration of health plans, claims adjustment IN THE FIELD OF INSURANCE and INSURANCE administration; Insurance services, NAMELY, providing INSURANCE information; Medical insurance use and utilization, NAMELY, MEDICAL INSURANCE UTILIZATION REVIEW FOR HEALTHCARE PURCHASERS AND PAYORS AND PROVIDERS AND MEDICARE BENEFICIARIES. Review of insurance claims, NAMELY, MEDICAL INSURANCE CASE AND UTILIZATION REVIEW FOR HEALTH CARE PURCHASERS AND PAYORS AND PROVIDERS AND MEDICARE BENEFICIARIES; ADMINISTRATION OF MEDICAL INSURANCE PLANS INCLUDING ENROLLMENT, BILLING, BENEFIT ADMINISTRATION, PROVIDER CREDENTIALING, PROVIDER CONTRACTING AND REIMBURSEMENTS, UTILIZATION MANAGEMENT, CLAIMS ADMINISTRATION AND PAYMENT PROCESSING, CLAIMS AUDITING SERVICES, REPORTING AND COMPLIANCE WITH GOVERNMENT REGULATIONS

Providing a health insurance exchange IN THE NATURE OF A MARKETPLACE THAT OFFERS MEMBER PURCHASERS OF HEALTH INSURANCE A VARIETY OF HEALTH INSURANCE PLANS FROM DIFFERENT INSURANCE PROVIDERS