Cost containment services in the fields of healthcare and medicine; medical review and utilization services in the nature of reviewing medical and insurance cases; referral services in the nature of providing referrals for independent medical examinations and assessments; Health care cost containment services; Health care cost review services; Health care utilization and review services; Managed care services, namely, utilization review and pre-certification services; Pharmaceutical cost management services and drug utilization review services; business management consulting, namely, referral services in the nature of providing referrals for independent medical examinations and assessment; insurance information and consultancy, namely, referral services in the nature of providing referrals for independent medical examinations and assessment; Cost containment advisory and consultancy services provided to the insurance industry and insurance support industry

Administration, assessment, and management of insurance claims, and advisory and consultancy services relating thereto; insurance information and consultancy; insurance information and consultancy, namely, medical review and utilization services in the nature of reviewing medical and insurance cases for purposes of adjusting insurance claims; medical insurance case review and medical insurance case utilization services in the nature of reviewing medical and insurance cases for insurance claim adjustment purposes; medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and medicare beneficiaries; medical insurance case review and utilization review services in the nature of reviewing medical and insurance cases for healthcare purchasers and payors and providers and Medicare beneficiaries

Provision of medical services; provision of medical advice, medical reports, medical examinations, medical analysis, and medical consultations; medical rehabilitation services; consultation services relating to all the aforesaid; Medical treatment advisory and consultancy services provided to the insurance industry and insurance support industry; medical review and utilization services in the nature of reviewing medical and insurance cases for purposes of determining medical necessity and medical treatment