DEPARTMENT OF LABOR

Employment and Training Administration

TA-W-94,395

NTHRIVE SOLUTIONS, INC.
A SUBSIDIARY OF NTHRIVE, INC.
INCLUDING WORKERS WHOSE WAGES WERE REPORTED UNDER NTHRIVE, INC.
AND ON-SITE LEASED WORKERS FROM DOCTUS USA, INC.,
ECLAT HEALTH SOLUTIONS, MEDUSIND SOLUTIONS, INC.
AND MIRAMED (VIRTUAL RECOVERY, LLC)
ALPHARETTA, GEORGIA

Certification Regarding Eligibility
To Apply for Worker Adjustment Assistance

In accordance with Section 223 of the Trade Act of 1974, as
amended ("Act"), 19 U.S.C. § 2273, the Department of Labor
herein presents the results of an investigation regarding
certification of eligibility to apply for worker adjustment
assistance.
The group eligibility requirements for workers of a firm
under Section 222(a) of the Act, 19 U.S.C. § 2272(a), are
satisfied if the following criteria are met:
(1) a significant number or proportion of the
workers in such workers' firm have become totally or
partially separated, or are threatened to become
totally or partially separated;
(2)(B)(i)(I) there has been a shift by the workers'
firm to a foreign country in the production of
articles or supply of services like or directly
competitive with those produced/supplied by the
workers' firm; OR
(II) there has been an acquisition from a
foreign country by the workers' firm of
articles/services that are like or directly
competitive with those produced/supplied by
the workers' firm; AND
(ii) the shift/acquisition must have contributed
importantly to the workers' separation or
threat of separation.

The investigation was initiated in response to a petition
filed on December 11, 2018 by three workers on behalf of workers
of nThrive Solutions, Inc., a subsidiary of nThrive, Inc.,
including workers whose wages were reported under nThrive, Inc.,
and on-site leased workers from Doctus USA, Inc., Eclat Health
Solutions, Medusind Solutions, Inc., and Miramed (Virtual
Recovery, LLC), Alpharetta, Georgia. The workers' firm is
engaged in activities related to the supply of healthcare
information management and medical coding services. The workers
at issue were engaged in activities related to the supply of
medical coding services.
During the course of the investigation, information was
collected from the workers' firm and the petitioners.
Section 222(a)(1) has been met because a significant
number or proportion of the workers in such workers' firm have
become totally or partially separated, or are threatened to
become totally or partially separated.
Section 222(a)(2)(B) has been met because the workers'
firm has shifted to a foreign country the supply of a service
like or directly competitive with the service supplied by the
workers which contributed importantly to worker group
separations at nThrive Solutions, Inc. located in Alpharetta,
Georgia.
Conclusion
After careful review of the facts obtained in the
investigation, I determine that workers of nThrive Solutions,
Inc., a subsidiary of nThrive, Inc., including workers whose
wages were reported under nThrive, Inc., and on-site leased
workers from Doctus USA, Inc., Eclat Health Solutions, Medusind
Solutions, Inc., and Miramed (Virtual Recovery, LLC),
Alpharetta, Georgia, who are engaged in activities related to
the supply of medical coding services meet the worker group
certification criteria under Section 222(a) of the Act, 19
U.S.C. § 2272(a). In accordance with Section 223 of the Act, 19
U.S.C. § 2273, I make the following certification:



"All workers of nThrive Solutions, Inc., a subsidiary of
nThrive, Inc., including workers whose wages were reported
under nThrive, Inc., and on-site leased workers from Doctus
USA, Inc., Eclat Health Solutions, Medusind Solutions,
Inc., and Miramed (Virtual Recovery, LLC), Alpharetta,
Georgia, who became totally or partially separated from
employment on or after December 10, 2017, through two years
from the date of certification, and all workers in the
group threatened with total or partial separation from
employment on the date of certification through two years
from the date of certification, are eligible to apply for
adjustment assistance under Chapter 2 of Title II of the
Trade Act of 1974, as amended."
Signed in Washington, D.C. this 16th day of January 2019.

/s/Jacquelyn R. Mendelsohn
______________________________
JACQUELYN R. MENDELSOHN
Certifying Officer, Office of
Trade Adjustment Assistance