OPTUM

Class [045]
Personal & Legal & Social Services

Health care advocacy services to members of health benefit plans; individualized health care coordination services, namely, facilitating medical care services, behavior health services, and health care management; Verification of physician credentials; Computer services, namely, testing the electronic data interchange transactions of others for the purpose of certification and for compliance with healthcare industry and electronic data interchange laws, including the Health Insurance Portability and Accountability Act; Case management services, namely, coordinating health care services provided to elderly and chronically ill populations by doctors and other health care providers; case management services, namely, coordination of necessary medical services, social services, personal care services, and transportation to medical appointments; Fraud detection, prevention, and recovery services in the field of health care insurance; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors