Healthcare financial advisory services for providing payment integrity solutions; medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and Medicare beneficiaries to ensure payment accuracy; medical insurance claims review services in the nature of assessing insurance claims to ensure payment accuracy; providing counseling and consulting in the field of healthcare benefits; insurance claim administration consultation services; financial data analytics services; risk adjustment services in the nature of financial and insurance risk management consulting; providing financial payment accuracy information to healthcare consumers; financial auditing services to ensure payment accuracy; Insurance services, namely, providing information for the purpose of review and verification of Medicaid and Medicare eligibility status and related information.

Education services, namely, providing non-downloadable webinars in the fields of healthcare, data analytics, payment accuracy, consumer engagement, and investigations related to fraud, waste, and abuse.

Software as a service (SaaS) featuring software for assessment and management of healthcare practices, facilities, organizations, and provider networks; quality evaluation services of clinical and financial performance in the healthcare industry; consultation in the field of health care quality improvement featuring health care quality review and quality data analysis; data mining; providing a website featuring non-downloadable videos, non-downloadable blogs, non-downloadable articles, non-downloadable case studies, and non-downloadable white papers in the fields of healthcare, data analytics, payment accuracy, consumer engagement, and investigations related to fraud, waste, and abuse; providing on-line non-downloadable quality measure logic and reporting software for collecting, measuring, monitoring, evaluating, and reporting information in the field of healthcare cost containment and retail services; providing online non-downloadable software for monitoring, alerting prioritizing, and resolving payment accuracy issues; providing on-line, non-downloadable software for data analytics; computer services, namely, hosting an interactive web site for educating consumers to interpret and assess healthcare information and payment accuracy analytics; providing online non-downloadable software for commercial and government health payers and at-risk providers to conduct population health and risk analytics, predictive member health modeling, and enable member engagement services using insureds' health related data; providing online non-downloadable software for managing the subrogation of insurance claims and the coordination of benefits on behalf of state and federal healthcare programs; providing temporary use of non-downloadable cloud-based audit recovery software for monitoring and evaluating payment integrity issues; providing an Internet website portal featuring non-downloadable analytic software to identify and prevent healthcare insurance claim fraud, waste and abuse; providing online non-downloadable software to manage healthcare insurance member engagement and care, conduct population health and risk analytics, and improve health outcomes through data warehousing, analytics engines, predictive modeling, and machine learning; providing on-line non-downloadable software using artificial intelligence for machine learning to provide payment integrity solutions; software as a service (SaaS) featuring software for offering data analytics to identify margin accuracy issues such as duplicate payments, price anomalies, missing promotional funds, and payment term errors related to goods-for-resale transactions; providing temporary use of non-downloadable cloud-based software for engagement with healthcare payers and consumers; providing an internet website portal for facilitating engagement with healthcare payers and consumers; providing an online portal featuring cost containment performance data in the areas of healthcare insurance claim fraud, waste and abuse for use by health care providers, administrators and health professionals.

Providing fraud and abuse support in the healthcare industry; fraud detection services in the field of health care insurance; investigative services related to insurance claims.

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.

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.

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.

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.

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.

Fraud detection services, namely, providing fraud and abuse support in the healthcare industry; fraud detection services in the field of health care insurance.