Managed care hotlist.

MANAGED CARE HOTLIST

                                                 Accordant Health
                                                  Services, Inc.
Circle Card Number                                      228
Website                                          www.accordant.com

Product name

Target market

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting
  Maintains provider profiles
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts                            Yes
  Premium billing

                                                    AMISYS, LLC
Circle Card Number                                      229
Website                                          www.amisysllc.com

Product name                                        AMISYS 3000

Target market                                      Managed care
                                                   organizations

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                               Canopy Systems, Inc.
Circle Card Number                                      230
Website                                             www.canopy
                                                    systems.com

Product name                                          Canopy

Target market                                   Healthcare Industry

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing
  CRM
  Electronic claims submission
  HIPAA compliance                                      Yes
  Savings tracking
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing
  Data warehousing/mining
  Disease management                                    Yes
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management
FINANCIAL
  Contract management/pricing
  Decision support
  Employer group reporting
  Eligibility/verification tracking
  Member enrollment
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts
  Premium billing

                                                     Cardiocom
Circle Card Number                                      231
Website                                          www.cardiocom.net

Product name                                  Telescale, Cardiovisor,

Target market                                    HMOs, PPOs, MCOs,
                                                     hospitals

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing
  CRM
  Electronic claims submission
  HIPAA compliance
  Savings tracking                                      Yes

CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing
  Data warehousing/mining
  Disease management                                    Yes
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking
  Member enrollment                                     Yes
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts
  Premium billing

                                                       CPSI
Circle Card Number                                      232
Website                                           www.cpsinet.com

Product name                                        CPSI System
                                                    Cardioplan

Target market                                   Community hospitals

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing

                                                     Doral USA
Circle Card Number                                      233
Website                                          www.doralusa.com

Product name                                         Doral USA

Target market                                   Health plans, govt
                                                  agencies, TPAs

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix
  Case mgt/utilization review
  Credentialing
  Data warehousing/mining                               Yes
  Disease management
  HEDIS reporting                                       Yes
  Maintains provider profiles                           Yes
  Outcomes measurement
  Quality assessment/assurance
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                    DxCG, Inc.
Circle Card Number                                      234
Website                                            www.dxcg.com

Product name                                      DxCG Software,

Target market                                      Health plans

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing                                 Yes
  CRM
  Electronic claims submission
  HIPAA compliance
  Savings tracking
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review
  Credentialing
  Data warehousing/mining
  Disease management                                    Yes
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking
  Member enrollment
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts
  Premium billing

                                                   Epic Systems
                                                    Corporation
Circle Card Number                                      235
Website                                         www.epicsystems.com

Product name                                         TAPESTRY
                                                     Rx Groups

Target market                                   Payer and provider
                                                   organizations

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting                                       Yes
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                    HealthTrio
Circle Card Number                                      236
Website                                         www.healthtrio.com

Product name                                     Healthtrio xpress

Target market                                    IPAs, PHOs, MSOs,
                                                health plans, TPAs

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                    IDX Systems
                                                    Corporation
Circle Card Number                                      237
Website                                             www.idx.com

Product name                                   IDXtend Managed Care

Target market                                 Providers, payers, MSOs

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting                                       Yes
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                              Keylink Solutions, Inc.
Circle Card Number                                      238
Website                                             www.keylink
                                                   solutions.com

Product name                                       Visual Claims
                                                    Application

Target market                                    TPAs, IDNs, PBs,

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement
  Quality assessment/assurance
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                 Kreg Information
                                                      Systems
Circle Card Number                                      239
Website                                            www.kreg.com

Product name                                          WinCMA

Target market                                    Hospitals, rehabs

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM
  Electronic claims submission
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing
  Data warehousing/mining                               Yes
  Disease management
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement
  Quality assessment/assurance
  Risk adjustment/management
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting
  Eligibility/verification tracking
  Member enrollment
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                  Landacorp, Inc.
Circle Card Number                                      240
Website                                          www.landacorp.com

Product name                                   Max MC, Managing for
                                                Tomorrow, DSSeries

Target market                                      Health plans

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing
  CRM                                                   Yes
  Electronic claims submission
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting                                       Yes
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts
  Premium billing

                                                  Linnaeus, Inc.
Circle Card Number                                      241
Website                                            www.linnaeus
                                                      inc.com

Product name                                          The Sys

Target market                                    MCOs, HMOs, TPAs

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management
  HEDIS reporting                                       Yes
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                  McKesson Health
                                                     Solutions
Circle Card Number                                      242
Website                                              www.care
                                                   enhance.com

Product name                                        CareEnhance
                                                     Products

Target market                                    Payers, providers

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing
  CRM
  Electronic claims submission
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting                                       Yes
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts
  Premium billing

                                                Medical Information
                                                 Technology, Inc.
Circle Card Number                                      243
Website                                          www.meditech.com

Product name                                     MEDITECH Managed
                                                       Care

Target market                                      Medium sized
                                                    facilities

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management
  HEDIS reporting                                       Yes
  Maintains provider profiles
  Outcomes measurement                                  Yes
  Quality assessment/assurance
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting
  Eligibility/verification tracking                     Yes
  Member enrollment
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts                            Yes
  Premium billing

                                                     MedUnite
Circle Card Number                                      244
Website                                          www.medunite.com

Product name                                     MedUnite.net[TM]

Target market                                  Providers and payers

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking
CLINICAL
  Case mix
  Case mgt/utilization review
  Credentialing
  Data warehousing/mining
  Disease management
  HEDIS reporting
  Maintains provider profiles
  Outcomes measurement
  Quality assessment/assurance
  Risk adjustment/management
FINANCIAL
  Contract management/pricing
  Decision support
  Employer group reporting
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables
  Payment tracking-contracts
  Premium billing

                                                     NaviMedix
Circle Card Number                                      245
Website                                          www.navimedix.com

Product name                                          NeviNet

Target market                                      Health plans,
                                                    physicians

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing
  CRM
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking
CLINICAL
  Case mix
  Case mgt/utilization review
  Credentialing
  Data warehousing/mining
  Disease management                                    Yes
  HEDIS reporting
  Maintains provider profiles
  Outcomes measurement
  Quality assessment/assurance
  Risk adjustment/management
FINANCIAL
  Contract management/pricing
  Decision support
  Employer group reporting
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts
  Premium billing

                                                  OAO Health Care
                                                  Solutions, Inc.
Circle Card Number                                      246
Website                                            www.oaohs.com

Product name                                      MC 400, EZ-CAP

Target market                                   HMO, PPO, TPA, MSO

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting                                       Yes
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                      Quovadx
Circle Card Number                                      247
Website                                           www.quovadx.com

Product name                                       QDX Platform

Target market                                     Hospitals, IDNs

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting                                       Yes
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                  Siemens Medical
                                              Solutions Health Svcs.
Circle Card Number                                      248
Website                                            www.smed.com

Product name

Target market

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking
CLINICAL
  Case mix
  Case mgt/utilization review
  Credentialing
  Data warehousing/mining
  Disease management
  HEDIS reporting
  Maintains provider profiles
  Outcomes measurement
  Quality assessment/assurance
  Risk adjustment/management
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting
  Eligibility/verification tracking                     Yes
  Member enrollment
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                The SSI Group, Inc.
Circle Card Number                                      249
Website                                         www.thessigroup.com

Product name                                      ClickON EC-Care
                                                  Case Management

Target market                                      Case managers

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing
  CRM
  Electronic claims submission
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting                                       Yes
  Maintains provider profiles
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts                            Yes
  Premium billing

                                                  Symmetry Health
                                                   Data Systems
Circle Card Number                                      250
Website                                            www.symmetry
                                                    -health.com

Product name                                 Episode Treatment Grps.,
                                                Episode Risk Grps.

Target market                                          MCOs

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic
  Claims grouping by episode of care                    Yes
  Claims coding/editing
  CRM
  Electronic claims submission
  HIPAA compliance
  Savings tracking
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting
  Eligibility/verification tracking
  Member enrollment
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts
  Premium billing

                                                     Synertech
Circle Card Number                                      251
Website                                            www.synertech
                                                    systems.com

Product name                                           QMACS

Target market                                       Payers, TPAs

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix                                              Yes
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management                                    Yes
  HEDIS reporting                                       Yes
  Maintains provider profiles                           Yes
  Outcomes measurement                                  Yes
  Quality assessment/assurance                          Yes
  Risk adjustment/management                            Yes
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                             The Trizetto Group, Inc.
Circle Card Number                                      252
Website                                          www.trizetto.com

Product name                                          Facets

Target market                                     Payers, HMO/MSO

SYSTEM CAPABILITIES
  Appeals/grievance management                          Yes
  Claims adjudication logic                             Yes
  Claims grouping by episode of care                    Yes
  Claims coding/editing                                 Yes
  CRM                                                   Yes
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking                                      Yes
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing                                         Yes
  Data warehousing/mining                               Yes
  Disease management
  HEDIS reporting                                       Yes
  Maintains provider profiles
  Outcomes measurement
  Quality assessment/assurance                          Yes
  Risk adjustment/management
FINANCIAL
  Contract management/pricing                           Yes
  Decision support                                      Yes
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting                    Yes
  Maintains capitation rate tables                      Yes
  Payment tracking-contracts                            Yes
  Premium billing                                       Yes

                                                      Verilet
Circle Card Number                                      253
Website                                           www.verilet.com

Product name                                        Abovehealth

Target market                                      Health plans

SYSTEM CAPABILITIES
  Appeals/grievance management
  Claims adjudication logic
  Claims grouping by episode of care
  Claims coding/editing
  CRM
  Electronic claims submission                          Yes
  HIPAA compliance                                      Yes
  Savings tracking
CLINICAL
  Case mix
  Case mgt/utilization review                           Yes
  Credentialing
  Data warehousing/mining                               Yes
  Disease management
  HEDIS reporting
  Maintains provider profiles                           Yes
  Outcomes measurement
  Quality assessment/assurance
  Risk adjustment/management
FINANCIAL
  Contract management/pricing
  Decision support
  Employer group reporting                              Yes
  Eligibility/verification tracking                     Yes
  Member enrollment                                     Yes
  Online interface to pt. accounting
  Maintains capitation rate tables
  Payment tracking-contracts
  Premium billing                                       Yes