9 Computer software for use in detecting and preventing fraudulent claims, processing errors, claims overpayment and duplicative payment of claims in the field of healthcare; Computer software application that enables real-time, mobile access to healthcare information, including benefits, claims, provider information, reminders and educational alerts; Computer software for use in the field of managed care, namely, software for compliance tracking that incorporates managed care contract requirements, tracks performance and compliance with managed care contract requirements and audit requirements, structures workflow to handle issues, appeals, and information requests, and assesses and tracks penalties and withholds against contract terms, configures rules for compliance event enforcement, captures and processes clinical data, performs data quality checks, and automates reconciliation processes; Computer software for group project management and for facilitating project collaboration via the world wide web over local and wide area computer networks, excluding computer software for accessing such networks; Computer software for use in tracking information about its recipients, providers, prior-authorizations, third-party-liability, code-sets, claims, payments, budgets, rates, and drug-rebates in a healthcare provider environment; Computer software development tools for development of software applications using business rules based methodologies
Trademark: 97819137
