Business administrative services for medical referrals; Business management of reimbursement programs for others; Business services provided to a network of health care providers, namely, the negotiation and execution of contracts with health care payors; Collecting and analyzing claims data from healthcare organizations for business purposes; Cost management for the health care benefit plans of others; Electronic data collection and data submission services for business purposes in the fields of medicine and healthcare; Managed care services, namely, electronic processing of health care information; Medical claims management services, namely, electronic re-pricing of physician, hospital, and ancillary medical care provider transactions via the global information network; Medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; Providing reimbursement benchmarking information and other market intelligence to healthcare organizations

Claims administration services in the field of health insurance; Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and Medicare beneficiaries; Reimbursement payment processing in the field of medical and pharmaceutical insurance claims

Electronic data interchange 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

Providing a website featuring non-downloadable software for administration of claims, prior authorizations, referrals, payments, and health insurance information in the health care industry

Managed health care services