KEPRO

Owners

Goods & Services

Business management services, namely, integrating behavioral health management and behavioral health work-life management programs for employers, employees, group members, and consumers with our care management services

Review of healthcare coverage requests and benefits eligibility, namely, insurance claims processing

Providing chronic and complex disease management programs; acute illness or injury and care coordination programs, namely, providing medical, physical rehabilitation and physical therapy services; healthcare services, namely, wellness programs and disease management programs; Managed healthcare services, namely, 24/7 nurse counseling, maternity management, cancer management, cancer treatment plan validation, and end of life care management services; Medical services, namely, providing prior authorization, concurrent and retrospective medical review and independent medical necessity review of health care provided in all settings; providing information about health care conditions and diseases; medical services, namely, integrating behavioral health management and behavioral health work-life management programs for employers, employees, group members, and consumers with our care management services; providing paper-based and online health-risk evaluations, individual self-health assessments and self-help evaluation services, using advanced data analytics and data mining to identify members eligible for the above mentioned services