PMC MEDICARE CHOICE

Medical claims management services, namely, receiving, data entering, and analysis, review and approval or adjustment of transactions that are originated by physicians, hospitals, and ancillary medical care and other providers; Medical cost management; Health care utilization and review services; Business management of health care plans for others

Issuance of health benefit plans, namely, issuance of health insurance; Issuances of health insurance plans for eligible Medicare and Medicaid beneficiaries; Development of insurance products for HMO and PPO healthcare providers; Organizing of healthcare provider networks for use by health insurers, HMOs and self-insured employers; Risk management in the field of health insurance; Organizing health care plans; Administration of health care plans