Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers, payors, providers, and Medicare beneficiaries; financial services, namely, electronic processing of credit card transactions and electronic payments via computer networks; credit card and debit card payment transaction processing services; providing electronic processing of credit card, debit card and electronic payments; insurance claims administration services; insurance claims settlement services; insurance services, namely, providing information and on-line computer databases for the purpose of review and verification of healthcare benefits eligibility status and related information; providing electronic processing of electronic funds transfer; ACH and electronic check services

Communications services, namely, transmission of healthcare and financial information 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 via an electronic data interchange