75520665
Jul 17, 1998
Jan 7, 2003
INSURANCE ADMINISTRATIVE SERVICES, NAMELY, APPLICATION PROCESSING, UTILIZATION MANAGEMENT IN THE FORM OF UTILIZATION MANAGEMENT IN THE FORM OF THE DEVELOPMENT OF CLINICAL PROTOCOLS AND GUIDELINES, CLINICAL AND ADMINISTRATIVE POLICY AND PROCEDURE, PROVIDER CONTRACTING, AND STAFF TRAINING AND MANAGEMENT FOR THE PURPOSE OF COMPREHENSIVE PROSPECTIVE, CONCURRENT AND RETROSPECTIVE REVIEW OF THE CLINICAL SERVICES RECOMMENDED AND RENDERED TO A POPULATION OF HEALTH INSURANCE POLICYHOLDERS AND THEIR DEPENDENTS, INSURANCE CLAIM PROCESSING AND OUTCOME ASSESSMENT IN THE FORM OF COLLECTION OF ANALYSIS OF DATA RELATED TO DIAGNOSIS AND TREATMENT, PRACTITIONER ADMINISTRATIVE PROCEDURE, AND PATIENT HEALTH OUTCOMES FOR THE PURPOSE OF MANAGING THE COST AND QUALITY OF HEALTH CARE SERVICES DELIVERED TO A POPULATION OF HEALTH INSURANCE POLICYHOLDERS AND THEIR DEPENDENTS
Insurance and Financial