MEMBER 360

Health care plan management services for healthcare plan members or subscribers, namely, providing assistance to plan members with respect to locating health care professionals in the nature of providing database lists of in-network physicians and other health care professionals via phone consultations and via the global information network, coordinating healthcare-related services, namely, assisting with appointment and test scheduling and confirming appointment schedules for health care plan members, medication ordering services for health care plan members in the nature of electronic processing of orders and arranging for mail delivery from mail order pharmacies, arranging health care second opinions by means of providing appointment scheduling services and appointment scheduling confirmation services for health care plan members, assisting with out-of-pocket medical expenses by providing information and advice to health care plan members about cost saving options via phone and via the global information network, assisting with insurance claims and billing issues by verifying the accuracy and proper payment of claims for health care plan members, and providing quality and cost data about hospitals, clinics, physicians and other health care providers as commercial information and advice to health care plan members