Health care utilization and review services and medical bill review and management; medical records auditing for medical claims management purposes; health care utilization services featuring independent review organization services

'audit':15 'bill':9 'care':2,22 'claim':18 'featur':25 'health':1,21 'independ':26 'manag':12,19 'medic':8,13,17 'organ':28 'purpos':20 'record':14 'review':5,10,27 'servic':6,24,29 'util':3,23

Independent medical examinations; medical second-opinion services; medical evaluation services, namely, medical peer review, review of medical necessity, appropriateness of medical care, and experimental and investigational treatments

'appropri':20 'care':23 'evalu':10 'examin':3 'experiment':25 'independ':1 'investig':27 'medic':2,4,9,13,18,22 'name':12 'necess':19 'opinion':7 'peer':14 'review':15,16 'second':6 'second-opinion':5 'servic':8,11 'treatment':28

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