TM

www.healthsmart.com

www.healthsmart.com

www.healthsmart.com

Overview toOverview to

Smarter Health BenefitsSmarter Health Benefits

TM

www.healthsmart.com

Our VisionOur VisionTo be the healthcare industry’s leading provider

of innovative solutions.

To provide our clients with the highest quality healthcare solutions utilizing the latest technology and a resourceful team of professionals focused on

reducing costs and improving members’ health.

Our MissionOur Mission

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Totally Integrated & Innovative Healthcare Management OrganizationOver 700 Professional Healthcare Team Members Located Across the CountryPrivately Held Company With Revenue Over $140 MillionProviding Innovative Solutions to Over 8,000 Employer Groups NationwidePartnered With Over 520 Other Healthcare Benefit AdministratorsServing More Than 1,850,000 MembersManaging Over $3.2 Billion in Claims Annually

Corporate OverviewCorporate Overview

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Fully-Integrated Healthcare Solutions

Employer Benefit Services

Preferred Provider Network Solutions

Care Management & Wellness Programs

Prescription Benefit Management

On-Site Primary Care Clinics

Reinsurance & Risk Management Solutions

Information Technology Systems

Our Our SmarterSmarter Solutions Solutions

TM

www.healthsmart.com

Think Smart,Think Smart,Act Smart-Act Smart-

Our Family of Our Family of ServicesServices

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Medical, Dental & Vision Administration Solutions

Preferred Provider Networks

Care Management & Wellness Programs

Prescription Benefit Management

On-Site Primary Care Clinics

Comprehensive Reinsurance & Risk Management

Information Technology Systems

Fully-Integrated Fully-Integrated Healthcare SolutionsHealthcare SolutionsEmployer Benefits on a Single Platform for Maximum Flexibility & Savings

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Primary PPO Networks

Customized Networks

Secondary/Wrap Networks

Regional & National Affiliate Providers

Specialty Care Networks

Dental Networks

Workers’ Compensation Networks

Preferred Provider Preferred Provider Network SolutionsNetwork Solutions

Significant Cost Savings From Quality Healthcare Providers

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Utilization Review

Case Management

Predictive Modeling

Disease Management

Transplant Management

Maternity Management

Care Management Care Management Solutions and Wellness Solutions and Wellness ProgramsPrograms

Non-network Negotiations

Wellness Coaching

Nurse Advice Line

Integrated Reporting

URAC Accredited Since 2002

Minimizes Cost & Improves Members’ Health

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Nationwide Network with Over 60,000 Participating PharmaciesBrand Name, Generic and Mail Order Pricing OptionsGeneric and Brand Formulary OptionsOnline Accumulators, Out-of-Pocket Tracking & Claims HistoryUser Friendly Reports

Prescription Benefit Prescription Benefit ManagementManagement

Transparent Solutions That Control Prescription Program Costs

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Employer Benefit Employer Benefit ServicesServices

Premium Billing/Payment Administration & Eligibility ManagementOnline & Automated Enrollment ServicesBrokerage Operation Services Form 5500 Preparation COBRA/HIPAA Administration Services FSA/HRA/HAS Administration Services

Medicare Claims Administration ServicesComplete Suite of Online Reporting & Analytic Services

Comprehensive Health Plan Solutions on a National Scale

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Employer On-Site Employer On-Site Primary Care ClinicsPrimary Care Clinics

Primary & Occupational Care for Employees & DependentsStaffed with Licensed Physicians & Medical ProfessionalsSupports Disease Management, PBM & Wellness InitiativesHealthcare Costs Reduced by Eliminating Layers of AdministrationReduces Employee Absenteeism

Reduces or Eliminates Healthcare Inflationary Trend

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Reinsurance & Risk Reinsurance & Risk ManagementManagement

Products Backed by Highly Rated Carriers

Preferred Partners Who Have Evaluated HealthSmart’s Managed Care Tools

Our Partners Deliver the Most Competitively Priced Solutions in the Market

Traditional Specific & Aggregate in All 50 States

Creative Solutions to Help Manage Our Clients’ Risk

Reduces Financial Exposure & Premium Expenses

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Information Technology Information Technology SystemsSystems

Complete Electronic Data Interchange (EDI) Clearinghouse Services

Back Office Functionality with PPO Repricing Services

Scanning & Optical Character Recognition (OCR) of Paper Healthcare Claims

Conversion to Electronic Claim Format

Electronic EOB/Payment Fulfillment

Customized Programming & IT Support

Streamlines Electronic Processing

TM

www.healthsmart.com

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