Classe 35
business management and consulting services for the health care industryproviding industry expertise; business consulting services in the planningorganization and implementation of health care services and the design and implementation of quality improvements to health care plans and programs; health insurance claims auditing services; providing business management of health care quality and production performance; data compiling and analyzing in the field of insurance provided to government agencies and programs and others aimed at innovating care delivery and driving population health via advanced analytics and health science expertise; health care utilization and review services; management of telephone call centers for others; business services provided to the healthcare industrythe collectionreportinganalysis of healthcare data for business purposes; collecting and analyzing claims data from healthcare organizations for business purposes; business consulting services in the field of healthcare cost management for preventing claim fraudclaim waste and claim abuse; providing audit and recovery information and reporting capabilitiesproviding analytical reporting capabilitiesproviding predictive modeling information and reporting capabilities; business auditing in the nature of account auditing focusing on coding reviewcompliance auditsmedical reviewcost analysis; account auditing servicesrecovery audit services in the nature of reviewing medical claims billing systems to detect lost profits through overpayments in order to reduce health insurance costs related to claim payment errors; business risk management consulting services; business advisory servicesconsultancy and information in the field of quality assurance and business
Classe 36
charitable foundation servicesproviding financial assistance for programs and services of others; charitable foundation servicesproviding grants and funding in the field of health programs; medical insurance case and utilization review and insurance claims adjustment services for health care purchasers and payors and providers and Medicare beneficiaries; administration of health insurance claims and health benefits claimspayment error detection and payment error prevention; financial analysispatient reimbursement analysismedical expense and insurance analysis in the healthcare field; financial analysisresearch and consultation in the healthcare field; insurance serviceshealth insurance coverage eligibility review and verification services provided to Medicaid and other government and private health care payers; financial risk management services for merchants; financial risk management consultation
Classe 41
training in the field of health care; training in the field of health care and social services to improve the quality and accessibility of health care and patient safety; training in the field of healthcare and social services for improving the quality and accessibility of health care and patient safety with a focus on person-centered practices; education servicesproviding classesseminarsworkshopsonline courses in the field of healthcare including those having a focus on person-centered practices; education servicesproviding classesseminarsworkshops and online courses in the field of healthcare as it relates to improving the quality and accessibility of healthcarepatient safety and person-centered practices
Classe 42
quality management services in the nature of quality evaluation and analysis in the field of health carepeer 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 analyticsrisk identificationrisk visualizationrisk assessmentrisk managementrisk prevention and risk resolution for others; design and development of software for others for use in risk assessmentbusiness analysisaudit and audit planning; software as a Service (SAAS) services featuring software for predictive modelingdata analyticsregulatory complianceoperational efficiencyrisk identificationrisk visualizationrisk assessmentrisk managementrisk prevention and risk resolution; health care quality review services for others; quality management servicesquality evaluation and analysisquality assurance and quality control in the fields of healthcare and social services for government agencies and departmentsother businesses; Consultation in the field of quality management services for health care quality improvementquality evaluation and quality data analysisall in the field of healthcareincluding 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 managementdetecting and preventing claim fraudclaim waste and claim abuseproviding audit and recovery information and reporting capabilitiesproviding analytical reporting capabilitiesproviding 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 fieldpredictive modeling and reporting; data mining; data analyticsdata mining for overpaymenterror and waste analysisfraud and abuse detection and coding; Quality control for othersindependent quality review of medical services renderedindependent quality review of claims as required by various statesall in the field of health care; quality control for othersevaluating 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 insuranceelectronic monitoringdata miningdata analysispredictive modelingaudit 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 investigationelectronic monitoringdata miningdata analysispredictive 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 insuranceelectronic monitoringdata miningdata analysispredictive 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 servicesdetection and prevention of fraudwaste and abuse for government agencies and departmentshuman services providersinsurance companies and other businesses through electronic monitoringdata miningdata analysispredictive modelingaudit and review in the nature of technical analysis and evaluation of insurancefinancial and other transaction records and activity
Classe 44
population health management servicesproviding health and wellness information; consulting services in the field of medical care; providing health care consultation servicesdata analyticspredictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization for government agencies and programs; Providing health care information for health care facilities and providers including providers connected to government agencies and programspredictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services; Providing health care analytics for health care facilities and providers including providers connected to government agencies and programspredictive modeling and reporting regarding risk of patient readmission and risk of patient hospitalization in the field of health care including government health care programs and services
Classe 45
investigation services related to insurance claimscoding reviewcompliance reviewmedical review and cost analysis review all for the detection of fraud; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors; investigation services related to insurance claims; investigation services related to insurance claimsclaim review services to identify health insurance fraudwaste and abuse provided to Medicaid and other government and private health care payers; consulting in the field of governmental legal and regulatory complianceanalysis of datapolicies and processes to ensure government compliance with laws and regulations related to wastefraudabuse and corruption; consulting in the field of governmental legal and regulatory complianceadvisory and information services in the nature of preparation and provision of reports relating to government compliance with laws and regulations related to wastefraudabuse and corruption