OUR EXCELLENCE IS YOUR EDGE

Owner

Goods & Services

Cost management for the health care benefit plans of others; Health care cost containment; Business services, namely, independent medical management services for self-funded major medical health plans; Business services provided to a network of health care providers, namely, the negotiation and execution of contracts with health care payors; Collecting and analyzing claims data from healthcare organizations for business purposes; Professional credentialing verification services in the field of healthcare, namely, verifying the skills and knowledge of licensed professionals on behalf of others; Business data analysis

Administration of pre-paid health care plans; Organizing pre-paid health care plans; Claims administration services in the field of health insurance; Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and Medicare beneficiaries; Insurance administration services; Administration of insurance claims