EVERNORTH

Downloadable software application for smartphones, tablets and computers, relating to mail order and wholesale pharmacy services, namely, software for reviewing pharmacy pricing information, obtaining and checking the status of prior authorizations, ordering prescription medication refills, tracking prescription medication orders, reviewing prescription medication information, prescription drug cost management and containment, prescription drug formulary cost management, business data analyzing and reporting, drug and healthcare utilization and review, computerized database management and data processing, electronic data collection and data submission for business purposes, insurance claim auditing relating to fraud waste and abuse, tracking, monitoring, assessing and analyzing information and statistics regarding patient prescription drug use, medical care, and healthcare habits to identify potential cost savings and clinical benefits, collection and analysis of quality metric data for health care providers, insurance companies and health care payors for business purposes, medical benefit management, pharmacy benefit management, medical insurance case and utilization review and insurance claims adjustment, financial risk analysis and evaluation to identify and estimate future potential health costs and likelihood of clinical outcomes, medical utilization review, reporting and verification, optimizing healthcare utilization and financial risk for healthcare payers, assisting physicians in making clinical decisions, and analyzing data to help health care providers track clinical decisions and develop best practices, managing the quality and cost of healthcare, collecting, managing, tracking, analyzing, and reporting data in the pharmaceutical, medical, healthcare, and life sciences fields and in the field of insurance and benefits, collection and management of healthcare and life sciences data, collecting, managing, and analyzing clinical trial data, health risk assessment and profiling for use in the field of preventative health, electronic health data storage, data mining, and the collection, editing, organizing, modifying, book marking, transmission, storage and sharing of data and information in the field of healthcare

Fraud detection services in the field of health care insurance, namely, compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors