Cost management for the health benefit plans of others; Cost management for the health care benefit plans of others; Health care cost review; Health care utilization and review services; Managed care services, namely, electronic processing of health care information; Managed care services, namely, utilization review and pre-certification services; Management of telephone call centers for others; Medical cost management; Pharmaceutical cost management services and drug utilization review services; Business services, namely, independent medical management services for self-funded major medical health plans; Health care cost containment