09
Computer software, namely, software for capturing insurance
information, processing insurance claims, administering
insurance claims, managing productivity, recording and
reporting employee absences, tracking and administering
federal, state and employer authorized leave, administering
attendance policies and vacation policies, interacting with
workers' compensation administrators, and providing
assistance with disability accommodation processes for
disabled employees
35
Insurance claims auditing services; business risk
management; business risk management consultation; business
consulting services, namely, consulting in the fields of
employee absence management and regulatory compliance;
business management services, namely, administration and
management of employer requirements for compliance with
federal and state legal requirements for employee leave;
tracking and reporting of employee attendance for purposes
of compliance with federal and state legal requirements;
health care utilization and review services; health care
cost review; health care cost containment; consulting
services, namely, to employers, community organizations,
brokers and beneficiaries, related to consumer information
regarding health care plan options, products and programs in
the field of managed care and state and federal medical care
programs; managed care services, namely, electronic
processing of health care information; managed care
services, namely, utilization review and pre-certification
services; pharmaceutical cost management services and drug
utilization review services; providing performance
benchmarking information concerning healthcare providers and
other market intelligence to consumers of healthcare;
business consulting services in the field of state and
federal regulatory compliance requirements for healthcare
reimbursement programs; business consulting and management
services, namely, creating and administering customer care
programs; insurance claims administration
36
Insurance claims processing; insurance consultation;
extended warranty services, namely, service contracts;
insurance information and consultancy services, namely,
medical insurance case and utilization review and insurance
claims adjustment services for healthcare purchasers and
payors and providers and medicare beneficiaries; assessing
insurance claims
42
Providing temporary use of online, non-downloadable computer
software platform for use in capturing insurance
information, processing insurance claims, administering
insurance claims, managing productivity, recording and
reporting employee absences, tracking and administering
federal, state and employer authorized leave, administering
attendance policies and vacation policies, interacting with
workers' compensation administrators, and providing
assistance with disability accommodation processes for
disabled employees; scientific investigation for medical
purposes; quality analysis for medical purposes
44
Health care services, namely, clinical medical practice
consultations for injured workers, medical counselling
services, and nursing services; medical advisory services
relating to health care, lifestyle and medical matters;
behavioral analysis for medical purposes; lifestyle health
assessment, occupational health assessment, personnel
medical screening, psychiatric services for alcohol and drug
related problems and psychiatric problems and stress, all
relating to health risk factors in the working environment,
working patterns, management structures and systems and
lifestyle; providing health information; managed health care
services; behavioral health services; rehabilitation patient
care services; health care services offered through a
network of health care providers on a contract basis
45
Private investigation and photographic surveillance;
providing managing private investigations and surveillance
services via a secured access database via the Internet;
case management services, namely, the coordination of
necessary medical services, and the coordination of
vocational issues and educational services for persons
injured at work; consulting services in the field of state
and federal regulatory compliance requirements for workplace
safety; accident investigations; investigation services
related to insurance claims; health and safety services,
namely, analysis, consultation and advisory services in the
field of development and implementation of patient safety
programs of third parties