EVICORE HEALTHCARE INNOVATIVE SOLUTIONS

Software for optimizing healthcare utilization, managing utilization and financial risk for healthcare payers, assisting physicians in making appropriate clinical decisions, and analyzing data to help health care providers, practice managers, and other health professionals track clinical decisions and develop best practices; computer programs for use in the field of medical diagnosis guidance and evidence-based healthcare; Medical computer software for Electronic Medical Records (EMR) data and workflow management for any size of health care providers; Computer software for application and database integration; Computer software for the collection, editing, organizing, modifying, book marking, transmission, storage and sharing of data and information; Computer software for use in customer relationship management (CRM); Computer software for providing an online database in the field of transaction processing to upload transactional data, provide statistical analysis, and produce notifications and reports; Computer software that provides real-time, integrated business management intelligence by combining information from various databases and presenting it in an easy-to-understand user interface; software for transmitting health care related information over a global computer information network

Medical cost management; managed care services, namely, utilization review and pre-certification services; organization and administration of networks of preferred healthcare providers, namely, arranging of managed care contractual services in the fields of diagnostic imaging, radiation therapy, medical oncology, cardiac and nuclear cardiac imaging, ultrasound services, sleep management testing and treatment, cardiac device care, post-acute care management, bundled payments, musculoskeletal care, and diagnostic lab services; cost management for the health care benefit plans of others; Managed care services, namely, electronic processing of health care information; Organization and coordination of health care services; Evidenced-based health care cost management services and healthcare utilization and review services; Electronic processing of health care information via the Internet; health care cost management services for healthcare benefit plans

Organization and administration of networks of preferred healthcare providers; Claims administration services in the field of health insurance; Insurance administration in the field of health care; Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and beneficiaries of health plans; administration of healthcare benefit plans for Medicare and Medicaid-eligible individuals; administration of managed health care plans; insurance services, namely, administration of healthcare benefit insurance plans; and organization and administration of networks of preferred healthcare providers

Electronic data interchange services in the field of healthcare transactions such as claims, eligibility, claim status, electronic remittance advice, prior authorizations, attachments and referrals that allow direct transaction, authorization and payment communications between healthcare providers, patients and payers; providing access to databases in the fields of medical diagnosis guidance and evidence-based healthcare

Software as a service (SAAS) services featuring software for use in connection with evidence-based healthcare and insurance, namely, the development and implementation of algorithms and analytical models from evidence-based medical criteria for purposes of a medical utilization review and reporting, and verifying the requesting provider's adherence to evidence-based medicine guidelines and determining the appropriate intensity of medical utilization review based upon the requesting provider's prior history; Application service provider, ASP, featuring software for use in developing, analyzing, and maintaining information and database management in the fields of healthcare, benefits programs, employee productivity, and risk management; quality management services for healthcare benefit plans for others; molecular and genetic lab services; software as a service (SAAS) services featuring software for optimizing healthcare utilization, managing utilization and financial risk for healthcare payers, assisting physicians in making clinical decision, and analyzing data to help health care providers track clinical decisions and develop best practices

Providing medical profiles and medical record analysis and assessments via a website that are designed to provide custom tailored outputs about recommended resources and treatments associated with a defined set of symptoms and concerns; Medical services and managed healthcare services; consulting services in the field of health; medical services and managed health care services