35 Health care cost containment services, namely, identification for health plans of fraud, waste, abuse, errors and overpayments, providing information and analytics for the purposes of providing health plans with financial, operational, and productivity information, providing information and analytics for the purposes of providing health plans with clinical information to identify 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, automated review of medical records to identify improper payments, review of pharmacy claims to identify improper payments, onsite hospital reviews of medical records to identify improper payments, coordination of benefits services to determine third party liability for healthcare claims paid by private and government payers, and recovery of healthcare dollars paid inappropriately by private and government payers
Trademark: 85683120
