42 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
Trademark: 87981944
