COTIVITI Trademark

Providing fraud and abuse support in the healthcare industry; fraud detection services in the field of health care insurance

Account auditing services, namely, recovery audit services in the nature of reviewing accounts payable, purchasing systems, durable medical equipment payments, pharmacy claims and transactions, freight and vendor records, and medical claims billing systems to detect lost profits through overpayments, miscalculations, missed discounts, pricing errors, duplicate payments, incorrect invoices and missed credits, sales and use tax liabilities and payments, and contract and provider compliance; business consulting services, namely, providing procure-to-pay process improvement recommendations and providing industry benchmarks to gauge performance and guide policy decisions; business assistance, advisory and consulting services in the field of health care claims coding, billing patterns analysis, cost controls, payment policies, provider utilization patterns analysis, provider billing compliance review and analysis, integrated medical claims analysis, medical charts, product liability analysis, medication therapy management, and retro-termination claims review and analysis; providing business financial opportunity and cost analysis; network utilization analysis for healthcare business management; providing chart review services as part of business management in the healthcare field; consulting services in the cost and payment management of health care; medical claims management services, namely, receiving, data entering, and re-pricing of transactions that are originated by physicians, hospitals, and ancillary medical care providers; medical cost management; business assistance, advisory and consulting services in the field of healthcare network management; clinical and business process optimization services; business decision support, analytics and operations assessment services in the healthcare and retail fields; comparative business and industry trend reporting and analysis services; clinical payment process management services; provision of marketing reports featuring information on retail transactions, promotions and pricing review information for products of others; business and management consulting for healthcare providers, retail companies and related businesses; data analytics services; business management consulting; business consulting; electronic data collection and data submission services for business purposes in the fields of medicine and healthcare; business information for enterprises; cost management for the healthcare benefit plans of others; providing an interactive business customer accounting website that allows business owners to retrieve customer data and audit customer accounts

Providing a website for use in recovery auditing featuring technology that enables users to store, track, analyze, communicate, and report on information from multiple recovery audit sources and audit efforts; IT consulting services; providing on-line, non-downloadable, Internet-based software application for medical billing for physicians and health care institutions; healthcare services in the nature of providing information on the subject of healthcare provider profiling; mobile application development; providing a website featuring technology that enables users to manage the vendor claim approval process; providing on-line, non-downloadable software for use in the data analytics field; computer services, namely, hosting an interactive web site that allows storing, tracking, analyzing, communicating and reporting on payment accuracy services, recovery audit activity and the results of analysis of accounts payable, purchasing system and medical claims billing transactions; application service provider featuring software for providing an online database in the field of transaction processing to upload transactional data, provide statistical analysis and produce notifications and reports; application service provider, including providing, hosting, managing, developing, researching, analyzing, reporting and maintaining applications, software, web sites, healthcare benefits programs, employee productivity and risk management; developing customized software in the field of recovery auditing for others

Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and Medicare beneficiaries; medical insurance claims review services, namely, inpatient claims analysis, medical claims evaluation and management, medical claims payment accuracy services, network optimization and clinical and coding review services; healthcare benefit management and coordination services; providing healthcare benefit administration services; providing counseling and consulting in the field of healthcare benefits; insurance claim administration consultation services for payer owned PPOs to eliminate out-of-network claims