The Most Group, Inc.

Description: Software as a service (SAAS) services featuring software for use by health insurance providers to manage the broker lifecycle, namely credentialing, certification, contracting, appointment, compliance, and ongoing broker relationship management

Description: Platform as a service (PAAS) featuring computer software platforms for building custom applications to designing automated workflows without needing extensive coding expertise; Entity modeling and management coupled with interface designer through intelligent automation; Generate professional, compliant, customizable documents instantly and effortlessly

Description: Software as a service (SaaS) services featuring software for healthcare payers, third-party administrators (TPAs), and administrative services only (ASOs) organizations, for automating claims system configuration, validation, and quality assurance by ingesting benefits, provider, and contract data from internal or external sources and converting it into a format usable by claims systems; excluding claims processing functions

Description: Software as a service (SAAS) services featuring software for enabling user access to healthcare benefits information

Description: "APP FABRIC"; Platform as a service (PAAS) featuring computer software platforms for data analysis and generating performance data reports in the field of healthcare benefits and claims management processes

Description: AI; Software as a service (SAAS) services featuring software for enabling Payers, third party administrators (TPAs), and administrative services only (ASOs) to automate end-to-end claims management processes

Description: Software as a service (SAAS) services featuring software for supporting individual and mass healthcare enrollment experiences by pre-population of data from external reference data sources to minimize data entry and typing errors for Payers, Third Party Administrators (TPAs), and Administrative Services Only (ASOs) to digitize the healthcare enrollment experience

Description: Providing online non-downloadable computer software platforms for database management, generation of documents, handbooks and booklets relating to a health benefit plan

Description: Software as a service (SAAS) services featuring software for enabling providers of health benefit plans and Third Party Administrators and Administrative services organizations for health benefit plans to continue to match new data that comes into data record systems of healthcare providers via internal and external sources and correct the healthcare provider's records with just a few clicks so that the master data record reflects single, disambiguated, and current data

Description: Software as a service (SAAS) services featuring software for enabling web-based customer service, namely software for database management, use as a spreadsheet, for word processing and for a benefits inquiry management solution for payers

Description: Software as a service (SAAS) services featuring software for use in database management, for digital enterprise SaaS-based solutions for U.S. healthcare payers

Description: Software as a service (SAAS) services featuring software for suite of tools enabling Healthcare Payers, Third Party Administrators, and Administrative services organizations to automate and transform any manual or semi-automated business processes

Description: Providing a website featuring non-downloadable educational course videos in the field of using healthcare technological software solutions for managed health care services, cost management of health care, and business management of health care services; "HEALTHCARE UNIVERSITY"

Description: Downloadable end-to-end cloud-computing software for database management, customer relationship management (CRM), accounting, producing financial models, and market and financial data analysis in the field of health plan products, benefits, and providers; "HEALTH CLOUD"

Description: Software as a service (SAAS) services featuring software for configuring a Master Content Management digital payer platform that pulls healthcare benefits data from repositories to enable real-time data streaming to multiple portals, channels and custom content generation while ensuring data accuracy, consistency, and compliance

Description: Software as a service (SAAS) services featuring software for Healthcare Payers, third Party Administrator, and administrative services organizations to automate and transform manual and semi-automated business processes using an agile digital platform

Description: Software as a service (SAAS) services featuring software for enabling user access to healthcare benefits information

Description: Software as a service (SAAS) services featuring software for ENABLING value-based payment reconciliation that matches provider contract provisions with provider performance data to determine accurate risk-adjusted payments

Description: Software as a service (SAAS) services featuring software for reimbursement platform that connects Payers and Providers, and supports the management, reconciliation, and payment success of their risk arrangements

Description: Software as a service featuring cloud-based software for providing an end-to-end solution for management, filing, and generation of Affordable Care Act benefit plan documents, namely, summary of benefits and coverage, schedule of benefits, handbooks, and booklets for individual and small group qualified health plans

Description: Software as a service (SAAS) services featuring cloud-based software for end-to-end management of group health plans and administrative services only (ASO) health plans, namely, creating a centralized database for plan details, managing group filings, and auto-generating group plan materials, including summary of benefits and coverage (SBCs), statements of benefits (SOBs), contracts, summary plan descriptions (SPDs), amendments, and riders

Description: Software as a service (SAAS) services featuring software for enabling payers, third-party administrators (TPAs), and administrative services only (ASOs) to automate end-to-end healthcare claims management processes, namely, integrating benefits and provider data from multiple sources, configuring medical code sets (Current Procedural Terminology (CPT), diagnosis, etc.), testing benefits and provider configurations, and automating claims validation

Description: Software as a service (SAAS) services featuring software for the Healthcare Payor industry to automate the creation, execution, amendment, renewal, and management of contracts for Payors, third-party administrators (TPAs), and administrative services only (ASOs)

Description: Platform as a service (PAAS) services featuring software for providing a highly configurable, rules-based, master benefits content streaming that integrates with multiple data sources to pull correct benefit data from thousands of plans to generate and stream dynamic marketing content to applications and portals across enterprises; Software as a service (SAAS) services featuring software for providing a highly configurable, rules-based, master benefits content streaming across consumer platforms by integrating with multiple data sources to pull correct benefit data from thousands of plans to generate and stream dynamic marketing content to applications and portals across enterprises

Description: Software as a service (SAAS) services featuring software for automating group lifecycle management for payers of health insurance, namely, creating, storing, and managing documents for administrative services only (ASO) setup, administrative services only (ASO) fees, performance guarantees, group setup, membership, broker information, pharmacy benefit managers (PBMs), and vendors in the field of health insurance

Description: Software as a service (SAAS) services featuring a cloud software for integrated Medicare Advantage product configuration solutions to help Medicare Advantage health plans design smart benefits, automate Plan Benefit Package (PBP) filings, personalize competitive analysis, streamline reporting, automate actuarial product comparison, generate marketing materials, and generate reports, namely, 508-compliant Annual Notice of Change (ANOC), Evidence of Coverage (EOC), and Summary of Benefit (SB)

Description: Software as a service (SAAS) services featuring a cloud based software for providing an end-to-end solution for provider data and contract lifecycle management for health insurance payers; Software as a service (SAAS) services featuring a cloud based software for providing an Internet website portal in the field of health insurance for managing data and automating provider enrollment; Software as a service (SAAS) services featuring a cloud based software for automating credentialing, contracting, and directory management in the field of health insurance; Software as a service (SAAS) services featuring a cloud based software for streamlining health insurance provider analytics and reporting

Description: Platform as a service (PAAS) featuring computer software platforms for issuing and processing medical claims and associated payments; Software as a service (SAAS) services featuring software for issuing and receiving medical bills and for making medical payments; Software as a service (SAAS) services featuring software for data information processing in the field of healthcare technology and management, benefits administration and medical claims processing