Description: Business organization, operation, and management consulting services in the field of healthcare transactions such as claims, eligibility, claim status, electronic remittance advice, prior authorizations, attachments, and referrals that allow direct transaction and payment communications between healthcare providers and payers; business organization, operation, and management consulting services in the field of healthcare revenue cycle management, the management of patient relationships, patient scheduling, accounting, benefits, insurance claims, billing, and billing support; business organization, operation, and management consulting services in the field of healthcare provider privileges from healthcare institutions for physicians and healthcare providers and the credentialing of physicians, healthcare providers, and other healthcare professionals; Business services, namely, registering, screening and verifying the credentials of third party vendors, suppliers, and contractors on behalf of others in the field of healthcare; Business management services and business organization, operation, and management consulting services in the medical and drug field; Medical cost management, namely, health care cost management services for health care benefit plans of others; health care utilization management services; health care utilization, review and cost containment services; providing a portal website featuring links to revenue cycle business management services, namely, patient access services in the nature of medical billing, patient relationship management services, and release of information services for others, clinical management services, healthcare billing management services, patient medical billing services, denial management services, posting services in the nature of medical billing, medical billing support services, medical referrals, and payment management services, all for healthcare providers; business services, namely, facilitating the exchange of needed information for financial compensation among physicians, patients, and health plans, by means of private computer networks and global computer information networks; business organization, operation, and management consulting services in the field of healthcare cost management for preventing claim fraud, claim waste and claim abuse, integrating re-pricing information, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; administrative processing of insurance enrollment forms on behalf of others; providing office functions concerning the enrollment of individuals in insurance programs on behalf of others; Business assistance, advisory and consulting services in the field of health insurance credentialing; Business services, namely, screening and verifying the insurance credentials of third parties on behalf of others in the nature of collecting, and reviewing documentation of insurance credentials and storing that information for business purposes; Business services in the nature of record-keeping, namely, collecting and storing the documentation and information of third parties on behalf of others to meet financial, regulatory, legal, reputational, health and safety compliance requirements for business purposes
