E

Business services, namely, providing business analysis and business information regarding the management, processing, and administration of insurance claims; arranging of managed care contractual services in the fields of diagnostic imaging, home health care, durable medical equipment, specialty pharmacy, diagnostic lab services, and medical provider networks services; business consulting services in the field of medical bill review, and insurance reimbursement recommendations for others; medical cost management; medical cost containment; managed care services, namely, electronic processing of health care information, utilization review and pre-certification services; logistics management services in the field of workers' compensation insurance, namely, planning and coordinating specialized medical equipment, in-home health care, medical diagnostic services, accessibility specialists and contractors, sub-acute and detoxification, translation, and transportation services for injured individuals; 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 networking services, namely, maintaining ongoing relationships with physicians, hospitals, and ancillary medical care providers; administration of pharmacy utilization programs, namely, pharmaceutical cost management and drug utilization review services; provision of business information and business analysis concerning medical utilization and pharmacy benefits of individuals and their workers' compensation, automobile insurance and pain management treatment claims; physician referrals; Medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; preferred provider network programs, namely, medical claims management services in the nature of repricing of transactions that are originated by medical care provider services provided through a network of health care providers under a workers' compensation or automobile insurance plan

Pharmacy benefit management services; pharmacy benefit insurance claims administration; insurance claims processing services; insurance services in the nature of loss control management for others; preferred provider network programs, namely, administration of medical services provided through a network of health care providers under a workers' compensation or automobile insurance plan; providing information regarding recommended policy rates for workers' compensation or automobile insurance claim medical reimbursements; providing information used in the processing of workers' compensation and automobile claims; Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers

Providing temporary use of non-downloadable web-based software applications for use in the management, administration and processing of auto physical damage claims and auto glass replacement claims; providing temporary use of on-line non-downloadable software featuring repair data and procedures for assessing or repairing damaged vehicles; providing temporary use of non-downloadable web-based software applications for use in the management, processing and administration of insurance claims; providing on-line non-downloadable software for identifying, correcting and adjusting billing and coding errors in medical claims

Medical assistance services; providing medical, health and wellness information

Case management services, namely, the coordination of necessary medical services, vocational issues and educational services for persons injured at work