Medical cost management; medical cost reduction, namely, cost analysis, cost price analysis and health care cost review all for the purpose of cost reduction; medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; business and management consulting for healthcare providers and related businesses; health care cost containment; business services, namely, providing business consultation in the field of healthcare cost containment; business services, namely, providing preferred provider organization medical practice management for others, health care cost containment in the field of medical claims processing, healthcare cost containment in the nature of business contract and commercial transaction negotiation services in the fields of medical claims pricing and health care cost containment in the field of fee schedule repricing services; providing solutions, namely, providing reimbursement benchmarking information and other market intelligence to medical benefit payors and their agents for repricing and processing medical benefit claims; business services, namely, providing healthcare cost containment consultation and healthcare cost containment negotiation in the fields of commercial transactions and business contracts; cost management for the health care benefit plans of others; business services, namely, business consultation in the fields of cost management solutions for health benefit plans, insurance claim processing automation, editing of in-network and out-of-network insurance claims, clinical bill review and auditing related to insurance claims and reimbursement, out-of-network business negotiations, preferred provider organization (PPO) network management, and data analytics for health benefit plans; marketing services in the field of software and other products and services related to or used to perform, claims flow management, data management, coding identification and verification, fraud, waste and abuse detection, provider credential verification activities, and claim based repricing; retail store and online retail store services featuring software and other products and services related to or used to perform, claims flow management, data management, coding identification and verification, fraud, waste and abuse detection, provider credential verification activities, and claim based repricing

Health care insurance claims processing; bill payment services; electronic payment, namely, electronic processing and subsequent transmission of bill payment data regarding health care insurance claims to health care providers and payors; medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and medicare beneficiaries; health benefit plans, namely, health insurance underwriting and health insurance claims administration; providing an online computer database in the field of processing of medical claims for use by medical benefit payors and their agents for repricing and processing medical benefit claims; providing information about healthcare insurance plans

Electronic payment, namely, transmission of bill payment data regarding health care insurance claims to health care providers and payors

Software as a service (SAAS) services in the field of healthcare featuring software to improve medical coding efficiency, for providing medical claim reimbursement assurance underwriting analysis, for providing software toolsets for use in medical claim auditing and claim accuracy, and for providing compliance monitoring related to the licensing of staff and the exclusion of staff from specific assignments; computer software development; product development for goods related to, or used to perform, claims flow management, data management, coding identification and verification, fraud, waste and abuse detection, provider credential verification activities, claim based repricing; providing a web-based service featuring technology and online non-downloadable software that enables users to select and compare health care providers such as physicians, hospitals and other types of caregivers for purposes of creating or updating physician and health care provider directories, and for physician and health care provider recruiting through an analysis of physician and health care provider records maintained in a computer database, including records of individual physicians and health care providers, contact information, locations, specialties, health care facilities and more, as determined by the customer, to manage, compile and systemize physician and health care provider data into computer databases, to verify and check accuracy, to generate reports, and to provide consulting related to physician and health care provider data