HEALTH CARE COST CONTAINMENT SERVICES, INCLUDING REVIEW OF MEDICAL CLAIMS TO ENSURE APPROPRIATE PAYMENT; HEALTH CARE UTILIZATION REVIEW, CASE MANAGEMENT AND CLINICAL MANAGEMENT IN CONNECTION THEREWITH; BUSINESS MANAGEMENT AND CONSULTING IN THE FIELD OF HEALTH CARE COST CONTAINMENT, NAMELY, PROVIDING INFORMATION TO CLIENTS AND PLAN PARTICIPANTS ON WAYS TO CONTAIN AND REDUCE COSTS OF HEALTH CARE; BUSINESS MANAGEMENT OF HEALTH INSURANCE PREMIUM ASSISTANCE PROGRAMS; PROVIDING INFORMATION CONCERNING ADMINISTRATION OF PATIENT REIMBURSEMENT PROGRAMS AND SERVICES AND HEALTHCARE UTILIZATION AND REVIEW SERVICES; CONSULTING IN THE FIELD OF MANAGED HEALTH CARE SERVICES, NAMELY, PROVIDING INFORMATION RELATED TO HEALTH CARE PLAN OPTIONS, PRODUCTS, AND PROGRAMS TO HEALTH PLAN SPONSORS, CLIENTS, PARTICIPANTS, AND PAYORS

INSURANCE SERVICES, NAMELY, REVIEW OF MEDICAL CLAIMS TO ENSURE APPROPRIATE PAYMENT; INSURANCE SERVICES, NAMELY, PROVIDING PATIENT INFORMATION TO PAYORS OF HEALTHCARE SERVICES FOR THE PURPOSE OF REVIEW AND VERIFICATION OF HEALTH INSURANCE ELIGIBILITY, NAMELY, PATIENT INFORMATION RELATING TO IDENTITY, BILLING, ASSETS, INSURANCE COVERAGE AND PREMIUMS; PROVIDING INFORMATION CONCERNING INSURANCE ADMINISTRATION, NAMELY, INSURANCE ADMINISTRATION RELATING TO ASSET VERIFICATION FOR THE PURPOSE OF DETERMINING ELIGIBILITY FOR HEALTH INSURANCE AND PREMIUM ASSISTANCE MANAGEMENT; INSURANCE ADMINISTRATION SERVICES, NAMELY, PROVIDING INFORMATION CONCERNING ADMINISTRATION OF ASSET VERIFICATION SERVICES, NAMELY, VERIFYING THE ASSETS OF APPLICANTS FOR THE PURPOSE OF DETERMINING ELIGIBILITY FOR HEALTH INSURANCE COVERAGE; INSURANCE ADMINISTRATION SERVICES, NAMELY, PROVIDING PREMIUM ASSISTANCE MANAGEMENT SERVICES, NAMELY, DETERMINING HEALTH INSURANCE PREMIUM PAYMENT ELIGIBILITY, REVIEWING PROOF OF HEALTH INSURANCE PREMIUM PAYMENTS, AND ELECTRONIC PAYMENT, NAMELY, ELECTRONIC TRANSMISSION OF PREMIUM PAYMENTS; INSURANCE ADMINISTRATION SERVICES, NAMELY, DATA MATCHING SERVICES FOR PATIENT INSURANCE COVERAGE, NAMELY, MATCHING PATIENT INFORMATION WITH INSURANCE ELIGIBILITY INFORMATION, AND PROVIDING SUCH INFORMATION TO PAYORS OF HEALTHCARE SERVICES; INSURANCE ADMINISTRATION SERVICES, NAMELY, HEALTHCARE ELIGIBILITY SCREENING SERVICES, NAMELY, REVIEW AND RECEIPT OF APPLICATIONS FOR HEALTH INSURANCE COVERAGE, ELIGIBILITY DETERMINATION, DETERMINATION OF ALTERNATIVE COVERAGE SOURCES, ENROLLMENT PROCESSING, AND COORDINATION WITH PAYORS OF HEALTHCARE SERVICES; PROVIDING INSURANCE INFORMATION, NAMELY, PROVIDING INFORMATION ON HEALTH INSURANCE, HEALTHCARE CLAIMS HISTORY, BENEFIT AMOUNTS, ENROLLMENT AND ELIGIBILITY, PREMIUM ASSISTANCE MANAGEMENT, ASSET VERIFICATION FOR THE PURPOSE OF DETERMINING ELIGIBILITY FOR HEALTH INSURANCE COVERAGE, AND HEALTH PLAN COVERED BENEFITS; INSURANCE ADMINISTRATION SERVICES, NAMELY, REVIEW OF HEALTHCARE COVERAGE REQUESTS AND BENEFITS ELIGIBILITY; INSURANCE ADMINISTRATION SERVICES, NAMELY, DATA MATCHING TO DETERMINE HEALTH INSURANCE COVERAGE; INSURANCE ADMINISTRATION SERVICES, NAMELY, REVIEW OF FINANCIAL DATA TO VERIFY ASSETS FOR THE PURPOSE OF DETERMINING ELIGIBILITY FOR HEALTH INSURANCE; CONSULTING IN THE FIELD OF MANAGED HEALTH CARE SERVICES, NAMELY, PROVIDING INSURANCE INFORMATION TO HEALTH PLAN SPONSORS, CLIENTS, PARTICIPANTS, AND PAYORS

CONSULTING IN THE FIELD OF MANAGED HEALTH CARE SERVICES, NAMELY PROVIDING HEALTHCARE AND INSURANCE INFORMATION TO HEALTH PLAN SPONSORS, CLIENTS AND PARTICIPANTS