CARELON INSIGHTS

Downloadable educational materials in the fields of health care and health benefits

Cost management for the health care benefit plans of others; health care cost containment; health care utilization and review services; 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; 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; 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; organizing and administering networks of health care providers; data collection, analysis and reporting services for business purposes in the field of healthcare; 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; business data analysis of health care provider payment data to help drive insights, improve efficiency, and reduce costs; physician referral services; providing business administrative services for medical referrals for other health care and medical treatment programs

Insurance subrogation and salvage; 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 temporary use of non-downloadable cloud-based software for managing healthcare payments and maintaining and improving payment integrity; 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 processing claims and collecting and analyzing data for health care finance and administrations services; 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 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 health and wellness information; providing healthcare information, namely, retrieving healthcare information for the benefit of others; health care consulting services for others, namely, wellness and health-related consulting services using health care data analysis used to improve treatment outcomes of health care systems; health care consulting services in the nature of wellness and health-related consulting services to health systems; health care services; Providing a computer database in the field of healthcare used in connection with health and productivity research and analysis; Providing healthcare information, namely, retrieving healthcare information for the benefit of others; Health care consulting services for others in the field of health care data analysis used to improve management of health care systems; consulting in the field of home health care services and palliative care services; home health care management, namely, coordinating comprehensive health care for chronically ill patients with physicians, nurses, case managers and social workers all for medical purposes; consultation in the field of home health treatment programs adapted to individual patient needs, such as facilitating patient's transition from hospital to home, assessing the home environment and the patient condition, monitoring a patient's condition and reporting same to others to facilitate their provision of home health care services provided, and pharmaceuticals and equipment utilized to treat the patient

Providing health and wellness information; providing healthcare information, namely, retrieving healthcare information for the benefit of others; health care consulting services for others, namely, wellness and health-related consulting services using health care data analysis used to improve treatment outcomes of health care systems; health care consulting services in the nature of wellness and health-related consulting services to health systems; health care services; Providing a computer database in the field of healthcare used in connection with health and productivity research and analysis; Providing healthcare information, namely, retrieving healthcare information for the benefit of others; Health care consulting services for others in the field of health care data analysis used to improve management of health care systems; consulting in the field of home health care services and palliative care services; home health care management, namely, coordinating comprehensive health care for chronically ill patients with physicians, nurses, case managers and social workers all for medical purposes; consultation in the field of home health treatment programs adapted to individual patient needs, such as facilitating patient's transition from hospital to home, assessing the home environment and the patient condition, monitoring a patient's condition and reporting same to others to facilitate their provision of home health care services provided, and pharmaceuticals and equipment utilized to treat the patient