Consulting services in the cost management of health care; business consulting services for self-funded, employer health plans and third party administrators (TPAs) in the field Reference-Based Pricing (RBP) products lines, namely, consulting with regard to pricing claims; medical claims management services, namely, receiving, data entering, and re-pricing of transactions originated by physicians, hospitals, and ancillary medical care providers to align with contractually agreed-upon pricing; business management services in the nature of the business management of healthcare benefit plans, namely, medical claims adjudication

'adjud':90 'administr':23 'agre':70 'agreed-upon':69 'align':66 'ancillari':61 'base':30 'benefit':85 'busi':10,73,81 'care':9,63 'claim':41,43,89 'consult':1,11,36 'contractu':68 'cost':5 'data':48 'employ':17 'enter':49 'field':27 'fund':16 'health':8,18 'healthcar':84 'hospit':59 'line':34 'manag':6,44,74,82 'medic':42,62,88 'name':35,46,87 'natur':78 'origin':56 'parti':22 'physician':58 'plan':19,86 'price':31,40,53,72 'product':33 'provid':64 'rbp':32 're':52 're-pric':51 'receiv':47 'refer':29 'reference-bas':28 'regard':38 'self':15 'self-fund':14 'servic':2,12,45,75 'third':21 'tpas':24 'transact':55 'upon':71

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