STRUCTURE LABS Trademark

Healthcare cost containment, assessment, and analyses services; business consulting and data analysis services in the fields of healthcare claims, healthcare billing, healthcare coding, healthcare payment integrity and compliance, healthcare claims payment accuracy, and healthcare member engagement; auditing of healthcare insurance claims for payment accuracy and coding accuracy; recovery audit services in the nature of cost containment review of medical claims to detect overpayments and payment errors for business purposes; business auditing support services pertaining to the Medicare Recovery Audit Contractor program and other federal healthcare programs, namely, the preparation, organization and presentation of the documents and data requested by a government body, and advice on government audit processes, policies and strategy; providing an online internet website portal featuring cost containment performance data in the areas of healthcare insurance claim fraud, waste and abuse for use by health care providers, administrators and health professionals; healthcare insurance claims auditing for payment errors, pre-payment and post-payment review and analysis, contractual non-compliance, and coding inaccuracies

Providing fraud and abuse support in the healthcare industry, namely, investigation and monitoring services in the nature of ongoing monitoring of healthcare insurance claims and investigative casework to evaluate and refer suspected fraud, waste, and abuse for further action; providing fraud and abuse support in the healthcare industry, namely, regulatory compliance auditing and consulting services and tracking and monitoring regulatory requirements in the field of healthcare fraud for regulatory compliance purposes; fraud detection services in the field of health care insurance, namely, analyzing data in computer databases for criminal activity related to healthcare fraud or identity theft; compiling and analyzing statistical health data in order to uncover and identify health care fraud and claims errors; legal and regulatory compliance auditing of healthcare insurance claims

Software as a Service (SAAS) services featuring non-downloadable software and platform as a service (PAAS) services featuring software platforms for healthcare claims payment management, quality measurement, population data analytics, and managing healthcare insurance member engagement; Software as a Service (SAAS) services featuring non-downloadable software and platform as a service (PAAS) services featuring software platforms for using artificial intelligence and machine learning models to extract information from patient data and assist healthcare organizations with its management for healthcare patient data interchange and data interoperability; providing online non-downloadable software to automate healthcare processes using artificial intelligence and providing online non-downloadable intelligent automation software for detecting healthcare claims payment errors, coding inaccuracies, and healthcare fraud, waste, and abuse in medical, dental, and pharmacy insurance claims; providing online non-downloadable quality logic software for collecting, measuring, monitoring, evaluating, and reporting information in the field of healthcare cost containment; providing online non-downloadable software for monitoring, alerting, prioritizing, and resolving payment accuracy issues and for commercial and government health payers and at-risk providers to conduct population health and risk analytics, predictive member health computer modeling, and managing healthcare insurance member engagement; providing online non-downloadable software for subrogation of insurance claims, coordination of benefits of state and federal healthcare programs, managing healthcare insurance member engagement and care, conducting population health and risk data analytics, and improving health outcomes through data warehousing, the use of data analytics engines, predictive computer modeling, and machine learning; providing temporary use of non-downloadable cloud-based audit recovery software for monitoring and evaluating healthcare payment integrity; providing online non-downloadable software using artificial intelligence for machine learning to provide payment integrity; providing fraud and abuse support in the healthcare industry, namely, digital forensic investigations of healthcare fraud computer crimes; insurance fraud detection services, namely, computer security threat analysis for protecting healthcare data

Healthcare financial advisory services for providing payment integrity solutions; Medical, dental, and pharmacy healthcare insurance case and utilization review and insurance claims adjustment services for healthcare purchasers and payers and providers and Medicare beneficiaries to ensure payment accuracy; Medical, dental, and pharmacy healthcare insurance claims review services in the nature of assessing insurance claims to ensure payment accuracy; healthcare insurance administration services, namely, processing and insurance eligibility review of healthcare insurance claims for payment accuracy on behalf of health insurance companies and managed care organizations