QLARANT, INC.

health care cost containment services, namely assessment and identification for health plans and private and government healthcare payers of fraud, waste, abuse, errors and overpayments and of recoverable dollars spent in a healthcare plan or paid inappropriately by private and government payers, and the preparation of reports related thereto, providing analytics and data mining for the purposes of identifying for healthcare plans and private and government healthcare payers opportunities to reduce costs and improve quality, payment integrity services for private and government healthcare payers, review of healthcare claims to ensure appropriate payment and identify improper payments, review of medical records against healthcare claims to identify improper payments; claims review services to identify healthcare fraud, waste, abuse, overpayments and claims errors; software as a service (SAAS) applications and features and data mining for identifying opportunities to reduce costs and improve quality in healthcare plans, for identifying fraud, waste, abuse, errors and overpayments in the fields of healthcare, insurance and government programs and services, and for identifying recoverable dollars spent in a healthcare plan or paid improperly by private and government payers

health care cost containment services, namely assessment and identification for health plans and private and government healthcare payers of fraud, waste, abuse, errors and overpayments and of recoverable dollars spent in a healthcare plan or paid inappropriately by private and government payers, and the preparation of reports related thereto, providing analytics and data mining for the purposes of identifying for healthcare plans and private and government healthcare payers opportunities to reduce costs and improve quality, payment integrity services for private and government healthcare payers, review of healthcare claims to ensure appropriate payment and identify improper payments, review of medical records against healthcare claims to identify improper payments; claims review services to identify healthcare fraud, waste, abuse, overpayments and claims errors; software as a service (SAAS) applications and features and data mining for identifying opportunities to reduce costs and improve quality in healthcare plans, for identifying fraud, waste, abuse, errors and overpayments in the fields of healthcare, insurance and government programs and services, and for identifying recoverable dollars spent in a healthcare plan or paid improperly by private and government payers

Feature of online, non-downloadable software and software as a service (SAAS) for predictive modeling, data analysis, risk identification, risk assessment, risk resolution, risk prevention, risk management and operational intelligence, namely, algorithms and configurable risk factors, recommended visualizations and recommended courses of action and workflows

Feature of downloadable and recorded software for predictive modeling, data analysis, risk identification, risk assessment, risk resolution, risk prevention, risk management and operational intelligence, namely, algorithms and configurable risk factors, recommended visualizations and recommended courses of action and workflows

Class 009: Feature of downloadable and recorded software for predictive modeling, data analysis, risk identification, risk assessment, risk resolution, risk prevention, risk management and operational intelligence, namely, algorithms and configurable risk factors, recommended visualizations and recommended courses of action and workflows

Class 042: Feature of online, non-downloadable software and software as a service (SAAS) for predictive modeling, data analysis, risk identification, risk assessment, risk resolution, risk prevention, risk management and operational intelligence, namely, algorithms and configurable risk factors, recommended visualizations and recommended courses of action and workflows

training in the field of health care; training in the field of health care and social services to improve the quality and accessibility of health care and patient safety; training in the field of healthcare and social services for improving the quality and accessibility of health care and patient safety with a focus on person-centered practices; education services, namely, providing classes, seminars, workshops, and online courses in the field of healthcare including those having a focus on person-centered practices; education services, namely, providing classes, seminars, workshops and online courses in the field of healthcare as it relates to improving the quality and accessibility of healthcare, patient safety and person-centered practices; charitable foundation services, namely, providing financial assistance for programs and services of others; charitable foundation services, namely, providing grants and funding in the field of health programs; medical insurance case and utilization review and insurance claims adjustment services for health care purchasers and payors and providers and Medicare beneficiaries; administration of health insurance claims and health benefits claims, namely, payment error detection and payment error prevention; financial analysis, namely, patient reimbursement analysis, medical expense and insurance analysis in the healthcare field; financial analysis, research and consultation in the healthcare field; insurance services, namely, health insurance coverage eligibility review and verification services provided to Medicaid and other government and private health care payers; financial risk management services for merchants; financial risk management consultation; business management and consulting services for the health care industry, namely, providing industry expertise; business consulting services in the planning, organization and implementation of health care services and the design and implementation of quality improvements to health care plans and programs; business services, namely, health plan management; health insurance claims auditing services; providing business management of health care quality and production performance; business administration services and data compiling and analyzing in the field of insurance, all provided to government agencies and programs, employers, health plans, health care networks and others aimed at innovating care delivery and driving population health via advanced analytics and health science expertise; medical cost management; health care cost management services for health care benefit plans, health care utilization management services; health care utilization and review services; managed care services, namely, utilization review and pre-certification services; health care cost containment, cost review and analysis services; managed care services, namely, utilization review, utilization management, field case management, medical bill review services; management of telephone call centers for others; business services provided to the healthcare industry, namely, the collection, reporting, and analysis of healthcare data for business purposes; collecting and analyzing claims data from healthcare organizations for business purposes; business management services relating to the management of healthcare benefit plans, namely, program integrity and compliance management, quality assurance and performance improvement management, health resource and utilization management, managed care information system management, accounting and claims adjudication management; business services, namely, providing health care data and analytic services to healthcare providers and managed care organizations; business services, namely, collecting, processing and analyzing healthcare related data for healthcare providers and managed care organizations; business consulting services in the field of healthcare cost management for preventing claim fraud, claim waste and claim abuse, integrating re-pricing information, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; business auditing in the nature of account auditing focusing on coding review, compliance audits, medical review, cost analysis and drug rebates; account auditing services, namely, 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; business management and consulting services, namely, data processing, compilation of business data and business data analysis services for use in online fraud and credit card fraud detection and prevention; business risk management consulting services; business advisory services, consultancy and information in the field of quality assurance and business process and business performance improvement, namely, conducting quality assurance reviews in healthcare facilities to determine service quality; total quality management services, namely, business management services for establishing business quality policy and determining business means for implementing those policies to improve customer satisfaction; investigation services related to insurance claims, namely, coding review, compliance review, medical review, cost analysis review, and drug rebate review, all for the detection of fraud; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors; investigation services related to insurance claims; investigation services related to insurance claims, namely, claim review services to identify health insurance fraud, waste and abuse provided to Medicaid and other government and private health care payers; consulting in the field of governmental legal and regulatory compliance, namely, analysis of data, policies and processes to ensure government compliance with laws and regulations related to waste, fraud, abuse and corruption; consulting in the field of governmental legal and regulatory compliance, namely, advisory and information services in the nature of preparation and provision of reports relating to government compliance with laws and regulations related to waste, fraud, abuse and corruption; population health management services, namely, providing health and wellness information; consulting services in the field of medical care; providing health care data and analytic services to healthcare providers and managed care organizations for wellness purposes; providing health care consultation services, namely, data analytics, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization for government agencies and programs; Providing health care information for health care facilities and providers including providers connected to government agencies and programs, namely, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services; Providing health care analytics for health care facilities and providers including providers connected to government agencies and programs, namely, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services; quality management services in the nature of quality evaluation and analysis in the field of health care, namely, peer review of medical services and peer review of complaints by recipients regarding the quality of medical care received; design and development of computer software; design and development of computer software in the fields of data analytics, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution for others; design and development of software for others for use in risk assessment, information security, business analysis, audit and audit planning and sales management; software as a Service (SAAS) services featuring software for predictive modeling, data analytics, regulatory compliance, operational efficiency, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution; health care quality review services for others; quality management services, namely, quality evaluation and analysis, quality assurance and quality control in the fields of healthcare and social services for government agencies and departments, health care companies, financial companies, insurance companies and other businesses; consultation in the field of quality management services for health care quality improvement, namely, quality evaluation and quality data analysis, all in the field of healthcare, including quality analysis of the health care impacts of the delivery of social services; software as a service (SAAS) services featuring software for providing payment integrity and healthcare cost management, namely, detecting and preventing claim fraud, claim waste and claim abuse, integrating repricing information, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; software as a service (SAAS) services featuring software for providing real-time business and productivity analytics for the health care field, namely, cost of care across bundled payment analytics, readmission risk analysis, hospitalization risk analysis, predictive modeling and reporting, cost of care across bundled payment; data mining; data analytics, namely, data mining for overpayment, error and waste analysis, fraud and abuse detection and coding; quality control for others, namely, independent quality review of medical services rendered, and independent quality review of claims as required by various states, all in the field of health care; quality control for others, namely, evaluating the provision of services by health care providers for government agencies and programs; software as a services (SAAS) services featuring fraud detection and prevention software; electronic monitoring of credit card activity to detect fraud; computer security services for protecting data and information from unauthorized access; providing online non-downloadable software for use in online fraud and credit card fraud detection and prevention and controlling online account access; fraud detection and prevention services in the field of healthcare insurance, namely, electronic monitoring, data mining, data analysis, predictive modeling, and audit and review in the nature of technical analysis and evaluation of insurance records to detect and prevent fraud; fraud detection and prevention services in the nature of financial fraud investigation, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of financial records and activity to detect and prevent fraud; fraud and identity theft detection and prevention services for others, namely, electronic monitoring, data mining, data analysis, predictive modeling and review in the nature of technical analysis and evaluation of personally identifying information records to detect and prevent identity theft; fraud detection and prevention services in the field of credit cards, debit cards, payment cards and electronic funds transfers for financial transactions, namely, electronic monitoring, data mining, data analysis, predictive modeling and review in the nature of technical analysis and evaluation of transaction records and activity to detect and prevent fraud; fraud detection and prevention services in the field of insurance, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of insurance records to detect and prevent fraud; fraud detection and prevention services in the field of payment processing laws and regulations, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of financial transaction records and activity to detect and prevent fraud; computerized security services, namely, electronically monitoring, detecting and reporting on suspicious and abnormal patterns of point of sale activity, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of point of sale transaction records and activity to detect and prevent fraud; fraud detection and prevention services, namely, transaction fraud risk management services for merchants, financial institutions and others, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of credit card and financial transaction records and activity to detect and prevent fraud; fraud detection and prevention services, namely, detection and prevention of fraud, waste and abuse for government agencies and departments, healthcare companies, human services providers, financial companies, insurance companies and other businesses through electronic monitoring, data mining, data analysis, predictive modeling, audit and review in the nature of technical analysis and evaluation of insurance, financial and other transaction records and activity

computer software and computer software platforms for predictive modeling, data analysis, managing regulatory compliance, analyzing and improving operational efficiency, risk identification, risk visualization and risk assessment; computer software and computer software platforms for data analysis and predictive modeling in the field of risk management; computer software and computer software platforms for data analysis and predictive modeling in the field of risk prevention; computer software and computer software platforms for data analysis and predictive modeling in the field of risk resolution; computer software and computer software platforms for analyzing business data and operations for operational intelligence; computer software and computer software platforms for predictive modeling, data analysis, risk identification, risk assessment, risk management, risk prevention, risk resolution and operational intelligence, namely, software which collects, aggregates, filters and analyzes data and provides reports, alerts, risk scoring, data visualization, forecasting and predictive modeling to provide operational intelligence and insight, to identify operational inefficiencies, and to identify, detect, deter and prevent overpayments, errors, fraud, waste and abuse, all in the fields of government programs and services, healthcare, human services, insurance and financial services; software for providing payment integrity and healthcare cost management, namely, detecting and preventing claim fraud, claim waste and claim abuse, integrating repricing information, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities | developing customized software for others; customizing computer software for predictive modeling, data analysis, risk identification, risk visualization, risk assessment, risk management, risk prevention, risk resolution and operational intelligence, namely, software which collects, aggregates, filters and analyzes data and provides reports, alerts, risk scoring, data visualization, forecasting and predictive modeling to provide operational intelligence and insight, to identify operational inefficiencies, and to identify, detect, deter and prevent overpayments, errors, fraud, waste and abuse, all in the fields of government programs and services, healthcare, human services, insurance and financial services

computer software, computer software platforms and downloadable software for predictive modeling, data analysis, managing regulatory compliance, analyzing and improving operational efficiency, risk identification, risk visualization and risk assessment; computer software, computer software platforms and downloadable software for data analysis and predictive modeling in the field of risk management; computer software, computer software platforms and downloadable software for data analysis and predictive modeling in the field of risk prevention; computer software, computer software platforms and downloadable software for data analysis and predictive modeling in the field of risk resolution; computer software, computer software platforms and downloadable software for analyzing business data and operations for operational intelligence; computer software, computer software platforms and downloadable software for predictive modeling, data analysis, risk identification, risk assessment, risk management, risk prevention, risk resolution and operational intelligence, namely, software which collects, aggregates, filters and analyzes data and provides reports, alerts, risk scoring, data visualization, forecasting and predictive modeling to provide operational intelligence and insight, to identify operational inefficiencies, and to identify, detect, deter and prevent overpayments, errors, fraud, waste and abuse, all in the fields of government programs and services, healthcare, human services, insurance and financial services; software for providing payment integrity and healthcare cost management, namely, detecting and preventing claim fraud, claim waste and claim abuse, integrating repricing information, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities

computer software, computer software platforms and downloadable software for managing regulatory compliance, analyzing and improving operational efficiency, risk identification, risk visualization, and risk assessment; computer software, computer software platforms and downloadable software for predictive modeling and data analysis for identifying business risks, problems and opportunities to improve business decision making and to optimize business performance; computer software, computer software platforms and downloadable software for data analysis and predictive modeling in the field of risk management; computer software, computer software platforms and downloadable software for data analysis and predictive modeling in the field of risk prevention; computer software, computer software platforms and downloadable software for data analysis and predictive modeling in the field of risk resolution; computer software, computer software platforms and downloadable software for analyzing business data and operations for operational intelligence; computer software, computer software platforms and downloadable software for predictive modeling, data analysis, risk identification, risk assessment, risk management, risk prevention, risk resolution and operational intelligence, namely, software which collects, aggregates, filters and analyzes data and provides reports, alerts, risk scoring, data visualization, forecasting and predictive modeling to provide operational intelligence and insight, to identify operational inefficiencies, and to identify, detect, deter and prevent overpayments, errors, fraud, waste and abuse, all in the fields of government programs and services, healthcare, human services, insurance and financial services; software for providing payment integrity and healthcare cost management, namely, detecting and preventing claim fraud, claim waste and claim abuse, integrating repricing information, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities

business administration services in the field of insurance provided to government agencies and programs, employers, health plans, health care networks and others aimed at innovating care delivery and driving population health via advanced analytics and health science expertise; data compiling and analyzing in the field of insurance provided to employers, health plans and health care networks aimed at innovating care delivery and driving population health via advanced analytics and health science expertise; business services, namely, health plan management; medical cost management; health care cost management services for health care benefit plans, health care utilization management services; managed care services, namely, utilization review and pre-certification services; health care cost containment, cost review and analysis services; managed care services, namely, utilization review, utilization management, field case management, medical bill review services; business management services relating to the management of healthcare benefit plans, namely, program integrity and compliance management, quality assurance and performance improvement management, health resource and utilization management, managed care information system management, accounting and claims adjudication management; business services, namely, providing health care data and analytic services to healthcare providers and managed care organizations; business services, namely, collecting, processing and analyzing healthcare related data for healthcare providers and managed care organizations; business consulting services in the field of healthcare cost management for integrating re-pricing information; business auditing in the nature of account auditing focusing on drug rebates | quality management services, namely, quality evaluation and analysis, quality assurance and quality control in the fields of healthcare and social services for health care companies, financial companies and insurance companies; design and development of software for others for use in information security and sales management; software as a service (SAAS) services featuring software for providing real-time business and productivity analytics for the health care field, namely, cost of care across bundled payment analytics, readmission risk analysis, hospitalization risk analysis, and cost of care across bundled payment; electronic monitoring of credit card activity to detect fraud; providing online non-downloadable software for use in online fraud and credit card fraud detection and prevention and controlling online account access; Fraud detection and prevention services in the field of payment processing laws and regulations, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of financial transaction records and activity to detect and prevent fraud; Fraud detection and prevention services, namely, detection and prevention of fraud, waste and abuse for healthcare companies and financial companies through electronic monitoring, data mining, data analysis, predictive modeling, and audit and review in the nature of technical analysis and evaluation of insurance, financial and other transaction records and activity | providing health care data and analytic services to healthcare providers and managed care organizations for wellness purposes

software for data analysis to detect and prevent fraud, waste and abuse in government agencies and departments, health care companies, financial companies, insurance companies and other businesses; software for providing payment integrity and healthcare cost management, namely, detecting and preventing claim fraud, claim waste and claim abuse, integrating repricing information, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; and downloadable computer software for data analysis, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution

business management and consulting services for the health care industry, namely, providing industry expertise; business consulting services in the planning, organization and implementation of health care services and the design and implementation of quality improvements to health care plans and programs; health insurance claims auditing services; providing business management of health care quality and production performance; data compiling and analyzing in the field of insurance provided to government agencies and programs and others aimed at innovating care delivery and driving population health via advanced analytics and health science expertise; health care utilization and review services; management of telephone call centers for others; business services provided to the healthcare industry, namely, the collection, reporting, and analysis of healthcare data for business purposes; collecting and analyzing claims data from healthcare organizations for business purposes; business consulting services in the field of healthcare cost management for preventing claim fraud, claim waste and claim abuse; providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; business auditing in the nature of account auditing focusing on coding review, compliance audits, medical review, cost analysis; account auditing services, namely, 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; business risk management consulting services; business advisory services, consultancy and information in the field of quality assurance and business | charitable foundation services, namely, providing financial assistance for programs and services of others; charitable foundation services, namely, providing grants and funding in the field of health programs; medical insurance case and utilization review and insurance claims adjustment services for health care purchasers and payors and providers and Medicare beneficiaries; administration of health insurance claims and health benefits claims, namely, payment error detection and payment error prevention; financial analysis, namely, patient reimbursement analysis, medical expense and insurance analysis in the healthcare field; financial analysis, research and consultation in the healthcare field; insurance services, namely, health insurance coverage eligibility review and verification services provided to Medicaid and other government and private health care payers; financial risk management services for merchants; financial risk management consultation | training in the field of health care; training in the field of health care and social services to improve the quality and accessibility of health care and patient safety; training in the field of healthcare and social services for improving the quality and accessibility of health care and patient safety with a focus on person-centered practices; education services, namely, providing classes, seminars, workshops, and online courses in the field of healthcare including those having a focus on person-centered practices; education services, namely, providing classes, seminars, workshops and online courses in the field of healthcare as it relates to improving the quality and accessibility of healthcare, patient safety and person-centered practices | quality management services in the nature of quality evaluation and analysis in the field of health care, namely, peer review of medical services and peer review of complaints by recipients regarding the quality of medical care received; design and development of computer software; design and development of computer software in the fields of data analytics, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution for others; design and development of software for others for use in risk assessment, business analysis, audit and audit planning; software as a Service (SAAS) services featuring software for predictive modeling, data analytics, regulatory compliance, operational efficiency, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution; health care quality review services for others; quality management services, namely, quality evaluation and analysis, quality assurance and quality control in the fields of healthcare and social services for government agencies and departments, and other businesses; Consultation in the field of quality management services for health care quality improvement, namely, quality evaluation and quality data analysis, all in the field of healthcare, including quality analysis of the health care impacts of the delivery of social services; software as a service (SAAS) services featuring software for providing payment integrity and healthcare cost management, namely, detecting and preventing claim fraud, claim waste and claim abuse, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; software as a service (SAAS) services featuring software for providing real-time business and productivity analytics for the health care field, namely, predictive modeling and reporting; data mining; data analytics, namely, data mining for overpayment, error and waste analysis, fraud and abuse detection and coding; Quality control for others, namely, independent quality review of medical services rendered, and independent quality review of claims as required by various states, all in the field of health care; quality control for others, namely, evaluating the provision of services by health care providers for government agencies and programs; software as a services (SAAS) services featuring fraud detection and prevention software; Fraud detection and prevention services in the field of healthcare insurance, namely, electronic monitoring, data mining, data analysis, predictive modeling, and audit and review in the nature of technical analysis and evaluation of insurance records to detect and prevent fraud; Fraud detection and prevention services in the nature of financial fraud investigation, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of financial records and activity to detect and prevent fraud; Fraud detection and prevention services in the field of insurance, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of insurance records to detect and prevent fraud; Fraud detection and prevention services, namely, detection and prevention of fraud, waste and abuse for government agencies and departments, human services providers, insurance companies and other businesses through electronic monitoring, data mining, data analysis, predictive modeling, and audit and review in the nature of technical analysis and evaluation of insurance, financial and other transaction records and activity | population health management services, namely, providing health and wellness information; consulting services in the field of medical care; providing health care consultation services, namely, data analytics, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization for government agencies and programs; Providing health care information for health care facilities and providers including providers connected to government agencies and programs, namely, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services; Providing health care analytics for health care facilities and providers including providers connected to government agencies and programs, namely, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services | investigation services related to insurance claims, namely, coding review, compliance review, medical review and cost analysis review all for the detection of fraud; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors; investigation services related to insurance claims; investigation services related to insurance claims, namely, claim review services to identify health insurance fraud, waste and abuse provided to Medicaid and other government and private health care payers; consulting in the field of governmental legal and regulatory compliance, namely, analysis of data, policies and processes to ensure government compliance with laws and regulations related to waste, fraud, abuse and corruption; consulting in the field of governmental legal and regulatory compliance, namely, advisory and information services in the nature of preparation and provision of reports relating to government compliance with laws and regulations related to waste, fraud, abuse and corruption

Software for data analysis to detect and prevent fraud, waste and abuse in government agencies and departments, health care companies, financial companies, insurance companies and other businesses; software for providing payment integrity and healthcare cost management, namely, detecting and preventing claim fraud, claim waste and claim abuse, integrating repricing information, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; and downloadable computer software for data analysis, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution

Business management and consulting services for the health care industry, namely, providing industry expertise; business consulting services in the planning, organization and implementation of health care services and the design and implementation of quality improvements to health care plans and programs; health insurance claims auditing services; providing business management of health care quality and production performance; data compiling and analyzing in the field of insurance provided to government agencies and programs and others aimed at innovating care delivery and driving population health via advanced analytics and health science expertise; health care utilization and review services; management of telephone call centers for others; business services provided to the healthcare industry, namely, the collection, reporting, and analysis of healthcare data for business purposes; collecting and analyzing claims data from healthcare organizations for business purposes; business consulting services in the field of healthcare cost management for preventing claim fraud, claim waste and claim abuse; providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; business auditing in the nature of account auditing focusing on coding review, compliance audits, medical review, cost analysis; account auditing services, namely, 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; business risk management consulting services; business advisory services, consultancy and information in the field of quality assurance and business process and business performance improvement, namely, conducting quality assurance reviews in healthcare facilities to determine service quality; total quality management services, namely, business management services for establishing business quality policy and determining business means for implementing those policies to improve customer satisfaction | charitable foundation services, namely, providing financial assistance for programs and services of others; charitable foundation services, namely, providing grants and funding in the field of health programs; medical insurance case and utilization review and insurance claims adjustment services for health care purchasers and payors and providers and Medicare beneficiaries; administration of health insurance claims and health benefits claims, namely, payment error detection and payment error prevention; financial analysis, namely, patient reimbursement analysis, medical expense and insurance analysis in the healthcare field; financial analysis, research and consultation in the healthcare field; insurance services, namely, health insurance coverage eligibility review and verification services provided to Medicaid and other government and private health care payers; financial risk management services for merchants; financial risk management consultation | training in the field of health care; Training in the field of health care and social services to improve the quality and accessibility of health care and patient safety; Training in the field of healthcare and social services for improving the quality and accessibility of health care and patient safety with a focus on person-centered practices; Education services, namely, providing classes, seminars, workshops, and online courses in the field of healthcare including those having a focus on person-centered practices; education services, namely, providing classes, seminars, workshops and online courses in the field of healthcare as it relates to improving the quality and accessibility of healthcare, patient safety and person-centered practices | Quality management services in the nature of quality evaluation and analysis in the field of health care, namely, peer review of medical services and peer review of complaints by recipients regarding the quality of medical care received; design and development of computer software; design and development of computer software in the fields of data analytics, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution for others; design and development of software for others for use in risk assessment, business analysis, audit and audit planning; software as a Service (SAAS) services featuring software for predictive modeling, data analytics, regulatory compliance, operational efficiency, risk identification, risk visualization, risk assessment, risk management, risk prevention and risk resolution; health care quality review services for others; quality management services, namely, quality evaluation and analysis, quality assurance and quality control in the fields of healthcare and social services for government agencies and departments, and other businesses; Consultation in the field of quality management services for health care quality improvement, namely, quality evaluation and quality data analysis, all in the field of healthcare, including quality analysis of the health care impacts of the delivery of social services; software as a service (SAAS) services featuring software for providing payment integrity and healthcare cost management, namely, detecting and preventing claim fraud, claim waste and claim abuse, providing audit and recovery information and reporting capabilities, providing analytical reporting capabilities, and providing predictive modeling information and reporting capabilities; software as a service (SAAS) services featuring software for providing real-time business and productivity analytics for the health care field, namely, predictive modeling and reporting; data mining; data analytics, namely, data mining for overpayment, error and waste analysis, fraud and abuse detection and coding; Quality control for others, namely, independent quality review of medical services rendered, and independent quality review of claims as required by various states, all in the field of health care; quality control for others, namely, evaluating the provision of services by health care providers for government agencies and programs; software as a services (SAAS) services featuring fraud detection and prevention software; Fraud detection and prevention services in the field of healthcare insurance, namely, electronic monitoring, data mining, data analysis, predictive modeling, and audit and review in the nature of technical analysis and evaluation of insurance records to detect and prevent fraud; Fraud detection and prevention services in the nature of financial fraud investigation, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of financial records and activity to detect and prevent fraud; Fraud detection and prevention services in the field of insurance, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of insurance records to detect and prevent fraud; Fraud detection and prevention services, namely, detection and prevention of fraud, waste and abuse for government agencies and departments, human services providers, insurance companies and other businesses through electronic monitoring, data mining, data analysis, predictive modeling, and audit and review in the nature of technical analysis and evaluation of insurance, financial and other transaction records and activity | population health management services, namely, providing health and wellness information; consulting services in the field of medical care; providing health care consultation services, namely, data analytics, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization for government agencies and programs; Providing health care information for health care facilities and providers including providers connected to government agencies and programs, namely, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services; providing health care analytics for health care facilities and providers including providers connected to government agencies and programs, namely, predictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services | Investigation services related to insurance claims, namely, coding review, compliance review, medical review and cost analysis review all for the detection of fraud; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors; investigation services related to insurance claims; investigation services related to insurance claims, namely, claim review services to identify health insurance fraud, waste and abuse provided to Medicaid and other government and private health care payers; consulting in the field of governmental legal and regulatory compliance, namely, analysis of data, policies and processes to ensure government compliance with laws and regulations related to waste, fraud, abuse and corruption; consulting in the field of governmental legal and regulatory compliance, namely, advisory and information services in the nature of preparation and provision of reports relating to government compliance with laws and regulations related to waste, fraud, abuse and corruption

business administration services in the field of insurance provided to government agencies and programs, employers, health plans, health care networks and others aimed at innovating care delivery and driving population health via advanced analytics and health science expertise; data compiling and analyzing in the field of insurance provided to employers, health plans and health care networks aimed at innovating care delivery and driving population health via advanced analytics and health science expertise; business services, namely, health plan management; medical cost management; health care cost management services for health care benefit plans, health care utilization management services; managed care services, namely, utilization review and pre-certification services; health care cost containment, cost review and analysis services; managed care services, namely, utilization review, utilization management, field case management, medical bill review services; business management services relating to the management of healthcare benefit plans, namely, program integrity and compliance management, quality assurance and performance improvement management, health resource and utilization management, managed care information system management, accounting and claims adjudication management; business services, namely, providing health care data and analytic services to healthcare providers and managed care organizations; business services, namely, collecting, processing and analyzing healthcare related data for healthcare providers and managed care organizations; business consulting services in the field of healthcare cost management for integrating re-pricing information; business auditing in the nature of account auditing focusing on drug rebates | quality management services, namely, quality evaluation and analysis, quality assurance and quality control in the fields of healthcare and social services for health care companies, financial companies and insurance companies; design and development of software for others for use in information security and sales management; software as a service (SAAS) services featuring software for providing real-time business and productivity analytics for the health care field, namely, cost of care across bundled payment analytics, readmission risk analysis, hospitalization risk analysis, and cost of care across bundled payment; electronic monitoring of credit card activity to detect fraud; providing online non-downloadable software for use in online fraud and credit card fraud detection and prevention and controlling online account access; Fraud detection and prevention services in the field of payment processing laws and regulations, namely, electronic monitoring, data mining, data analysis, predictive modeling and audit and review in the nature of technical analysis and evaluation of financial transaction records and activity to detect and prevent fraud; Fraud detection and prevention services, namely, detection and prevention of fraud, waste and abuse for healthcare companies and financial companies through electronic monitoring, data mining, data analysis, predictive modeling, and audit and review in the nature of technical analysis and evaluation of insurance, financial and other transaction records and activity | providing health care data and analytic services to healthcare providers and managed care organizations for wellness purposes

"ALGORITHM"

Health care utilization and review services | Data mining; developing customized software in the field of risk identification, risk visualization and risk resolution for others; quality management services, namely, quality evaluation and analysis, quality assurance, and quality control, in the field of healthcare; developing customized software for others

"HEALTH", "LLC", AND "PREDICTIVE MODELING SOLUTION"