EVICORE Trademark

Electronic data interchange services in the field of healthcare transactions such as claims, eligibility, claim status, electronic remittance advice, prior authorizations, attachments and referrals that allow direct transaction, authorization and payment communications between healthcare providers, patients and payers; providing access to databases in the fields of medical diagnosis guidance and evidence-based healthcare

Organization and administration of networks of preferred healthcare providers being organization and administration of preferred provider programs in the field of healthcare; Claims administration services in the field of health insurance; Insurance administration in the field of health care; Medical insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payors and providers and beneficiaries of health plans; administration of healthcare benefit plans for Medicare and Medicaid-eligible individuals; administration of health insurance plans in the nature of managed health care plans; insurance services, namely, administration of healthcare benefit insurance plans

Medical cost management; managed care services, namely, utilization review and pre-certification and post-certification review services in the fields of diagnostic imaging, advanced imaging, nuclear medicine, radiation therapy, medical oncology medical benefit, medical oncology pharmacy benefit, cardiac and nuclear cardiac imaging, echo stress testing, diagnostic heart catheterization, ultrasound services, sleep management testing and treatment, sleep diagnostics, pap therapy devices and supplies, therapy support services, cardiac device care, post-acute care management, durable medical equipment, home infusion, bundled payments, musculoskeletal care, spine surgery, joint surgery, interventional pain, implant management, inpatient admission management, molecular genomic lab services, comprehensive lab services, and diagnostic lab services, gastroenterology, upper endoscopy, colonoscopy, lower endoscopy, capsule endoscopy, specialty drug medical benefit, occupational therapy, physical therapy, speech therapy, chiropractic care, acupuncture, massage therapy, and opioid management; organization and administration of networks of preferred healthcare providers, namely, arranging of managed care contractual services in the fields of diagnostic imaging, advanced imaging, nuclear medicine, cardiac and nuclear cardiac imaging, echo stress testing, diagnostic heart catheterization, ultrasound services, cardiac device care, skilled nursing facilities, home health agencies, long term acute care facilities, inpatient rehab facilities, and durable medical equipment; cost management for the health care benefit plans of others; Managed care services, namely, electronic processing of health care information; Organization and coordination of health care services in the nature of arranging managed care contractual services in the fields of diagnostic imaging, advanced imaging, nuclear medicine, radiation therapy, medical oncology medical benefit, medical oncology pharmacy benefit, cardiac and nuclear cardiac imaging, echo stress testing, diagnostic heart catheterization, ultrasound services, sleep management testing and treatment, sleep diagnostics, pap therapy devices and supplies, therapy support services, cardiac device care, post-acute care management, durable medical equipment, home infusion, bundled payments, musculoskeletal care, spine surgery, joint surgery, interventional pain, implant management, inpatient admission management, molecular genomic lab services, comprehensive lab services, and diagnostic lab services, gastroenterology, upper endoscopy, colonoscopy, lower endoscopy, capsule endoscopy, specialty drug medical benefit, occupational therapy, physical therapy, speech therapy, chiropractic care, acupuncture, massage therapy, and opioid management; Evidenced-based health care cost management services being medical cost management and healthcare utilization and review services; managed care services, namely, electronic processing of health care information via the Internet; health care cost management services for healthcare benefit plans of others and risk-bearing provider organizations being medical cost management services

Providing medical profiles and medical record analysis and assessments via a website that are designed to provide custom tailored outputs about recommended resources and treatments associated with a defined set of symptoms and concerns; Medical services and managed healthcare services; consulting services in the field of health

Software as a service (SAAS) services featuring software for use in connection with evidence-based healthcare and insurance, namely, the development and implementation of algorithms and analytical models from evidence-based medical criteria for purposes of a medical utilization review and reporting, and verifying the requesting provider's adherence to evidence-based medicine guidelines and determining the appropriate intensity of medical utilization review based upon the requesting provider's prior history; Application service provider, ASP, featuring software for use in developing, analyzing, and maintaining information and database management in the fields of healthcare, benefits programs, employee productivity, and risk management; quality management services, namely, quality evaluation and analysis, quality assurance, and quality control in the field of healthcare benefit plans of others; molecular and genetic lab services being medical and scientific laboratory services; software as a service (SAAS) services featuring software for optimizing healthcare utilization, managing utilization and financial risk for healthcare payers, assisting physicians in making clinical decision, and analyzing data to help health care providers track clinical decisions and develop best practices; software as a service (SAAS) services featuring software for use in automating tasks and storing data in the field of healthcare; Providing online Internet based non-downloadable computer software to perform prior authorizations services for healthcare providers and payers; providing online non-downloadable software for use by healthcare providers to search and retrieve clinical and non-clinical data from electronic medical records; computer services, namely, providing a cloud-enabled service in the nature of providing temporary use of non-downloadable cloud-based software for others that automates the prior authorization process for medical benefits