ICARE HEALTH SOLUTIONS

Healthcare provider management and administrative support services for the members of a network of healthcare providers in the areas of ophthalmology and optometry, namely, verifying the credentials of member healthcare providers; providing utilization management services as they relate to the evaluation of medical necessity, appropriateness, and efficiency of the use of member health care services, procedures, and facilities under the provisions of the applicable health benefits available for patients; and business organization and administration of HEDIS outreach programs to assist members in providing care consistent with HEDIS compliance requirements