FIRSTLOOK

Owners

Goods & Services

payment integrity services for private and government healthcare payers, namely, reviewing healthcare insurance claims for accuracy; review of healthcare insurance claims to ensure appropriate payment and identify improper payments; review of medical records against healthcare insurance claims to identify improper payments; insurance claims review services to identify healthcare fraud, waste, abuse, overpayments and claims errors

software as a service (SAAS) services featuring software for identifying opportunities to reduce costs and improve quality in healthcare plans, for identifying fraud, waste, abuse, errors and overpayments in the fields of healthcare, insurance and government programs and services, and for identifying recoverable dollars spent in a healthcare plan or paid improperly by private and government payers; data mining for identifying opportunities to reduce costs and improve quality in healthcare plans, for identifying fraud, waste, abuse, errors and overpayments in the fields of healthcare, insurance and government programs and services, and for identifying recoverable dollars spent in a healthcare plan or paid improperly by private and government payers; providing data mining for the purposes of identifying for healthcare plans and private and government healthcare payers opportunities to reduce costs and improve quality

claims review services, namely, investigation services related to insurance claims to identify healthcare fraud, waste, abuse, overpayments and claims errors

health care cost containment services, namely assessment and identification for health plans and private and government healthcare payers of fraud, waste, abuse, errors and overpayments and of recoverable dollars spent in a healthcare plan or paid inappropriately by private and government payers, and the preparation of reports related thereto; providing business data analytics for the purposes of identifying for healthcare plans and private and government healthcare payers opportunities to reduce costs and improve quality