Downloadable educational materials in the fields of health care and health benefits; downloadable software for employers and employees for the purpose of bringing together health and benefits data, including health plan and benefits data, individual clinical and claims information and wellness application data, providing messaging, providing telemedicine services, providing alerts, providing clinical and wellness programs and providing educational resources; downloadable computer software that enables payers to identify which clinical programs are effective and where they can improve physician performance and reduce fraud, waste and abuse; downloadable computer software in the nature of data analytics and reporting software that enables insurance payors to manage and optimize their provider networks; downloadable computer software that combines clinical rules with predictive models to drive down cost of care and improve member engagement, enabling users to better manage member populations through real-time member level analytics that identify clinical and non-clinical interventions opportunities; downloadable computer software that leverages healthcare data to identify individuals with unrecorded diagnoses and select the optimal provider intervention; downloadable computer software that accelerates healthcare-related decision-making by reducing the development time of research analytics via automation tools and access to a large representative population

Cost management for the health care benefit plans of others; health care cost containment; heath care cost review; health care utilization and review services for business purposes; business services provided to the health care industry, namely, the collection, reporting, and analysis of health care information and the cost and quality of providers for business purposes; Collecting and analyzing claims data from healthcare organizations for business purposes; Data processing services in the field of health plan payment integrity operations; Insurance claims auditing services; Providing reimbursement benchmarking information and other market intelligence to healthcare organizations; providing consultation services for managing healthcare payments and maintaining and improving payment integrity; business consulting services, namely, providing consultation services for managing healthcare premium payments and maintaining and restoring premiums; business investigations; drug utilization review services and prescription drug cost management services; strategic business analysis and business advice regarding pharmacy benefit management, pharmaceutical end-user behavior, healthcare use behavior; market study and market analysis of healthcare, healthcare benefits, and pharmacy benefits effecting health behavior change and choice at the patient level; managed care services, namely, utilization review and pre-certification service; speciality care concierge, namely, assisting members in finding health care providers, scheduling appointments; Tracking and monitoring insurance compliance for business purposes; business consulting regarding government health plans, Medicare, Medicaid, state and federal regulations; business collaboration and consulting services, namely, promoting quality and efficiency between or among the healthcare service provider and health insurance payor communities to achieve cost savings, efficiency and improve the overall healthcare experience for patients; health care cost management and utilization review services for others; managed care services, namely, electronic processing of health care information; business consultation, business research and business data analysis services in the field of health economics, health safety, epidemiology, health outcomes research and clinical trials; collecting and analyzing claims data from healthcare organizations, clinics, laboratories, hospitals and pharmacies for business purposes; business consultation services for the healthcare industry based on health care data analysis; electronic data collection, data analysis and data submission services for business purposes in the fields of medicine and healthcare; cost management for health care benefit plans of others by identifying cost issues and cost management opportunities related to specialty drug services; business data analysis of health care provider payment data to help drive insights, improve efficiency, and reduce costs; providing data research service for insurance payors for use in developing robust medical policy criteria for business purposes; providing data research service for businesses related to economic modeling on health outcomes for business purposes; business administration of pharmacy reimbursement programs and services; mail order pharmacy services; specialty retail pharmacy services; physician referral services; providing medical referrals for other health care and medical treatment programs; research services, namely, business research services in connection with health economics

Insurance subrogation and salvage; Health insurance services, namely, insurance eligibility review and verification; medical benefit management services; providing information in the field of health insurance benefits; Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and Medicare beneficiaries

Providing on-line non-downloadable brochures, fact sheets, articles in the fields of health care and health benefits

Providing an interactive web site featuring technology that allows users to obtain information on health care services; providing temporary use of non-downloadable cloud-based software for managing healthcare payments and maintaining and improving payment integrity; providing temporary use of non-downloadable cloud-based software for managing healthcare premium payments and maintaining and restoring premiums; providing temporary use of non-downloadable cloud-based software for running healthcare cost, payment, and outcome studies for business purposes; providing a website featuring technology enabling users to assess the cost and value of medical procedures and providing online educational resources; providing a website featuring technology enabling users to obtain health plan prior authorizations and comply with CMS regulations for real-time payment clarity; software as a service (SaaS) services featuring software enabling users to coordinate home based health care, automate authorizations, store and receive medical care and insurance data; Platform as a service (PAAS) featuring computer software platforms for employers and employees for the purpose of bringing together health and benefits data, including health plan and benefits data, individual clinical and claims information and wellness application data, providing messaging, providing telemedicine services, providing alerts, providing clinical and wellness programs and providing educational resources; scientific research and data analysis services in connection with health safety, epidemiology, health outcomes research and clinical trials; medical and health research services and medical systems analysis and research; medical and health research and research consulting services for others in the field of health care data analysis used to improve management of health care systems; software as a service (saas) services featuring software for tracking, reporting, and communicating information related to patient care, hospital administration, hospital operation, hospital department management, patient billing, and patient charging and coding; software as a service (saas) services featuring software for processing claims and collecting and analyzing data for health care finance and administrations services; providing online, non-downloadable software for processing claims and collecting and analyzing data for health care finance and administrations services; providing online, non-downloadable computer software for tracking, reporting, and communicating information related to patient care, hospital administration, hospital operation, hospital department management, patient billing, and patient charging and coding; application service provider, namely, hosting, managing, developing, analyzing, and maintaining applications, software, and web sites, of others in the fields of health care, benefits programs, employee productivity, and risk management; providing online, non-downloadable software that enables payers to identify which clinical programs are effective and where they can improve physician performance and reduce fraud, waste and abuse; providing online, non-downloadable data analytics and reporting software that enables insurance payors to manage and optimize their provider networks; providing online, non-downloadable software that combines clinical rules with predictive models to drive down cost of care and improve member engagement, enabling users to better manage member populations through real-time member level analytics that identify clinical and non-clinical interventions opportunities; providing online, non-downloadable software that leverages healthcare data to identify individuals with unrecorded diagnoses and select the optimal provider intervention and to improve throughput and provide access to underlying data environment; providing temporary use of online non-downloadable cloud computing software that is used to accelerate healthcare-related decision making by reducing the development time of research analytics via automation tools and access to a large representative population

Providing medical consultations to assist employees in making health, wellness and nutritional changes in their daily lives to increase productivity and lower health care costs for businesses; providing a database in the field of interactive and real-time evidence-based clinical guidelines on best practices for treating a variety of medical conditions in a variety of care settings for hospitals and health plan related information and featuring inputting and collection of data and information all for treatment and diagnostic purposes; providing health care and medical care information; providing patient triage, medical evaluations, information regarding health related concerns and general health issues via call center and online messenger; health care concierge services

Investigation related to insurance claims; conducting insurance benefit investigations; claim review services to identify health insurance fraud, waste and abuse; Investigation services related to healthcare insurance claims; compiling and analyzing statistical health data in order to uncover and identify healthcare fraud and claims errors; Regulatory compliance consulting in the field of government health insurance, Medicare, Medicaid, and other state and federal health regulations