AMS INTELLIGENT ANALYTICS

Insurance claim auditing services; medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, pharmacies, and ancillary medical care providers; consulting services in the cost management for the health benefit plans of others, rendered to the health insurance industry; billing services in the field of health insurance; billing consulting services; medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; preparation of business and financial reports for others relating to practice management, business and financial risk management, quality assurance, market analysis, and payer denial; business information reporting services for hospitals, namely, providing hospital specific reports for the purpose of analyzing government reimbursement data and drive business decision making; providing reimbursement benchmarking information and other market intelligence to healthcare organizations

Insurance underwriting consultation rendered to the health insurance industry; insurance consulting in the field of health insurance rendered to the health insurance industry; consulting services in the cost, payment and management of health care rendered to the health insurance industry, namely, preparation of quotes for cost estimation purposes and bill payment services

Providing an interactive website featuring non-downloadable software for claims cost prediction and analysis in the field of medical care; providing an interactive website featuring non-downloadable software for providing access to verified online claims information for common catastrophic illnesses along with the typical age of diagnosis and physician-researched special notes of consideration; providing an interactive website featuring non-downloadable software for assistance in underwriting lasers and policies, assessing catastrophic claim costs, streamlining operations, and planning reserves; Providing software as a service (SAAS) services featuring business intelligence and predictive analytics software to determine outcomes, costs, clinical claims scrubbing, financial risk, member and claims level issues

Medical consulting services, namely, consulting on treatment plans and reviewing quality of care, accidental deaths assessments and length of stay disputes, all rendered to the health insurance industry