ZELIS ADVANCED PAYMENT PLATFORM

Owners

Goods & Services

Providing electronic transmission of bill payment data regarding health care and other insurance claims to health care and other service providers

Electronic payment services, namely, electronic processing of bill payments relating to health care and other insurance claims to health care and other service providers; administration of preferred provider plans in the healthcare field wherein independent healthcare providers and other service providers agree to accept rates of reimbursement as full payment for services rendered and administered to individuals enrolled in health care benefit programs issued and administered by health care administration companies

Development and implementation of software, database and technology solutions for the purpose of providing savings on medical, dental and workers' compensation healthcare costs utilizing proprietary provider contracts, PPO networks, provider negotiations, and data analytics to achieve savings for national client base

Cost management for the health care benefit plans of others; health care cost containment; business services, namely, business consultation in the field of cost management solutions for health benefit plans, insurance claim processing automation, editing of in- network and out-of-network insurance claims, clinical bill review and auditing related to insurance claims and reimbursement, out-of- network business negotiations, preferred provider organization (PPO) network management, and data analytics for health benefit plans