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health care utilization review services; medical cost management; medical case management and disease management services, namely medical referral of individuals to appropriate health management programs; business services, namely, organizing and administering a network of health care providers; health care cost management and review services, namely, assessing appropriateness of medical procedures and providing opinions and options related to same; business services, namely, organizing and administering a network of health care provider specialists in the areas of chronic and complex diseases, catastrophic illness, and surgery; operation of nurse telephone call centers for others; providing medical industry business information and commercial directory information relating to health care professionals and health care provider organizations to health plan members relating to the outcomes, structures, processes and effectiveness of health care professionals and health care provider organizations, for use in selecting health care professionals and health care provider organizations for health care services

Insurance claims administration; insurance claims processing

Education services, namely conducting seminars, classes, conferences, audio conferences, online seminars and online presentations in the field of health care, medicine and medical conditions, and distributing course materials in connection therewith

providing health information; providing health care information to health plan members for use in evaluating and selecting health care professionals and health care provider organizations, namely, information relating to outcomes, structures, processes and effectiveness of health care professionals and health care provider organizations; providing information regarding specific health-related concerns and general health issues via nurse triage and nurse call centers