09
Downloadable computer software for tracking, reporting, and
communicating information related to patient care, hospital
administration, hospital operation, hospital department
management, patient billing, and patient charging and
coding; downloadable computer software for processing claims
and collecting and analyzing data for health care finance
and administrations services; downloadable computer software
that enables payers to identify which clinical programs are
effective and where they can improve physician performance
and reduce fraud, waste and abuse; downloadable computer
software in the nature of data analytics and reporting
software that enables insurance payors to manage and
optimize their provider networks; downloadable computer
software that combines clinical rules with predictive models
to drive down cost of care and improve member engagement,
enabling users to better manage member populations through
real-time member level analytics that identify clinical and
non-clinical interventions opportunities; downloadable
computer software that leverages healthcare data to identify
individuals with unrecorded diagnoses and select the optimal
provider intervention; downloadable computer software that
accelerates healthcare-related decision-making by reducing
the development time of research analytics via automation
tools and access to a large representative population
35
Cost management for the health care benefit plans of others;
health care cost containment; health care utilization and
review services, namely, business analysis and research
services in the field of health care, compilation of
statistics relating to health care utilization, provision of
user reviews in the field of health care services for
commercial purposes and health care cost management and
review services for others; business services provided to
the health care industry, namely, the collection, reporting,
and analysis of health care information and the cost and
quality of providers for business purposes; business
collaboration and consulting services, namely, promoting
quality and efficiency between or among the healthcare
service provider and health insurance payor communities to
achieve cost savings, efficiency and improve the overall
healthcare experience for patients; health care cost
management and utilization review services for others;
managed care services, namely, electronic processing of
health care information; organizing and administering
networks of health care providers; data collection, analysis
and reporting services for business purposes in the field of
healthcare; business consultation, business research and
business data analysis services in the field of health
economics, health safety, epidemiology, health outcomes
research and clinical trials; collecting and analyzing
claims data from healthcare organizations, clinics,
laboratories, hospitals and pharmacies for business
purposes; business consultation services for the healthcare
industry based on health care data analysis; electronic data
collection, data analysis and data submission services for
business purposes in the fields of medicine and healthcare;
cost management for health care benefit plans of others by
identifying cost issues and cost management opportunities
related to specialty drug services; business data analysis
of health care provider payment data to help drive insights,
improve efficiency, and reduce costs; providing data
research service for insurance payors for use in developing
robust medical policy criteria for business purposes;
providing data research service for businesses related to
economic modeling on health outcomes for business purposes;
business administration of pharmacy reimbursement programs
and services; mail order pharmacy services; specialty retail
pharmacy services; physician referral services; providing
medical referrals for other health care and medical
treatment programs; research services, namely, business
research services in connection with health economics
36
Insurance subrogation; insurance consulting and insurance
claims administration services; insurance claims processing
and administration; providing online information in the
field of health insurance plan benefits; collection of debts
for others in the nature of unpaid medical claims; pharmacy
benefits management services; financial administration of
pharmacy reimbursement programs and services
42
Hosting an interactive web site featuring technology that
allows users to obtain information on health care services;
scientific research and data analysis services in connection
with health safety, epidemiology, health outcomes research
and clinical trials; medical and health research services
and medical systems analysis and research; medical and
health research and research consulting services for others
in the field of health care data analysis used to improve
management of health care systems; software as a service
(saas) services featuring software for tracking, reporting,
and communicating information related to patient care,
hospital administration, hospital operation, hospital
department management, patient billing, and patient charging
and coding; software as a service (saas) services featuring
software for processing claims and collecting and analyzing
data for health care finance and administrations services;
providing online, non-downloadable software for processing
claims and collecting and analyzing data for health care
finance and administrations services; providing online,
non-downloadable computer software for tracking, reporting,
and communicating information related to patient care,
hospital administration, hospital operation, hospital
department management, patient billing, and patient charging
and coding; application service provider, namely, hosting,
managing, developing, analyzing, and maintaining
applications, software, and web sites, of others in the
fields of health care, benefits programs, employee
productivity, and risk management; providing online,
non-downloadable software that enables payers to identify
which clinical programs are effective and where they can
improve physician performance and reduce fraud, waste and
abuse; providing online, non-downloadable data analytics and
reporting software that enables insurance payors to manage
and optimize their provider networks; providing online,
non-downloadable software that combines clinical rules with
predictive models to drive down cost of care and improve
member engagement, enabling users to better manage member
populations through real-time member level analytics that
identify clinical and non-clinical interventions
opportunities; providing online, non-downloadable software
that leverages healthcare data to identify individuals with
unrecorded diagnoses and select the optimal provider
intervention and to improve throughput and provide access to
underlying data environment; providing temporary use of
online non-downloadable cloud computing software that is
used to accelerate healthcare-related decision making by
reducing the development time of research analytics via
automation tools and access to a large representative
population
44
Providing health and wellness information; health care and
medical information services; health care services, namely,
wellness programs; providing healthcare information, namely,
retrieving healthcare information for the benefit of others;
health care consulting services for others, namely, wellness
and health-related consulting services using health care
data analysis used to improve treatment outcomes of health
care systems; providing a computer database in the field of
healthcare used in connection with health and productivity
research and analysis; medical evaluation services, namely,
functional assessment program for patients receiving medical
diagnosis and rehabilitation services for purposes of
guiding treatment and assessing program effectiveness;
providing wellness services, namely, personal assessments,
personalized routines, maintenance schedules, and
counseling; health care consulting services in the nature of
wellness and health-related consulting services to health
systems; medical services; medical clinics; hospital
services; providing in-home and out-patient physician
medical and nursing care services; emergency medical
response services; providing hospice and convalescent home
care services; hospitalist programs, namely, providing
physician services by physicians who specialize in treating
the hospitalized patients of other physicians; health care
services; providing in-home health care services to senior
citizens; behavioral health services; providing information
in the field of behavioral health