"INTELLIGENCE"; Software as a service (SaaS) services featuring software in the field of managed health care to facilitate the process of prior authorization, facilitate clinical review in the nature of gathering and reviewing data to expedite clinical reviews, track the clinical outcomes and cost efficiency of treatments, improve workflow in the nature of compiling data for clinical reviewers and identifying missing information that is required for approvals, and facilitate communication between providers, insurers, and patients in the nature of identifying missing information required for clinical review and approvals and automating requests for missing information from providers, insurers, and patients; Providing an online non-downloadable software application that uses AI to assist clinicians in facilitating operational efficiency in the nature of reviewing medical records for prior authorization decisions and reviewing other clinical decision support services for members
Business consulting to third parties in the nature of providing data analysis in the field of insurance, namely, on insureds, insurance health plan and insurance network design; Compiling and analyzing business data in the medical and insurance fields being insurance claims auditing services for use in determining coverage for health improvement opportunities, namely, recommended care; Providing an in-person business forum for conducting executive research in the nature of business networking in the fields of health care administration and health insurance; Health care cost management services for the health care benefit plans of others; Health care utilization management services; Health care utilization, review and cost containment services; Analytical services, namely, patient medical data analysis and algorithm-informed evaluations for health insurance companies and other healthcare delivery organizations for managing the cost, quality, and payment of healthcare services, the foregoing being healthcare utilization, cost, and review services; Physician management services, namely, providing business organization and management for medical practices, and the compilation and analysis of statistical health data to individual physicians or group practices for business purposes; Managed care services, namely, electronic processing of health care information; Organization and coordination of health care services, namely, appointment scheduling services and arranging managed care contractual services in the fields of oncology, radiology, cardiology, musculoskeletal care, end of life care, and special drug medical benefits; providing call center management for provider referrals and insurance claims resolution for others; Providing health-related consumer information via a global computer network; Providing health-related consumer information via a global communications network | Health insurance services, namely, third party administrator, underwriting and claim processing services for health benefit plans and health insurance; Financial management services for the healthcare industry; electronic processing of insurance claims and payment data for healthcare payers and providers; counseling, namely, offering advice, information, and consultation in the fields of medical insurance and medical insurance claims; organization and administration of health care plans; insurance services, namely, claims administration of health care plans; insurance underwriting in the field of health care; Providing predictive modeling information and reporting capabilities in the field of healthcare for use in evaluating claims coverage; Providing information in the field of financial support options and resources for prescribers, patients and the pharmaceutical industry by means of a call center; Providing information in the field of health insurance verification and authorization for prescribers, patients and the pharmaceutical industry; Business consulting to third parties in the nature of establishing wellness and benefit plans for insureds | Providing information to health care providers regarding the latest clinical medical studies, clinical medical literature, and drug efficacy studies; Providing medical profiles and medical record analysis and assessments via a website designed to provide custom tailored outputs about recommended resources and treatments associated with a defined set of symptoms and concerns; Medical services and managed healthcare services; Consulting services in the field of health; medical services and managed health care services; Health care services, namely, health care management and complex specialty care management programs; Providing on-line medical information in the fields of health, medication and prescriptions; Providing managed health care services, namely, disease management programs and health and wellness programs; Providing information about health providers via a global computer network; Providing medical information via a global communications network; Advisory services and consultancy in the field of healthcare; Providing an internet-based database of medical information for use by doctors and other health care providers in patient encounters, specifically, medical codes and related descriptions of known and possible patient conditions, and preventative treatment options of likely future medical events; Analytical services, namely, patient medical data analysis as well as algorithm- and artificial intelligence-informed evaluations for physicians and health care providers to engage with individuals about health care issues for the purpose of closing gaps in care; Providing predictive modeling information and reporting capabilities in the field of healthcare to treating physicians for use in recommending medical care
Business consulting to third parties in the nature of providing data analysis in the field of insurance, namely, on insureds, insurance health plan and insurance network design; Compiling and analyzing business data in the medical and insurance fields being insurance claim auditing services for use in determining coverage for health improvement opportunities, namely, recommended care; Providing an in-person business forum for conducting executive research in the nature of business networking in the fields of health care administration and health insurance; Health care cost management services for the health care benefit plans of others; Health care utilization management services; Health care utilization, review and cost containment services; Analytical services, namely, patient medical data analysis and algorithm-informed evaluations for health insurance companies and other healthcare delivery organizations for managing the cost, quality, and payment of healthcare services, the foregoing being healthcare utilization, cost, and review services; Physician management services, namely, providing business organization and management for medical practices, and the compilation and analysis of statistical health data to individual physicians or group practices for business purposes; Managed care services, namely, electronic processing of health care information; Organization and coordination of health care services, namely, appointment scheduling services and arranging managed care contractual services in the fields of oncology, radiology, cardiology, musculoskeletal care, end of life care, and special drug medical benefits; providing call center management for provider referrals and insurance claims resolution for others; Providing health-related consumer information via a global computer network; Providing health-related consumer information via a global communications network
Business consulting to third parties in the nature of providing data analysis in the field of insurance, namely, on insureds, insurance health plan and insurance network design; Compiling and analyzing business data in the medical and insurance fields being insurance claim auditing services for use in determining coverage for health improvement opportunities, namely, recommended care; Providing an in-person business forum for conducting executive research in the nature of business networking in the fields of health care administration and health insurance; Health care cost management services for the health care benefit plans of others; Health care utilization management services; Health care utilization, review and cost containment services; Analytical services, namely, patient medical data analysis and algorithm-informed evaluations for health insurance companies and other healthcare delivery organizations for managing the cost, quality, and payment of healthcare services, the foregoing being healthcare utilization, cost, and review services; Physician management services, namely, providing business organization and management for medical practices, and the compilation and analysis of statistical health data to individual physicians or group practices for business purposes; Managed care services, namely, electronic processing of health care information; Organization and coordination of health care services, namely, appointment scheduling services and arranging managed care contractual services in the fields of oncology, radiology, cardiology, musculoskeletal care, end of life care, and special drug medical benefits; providing call center management for provider referrals and insurance claims resolution for others; Providing health-related consumer information via a global computer network; Providing health-related consumer information via a global communications network | Health insurance services, namely, third party administrator, underwriting and claim processing services for health benefit plans and health insurance; Financial management services for the healthcare industry; electronic processing of insurance claims and payment data for healthcare payers and providers; counseling, namely, offering advice, information, and consultation in the fields of medical insurance and medical insurance claims; organization and administration of health care plans; insurance services, namely, claims administration of health care plans; insurance underwriting in the field of health care; Providing predictive modeling information and reporting capabilities in the field of healthcare for use in evaluating claims coverage; Providing information in the field of financial support options and resources for prescribers, patients and the pharmaceutical industry by means of a call center; Providing information in the field of health insurance verification and authorization for prescribers, patients and the pharmaceutical industry; Business consulting to third parties in the nature of establishing wellness and benefit plans for insureds | Providing information to health care providers regarding the latest clinical medical studies, clinical medical literature, and drug efficacy studies; Providing medical profiles and medical record analysis and assessments via a website designed to provide custom tailored outputs about recommended resources and treatments associated with a defined set of symptoms and concerns; Medical services and managed healthcare services; Consulting services in the field of health; medical services and managed health care services; Health care services, namely, health care management and complex specialty care management programs; Providing on-line medical information in the fields of health, medication and prescriptions; Providing managed health care services, namely, disease management programs and health and wellness programs; Providing information about health providers via a global computer network; Providing medical information via a global communications network; Advisory services and consultancy in the field of healthcare; Providing an internet-based database of medical information for use by doctors and other health care providers in patient encounters, specifically, medical codes and related descriptions of known and possible patient conditions, and preventative treatment options of likely future medical events; Analytical services, namely, patient medical data analysis as well as algorithm- and artificial intelligence-informed evaluations for physicians and health care providers to engage with individuals about health care issues for the purpose of closing gaps in care; Providing predictive modeling information and reporting capabilities in the field of healthcare to treating physicians for use in recommending medical care
Business consulting to third parties in the nature of providing data analysis in the field of insurance, namely, on insureds, insurance health plan and insurance network design; Compiling and analyzing business data in the medical and insurance fields being insurance claim auditing services for use in determining coverage for health improvement opportunities, namely, recommended care; Providing an in-person business forum for conducting executive research in the nature of business networking in the fields of health care administration and health insurance; Health care cost management services for the health care benefit plans of others; Health care utilization management services; Health care utilization, review and cost containment services; Analytical services, namely, patient medical data analysis and algorithm-informed evaluations for health insurance companies and other healthcare delivery organizations for managing the cost, quality, and payment of healthcare services, the foregoing being healthcare utilization, cost, and review services; Physician management services, namely, providing business organization and management for medical practices, and the compilation and analysis of statistical health data to individual physicians or group practices for business purposes; Managed care services, namely, electronic processing of health care information; Organization and coordination of health care services, namely, appointment scheduling services and arranging managed care contractual services in the fields of oncology, radiology, cardiology, musculoskeletal care, end of life care, and special drug medical benefits; providing call center management for provider referrals and insurance claims resolution for others; Providing health-related consumer information via a global computer network; Providing health-related consumer information via a global communications network | Health insurance services, namely, third party administrator, underwriting and claim processing services for health benefit plans and health insurance; Financial management services for the healthcare industry; electronic processing of insurance claims and payment data for healthcare payers and providers; counseling, namely, offering advice, information, and consultation in the fields of medical insurance and medical insurance claims; organization and administration of health care plans; insurance services, namely, claims administration of health care plans; insurance underwriting in the field of health care; Providing predictive modeling information and reporting capabilities in the field of healthcare for use in evaluating claims coverage; Providing information in the field of financial support options and resources for prescribers, patients and the pharmaceutical industry by means of a call center; Providing information in the field of health insurance verification and authorization for prescribers, patients and the pharmaceutical industry; Business consulting to third parties in the nature of establishing wellness and benefit plans for insureds | Providing information to health care providers regarding the latest clinical medical studies, clinical medical literature, and drug efficacy studies; Providing medical profiles and medical record analysis and assessments via a website designed to provide custom tailored outputs about recommended resources and treatments associated with a defined set of symptoms and concerns; Medical services and managed healthcare services; Consulting services in the field of health; medical services and managed health care services; Health care services, namely, health care management and complex specialty care management programs; Providing on-line medical information in the fields of health, medication and prescriptions; Providing managed health care services, namely, disease management programs and health and wellness programs; Providing information about health providers via a global computer network; Providing medical information via a global communications network; Advisory services and consultancy in the field of healthcare; Providing an internet-based database of medical information for use by doctors and other health care providers in patient encounters, specifically, medical codes and related descriptions of known and possible patient conditions, and preventative treatment options of likely future medical events; Analytical services, namely, patient medical data analysis as well as algorithm- and artificial intelligence-informed evaluations for physicians and health care providers to engage with individuals about health care issues for the purpose of closing gaps in care; Providing predictive modeling information and reporting capabilities in the field of healthcare to treating physicians for use in recommending medical care
Providing temporary use of a non-downloadable computer software that provides web-based access to applications in the field of population health management allowing healthcare providers to track quality metrics and provide tabular and graphical reporting to identify health care elements, and produce action lists to help achieve improved health outcomes and lower costs over computer networks, intranets and the internet
Computer software in the field of population health management which remotely retrieves practice management and health care information from physicians' offices and other locations for purposes of allowing healthcare providers to track quality metrics and provide tabular and graphical reporting to identify health care elements, and produce action lists to help achieve improved health outcomes and lower costs
Providing temporary use of a non-downloadable computer software that provides web-based access to applications and services for healthcare providers and organizations to analyze medical costs, medical utilization, historical claims data and perform risk modeling, namely, for tabular, graphical and geographic reporting and analysis to improve health outcomes and lower costs over computer networks, intranets and the internet
Health insurance services, third party administrator, underwriting and claim processing services for health benefit plans and health insurance; Business consulting to third parties in the nature of providing analytics on the insureds, health plan and network design and establishing wellness and benefit programs for insureds; Compiling and analyzing business data in the medical and insurance fields for use in determining health improvement opportunities; Providing an in-person business forum for conducting executive research in the fields of health care administration and health insurance; "HEALTH"
Business consulting to third parties in the nature of providing analytics on the insureds, health plan and network design and establishing wellness and benefit programs for insureds; Providing an in-person business forum for conducting executive research in the fields of health care administration and health insurance | Health insurance services, third party administrator, underwriting and claim processing services for health benefit plans and health insurance
COMPUTER SOFTWARE USED TO CONNECT VARIOUS COMPUTERS INTO A COMPUTER NETWORK FOR ADMINISTRATIVE PURPOSES IN THE HEALTHCARE FIELD; COMPUTER SOFTWARE USED TO BACKUP AND ARCHIVE DATA STORED ON LOCAL DISK DRIVES AND TRANSMIT DATA TO AND FROM HEALTHCARE ORGANIZATIONS; [Online computer services, namely, providing information regarding the healthcare industry, by means of a global computer network]
HEALTH CARE MANAGEMENT SERVICES FOR HEALTH MAINTENANCE ORGANIZATIONS AND PHYSICIAN PRACTICES; HEALTH CARE CONSULTING SERVICES FOR HEALTH MAINTENANCE ORGANIZATIONS AND PHYSICIAN PRACTICES
HEALTH CARE MANAGEMENT SERVICES FOR HEALTH MAINTENANCE ORGANIZATIONS AND PHYSICIAN PRACTICES; HEALTH CARE CONSULTING SERVICES FOR HEALTH MAINTENANCE ORGANIZATIONS AND PHYSICIAN PRACTICES
HEALTH CARE MANAGEMENT SERVICES FOR HEALTH MAINTENANCE ORGANIZATIONS AND PHYSICIAN PRACTICES; "HEALTH"; HEALTH CARE CONSULTING SERVICES FOR HEALTH MAINTENANCE ORGANIZATIONS AND PHYSICIAN PRACTICES
