TRISERV ALLIANCE

Medical claims management, namely, reviewing requests for services and identifying whether they fall within covered services, reviewing submitted claims and identifying that portion of payment that is to be paid by the insuring entity and to be paid by the patient, and assisting in processing claims and payment information; customer service in the field of healthcare insurance, namely, providing trained personnel to receive and respond to questions regarding covered services, coverage amounts, claims reimbursement, questions about the claims process, technical assistance in completing and submitting forms and assisting covered members in securing information about available coverage and programs; healthcare provider contracting services in the nature of securing the participation of selected health care providers in medical care and medical insurance networks; third party administration of health care services