NETESSA

Electronic information services, namely, providing information to, receiving information from, and exchanging information via a global computer network, by and between, healthcare providers, healthcare payers, healthcare testing facilities, providers of healthcare drugs and remedies, providers of healthcare supplies and equipment, providers of healthcare information, employers, healthcare administrators, and/or healthcare recipients to enable such persons or entities to electronically communicate, exchange information and perform transactions; providing global electronic communication and exchange of data relating to healthcare, or information relating to payments for healthcare by and between healthcare providers, healthcare payers, healthcare testing facilities, providers of healthcare drugs and remedies, providers of healthcare supplies and equipment, providers of healthcare information, employers, healthcare administrators, and/or healthcare recipients; providing automated, electronic communication and exchange of healthcare data, and updates thereto, by and between employers, payers, providers, employees, suppliers, consumers, hospitals, laboratories, patients, pharmacies, insurers, manufacturers, and delivery services; providing a global electronic communication and exchange of patient clinical information, patient health history information, patient test information, patient laboratory information, healthcare provider information, insurance eligibility and benefits information, referral information, and claims information; providing a global electronic communication and exchange of healthcare information to allow healthcare providers and payers to determine coverage eligibility, to request, receive and provide co-pay and referral information, to submit claims, and to view claim status and claim summary reports; providing global electronic exchange of healthcare information to allow laboratories and testing entities to manage testing information systems, receive and provide order information, to receive and provide test results, and to receive and provide test analyses; providing electronic communication and exchange of healthcare information to allow healthcare providers to provide and receive referrals, obtain patient records, authorize treatments, submit claims, and verify claim status, providing electronic communication and exchange of healthcare information services, healthcare data to allow plan enrollment and automated and self-service membership functions; providing electronic communication and exchange of eligibility information; providing electronic exchange of referral and authorization information; providing electronic communication and exchange of claims information; providing electronic communication and exchange of data related to managed care functions, namely, membership management functions, network management functions, care management functions, premium billing functions, capitation pool functions, risk pool functions, and encounter processing functions; providing electronic communication and exchange of claims processing and pricing data; providing electronic communication and exchange of data relating to group purchasing and integrated supply chain management; providing electronic communication and exchange of data relating to integrated provider management systems; providing interfaces to internal and external healthcare systems; providing electronic communication and exchange of information relating to health risk appraisals and wellness education; providing for secure messaging between physicians, health insurers, hospitals, laboratories, pharmacists, and other healthcare entities; providing electronic communication and exchange of data relating to customer service, sales force automation and quotation, employee benefits enrollment, and administration and brokerage services