United Healthcare 2007 Annual Report Download - page 10

Financial Services (Exante)
Financial services were provided through Exante Bank and Exante Financial Services in 2007. During the first
half of 2008, we expect to change their name to OptumHealth Bank and OptumHealth Financial Services.
Financial services provides health-based financial services for consumers, employers, payers and health care
professionals. These financial services include HSAs, HRAs, and Flexible Spending Accounts offered
through Exante Bank, a Utah-chartered industrial bank. Financial Services’ health benefit card programs include
electronic systems for verification of benefit coverage and eligibility. Financial Services also provides electronic
payment and statement services for health care professionals and payers.
INGENIX
Ingenix offers database and data management services, software products, publications, consulting services,
outsourced services and pharmaceutical consulting and research services in conjunction with the development of
pharmaceutical products on a nationwide and international basis. As of December 31, 2007, Ingenix’s customers
include approximately 5,000 hospitals, 240,000 physicians, 1,500 payers and intermediaries, 245 Fortune 500
companies, 250 life sciences companies, and 150 government entities, as well as other UnitedHealth Group
businesses.
Ingenix is engaged in the simplification of health care administration with information and technology. Ingenix
helps customers accurately and efficiently document, code and bill for the delivery of care services. It also sells
reference materials and coding guides that health care professionals use to bill payers for their services. Ingenix
uses data to help advance transparency on cost and quality and help customers streamline their processes to make
health care more efficient. Ingenix is a leader in contract research services, and pharmacoeconomics, outcomes,
drug safety and epidemiology research through its i3 businesses.
Ingenix’s products and services are sold primarily through a direct sales force focused on specific customers and
market segments across the pharmaceutical, biotechnology, employer, government, hospital, physician, payer
and property and casualty insurance market segments. Ingenix’s products are also supported and distributed
through an array of alliance and business partnerships with other technology vendors, who integrate and interface
its products with their applications.
The Ingenix companies are divided into two groups: Information Services and i3.
Information Services
Information Services’ diverse product offerings help clients strengthen health care administration and advance
health care outcomes. These products include health care utilization reporting and analytics, physician clinical
performance benchmarking, clinical data warehousing, analysis and management responses for medical cost
trend management, physician practice revenue cycle management, revenue cycle management for payer and
health care professional organizations, decision-support portals for evaluation of health benefits and treatment
options, and claims management tools for administrative error and cost reduction. Ingenix uses proprietary
software applications that manage clinical and administrative data across diverse information technology
environments. Ingenix also uses proprietary predictive algorithmic applications to help clients detect and act on
repetitive health care patterns in large data sets. Ingenix offers comprehensive Electronic Data Interchange (EDI)
services helping health care professionals and payers decrease costs of claims transmission, payment and
reimbursement through both networked and direct connection services.
Information Services provides other services on an outsourced basis, such as verification of physician credentials,
health care professional directories, Healthcare Effectiveness Data and Information Set reporting, and fraud and
abuse detection and prevention services. Ingenix also offers consulting services, including actuarial and financial
8