MEDPOINT MANAGEMENT Trademark

Provision of managed care management services in the nature of providing operational business assistance, business assistance, business administration, and cost management for information technology (IT) infrastructure projects to others, namely, independent physician associations (IPAs) and hospitals; Consulting services in the fields of independent physician associations (IPAs) business operations management and hospital business operations management; Business management and consulting services for independent physician associations (IPAs) and hospitals, namely, accounting services and financial records management services; Healthcare utilization management services, namely, establishment and implementation of written utilization management protocols and criteria applicable to medical necessity review, review patient hospitalizations in the nature of healthcare review services, evaluation of practice pattern in the nature of business evaluations, identification of care variation in the nature of business evaluations, and business consulting relating to compliance with regulatory turnaround timeframes for independent physician associations (IPAs) and hospitals; Healthcare total quality management services, namely, the collection, reporting, and analysis of healthcare quality data for independent physician associations (IPAs) and hospitals for business purposes; Operation of telephone call centers for independent physician associations (IPAs) and hospitals, namely, providing customer service assistance in the nature of responding to independent physician associations (IPAs) assigned member inquiries in the fields of utilization management, insurance claims, and benefits; Medical claims management services, namely, receiving, data entering, and routing of medical claims originated by independent physician associations (IPAs), hospitals, and ancillary medical care providers; Professional credentialing verification and monitoring services in the field of healthcare, namely, verifying the skills and knowledge of licensed professionals on behalf of independent physician associations (IPAs) and hospitals; Healthcare provider network operations (PNO) and management services, namely, providing healthcare provider network organization, management, coordination and administrative support services to independent physician associations (IPAs) and hospitals; Business management in the field of healthcare case management and transition of care services between independent physician associations (IPAs), hospitals and patients and their family members; Health plan tracking and information services, namely, tracking in the nature of monitoring for business purposes and maintaining business records related to current and historical eligibility information concerning contracted health plans for independent physician associations (IPAs) and hospitals; Business management and consulting services in the field of financial management, namely, providing accounting and financial tracking and reporting services to independent physician associations (IPAs) and hospitals; Business management and consulting services in the field of hospital operations, namely, advising and assessing the management of risk pools and continuity of patient care for hospitals

Regulatory compliance auditing with regulatory turnaround timeframes for independent physician associations (IPAs) and hospitals

Consulting services in the fields of independent physician associations (IPAs) financial operations management and hospital financial operations management; management and consulting services for independent physician associations (IPAs) and hospitals, namely, financial management services; Health plan eligibility and benefits services being insurance services in the nature of insurance eligibility review and verification and consultation in the field of healthcare; Claims administration services in the field of health insurance in the nature of adjudication of medical claims originated by independent physician associations (IPAs), hospitals, and ancillary medical care providers

Patient care quality management services for provider and facility credentialing decisions by independent physician associations (IPAs) and hospitals, namely, quality evaluation and analysis, quality assurance, and quality control in the field of independent physician associations (IPAs) and hospitals; provision of managed care management services in the nature of providing operational, administrative, and technological infrastructure, namely, providing temporary use of non-downloadable software featuring information management software for storing, processing, and managing healthcare practice management data, namely, member eligibility records, provider records, authorization data, case management data, claims data, customer service data, fee schedules, benefit tables, financial responsibility tables, stop loss deductible data, support tables, and HIPAA code sets, for independent physician associations (IPAs) and hospitals; provision of managed care management services in the nature of providing operational, administrative, and technological infrastructure, namely, providing temporary use of non-downloadable software featuring role based access control for assigning user permissions and monitoring system access, for independent physician associations (IPAs) and hospitals; provision of managed care management services in the nature of providing operational, administrative, and technological infrastructure, namely, providing temporary use of non-downloadable web based software for independent physician associations (IPAs) and hospitals for claims inquiries, eligibility inquiries, authorization inquiries and submissions, and downloading reports, for independent physician associations (IPAs) and hospitals; provision of managed care management services in the nature of providing information technology support services, namely, help desk services for information technology (IT) infrastructure for others in the nature of independent physician associations (IPAs) and hospitals