computer software, namely programs incorporating data base management and forms generation functions, for use in the fields of practice management and administration for health care providers, managed health care entities, health care insurers, and employers

business consultation services rendered to health care providers, managed health care entities, health care insurers, and employers

installation, maintenance, and updating of computer programs in the fields of practice management and administration for health care providers, managed health care entities, health care insurers, and employers, and computer consultations services and computer programming for health care providers, managed health care entities, health care insurers, and employers