ENTERPRISE COMP

Managed patient care services, namely, processing of health care information, namely, coordinating and providing short and long term disability and workers' compensation managed care requirements; patient care management services, namely medical cost management, medical referrals, healthcare utilization and review, and employment counseling; medical case management conducted via telephone or other means of telecommunication, namely, reporting and analysis of patient care information, and reporting and analysis of patient care information for the purpose of coordinating medical care consistent with legal claims and monitoring patient care outcomes; medical case management, namely, electronic processing of patient health care information; health care cost review; medical provider reimbursement review services; medical and therapy bill audit services; hospital inpatient and outpatient automated bill review and cost containment services; hospital bill auditing; computerized medical review services, namely, identifying medical claims needing medical cost management or review for over utilization of medical services and case by case fee negotiation services, for third parties; case by case medical and therapy fee negotiation services, for third parties; medical and therapy cost containment services; hospital inpatient and outpatient automated bill review

Workers' compensation claim submission and first notice of loss processing services; processing information provided by employers for workers' compensation claims, automated preparation and completion of claims