MEDGUARD

Computer application software for use in facilitating the detection and review of fraud and abuse in the fields of medicine and health care; computer application software for use in ensuring the fiscal and programmatic integrity of medical and health care services provided under government-funded and all other health plans; computer application software for use in facilitating utilization reviews, compliance reviews, and audits for government-funded and all other health plans

Medical and health care program integrity services, namely, data analysis in the field of medical and health care insurance, post-payment auditing of medical and health care insurance claims and related documentation, all for government-funded health plans and all other health plans

Computer services, namely, development of computer application software for use in the detection and review of fraud and abuse, for use in ensuring the fiscal and programmatic integrity of medical and health care services provided, for use in facilitating utilization reviews, compliance reviews, and audits for government-funded and all other health plans; Computer services, namely, providing technical support services for troubleshooting computer application software problems for software for use in the detection and review of fraud and abuse, for use in ensuring the fiscal and programmatic integrity of medical and health care services provided, for use in facilitating utilization reviews, compliance reviews, and audits for government-funded and all other health plans

Medical and health care program integrity services, namely, investigation services related to medical and health care insurance claims for government-funded and all other health plans, namely, investigation of insurance claims and medical procedures; medical and health care program integrity services, namely, analysis of data to ensure compliance with public sector laws and regulations and plan terms and conditions of participation in the provision of services under government funded health plans and other health plans