Healthcare utilization and review services, namely, the planning, coordination, monitoring, and evaluation of medical services with an emphasis on quality of care, continuity of services, and cost-effectiveness; independent health care cost review; medical bill review; medical bill review and repricing technology services, namely, intelligent cost containment and pre-certification services; retrospective review of medical claims record to determine necessary and appropriate payments; healthcare utilization and review services, namely, review of quality of care at hospitals, healthcare providers and pharmacies; pharmaceutical, forensic and experimental and investigational treatment reviews; operation of telephone call centers for others, namely, operating work place injury reporting call centers for insurance companies, managed care entities and third party administrators; providing referrals from a network of ancillary health care product and service providers to insurance companies, managed care entities and third party administrators that process insurance claims for other entities, namely, providing referrals from a network of medical equipment providers, home health service providers, transportation service providers and interpretation service providers to insurance companies, managed care entities and third party administrators; procurement services, namely, procurement of ancillary health care products and services from a network of providers for insurance companies, managed care entities and third party administrators that process insurance claims for other entities, namely, arranging the procurement of medical equipment, home health services, transportation services and interpretation services from a network of providers for insurance companies, managed care entities and third party administrators; Medicare secondary payer compliance and reporting services; employee administration services in the nature of absence management services, namely, the administration and management of employee leave and work absence programs for employers; insurance premium auditing services; insurance cooperative services, namely, organizing and managing cooperative entities that provide comprehensive insurance to members of a particular industry who own the organization; appointment scheduling services, namely, providing diagnostic test scheduling services to medical insurance claimants for insurance companies, managed care entities and third party administrators; consulting in the field of ergonomics for purposes of loss control related to insurance, namely, assessing workplace facilities and equipment to evaluate business efficiency; business administration of medical service provider networks

Financial management, namely, financial administration of medical service provider networks; claims administration in the field of workers' compensation services; conditional payment services in connection with Medicare payments related to insurance claims, namely, arranging reimbursement to Medicare when Medicare has paid for medical expenses covered by other insurance; pharmacy benefit management services; insurance services in the nature of loss control management, namely, conducting loss control surveys and underwriting assessments for others; real and personal property valuations; underwriting insurance for public entity insurance pools; reinsurance underwriting; insurance services in the nature of designing public entity insurance pool coverage; loss adjustment services in the field of insurance claims; insurance cooperative services, namely, administering cooperative entities that provide comprehensive insurance to members of a particular industry who own the organization; insurance claims administration in the fields of general liability, auto liability, environmental, property, product liability, professional liability, inland and ocean marine, workers' compensation and nonsubscriber claims; development of insurance claims standards and criteria for healthcare management systems, plans, and programs; insurance pooling services, namely, the administration of public entity insurance pools

Consulting in the field of ergonomics for purposes of loss control related to insurance, namely, assessing workplace facilities and equipment to evaluate efficiency and safety

Basic workplace safety training for employees; workplace equipment training for employees

Return-to-work case management services in the nature of coordinating medical services, vocational services, educational services and modified work duties for employees transitioning back to work during recovery from an illness or injury; providing case management services in the nature of coordinating medical services, legal services, transportation services, translation services and dental services, and coordinating durable medical equipment, medical supplies, home health services, audiology services, orthotics and prosthetics as they relate to the preceding services, all for medical insurance claimants on behalf of insurance companies, managed care entities and third party administrators; investigative services related to insurance claims; safety consulting services, namely, conducting workplace and jobsite safety inspections for loss control purposes related to insurance; safety consulting in the field loss control related to insurance, namely, evaluation of current safety programs, jobsite assessments, OSHA compliance advice and OSHA inspection preparation and personal protective equipment assessments; consulting in the field of ergonomics for purposes of loss control related to insurance, namely, assessing workplace facilities and equipment to evaluate safety