35
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; 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; organizing and administering a network health care provider specialists in the areas of chronic and complex diseases, catastrophic illness and surgery; providing medical business directory information services regarding health care professionals and health care provider organizations; promoting the medical services of others by dissemination of prior effectiveness record information indicating that the providers meet certain criteria
36
Insurance claims administration; insurance claims processing
41
Education services, namely conducting seminars, courses, conferences, audio conferences, online seminars featuring online presentations on medical conditions and in the field of continuing medical education and health care, and distribution of course materials in connection therewith
44
Providing health information; providing information regarding the outcomes, structure, processes, and effectiveness of health care professionals and health care provider organizations to health plan members for use in evaluating and selecting health care professionals and health care provider organizations; nurse information services, namely nurse triage and nurse call centers providing information regarding specific health-related concerns and general health issues