35 Healthcare utilization and review services, namely, the planning, coordination, monitoring, and evaluation of medical services with an emphasis on quality of care, continuity of services, and cost-effectiveness; independent health care cost review; medical bill review; medical bill review and repricing technology services, namely, intelligent cost containment and pre-certification services; retrospective review of medical claims record to determine necessary and appropriate payments; healthcare utilization and review services, namely, review of quality of care at hospitals, healthcare providers and pharmacies; pharmaceutical, forensic and experimental and investigational treatment reviews; operation of telephone call centers for others, namely, operating work place injury reporting call centers for insurance companies, managed care entities and third party administrators; providing referrals from a network of ancillary health care product and service providers to insurance companies, managed care entities and third party administrators that process insurance claims for other entities, namely, providing referrals from a network of medical equipment providers, home health service providers, transportation service providers and interpretation service providers to insurance companies, managed care entities and third party administrators; procurement services, namely, procurement of ancillary health care products and services from a network of providers for insurance companies, managed care entities and third party administrators that process insurance claims for other entities, namely, arranging the procurement of medical equipment, home health services, transportation services and interpretation services from a network of providers for insurance companies, managed care entities and third party administrators; Medicare secondary payer compliance and reporting services; employee administration services in the nature of absence management services, namely, the administration and management of employee leave and work absence programs for employers; insurance premium auditing services; insurance cooperative services, namely, organizing and managing cooperative entities that provide comprehensive insurance to members of a particular industry who own the organization; appointment scheduling services, namely, providing diagnostic test scheduling services to medical insurance claimants for insurance companies, managed care entities and third party administrators; consulting in the field of ergonomics for purposes of loss control related to insurance, namely, assessing workplace facilities and equipment to evaluate business efficiency; business administration of medical service provider networks
Trademark: 88119444
