COTIVITI, INC.

Class 035: Business consulting and advisory services in the field of healthcare payment accuracy; Providing an integrated payment accuracy solution that combines multiple tools and services for reviewing, analyzing, and auditing inpatient medical claims, in order to identify, correct, and optimize healthcare payments for healthcare providers and payers; Business information, data, and analytics services in the field of healthcare payment accuracy

Downloadable software for simplifying and optimizing the end-to-end process of patient data interchange in the healthcare field; downloadable software for enabling users to automate healthcare processes using artificial intelligence (AI) software, and intelligent automation (IA) software solutions; downloadable software using artificial intelligence and machine learning models to extract information from patient data and assist healthcare organizations with managing patient data; downloadable software that enables healthcare organizations to manage patient data interchange and extract information from patient data; "INTELLIGENT HEALTHCARE"; Software as a service (SAAS) featuring software to simplify and optimize the end-to-end process of patient data interchange in the healthcare field; providing on-line non-downloadable software for enabling users to automate healthcare processes using artificial intelligence (AI) software, and intelligent automation (IA) software solutions; software as a service (SAAS) featuring software using artificial intelligence and machine learning models to extract information from patient data and assist healthcare organizations with managing patient data; platform as a service (PAAS) featuring cloud computer software platforms that enable healthcare organizations to manage patient data interchange and extract information from patient data

Educational services, namely, conducting annual symposium in the field of healthcare data interoperability, administration, compliance, and artificial intelligence solutions; "HEALTHCARE"

Coding software platform, namely, platform as a service (PAAS) featuring computer software platforms for application development; application service provider, namely, providing a web-based application in the nature of online non-downloadable software for managing distribution and workflow of medical records for data entry of diagnosis codes by certified coding professionals and providing risk adjustment coding services for conducting coding and medical record reviews; providing temporary use of a web-based non-downloadable software application for managing data and medical records, searching and viewing member medical records, managing medical record and health risk assessment retrieval and logistics, operations management, reviewing and executing system reports, managing application settings and projects related to medical coding setup and maintenance, and accessing data extracts in the field of healthcare and medical coding; providing an internet website portal in the fields of technology and software development featuring risk adjustment coding services and medical record, medical coding, and vendor management services in the field of healthcare

"PAYMENT"; Providing online non-downloadable software for providing healthcare cost containment, utilization, and review services

Customer relationship management consulting, namely, customer engagement consulting services in the field of healthcare; customer relationship management consulting, namely, customer outreach services to healthcare consumers; Providing healthcare information to healthcare consumers by multi-channel communications, namely, email, text messaging, live agent, mail, interactive voice response, and phone; Providing temporary use of a web-based software application for engagement with healthcare payers and consumers; Providing an internet website portal featuring technology that enables users to engage directly with healthcare payers and consumers

Education services, namely, providing non-downloadable webinars in the fields of healthcare, data analytics, payment accuracy, consumer engagement, and investigations related to fraud, waste, and abuse; providing a website featuring non-downloadable videos, non-downloadable blogs, non-downloadable articles, non-downloadable case studies, and non-downloadable white papers in the fields of healthcare, data analytics, payment accuracy, consumer engagement, and investigations related to fraud, waste, and abuse; downloadable electronic publications, namely, downloadable e-books and downloadable informational brochures in the field of healthcare payment solutions; Healthcare financial advisory services for providing payment integrity solutions; medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and Medicare beneficiaries to ensure payment accuracy; medical insurance claims review services in the nature of assessing insurance claims to ensure payment accuracy; providing counseling and consulting in the field of healthcare insurance benefits; insurance claim administration consultation services; financial data analytics services; risk adjustment services in the nature of financial and insurance risk management consulting; providing financial payment accuracy information to healthcare consumers; financial auditing services to ensure payment accuracy; Insurance services, namely, providing information for the purpose of review and verification of Medicaid and Medicare eligibility status and related information; Healthcare cost containment, assessment, and analyses services; healthcare utilization and review services; medical cost management; collecting and analyzing claims data and quality metric data from healthcare organizations to ensure payment accuracy for health care purchasers, payors, and providers for business purposes; recovery audit services in the nature of reviewing medical claims billing systems to detect lost profits through overpayments in order to reduce health insurance costs related to claim payment errors for business purposes; medical records coding services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from insurance to ensure payment accuracy; providing statistical evaluation of health insurance claims performance measures for others; maintaining personal medical history records and files in the nature of providing chart review and clinical chart validation services in the healthcare field for business purposes; healthcare claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers to ensure payment accuracy; business intelligence assistance, advisory and consulting services in the field of healthcare network management; business consulting services regarding clinical and business process optimization services; comparative business and industry trend reporting and analysis services for business purposes; provision of marketing reports featuring information on retail transactions, promotions and pricing review information for products of others; business data analytics services; electronic data collection and data submission services for business purposes in the fields of medicine, healthcare, and merchandise inventories; risk adjustment services in the nature of financial record-keeping management, retrieval, and abstraction of medical records for health insurance risk management and compliance purposes; business auditing support services pertaining to the Medicare Recovery Audit Contractor program and other federal healthcare programs, namely, the preparation, organization and presentation of the documents and data requested by a government body, and advice on government audit processes, policies and strategy; customer engagement business consulting services in the field of healthcare; customer outreach in the nature of customer relationship management services to healthcare consumers; consumer strategy business monitoring and consulting services, namely, consumer relations management, consumer outreach and multi-channel communication campaign management, data management and analytics, behavioral assessment, and predictive modeling; providing reimbursement benchmarking information and other market intelligence to healthcare payors and providers; healthcare cost containment, in particular, providing an online portal featuring cost containment performance data in the areas of healthcare insurance claim fraud, waste and abuse for use by health care providers, administrators and health professionals; business intelligence services in the nature of continuous improvement processes for retailers; business consulting services in the nature of contract management and compliance; business consulting services in the nature of contract management and compliance; Providing fraud and abuse support in the healthcare industry in the nature of fraud investigative services related to insurance claims; fraud detection services in the field of health care insurance for physical security purposes for the protection of people; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors; investigative services related to insurance claims; Software as a service (SaaS) featuring software for assessment and management of healthcare practices, facilities, organizations, and provider networks; quality evaluation services of clinical and financial performance in the healthcare industry; quality control consultation in the field of health care quality improvement featuring health care quality review and quality data analysis; data mining; providing on-line non-downloadable quality measure logic and reporting software for collecting, measuring, monitoring, evaluating, and reporting information in the field of healthcare cost containment and retail services; providing online non-downloadable software for monitoring, alerting prioritizing, and resolving payment accuracy issues; providing on-line, non-downloadable software for data analytics; computer services, namely, hosting an interactive web site for educating consumers to interpret and assess healthcare information and payment accuracy analytics; providing online non-downloadable software for commercial and government health payers and at-risk providers to conduct population health and risk analytics, predictive member health modeling, and enable member engagement services using insureds' health related data; providing online non-downloadable software for managing the subrogation of insurance claims and the coordination of benefits on behalf of state and federal healthcare programs; providing temporary use of non-downloadable cloud-based audit recovery software for monitoring and evaluating payment integrity issues; providing an Internet website portal featuring non-downloadable analytic software to identify and prevent healthcare insurance claim fraud, waste and abuse; providing online non-downloadable software to manage healthcare insurance member engagement and care, conduct population health and risk analytics, and improve health outcomes through data warehousing, analytics engines, predictive modeling, and machine learning; data automation and collection service using proprietary software to evaluate, analyze and collect healthcare payment data; providing on-line non-downloadable software using artificial intelligence for machine learning to provide payment integrity solutions; software as a service (SaaS) featuring software for offering data analytics to identify margin accuracy issues such as duplicate payments, price anomalies, missing promotional funds, and payment term errors related to goods-for-resale transactions; providing temporary use of non-downloadable cloud-based software for engagement with healthcare payers and consumers; providing an internet website portal for facilitating engagement with healthcare payers and consumers; fraud detection services in the field of health care insurance, namely, computer security services for protecting data and information from unauthorized access

Education services, namely, providing non-downloadable webinars in the fields of healthcare, data analytics, payment accuracy, consumer engagement, and investigations related to fraud, waste, and abuse; providing a website featuring non-downloadable videos, non-downloadable blogs, non-downloadable articles, non-downloadable case studies, and non-downloadable white papers in the fields of healthcare, data analytics, payment accuracy, consumer engagement, and investigations related to fraud, waste, and abuse; downloadable electronic publications, namely, downloadable e-books and downloadable informational brochures in the field of healthcare payment solutions; Healthcare financial advisory services for providing payment integrity solutions; medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and Medicare beneficiaries to ensure payment accuracy; medical insurance claims review services in the nature of assessing insurance claims to ensure payment accuracy; providing counseling and consulting in the field of healthcare insurance benefits; insurance claim administration consultation services; financial data analytics services; risk adjustment services in the nature of financial and insurance risk management consulting; providing financial payment accuracy information to healthcare consumers; financial auditing services to ensure payment accuracy; Insurance services, namely, providing information for the purpose of review and verification of Medicaid and Medicare eligibility status and related information; Healthcare cost containment, assessment, and analyses services; healthcare utilization and review services; medical cost management; collecting and analyzing claims data and quality metric data from healthcare organizations to ensure payment accuracy for health care purchasers, payors, and providers for business purposes; recovery audit services in the nature of reviewing medical claims billing systems to detect lost profits through overpayments in order to reduce health insurance costs related to claim payment errors for business purposes; medical records coding services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from insurance to ensure payment accuracy; providing statistical evaluation of health insurance claims performance measures for others; maintaining personal medical history records and files in the nature of providing chart review and clinical chart validation services in the healthcare field for business purposes; healthcare claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers to ensure payment accuracy; business intelligence assistance, advisory and consulting services in the field of healthcare network management; business consulting services regarding clinical and business process optimization services; comparative business and industry trend reporting and analysis services for business purposes; provision of marketing reports featuring information on retail transactions, promotions and pricing review information for products of others; business data analytics services; electronic data collection and data submission services for business purposes in the fields of medicine, healthcare, and merchandise inventories; risk adjustment services in the nature of financial record-keeping management, retrieval, and abstraction of medical records for health insurance risk management and compliance purposes; business auditing support services pertaining to the Medicare Recovery Audit Contractor program and other federal healthcare programs, namely, the preparation, organization and presentation of the documents and data requested by a government body, and advice on government audit processes, policies and strategy; customer engagement business consulting services in the field of healthcare; customer outreach in the nature of customer relationship management services to healthcare consumers; consumer strategy business monitoring and consulting services, namely, consumer relations management, consumer outreach and multi-channel communication campaign management, data management and analytics, behavioral assessment, and predictive modeling; providing reimbursement benchmarking information and other market intelligence to healthcare payors and providers; healthcare cost containment, in particular, providing an online portal featuring cost containment performance data in the areas of healthcare insurance claim fraud, waste and abuse for use by health care providers, administrators and health professionals; business intelligence services in the nature of continuous improvement processes for retailers; business consulting services in the nature of contract management and compliance; business consulting services in the nature of contract management and compliance; Providing fraud and abuse support in the healthcare industry in the nature of fraud investigative services related to insurance claims; fraud detection services in the field of health care insurance for physical security purposes for the protection of people; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors; investigative services related to insurance claims; Software as a service (SaaS) featuring software for assessment and management of healthcare practices, facilities, organizations, and provider networks; quality evaluation services of clinical and financial performance in the healthcare industry; quality control consultation in the field of health care quality improvement featuring health care quality review and quality data analysis; data mining; providing on-line non-downloadable quality measure logic and reporting software for collecting, measuring, monitoring, evaluating, and reporting information in the field of healthcare cost containment and retail services; providing online non-downloadable software for monitoring, alerting prioritizing, and resolving payment accuracy issues; providing on-line, non-downloadable software for data analytics; computer services, namely, hosting an interactive web site for educating consumers to interpret and assess healthcare information and payment accuracy analytics; providing online non-downloadable software for commercial and government health payers and at-risk providers to conduct population health and risk analytics, predictive member health modeling, and enable member engagement services using insureds' health related data; providing online non-downloadable software for managing the subrogation of insurance claims and the coordination of benefits on behalf of state and federal healthcare programs; providing temporary use of non-downloadable cloud-based audit recovery software for monitoring and evaluating payment integrity issues; providing an Internet website portal featuring non-downloadable analytic software to identify and prevent healthcare insurance claim fraud, waste and abuse; providing online non-downloadable software to manage healthcare insurance member engagement and care, conduct population health and risk analytics, and improve health outcomes through data warehousing, analytics engines, predictive modeling, and machine learning; data automation and collection service using proprietary software to evaluate, analyze and collect healthcare payment data; providing on-line non-downloadable software using artificial intelligence for machine learning to provide payment integrity solutions; software as a service (SaaS) featuring software for offering data analytics to identify margin accuracy issues such as duplicate payments, price anomalies, missing promotional funds, and payment term errors related to goods-for-resale transactions; providing temporary use of non-downloadable cloud-based software for engagement with healthcare payers and consumers; providing an internet website portal for facilitating engagement with healthcare payers and consumers; fraud detection services in the field of health care insurance, namely, computer security services for protecting data and information from unauthorized access

Downloadable electronic publications, namely, downloadable e-books and downloadable informational brochures in the field of healthcare payment solutions | Healthcare cost containment, assessment, and analyses services; healthcare utilization and review services; medical cost management; collecting and analyzing claims data and quality metric data from healthcare organizations to ensure payment accuracy for health care purchasers, payors, and providers for business purposes; recovery audit services in the nature of reviewing medical claims billing systems to detect lost profits through overpayments in order to reduce health insurance costs related to claim payment errors for business purposes; medical records coding services for others in the nature of assignment of diagnostic and procedural codes for purposes of reimbursement from insurance to ensure payment accuracy; providing statistical evaluation of health insurance claims performance measures for others; payment management in the nature of providing chart review and clinical chart validation services in the nature of business data and management analysis services in the healthcare field for business purposes; healthcare claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers to ensure payment accuracy; business intelligence assistance, advisory and consulting services in the field of healthcare network management; business consulting services for clinical and business process optimization; comparative business and industry statistical trend reporting and analysis services for business purposes; provision of marketing reports featuring information on retail transactions, promotions and pricing review information for products of others; business data analytics services; electronic data collection and data submission services for business purposes in the fields of medicine, healthcare, and retail; risk adjustment services, namely, financial record-keeping management and retrieval of abstraction in the nature of extracting and summarizing information from medical records for health insurance risk management and regulatory compliance purposes; business auditing support services pertaining to the Medicare Recovery Audit Contractor program and other federal healthcare programs, namely, the preparation, organization and presentation of the documents and data requested by a government body, and advice on government audit processes, policies and strategy; marketing consulting services, namely, customer engagement consulting services in the field of healthcare; customer outreach services, namely, marketing services for outreach to healthcare consumers; consumer strategy business monitoring and consulting services, namely, providing marketing advice regarding consumer relations management, consumer outreach and multi-channel communication campaign management, data management and analytics, behavioral assessment, and predictive modeling; providing reimbursement benchmarking information and other market intelligence to healthcare payors and providers; providing an online internet website portal featuring cost containment performance data in the areas of healthcare insurance claim fraud, waste and abuse for use by health care providers, administrators and health professionals; business intelligence services in the nature of continuous improvement processes for retailers; business consulting services in the field of contract management and compliance | Healthcare financial advisory services for providing payment integrity solutions; medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and Medicare beneficiaries to ensure payment accuracy; medical insurance claims review services in the nature of assessing insurance claims to ensure payment accuracy; providing counseling and consulting in the field of healthcare insurance benefits; insurance claim administration consultation services; financial data analytics services; risk adjustment services in the nature of financial and insurance risk management consulting; providing financial payment accuracy information to healthcare consumers; financial auditing services to ensure payment accuracy; Insurance services, namely, providing information for the purpose of review and verification of Medicaid and Medicare eligibility status and related information | Education services, namely, providing non-downloadable webinars in the fields of healthcare, data analytics, payment accuracy, consumer engagement, and investigations related to fraud, waste, and abuse; providing a website featuring non-downloadable videos, non-downloadable blogs, non-downloadable articles, non-downloadable case studies, and non-downloadable white papers in the fields of healthcare, data analytics, payment accuracy, consumer engagement, and investigations related to fraud, waste, and abuse | Software as a service (SaaS) featuring software for assessment and management of healthcare practices, facilities, organizations, and provider networks; quality evaluation services of clinical and financial performance in the healthcare industry; quality control consultation services in the field of health care quality improvement pertaining to health care quality review and quality data analysis; data mining; providing on-line non-downloadable quality measure logic and reporting software for collecting, measuring, monitoring, evaluating, and reporting information in the field of healthcare cost containment and retail services; providing online non-downloadable software for monitoring, alerting prioritizing, and resolving payment accuracy issues; providing on-line, non-downloadable software for data analytics; computer services, namely, hosting an interactive web site for educating consumers that allows users to interpret and assess healthcare information and payment accuracy analytics; providing online non-downloadable software for commercial and government health payers and at-risk providers to conduct population health and risk analytics, predictive member health modeling, and conduct member engagement activities using an insured individual's health related data; providing online non-downloadable software for managing the subrogation of insurance claims and the coordination of benefits on behalf of state and federal healthcare programs; providing temporary use of non-downloadable cloud-based audit recovery software for monitoring and evaluating payment integrity issues; providing an Internet website portal featuring online, non-downloadable analytic software to identify and prevent healthcare insurance claim fraud, waste and abuse; providing online non-downloadable software to manage healthcare insurance member engagement and care, conduct population health and risk analytics, and improve health outcomes through data warehousing, analytics engines, predictive modeling, and machine learning; data automation and collection service using proprietary software to evaluate, analyze and collect healthcare payment data; providing on-line non-downloadable software using artificial intelligence for machine learning to provide payment integrity solutions; software as a service (SaaS) featuring software for offering data analytics to identify margin accuracy issues such as duplicate payments, price anomalies, missing promotional funds, and payment term errors related to goods-for-resale transactions; providing temporary use of non-downloadable cloud-based software for engagement with healthcare payers and consumers; providing an internet website portal featuring technology that enables users to engage directly with healthcare payers and consumers; Providing fraud and abuse support in the healthcare industry, namely, digital forensic investigations in the field of computer crimes related to healthcare fraud; Fraud detection services in the field of health care insurance, namely, computer security threat analysis for protecting healthcare data | Providing fraud and abuse support in the healthcare industry, namely, fraud and abuse surveillance and investigation services related to healthcare insurance claims and physical security of patients; Providing fraud and abuse support in the healthcare industry, namely, regulatory compliance auditing and consulting services and tracking and monitoring regulatory requirements in the field of healthcare fraud for regulatory compliance purposes; Providing fraud and abuse support in the healthcare industry, namely, monitoring of computer systems in the nature of surveillance services relating to the physical safety of persons and security of tangible property; Fraud detection services in the field of health care insurance, namely, analyzing data in computer databases for criminal activity related to healthcare fraud or identity theft; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors; investigative services related to insurance claims

Class 042: Software as a service (SaaS) featuring software for offering data analytics to identify margin accuracy issues such as duplicate payments, price anomalies, missing promotional funds, and payment term errors related to goods-for-resale transactions

Providing temporary use of non-downloadable cloud-based software in the field of healthcare for storing, retrieving, analyzing, and displaying data from computer databases

Downloadable computer software for creating, comparing, annotating, testing, publishing and migrating data schema documents for healthcare data transaction processing

Software as a service (SAAS) services featuring software for managing healthcare insurance member engagement and care, conducting population health and risk analytics, and improving health outcomes through data warehousing, analytics engines, predictive modeling, and machine learning

Software as a service (SAAS) services featuring software for managing healthcare insurance member engagement and care, conducting population health and risk analytics, and improving health outcomes through data warehousing, analytics engines, predictive modeling, and machine learning

Providing on-line non-downloadable software for managing and analyzing unstructured clinical and insurance claims data, capturing and reporting patient disease status and insurance reimbursement information, and performing natural language processing to analyze entered medical codes, and review and confirm captured available health care risk adjustment information; Providing on-line non-downloadable software used in the field of health care for aggregating medical charts, billing data, and insurance claim data, and performing natural language processing that provides performance analytics and risk adjustment suggestions to medical coders, physicians, and other clinical staff

"HCC"; Providing on-line non-downloadable software for aggregating medical charts and administrative health care data and using natural language processing and big data analytics to review and capture risk adjustment opportunities and to establish complete and accurate risk adjustment profiles for health care and compensation purposes under managed care health plans

Software as a service (SAAS) services featuring software for commercial and government health payers and at-risk providers to conduct population health and risk analytics, predictive member health modeling, and enable member engagement services using insureds' health related data

Customer engagement consulting services in the field of healthcare; customer outreach services to customers of others and customer analytics of others | Providing healthcare information to healthcare consumers by multi-channel communications including telephone and electronic means

Business consulting services in the field of consumer relations management, consumer outreach and multi-channel communication campaign management, data management and analytics, behavioral assessment, and predictive modeling; Business consulting services for health insurers, health care providers, disease and population health managers, administrators, and other health professionals, namely, designing and implementing for health care providers and professionals business solutions that integrate technology in the field of consumer relations management, consumer outreach and multi-channel communication campaign management, data management and analytics, behavioral assessment, and predictive modeling | Software as a service (SAAS) services, namely, providing and hosting non-downloadable, software applications for use by businesses to perform consumer relations management, consumer outreach and multi-channel communication campaign management, engagement management, execution and service provision, campaign design, data management and analytics, behavioral assessment, and predictive modeling; software as a service (SAAS) services, namely, providing and hosting non-downloadable, software applications for use by health insurers, health care providers, disease and population health managers, administrators, and other health professionals to perform population health management, patient care management, disease management, consumer experience management or health engagement management, administrative services, quality and cost management, health outcomes management, durable medical equipment management, pharmacy, and wellness program management, data management and analytics, behavioral assessment, and predictive modeling; Business technology consulting services for health insurers, health care providers, disease and population health managers, administrators, and other health professionals, namely, designing and implementing for health care providers and professionals integrated technology-enabled solutions in the field of consumer relations management, consumer outreach and multi-channel communication campaign management, data management and analytics, behavioral assessment, and predictive modeling

[ Computer software for risk assessment and predictive modeling in the healthcare industry and instructional manuals sold together therewith ] | Providing health care utilization and information review services regarding health care cost management for cost recovery opportunities; providing business market segmentation consultation to healthcare businesses, healthcare providers and others in the healthcare market, namely, cost analyses of financing, organizing and providing health services; providing cost reduction services in the field of prepaid healthcare insurance by performing claims auditing services of suspect claims for insurance companies and other payers of health care claims; business data analysis in the field of insurance and business data analysis consulting in the field of insurance | [ Providing temporary use of non-downloadable software applications for analyzing, creating financial models of, and creating reports on, health care costs, the financing of health care costs, and the delivery of health care services, and for targeting specific business problems in the health care field, namely, identifying chronic conditions for care management, assessing health plan risk selection, determining renewal rates for health plans, and evaluating premium efficiency, over a global computer network; providing temporary use of online, nondownloadable software in the nature of a disease management calculator that helps clients understand their population's health care needs; providing on-line non-downloadable software to enable others to perform information and research services regarding the Medicare market, namely, to identify missed or incorrect coding, to identify cost recovery opportunities, and to identify quality problems and corrective action in health care data; providing on-line nondownloadable software to health care businesses, health care providers and others in the health care market, namely, data warehousing software, reporting software, business intelligence software and predictive modeling software; providing temporary use of on-line, nondownloadable software for performing cost and risk analysis, cost control analysis, and data analysis, modeling, reporting, and warehousing for use in the health care industry, by managed care provider groups, self-insured employers, and third-party business administrators; providing temporary use of on-line, non-downloadable software for amending and profiling healthcare provider billing activity in order to identify and prevent patterns of fraud and abuse, for preventing overpayments, rules violations, and clinical mistreatment by analyzing healthcare claim submissions, for reducing healthcare facility claim costs, diagnostic related groupings and ambulatory payment classification expenditures by identifying fraud, abuse, and overpayments to maximize claims payment accuracy, identify fraudulent facilities, and clinically validate claim submissions, for reducing dental benefit claim costs by identifying fraud, abuse, and overpayment to maximize dental claims payment accuracy, identify fraudulent providers, and clinically validate claim submissions, for reducing professional claims costs by identifying fraud, abuse, and overpayments in order to maximize claim payment accuracy, identify fraudulent providers, and clinically validate claim submissions, for identifying fraud and abuse in the submission of insurance claims and overpayment of insurance claims and for creating predictive models of future insurance claims; development of software for others for use in analyzing, compiling and exploiting statistical health data; providing data conversion of computer program data and development of data reporting software in the healthcare and health insurance industry; providing consulting services in the field of data conversion of computer program data and development of data reporting software in the healthcare and health insurance industry; ] providing quality control services for healthcare information particularly to identify missed or incorrect coding, quality problems and corrective action

Software as a service (SAAS) services featuring software for assessment and management of healthcare practices; Software as a service (SAAS) services featuring software for assessment and management of healthcare facilities; Software as a service (SAAS) services featuring software for assessment and management of healthcare organizations; Software as a service (SAAS) services featuring software for assessment and management of healthcare provider networks

Software as a service (SAAS) services featuring software for assessment and management of healthcare practices; Software as a service (SAAS) services featuring software for assessment and management of healthcare facilities; Software as a service (SAAS) services featuring software for assessment and management of healthcare organizations; Software as a service (SAAS) services featuring software for assessment and management of healthcare provider networks

Class 042: Computer services, namely, hosting an interactive website that allows storing, tracking, analyzing, communicating, and reporting on recovery audit activity and the results of analysis of accounts payable, purchasing systems, and medical claims billing transactions

Providing temporary use of on-line non-downloadable software for data and information extraction, analysis, management, warehousing, search, and transcription in the fields of health and medicine for use by physicians, scientists, health care professionals and administrators, and risk adjustment and risk management professionals

Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and Medicare beneficiaries; medical insurance claims review services, including inpatient claims analysis, medical claims evaluation and management, network optimization and clinical and coding review services; healthcare benefit management and coordination services; providing healthcare benefit administration services; providing counseling and consulting in the field of healthcare benefits; insurance claim administration consultation services for payer owned PPOs to eliminate out-of-network claims; Account auditing services, namely, recovery audit services in the nature of reviewing accounts payable, purchasing systems, durable medical equipment payments, pharmacy claims and transactions, freight and vendor records, and medical claims billing systems to detect lost profits through overpayments, miscalculations, missed discounts, pricing errors, duplicate payments, incorrect invoices and missed credits, sales and use tax liabilities and payments, and contract and provider compliance; business consulting services, namely, providing procure-to-pay process improvement recommendations and providing industry benchmarks to gauge performance and guide policy decisions; business assistance, advisory and consulting services in the field of health care claims coding, billing patterns analysis, cost controls, payment policies, provider utilization patterns analysis, provider billing compliance review and analysis, integrated medical claims analysis, medical charts, product liability analysis, medication therapy management, and retro-termination claims review and analysis; providing business financial opportunity and cost analysis; network utilization analysis for healthcare business management; providing chart review services as part of business management in the healthcare field; consulting services in the cost and payment management of health care; medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; medical cost management; business assistance, advisory and consulting services in the field of healthcare network management; clinical and business process optimization services; business decision support, analytics and operations assessment services in the healthcare and retail fields; comparative business and industry trend reporting and analysis services; business management consulting services in the field of administration of payments for medical and clinical services; retail transactions, promotions and pricing review services; business and management consulting for healthcare providers, retail companies and related businesses; business data analytics services; statistical data analytics services; marketing data analytics services; business management consulting; business consulting; electronic data collection and data submission services for business purposes in the fields of medicine and healthcare; business information for enterprises; cost management for the healthcare benefit plans of others; insurance claims auditing services, namely, auditing healthcare claims submitted to insurers for instances of fraud and abuse by healthcare providers; Fraud detection services in the field of health care insurance; Providing a website for use in recovery auditing featuring technology that enables users to store, track, analyze, communicate, and report on information from multiple recovery audit sources and audit efforts; IT consulting services; providing on-line, non-downloadable, Internet-based software application for medical billing for physicians and health care institutions; application service platform, namely, platform as a service (PAAS) featuring software for use in providing healthcare provider profiling; mobile application development; providing a website featuring technology that enables users to manage the vendor claim approval process; providing on-line, non-downloadable software for use in the data analytics field; computer services, namely, hosting an interactive web site that allows storing, tracking, analyzing, communicating and reporting on recovery audit activity and the results of analysis of accounts payable, purchasing system and medical claims billing transactions; application service provider featuring software for providing an online database in the field of transaction processing to upload transactional data, provide statistical analysis and produce notifications and reports; application service provider, namely, providing, hosting, managing, developing, researching, analyzing, reporting and maintaining applications, software and web sites for use by others in the fields of healthcare benefits programs, employee productivity and risk management; developing customized software in the field of recovery auditing for others; providing an interactive business customer accounting website featuring technology that allows business owners to retrieve customer data and audit customer accounts

Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and Medicare beneficiaries; medical insurance claims review services, including inpatient claims analysis, medical claims evaluation and management, network optimization and clinical and coding review services; healthcare benefit management and coordination services; providing healthcare benefit administration services; providing counseling and consulting in the field of healthcare benefits; insurance claim administration consultation services for payer owned PPOs to eliminate out-of-network claims; Account auditing services, namely, recovery audit services in the nature of reviewing accounts payable, purchasing systems, durable medical equipment payments, pharmacy claims and transactions, freight and vendor records, and medical claims billing systems to detect lost profits through overpayments, miscalculations, missed discounts, pricing errors, duplicate payments, incorrect invoices and missed credits, sales and use tax liabilities and payments, and contract and provider compliance; business consulting services, namely, providing procure-to-pay process improvement recommendations and providing industry benchmarks to gauge performance and guide policy decisions; business assistance, advisory and consulting services in the field of health care claims coding, billing patterns analysis, cost controls, payment policies, provider utilization patterns analysis, provider billing compliance review and analysis, integrated medical claims analysis, medical charts, product liability analysis, medication therapy management, and retro-termination claims review and analysis; providing business financial opportunity and cost analysis; network utilization analysis for healthcare business management; providing chart review services as part of business management in the healthcare field; consulting services in the cost and payment management of health care; medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; medical cost management; business assistance, advisory and consulting services in the field of healthcare network management; clinical and business process optimization services; business decision support, analytics and operations assessment services in the healthcare and retail fields; comparative business and industry trend reporting and analysis services; business management consulting services in the field of administration of payments for medical and clinical services; retail transactions, promotions and pricing review services; business and management consulting for healthcare providers, retail companies and related businesses; business data analytics services; statistical data analytics services; marketing data analytics services; business management consulting; business consulting; electronic data collection and data submission services for business purposes in the fields of medicine and healthcare; business information for enterprises; cost management for the healthcare benefit plans of others; insurance claims auditing services, namely, auditing healthcare claims submitted to insurers for instances of fraud and abuse by healthcare providers; Fraud detection services in the field of health care insurance; Providing a website for use in recovery auditing featuring technology that enables users to store, track, analyze, communicate, and report on information from multiple recovery audit sources and audit efforts; IT consulting services; providing on-line, non-downloadable, Internet-based software application for medical billing for physicians and health care institutions; application service platform, namely, platform as a service (PAAS) featuring software for use in providing healthcare provider profiling; mobile application development; providing a website featuring technology that enables users to manage the vendor claim approval process; providing on-line, non-downloadable software for use in the data analytics field; computer services, namely, hosting an interactive web site that allows storing, tracking, analyzing, communicating and reporting on recovery audit activity and the results of analysis of accounts payable, purchasing system and medical claims billing transactions; application service provider featuring software for providing an online database in the field of transaction processing to upload transactional data, provide statistical analysis and produce notifications and reports; application service provider, namely, providing, hosting, managing, developing, researching, analyzing, reporting and maintaining applications, software and web sites for use by others in the fields of healthcare benefits programs, employee productivity and risk management; developing customized software in the field of recovery auditing for others; providing an interactive business customer accounting website featuring technology that allows business owners to retrieve customer data and audit customer accounts

Account auditing services, namely, recovery audit services in the nature of reviewing accounts payable, purchasing systems, durable medical equipment payments, pharmacy claims and transactions, freight and vendor records, and medical claims billing systems to detect lost profits through overpayments, miscalculations, missed discounts, pricing errors, duplicate payments, incorrect invoices and missed credits, sales and use tax liabilities and payments, and contract and provider compliance; business consulting services, namely, providing procure-to-pay process improvement recommendations and providing industry benchmarks to gauge performance and guide policy decisions; business assistance, advisory and consulting services in the field of health care claims coding, billing patterns analysis, cost controls, payment policies, provider utilization patterns analysis, provider billing compliance review and analysis, integrated medical claims analysis, medical charts, product liability analysis, medication therapy management, and retro-termination claims review and analysis; providing business financial opportunity and cost analysis; network utilization analysis for healthcare business management; providing chart review services as part of business management in the healthcare field; consulting services in the cost and payment management of health care; medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; medical cost management; business assistance, advisory and consulting services in the field of healthcare network management; clinical and business process optimization services; business decision support, analytics and operations assessment services in the healthcare and retail fields; comparative business and industry trend reporting and analysis services; clinical payment process management services; provision of marketing reports featuring information on retail transactions, promotions and pricing review information for products of others; business and management consulting for healthcare providers, retail companies and related businesses; data analytics services; business management consulting; business consulting; electronic data collection and data submission services for business purposes in the fields of medicine and healthcare; business information for enterprises; cost management for the healthcare benefit plans of others; providing an interactive business customer accounting website that allows business owners to retrieve customer data and audit customer accounts | Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and Medicare beneficiaries; medical insurance claims review services, namely, inpatient claims analysis, medical claims evaluation and management, medical claims payment accuracy services, network optimization and clinical and coding review services; healthcare benefit management and coordination services; providing healthcare benefit administration services; providing counseling and consulting in the field of healthcare benefits; insurance claim administration consultation services for payer owned PPOs to eliminate out-of-network claims | Providing a website for use in recovery auditing featuring technology that enables users to store, track, analyze, communicate, and report on information from multiple recovery audit sources and audit efforts; IT consulting services; providing on-line, non-downloadable, Internet-based software application for medical billing for physicians and health care institutions; healthcare services in the nature of providing information on the subject of healthcare provider profiling; mobile application development; providing a website featuring technology that enables users to manage the vendor claim approval process; providing on-line, non-downloadable software for use in the data analytics field; computer services, namely, hosting an interactive web site that allows storing, tracking, analyzing, communicating and reporting on payment accuracy services, recovery audit activity and the results of analysis of accounts payable, purchasing system and medical claims billing transactions; application service provider featuring software for providing an online database in the field of transaction processing to upload transactional data, provide statistical analysis and produce notifications and reports; application service provider, including providing, hosting, managing, developing, researching, analyzing, reporting and maintaining applications, software, web sites, healthcare benefits programs, employee productivity and risk management; developing customized software in the field of recovery auditing for others | Providing fraud and abuse support in the healthcare industry; fraud detection services in the field of health care insurance

"HEALTH"; Providing temporary use of on-line non-downloadable software for data and information extraction, analysis, management, warehousing, search, and transcription in the fields of health and medicine for use by physicians, scientists, health care professionals and administrators, and risk adjustment and risk management professionals

Software as a service (SAAS) services featuring software for assessment and management of healthcare practices; Software as a service (SAAS) services featuring software for assessment and management of healthcare facilities; Software as a service (SAAS) services featuring software for assessment and management of healthcare organizations; Software as a service (SAAS) services featuring software for assessment and management of healthcare provider networks

"TEST MANAGEMENT"

"TECHNOLOGIES"

Class 035: Acquisition of medical records via the internet, namely, compiling of digitized medical records and medical records information into computer databases; Class 038: Online medical records document delivery via a global computer network; Class 042: Computer services, namely, providing a web-based system and online portal featuring online non-downloadable software for use by health insurers, life insurers, medical professionals, legal professionals and consumers to request, view and manage medical records

Class 035: Database management in the field of medical records for use by consumers, health insurers, life insurers, medical professional and legal professionals; Class 038: Online medical records document delivery via a global computer network; providing access to databases of digitized medical records and electronic medical records data; Class 042: Computer services, namely, providing a web-based system and online portal featuring online non-downloadable software for use by health insurers, life insurers, medical professionals and legal professionals to request, view and manage medical records; providing non-downloadable software for use in viewing, annotating, coding, extracting and reviewing medical records

Class 042: Application service provider, namely, providing a web-based application in the nature of online non-downloadable software used to manage distribution and workflow of medical records for data entry of diagnosis codes by certified coding professionals

Providing temporary use of a non-downloadable software for preventing fraud, abuse and overpayments by analyzing healthcare insurance claims and historical healthcare provider billing patterns

Computer programs for researching, creating, editing, comparing, transmitting, testing, publishing, printing, implementing and managing documents, graphics and business forms based on electronic data integration, XML standards, and proprietary file formats, and computer utility programs for use therewith | Books, manuals and other printed materials, namely, educational white papers regarding computer programs, computer networks, and searching and retrieving electronic data integration standards, XML standards, information, sites and resources on computer networks | Promoting the goods and services of others by providing a web site at which users can link to business news, collaboration, integration and reference materials; Online exchange services, namely, bartering of goods and services for others in the field of professional services; business consultation in the field of organizing, customizing and optimizing professional services for implementing online trading partner communities | Online computer services, namely, creating indices of information, websites and databases available on computer networks for others; searching and retrieving information, websites and databases available on computer networks

"DENTAL CLAIM"

"FACILITY CLAIM"

"PHYSICIAN CLAIM"

Class 009: [ RECOVERY AUDITING SOFTWARE ]; Class 035: RECOVERY AUDIT SERVICES, NAMELY, REVIEWING ACCOUNTS PAYABLE, PURCHASING SYSTEMS AND MEDICAL CLAIMS BILLING SYSTEMS TO DETECT LOST PROFITS THROUGH OVERPAYMENTS, MISCALCULATIONS, MISSED DISCOUNTS, PRICING ERRORS, DUPLICATE PAYMENTS, INCORRECT INVOICES AND MISSED CREDITS, SALES AND USE TAX LIABILITIES AND PAYMENTS, CONTRACT COMPLIANCE, AND PROVIDING CONSULTATIVE PROCURE-TO-PAY PROCESS IMPROVEMENT RECOMMENDATIONS

Class 009: RECOVERY AUDITING SOFTWARE; Class 035: RECOVERY AUDIT SERVICES, NAMELY, REVIEWING ACCOUNTS PAYABLE, PURCHASING SYSTEMS AND MEDICAL CLAIMS BILLING SYSTEMS TO DETECT LOST PROFITS THROUGH OVERPAYMENTS, MISCALCULATIONS, MISSED DISCOUNTS, PRICING ERRORS, DUPLICATE PAYMENTS, INCORRECT INVOICES AND MISSED CREDITS, SALES AND USE TAX LIABILITIES AND PAYMENTS, CONTRACT COMPLIANCE, AND PROVIDING CONSULTATIVE PROCURE-TO-PAY PROCESS IMPROVEMENT RECOMMENDATIONS

[ Providing information over a global computer network in the field of physical fitness ]; [ Providing online advertising of the goods and services of others; providing a web site featuring product ratings and reviews of the consumer goods and services of others in the fields of health care and medical devices ]; Providing information over a global computer network in the fields of health care, medical conditions, diseases, pharmaceuticals for medical treatment [, ] * and * medical treatments [, wellness programs, and nutrition ]; [ Providing information over a global computer network in the field of pharmaceutical research; creating indexes of information, sites and other resources available on computer networks; computer services, namely, providing search engines for obtaining data on global computer networks; providing customized on-line web pages for managing personal health information and featuring user-defined information, which includes search engines, on-line web links to other web sites; providing a web site featuring pharmaceutical product evaluations ]

Speech recognition hardware maintenance

*Providing temporary use of non-downloadable* COMPUTER SOFTWARE FOR TRACKING CLAIMS OF VENDOR OVERPAYMENTS

Class 009: Computer software for risk assessment and predictive modeling in the healthcare industry and instructional manuals related thereto

[ Computer Programs for use in speech recognition applications, converting speech to text, converting text to speech, speech digitization, and speech compression, and application design interface hardware or software for scripted prompts; computer telephony software and software for providing telephone algorithms, signal processing techniques, and related technologies to enable telephone activities to be performed through a computer; computer hardware for speech recognition applications; equipment for speech recognition applications, namely, telephones, fixed, wireless and mobile telephones, wireless telephony apparatus, Internet telephony apparatus, personal computers and computer servers, namely, utilizing processors, personal digital assistants, and operating systems composed of telephony software ]; Application service provider, namely, designing, developing, testing, and hosting speech recognition applications on behalf of customers, and providing application interface design, phonetic, vocabulary, and grammar additions and improvements, upgrades and deployment to new and different hardware platforms, testing and software maintenance, integration with telephone and local area networks, wide area networks and the Internet

Class 035: Providing business management consulting in the field of healthcare benefits; Class 036: Providing healthcare benefit administration services

COMPUTER SOFTWARE FOR USE IN THE DETECTION OF FRAUD BY SCREENING CLAIMS FOR ABERRANT PATTERNS IN UTILIZATION, CODING MISMATCH AND BILLING PAYMENT ACTIVITIES IN THE HEALTH INSURANCE CARE INDUSTRY

Computer software for use in diagnosis based risk adjustment in the healthcare industry and related instructional manuals sold therewith

[ Computer programs for researching, communicating, testing and managing the creation, revision, alteration, publication, and implementation of business forms based on electronic and integration standards, XML standards, and proprietary file formats and computer utility programs for use therewith ] | [ Books, manuals and other printed materials, namely, user/administrator guides regarding computer programs, computer networks, and searching and retrieving electronic data integration standards, XML standards, information, sites and resources on computer networks ] | [ Promoting the goods and services of others by placing advertisements and promotional displays on an electronic site accessed through computer networks; registration, transcription, composition, compilation and systemization of written communications and statistical data relating to business collaboration and integration provided via a global computer network; promoting the goods and services of others by providing a website at which users can link to business news, collaboration, integration and reference materials ] | Online computer services, namely, creating indexes of information, websites and databases available on computer networks for others; searching and retrieving information, websites and databases available on computer networks; database development services, namely, the registration, transcription, composition, compilation and systemization of written communications and statistical data relating to business collaboration and integration

COMPUTER SOFTWARE THAT SORTS, QUERIES, SUMMARIZES, AND ANALYZES HEALTH INSURANCE CLAIMS AND BILLING RECORDS FOR USE IN THE DETECTION OF HEALTHCARE FRAUD AND ABUSE, AND MANUALS DISTRIBUTED THEREWITH

computer software for use in diagnosis-based risk adjustment

collection and recovery services, namely, collection and recovery of overpayments made by insurance underwriters and collection and recovery of payments made by insurance underwriters through subrogation