Health care cost containment; Medical cost management; Consulting services in the cost management of health care; Cost management for the health care benefit plans of others; Health care utilization and review services; Insurance claims auditing services; Medical records coding services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from insurance; Providing reimbursement benchmarking information and other market intelligence to healthcare organizations; healthcare claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers to ensure payment accuracy; business consulting for health care entities related to payment integrity, cost containment, insurance claim auditing, debt recovery, and third-party liability; account auditing services in the field of identifying prepayment savings, post-payment recoveries, contractual payment errors, improper coding, improper billing submissions, and outlier trend payments; account auditing services, namely, recovery audit services in the nature of reviewing medical claims billing systems to detect lost profits through overpayments in order to reduce health insurance costs related to claim payment errors; business services, namely, pre-payment and post-payment review of medical claims to ensure claim payment accuracy; business services provided to the health care and insurance industries, namely, the collection, reporting, and analysis of health care information and health care cost and quality data for business purposes; personal medical history management services, namely, maintaining computerized medical data, claim data and databases containing the medical condition of individuals for medical management purposes; payment management in the nature of providing chart review and clinical chart validation services in the nature of business data and management analysis services in the healthcare field for business purposes

Litigation advice; Litigation consulting; Consulting services concerning legal matters in the medical field; legal services relating to claims management for insurance companies and health care providers; litigation and pre-litigation support services, namely, research and analysis services for trial preparation, case evaluation, and settlement negotiations; legal consultation in the field of insurance loss management; legal consultation services in the fields of avoiding, mitigating, managing, and resolving actual and potential legal liabilities and claims; investigative services related to health care insurance claims; Providing fraud and abuse support in the healthcare industry, namely, regulatory compliance auditing and consulting services and tracking and monitoring regulatory requirements in the field of healthcare fraud for regulatory compliance purposes; fraud detection, prevention, and recovery services in the field of health care insurance; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors

Insurance subrogation; Insurance claims administration; Claims administration services in the field of health insurance; Assessing insurance claims; Insurance administration services, namely, assisting others with adjusting insurance claims; Electronic processing of insurance claims and payment data; Insurance risk management; Debt settlement negotiation services; insurance claims payment consulting and reimbursement services; insurance claim administration consultation services; insurance claims review and validation; insurance consultation services for the healthcare industry; healthcare financial advisory services for providing payment integrity solutions; medical insurance claims review services in the nature of assessing insurance claims to ensure payment accuracy; financial auditing services to ensure payment accuracy; medical claim recovery in the nature of healthcare plan overpayment recovery; post-payment recovery of improper payments, including healthcare provider-based payment coordination and denial management, namely, collection of money owed due to improper payment; debt collection services, namely, recovery of overpayments made on medical services reimbursement claims, medical insurance reimbursement claims and Medicare reimbursement claims; 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 software for use in data analytics, data management, data access, data sharing, and data storage in the field of health care and health insurance; providing an online non-downloadable software application for use in the healthcare industry to enable the seamless aggregation, management, and sharing of pertinent patient medical care data; data warehousing, data migration and data mining services for the health care industry; providing on-line non-downloadable software for coding, compliance and reimbursement management in the health care industry; providing on-line non-downloadable software using artificial intelligence (AI) for providing payment integrity solutions in the field of health care and health insurance; providing on-line non-downloadable software using artificial intelligence (AI) for use in optimizing payment accuracy, health care claims reimbursement, and ensuring payment integrity in the field of health care; software as a service (SaaS) services powered by artificial intelligence (AI) for enabling and streamlining comprehensive medical diagnostic and review processes by healthcare organizations; software as a service (SaaS) services featuring software using artificial intelligence (AI) for mining and analyzing patient health data and medical records to provide actionable clinical insights and empowering health care providers to identify, document, and close diagnostic gaps; providing an online non-downloadable analytical software application which uses machine learning algorithms to analyze medical data and claims to help identify patient conditions and route that information to providers at the point of care via integration with clinical documentation improvement (CDI) solutions, enabling providers to identify patients’ needs for diagnostic testing or treatment, and improve claims coding accuracy and payments; Software as a service (SaaS) services featuring software that uses electronic health record (EHR)-integrated artificial intelligence to streamline healthcare claims submissions by automating approvals and identifying suggestions to ensure patient diagnosis is completely captured and accurately documented; software as a service (SaaS) services featuring software that pulls, pushes, centralizes, and analyzes patient healthcare data with proprietary algorithms to enable healthcare organizations enterprise-wide to gain insights from patient chart information, medical claims, electronic health record (EHR) data, test and lab data, pharmacy information, and population-level information; software as a service (SaaS) services featuring software that uses artificial intelligence to assist healthcare organizations by delivering predictive prior authorization decisions within the workflow to streamline decision-making for healthcare organizations and to enhance healthcare provider and member satisfaction; providing temporary use of online non-downloadable medical billing, coding and reimbursement software featuring computer-assisted coding, clinical documentation improvement and charge capture functions for use by healthcare providers