BALLYMORE

Medical management services, namely, cost management of benefit plans and health plans of others by utilizing clinical service utilization management (UM) and review (UR), provider network development, contracting and management, administering pharmacy reimbursement programs and services, retail pharmacy services, drug utilization review (DUR) and medication utilization evaluation (MUE); Health care cost review and consultation by utilizing individualized regimen review and chart review, health outcomes review and analysis, clinical audit preparation, quality improvement and management, and clinical peer review

Insurance claims administration, namely, claims adjudication, processing and payment