Classification Information
Class [9]
Computer & Software Products & Electrical & Scientific Products
Recovery auditing software; computer software for tracking claims of vendor overpayments; data mining software; data analytics software.
Class [16]
Paper Goods and Printed Material
Printed materials, including brochures, books, newsletters, magazines, reports, newspapers, manuals, pamphlets, journals and printed guides in the field of account auditing, consulting, software, business support and analysis services.
Class [35]
Advertising, Business & Retail Services
Account auditing services, including recovery audit services in the nature of reviewing accounts payable, purchasing systems, durable medical equipment payments, pharmacy claims and transactions, freight and vendor records, and medical claims billing systems to detect lost profits through overpayments, miscalculations, missed discounts, pricing errors, duplicate payments, incorrect invoices and missed credits, sales and use tax liabilities and payments, and contract and provider compliance; business consulting services, including providing procure-to-pay process improvement recommendations and providing industry benchmarks to gauge performance and guide policy decisions; business assistance, advisory and consulting services in the field of health care claims coding, billing patterns analysis, cost controls, payment policies, provider utilization patterns analysis, provider billing compliance review and analysis, integrated medical claims analysis, medical charts, product liability analysis, medication therapy management, and retro-termination claims review and analysis; providing business financial opportunity and cost analysis; network utilization analysis for healthcare business management; providing chart review services as part of business management in the healthcare field; business consulting services in the cost and payment management of health care; medical claims management services, including receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; medical cost management; business assistance, advisory and consulting services in the field of healthcare network management; business decision support, analytics and operations assessment services in the healthcare and retail fields; comparative business and industry trend reporting and analysis services; retail transactions, promotions and pricing review services; business and management consulting for healthcare providers, retail companies and related businesses; business data analytics services; business management consulting; business consulting; electronic data collection and data submission services for business purposes in the fields of medicine and healthcare; business information for enterprises; cost management for the healthcare benefit plans of others; network optimization in relation to medical insurance claims review services; providing an interactive business customer accounting website that allows business owners to retrieve customer data and audit customer accounts.
Class [36]
Insurance & Financial Services
Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and beneficiaries; medical insurance claims review services, namely inpatient claims analysis, medical claims evaluation and management and coding review services; healthcare benefit management and coordination services; providing healthcare benefit administration services; providing counseling and consulting in the field of healthcare benefits; insurance claim administration consultation services for payer owned PPOs to eliminate out-of-network claims; clinical payment process management services.
Class [38]
Communications Services
Electronic data interchange services in the field of healthcare transactions such as claims, eligibility, claim status, electronic remittance advice, prior authorizations, attachments and referrals that allow direct transaction and payment communications between healthcare providers and payers.
Class [42]
Computer & Software Services & Scientific Services
Providing a website for use in recovery auditing featuring technology that enables users to store, track, analyze, communicate, and report on information from multiple recovery audit sources and audit efforts; IT consulting services; providing on-line, non-downloadable, Internet-based software application for medical billing for physicians and health care institutions; healthcare services in the nature of providing information on the subject of healthcare provider profiling; mobile application development; providing a website featuring technology that enables users to manage the vendor claim approval process; providing on-line, non-downloadable software for use in the data analytics field; computer services, including hosting an interactive web site that allows storing, tracking, analyzing, communicating and reporting on recovery audit activity and the results of analysis of accounts payable, purchasing system and medical claims billing transactions; application service provider featuring software for providing an online database in the field of transaction processing to upload transactional data, provide statistical analysis and produce notifications and reports; application service provider, including providing, hosting, managing, developing, researching, analyzing, reporting and maintaining applications, software, web sites, healthcare benefits programs (software), employee productivity and risk management (software); developing customized software in the field of recovery auditing for others; quality control, namely clinical and business process optimization services, namely, monitoring and managing the deployed clinical and business processes during operation, in order to ensure clinical and business processes are optimized and aligned with client objectives.
Class [44]
Medical, Beauty & Agricultural Services
Clinical review services in relation to medical insurance claims review services; healthcare services in the nature of providing information on the subject of healthcare provider profiling.
Class [45]
Personal & Legal & Social Services
Fraud detection services, namely, providing fraud and abuse support in the healthcare industry; fraud detection services in the field of health care insurance.
