HEALTHIER HAPPENS TOGETHER

Class [036]
Insurance & Financial Services

Pharmacy benefit management services; Insurance and financial services pertaining to submission of medical claims, and handling of assignment of benefits, namely, medical insurance claims administrative services, financial administration of medical and pharmaceutical reimbursement collection for patients from private and public sources, financial administration of pharmaceutical reimbursement collection programs for others, administration of employee pharmaceutical benefits concerning insurance and finance, administration of prepaid employee health care plans, financial counseling in the nature of financial consulting, and payment processing for medical services involving home and hospital care in the nature of electronic processing of insurance claims and payment data; Claims processing of pharmaceutical insurance benefits, namely, processing and administering individual prescription claims history, benefit amounts, accumulations for deductibles and out-of-pocket expenses and expense summaries; Organizing and administering preferred provider plans for a network of pharmacy providers; Administration of Medicare benefit plans; Insurance claims administration for medical claims and pharmaceuticals; Electronic processing of insurance claims and payment data; Insurance services, namely, verification of insurance benefit eligibility, providing information and on-line computer databases for the purpose of insurance eligibility review and verification of Medicaid and Medicare eligibility status and related information in the health industry