ENCOUNTERS +

Business management consulting and advisory services; Business research and data analysis services in the field of health insurance; Medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers

Claims administration services in the field of health insurance; Insurance claims processing

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

Application service provider (ASP) featuring software for hosting, managing, developing, analyzing and maintaining computer software and applications of others for data management, error administration, creating business intelligence reports, and managing risk-adjusted submissions and corrections in the field of insurance; Software as a service (SAAS) services featuring software for submitting health insurance claims; Software as a service (SAAS) services featuring software for data management, error administration, creating business intelligence reports, and managing risk-adjusted submissions and corrections; Software as a service (SAAS) services featuring software for use in medical claims processing and management; Software as a service (SAAS) services featuring software for managing and organizing Risk Adjustment Payment Systems (RAPS), Encounter Data Processing Systems (EDPS), Medicaid, EDGE and All-payer claims database (APCD) for risk-adjusted submissions and corrections

Compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors