Business Intelligence Solutionsfor Healthcare Payers

MOBILE INTELLIGENCEMOBILE INTELLIGENCE

2

Leader in Business Intelligence for Over 20 Years

Business Intelligence (BI)

The process of transforming raw data into meaningful information to enable more effective business insight and decision-making

MicroStrategy, Incorporated (NASDAQ: MSTR)

• Founded in 1989

• Leading independent business intelligence software vendor

• Over 1 million business users at over 3,000 organizations

• Direct operations in 42 cities in 23 countries around the world

• Over 70 patents pending or issued

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Healthcare Payers Success Stories

Providing Insight into Benefit Costs and Business Intelligence Best Practices

Founded in 1938, the Hawaii Medical Service Association (HMSA) is a nonprofit, mutual

benefit society and a member of the Blue Cross and Blue Shield Association. Nationally,

HMSA and 38 other Blue Cross and Blue Shield plans provide worldwide coverage to more

than 98 million members. Standardized on MicroStrategy since 2001, HMSA is expanding its

MicroStrategy deployment to include MicroStrategy Report Services™ and has purchased a

new subscription to MicroStrategy’s Technical Advisory Services, a program that enables its

subscribers to tap into best practices in business intelligence. Against a multi-terabyte IBM

DB2 database, healthcare and financial analysts utilize the MicroStrategy platform to track and

assess business data across clinical and financial areas to provide users with greater insight into

the company’s benefit costs.

Offering Transparency intoMedicare Spending Data on 40 Million Hospital Admissions

The new information dashboard recently launched by the Centers for Medicare & Medicaid

Services (CMS) is powered by MicroStrategy. The new CMS dashboard offers an exciting tool

in support of President Obama’s initiative for transparency and open government. In addition

to providing the American public with detailed insights into Medicare spending, the dashboard

data can be used by government and industry to assess health care policies, improve the

management of health care, and identify areas for change. With data from over 40 million

Medicare hospital admissions, the dashboard enables the public to view the relationships

between cost and volume of Medicare admissions by State, starting in January 2006. Every

month, the data will be updated with nearly one million more admissions.

Flexible Reporting for Cost-Containment Solutions

Formed in 1976 and based in Tampa, Fla., PMSI-Tmesys is one of the nation’s leading

providers of cost-containment solutions for pharmacy and specialty services in the workers’

compensation and catastrophic injury markets. PMSI-Tmesys clients can generate user-

friendly reports on medications prescribed to a particular claimant, top-prescribed drugs, top

dispensing pharmacies, and payer-specific savings, among other criteria. Using MicroStrategy,

the users have the flexibility to drill down into the data, analyze it, export it, customize it, and

present it in a number of different ways. Previously, PMSI-Tmesys clients received monthly

reports via e-mail, with little control over the frequency and appearance of the reports.

Enhanced Visibility Into Financial, Operational, and Clinical Performance

The Advisory Board Company is the leading worldwide health care research and professional

services firm serving more than 2,600 hospitals, health systems, and healthcare insurers. The

Advisory Board provides multiple, hosted business intelligence applications, each focusing on

a distinct area critical to hospital margin and clinical improvement and each leveraging the

Advisory Board’s deep industry expertise. There are currently thousands of individual users –

from CFOs to business analysts – accessing the applications on a daily basis.

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Leverages Data Assets with MicroStrategy BI Deployment

The Challenge Harvard Pilgrim Health Care provides a variety of benefit

options and funding arrangements to more than one

million members throughout Massachusetts, Maine and

New Hampshire. Its mission is to improve the health of

the people they serve and the health of society. Harvard

Pilgrim is the #1 private health plan in America according

to an annual ranking of the nation’s best health plans by

the National Committee for Quality Assurance (NCQA)*.

Harvard Pilgrim is the only private health plan in the nation

to be named #1 for member satisfaction and quality of

care for seven consecutive years.**

Prior to building a comprehensive and robust Enterprise

Data Warehouse, Harvard Pilgrim’s reporting requirements

were met through a claim centric data warehouse and

the use of SAS and SQL data access tools. Finance’s 60

analysts were the only business unit that had access

to the warehouse. Other departments made requests

for information to the Finance Department or relied on

production reports that were scheduled. Analysts were able

to change parameters but lacked ad hoc query capability.

The Process Harvard Pilgrim convened a cross-enterprise committee

to assess BI technology. Membership on that committee

included finance, provider and network relations, customer

service, and care management departments, as well

as representatives from the technical architecture and

EDW staffs. The committee identified evaluation criteria,

including ability to access multiple data sources, richness

of data presentation capabilities, ease of use, and technical

reliability. MicroStrategy (www.microstrategy.com) was

the preferred solution on the part of both business and

technical representatives.

Implementation

The initial implementation was for Employer Analytics

which includes both external and internal access to the

EDW. Employer Analytics has been available for 18 months

and between 2,000 and 2,500 reports are run weekly.

Employers and brokers are using the data to watch their

medical utilization and costs which helps them to budget

their medical expenses (most large employers are self-

insured) and make decisions on what care and wellness

programs might be beneficial to their employees. Harvard

Pilgrim has deployed the MicroStrategy technology to five

internal departments and has two additional business units

awaiting implementation.

Future Focus

Harvard Pilgrim has two future objectives. The first

is to continue meeting the analytic needs of existing

departments as well as expand the capability into other

departments. The second priority is to move the company

closer to identifying key performance indicators which

will be used to populate dashboards and more effectively

use visualization tools. Having a strong and maturing BI

capability within Harvard Pilgrim positions the company to

move rapidly toward more sophisticated tools and analyses.

Within a few months Harvard Pilgrim will deploy a provider

dashboard which will be available to providers as well as to

internal analysts. This deployment will be the first initiative

to use dashboards and will lead the way to future use of

complex analytic methodologies.

Harvard Pilgrim’s investment in BI technology infrastructure,

domain expertise and an ever expanding number of

stakeholders with access to critical information positions

the company for future competitive differentiation.

Executive Summary

Health plans have long struggled to develop and

operationalize a Business Intelligence (BI) strategy.

Burdened with multiple BI applications as well as

healthcare specific analytic applications, health plans

have struggled to create the single source of truth

and extend access to information for managers and

executives. The inability to leverage data across a health

plan has led to decision making that lacks evidence.

Harvard Pilgrim has successfully built an Enterprise

Data Warehouse that includes all available data and

has increased access to that information across the

enterprise through the use of the MicroStrategy BI

technology. Managers and executives are making

better decisions more quickly than in the past which will

only become more important as competition continues

to increase and strategic and tactical decisions become

more significant. * NCQA’s Health Insurance Plan Rankings 2010-11 – Private

** U.S. News/NCQA America’s Best Health Insurance Plans 2005-2009 (annual). America’s Best Health Insurance Plans is a trademark of U.S.News & World Report. NCQA

The State of Health Care Quality 2004.

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MicroStrategy Enables Insight & Action Across the Payer Enterprise

MicroStrategy Healthcare Solution Map

Health Plan Solutions

Cost of Care

HEDIS

Member Management

Care Management

Provider Data

Personal Health Record

Fraud & Abuse

CRM

Enrollment

Gaps in Care

E-Claims

Commissions Management

Contract Management

Appeals and Grievance

Medical Budget

Network Management

Markerting & Sales

Performance Measurement

Rating & Underwriting

Health & Wellness

Reimbursement Modeling

Member Engagement

Portals

E-Billing

Medicare Reconciliation

Disease Management

Benefits Modeling

Purchaser Management

Claims Analysis

Member Satisfaction

Health Risk Assessment

Patient Centered Medical Home

Member Solutions Hospital and Physician Physician Employer Solutions

Benefit DesignGaps in CareE-Billing Eligibility E-Billing & Payment

Enrollment

Disease MangagementAuthorization Performance Analysis

Employer Analysis

Claim Status

Enrollment Reconciliation

HEDIS

Enrollment E-Billing

Claim Status Benefit Selection

Personal Health Record Gaps in Care

Disease Management Prevention Screening Disease Management

Health & Weallness

Corporate Solutions

GAPP Financial Reporting

Regulatory / Compliance

Enterprise Risk Management

Real Estate PlanningCorporate

PerformanceHR / IT

PR / Investor Relations

Accounting

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Solutions for Healthcare Payers – Cost of Care Analysis

Actionable Insights to Manage Medical Costs

Health plans must always monitor their key medical

expense trends. MicroStrategy, with Talon Analytics,

can rapidly enable mobile and web analytics. This

enables your health plan to monitor expenses at the

member, group, and disease grouping level, and

take action.

Mobile access to these key indicators allows executives

to always be in step with utilization and expense

variations. From their mobile device, users can easily

drill into clinical categories (groupers) to identify the

providers and members claim level detail. Plans can

also embed predictive risk scores, at the member level,

to enable clinical interventions and support member

engagement.

Cost of Care AnalysisiPad 1:55 PM 100%

MOBILE INTELLIGENCE alonTM

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Solutions for Healthcare Payers – Claims Performance Management

Mobile Access to Manage Your Cost Ratios During the ICD10 Transaction

Claims management is critical to managing a health

plan’s administrative expense. Quick and efficient claims

processing increases provider and member satisfaction,

optimizes settlements, and minimizes expenses. Analyzing

and proactively managing the end-to-end process across

regions, claim systems, product lines, and business units

helps insurance companies better understand their most

critical components in operational effectiveness and

member retention.

Claims Performance Management

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Solutions for Healthcare Payers – Care Management

Comprehensive Access to Member Data

Care management programs are created to appropriately

manage health resources and improve member wellness.

Successful Care Management programs depend on a health

plans ability to connect data sources across organizational

boundaries. MicroStrategy enables the health plan to bring

together these data sets – medical and pharmacy claims,

membership and eligibility data, contracts, case management

and health risk assessment. This allows a plan to monitor

chronic disease programs as well as achieve a 360˚ view of

their members.

Care Management & Member 360

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Solutions for Healthcare Payers – Patient Centered Medical Home

Mobile Access to Quality Measures for your providers and your network teams.

The PCMH model stands to be a crucial part of

healthcare reform – one that rewards quality, not

quantity, of care. Successful PCMHs have the ability

to monitor and report on key quality measures

around access to and effectiveness of care, physician

engagement and appropriate use of services.

MicroStrategy enables the PCMH team to efficiently

and effectively manage their patient population by

providing access to accurate and updated patient data

across care settings and over time. This allows providers

to take actions that result in decreased duplication of

services, lowered hospitalization rates, and improved

quality of care and patient outcomes.

Patient Centered Medical Home

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Why Do Tier One Healthcare Payers Turn to MicroStrategy?

Comprehensive ActionableAccessible

Only MicroStrategy Provides Healthcare Payers with Solutions that are Comprehensive, Accessible, and Actionable.

on the fastest, most robust BI platform...

Industrial StrengthHigh Performance Delivered Even at

the Highest Scale

Non-stop Operations

In-memory Performance

Highest Scalability

Complete Security

to complete any type of analysis.

All Styles of BIEvolving Requirements Fully Supported Out-of-the-Box

Predictive Analytics

Dashboards

Reporting

Alerts & Monitoring

Analysis

when and where you need it...

All InterfacesInformation Delivered Where

and When Users Need It

Mobile

Card Home

Welcome Joyce L. Fowler

Consolidated Balance:

See card details1 card close to limit

Next Payment Due:Due Date:

$ 6,798.11$ 1,699.53

April 15, 2010

Summary as of April 1, 2010

PayBill

7 charges in this periodLarge Charges

Spend by expense category

Rewards Information

Special offers just for you

iPad 1:55 PM 100%

Channel Overview

Web

Catalog

<15k0

20,000,000,000

450,000,000

400,000,000

350,000,000

300,000,000

250,000,000

200,000,000

150,000,000

100,000,000

50,000,000

0

40,000,000,000

60,000,000,000

80,000,000,000

100,000,000,000

15k-25k 25k-50k 50k+

50+

Total Visits

Top Buyers

Request Visits

Under-drivenPurchases

Offer-drivenPurchases

16-25

25-35

35-50

Off-Price Stores

Traditional Full

Price Stores

Trend and per-Channel Ranking Current, Last, Last Year’s Quarter

City

Location Income

<15k

15k-25k

25k-50k

50k+

<15k

15k-25k

25k-50k

50k+

3.92%

3.92%

3.93%

3.79%

3.00%

3.09%

3.00%

2.99%

54.34%

54.32%

54.25%

47.79%

39.69%

39.67%

39.67%

36.45%

Current Conversion % Other Conversion % Other Trend

Rural

Series: Repeat VisitsCategory: 20092Value: 348,604,353

Series: WebCategory: RevenueValue: 186,810M

Desktop

January 6, 2006

Page 1 of 2

Web

Printers

6/15/2009

Turn large amounts of complex data into a single

version of the truth...

All Data SourcesAccessing All Enterprise Data

DataMarts

Data Warehouses

Salesforce.com

Spreadsheets, Text Files

Oracle Essbase

Microsoft Analysis Services

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The Platform for Healthcare Business Intelligence

MicroStrategy’s Extensive Platform Experience Conveys Directly to Mobile BIThe MicroStrategy platform is built on one unified, organically-

developed architecture. This platform provides a number of critical

capabilities to ensure that it is truly enterprise-class:

Rapid Development and Deployment using WYSIWYG point-

and-click design in the MicroStrategy integrated development

environment.

High Scale and High Performance across user scale, data scale,

and application scale on the fastest, highest performing business

intelligence server.

Economies of Scale as the system grows with the minimum

number of IT personnel and the fewest servers.

‘Write once, run anywhere’ Flexibility from a single service-

orientated architecture to satisfy multiple devices and clients

without additional integration or device-specific translation.

Openness and Extensibility via MicroStrategy’s SDK and

extensive library of APIs.

Secure Data Access Model designed to provide robust data

protection using a full range of technologies and security models.

Comprehensive Administrative Control consistent with

mission-critical system operation.

Unmatched Analytical Power against entire data warehouses

using data mining, predictive, statistical, financial, and

mathematical analyses.

MicroStrategy Mobile Business IntelligenceFASTER TO DEVELOP – Quickly design apps that offer a superior user experience, knowing that infrastructure code such as

networking, security, data management, and sensor integration is already built-in.

NO CODE REQUIRED – Customize the look, feel, and behavior of your app using an array of finely-designed, iPhone-optimized

displays and controls. MicroStrategy’s intuitive point-and-click interface makes configuration easy.

EASIER TO MAINTAIN – Accelerate deployment of new apps and stream app updates with the MicroStrategy Mobile application

platform, so users always have easy access to the latest, most up-to-date information.

Browser

email

Desktop / Laptop Mobile

Full Spectrum ofDeveloper Tools

Full Spectrum ofAdmin Tools

MicroStrategy

Web

MicroStrategy

Intelligence Server

MicroStrategy Transaction Services

MicroStrategy

MobileWeb

Professional

DesktopDesigner

EnterpriseManager

CommandManager

ObjectManager

IntegrityManager

Architect

Databases TransactionalApplications

WebsiteContent

CubeDatabases

SDK

Office

xx

x

Portals

x

Windows iPad

iPad 1:55 PM 100%

BlackBerryiPhone

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Business Intelligence Transactions Content Delivery

Grids Graphs Data Explorations

Data Visualization

Analytics Mapping Alerting Approval Mgmt.

Editable Grids

Data Entry Browser Content

Payments Desktop Publishing

PDF’s ePubs Video

• Analytics, Grids, & Graphs• Data Visualizations & Exploration

• Mobile front-end to ERP/CRM• Sell products and schedule services

• Mobile Information Channels• MultiMedia Libraries and Delivery

Mobile Apps Combine Three Core Capabilties

iPad 1:55 PM 100% iPad 1:55 PM 100%iPad 1:55 PM 100%

3M 6M 12M

Table Win GAMING

350K

300K

250K

200K

150K

100K

50K

Dec Jan Feb

2/13/2011 Yesterday

EBITDA

GAMING

PLAYERS

HOTEL

EXPENSES

YSTR LYEBITDA $299,663 (7.6%)Revenue $427,896 (2.1%)Expenses $128,233 13.9%

YSTR LY

Revenue $374,285 1.4%Table Win $182,307 (17.1%)Table Drop $902,677 39.6%Table Hold % 20% (13.8%)Slot Win $191,978 28.5%Slot Coin In $3,359,213 37.7%Slot Hold % 6% (0.4%)

YSTR LY

Rated Players 666 35.6%Gaming Theo $308,066 29.5%

YSTR LYRevenue $53,610 (20.9%)ADR $242 0.3%RevPAR $208 5.6%Booking 82 0.0%

YSTR LYPromotions $2,614 4.2%Events $1,845 4.2%Others $123,774 14.3%

Sections i

Casino AnalysisClose

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Visualize Patterns and Trends in Your DataSnap Barcodes to Use as Inputs for Your Analysis

Camera An Extensive Library of Graphs

Bubble Chart BoxPlot

Bar and Line Chart

Area and Line Chart

Waterfall Chart

3D Bar Graph

Histogram

Gantt Chart

Radar Chart

Line Chart

Track medications and medical supplies

Scan patients’ identification and insurance information

Mobile Apps Combine Three Core Capabilties

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Easily Explore, Save, and Share Analyses

With Visual Insight, Everyone can Become an Information Publisher

1 2 3Explore Data Visually Save Visual Analyses Share with Colleagues

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Keeping Your Business at Hand, Anytime, Anywhere

Providing answers 100x faster than traditional BI by reducing the need for

IT support is a powerful business capability. Changing the Way People get

answers by allowing all users to upload and analyze business data takes that

power to a new level.

Get the Business Answers You Want Immediately.

1. Extremely Fast To Generate Business Answers

2. Highly Visual Data Presentation

3. Powerful and Simple Exploration

4. All Business Data (Enterprise, Department, or Personal)

5. Save and Share Insights

6. Available on Web and Mobile Devices

Visual Insight Data to Insight in Minutes

Upload Business Data

Discover Insights

Data-to-Insight Total

Traditional BIData to Insight in Months

Define Requirements

Engineering the Data

Architect the Data

Design Initial Reports

Refine Report Designs

Discover Insights

Data-to-Insight Total

30 Days

30 Minutes

7 Days

10 Days

2 Days

5 Days

5 Days

1 Days

30 Days

5 Mins

25 Mins

30 Mins

30 DAYS

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Monitoring your organization’s performance in the palm of your hand is a

powerful business capability. Interacting with that information to approve requests,

submit orders, change plans, and capture information at the moment of insight

takes that power to a new level

Don’t Just Analyze Data, Take Action.

MicroStrategy Transaction Services lets plan employees and members act on

business information from a mobile device such as the iPad and iPhone, as well as

from a dashboard on any web browser.

For example, Transaction Services enables the provider to dispute any patient

level quality measures (e.g. if the plan does not have record of a lab test, or

recommended preventative screening, the physician can note this using transaction

services on his or her mobile device).

By allowing the physician to respond to the payer when providing care,

disagreements can be settled quicker and care can be better monitored. This

allows for the necessary adjustments to be made by both parties.

MicroStrategy Transaction Services™

iPad 1:55 PM 100%

Empower Your Users to Take Action on The Move

Document physician and member clinical notes in the field requiring your action

Approve requests based on information presented

Deny requests at the tap of a button

Reassess ongoing requests by asking the requestor for more information

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Mobile Transactions Will Enhance All Existing Transaction Systems

Mobile Transactional Apps Enhance and Extend Existing Transaction Systems

MicroStrategy Transaction Services™

Feature Benefits

Always AvailableApprove purchase orders while you wait for the elevator.

Secure

Authenticate who you are, wipe access if lost or stolen.

Context AwareIncorporate GPS, bar code, location awareness, NFC.

Auditable360 activity record, provides an audit trail.

Mobile Always AvailableSecureContent AwareAuditable

Web Tethered Limit Use

ERP / CRM Operational

Systems

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Partners in Healthcare Payers Solutions

Strong Partnerships with Over 200 World-Class Providers

System Integrators

Applications

Database / Technology

TMalon

Found from websiteModify PMS

PMS 200 RedPMS 424 Gray

The Data Virtualization Gold Standard

The business intelligence experts.

19

What MicroStrategy Healthcare Customers are Saying: The Buzz

Better, More Insightful Research In the Fight Against Cancer

We selected MicroStrategy because of its exceptional scalability, core reporting, and analytic functionality. MicroStrategy positions is to provide better quality and more timely information to our clients, giving them critical insights to make analytically based decisions.

- PMSI–Tmesys

Helping Payers Reach Top Tier Performance

Our research shows that top performing organizations separate themselves from their peers by their ability to quickly diagnose the root cause of recurring problems and issues and spend time not on diagnosis but on driving to solutions. Our business intelligence membership programs -- which include our distinctive business intelligence tools on MicroStrategy’s platform as well as our best practice research and domain expertise to drive ongoing improvement -- really help our member hospitals reach and maintain the top tier of performance.

- The Advisory Board

Creating Applications for Quick Decision Making

Our experience selecting MicroStrategy and working with them to build the app has been fantastic.

- Novation

20

Copyright Information

All Contents Copyright © 2011 MicroStrategy Incorporated. All Rights Reserved.

Trademark Information

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MicroStrategy Desktop Designer, MicroStrategy eCRM 7, MicroStrategy Education, MicroStrategy eTrainer, MicroStrategy Executive, MicroStrategy Infocenter, MicroStrategy Intelligence Server, MicroStrategy Intelligence Server Universal Edition, MicroStrategy MDX Adapter, MicroStrategy Narrowcast Server, MicroStrategy

Objects, MicroStrategy OLAP Provider, MicroStrategy SDK, MicroStrategy Support, MicroStrategy Telecaster, MicroStrategy Transactor, MicroStrategy Web, MicroStrategy Web Business Analyzer, MicroStrategy World, Application Development and Sophisticated Analysis, Best In Business Intelligence, Centralized Application

Management, Information Like Water, Intelligence Through Every Phone, Intelligence To Every Decision Maker, Intelligent E-Business, Personalized Intelligence Portal, Query Tone, Rapid Application Development, MicroStrategy Intelligent Cubes, The Foundation For Intelligent E-Business, The Integrated Business Intelligence

Platform Built For The Enterprise, The Platform For Intelligent E-Business, The Scalable Business Intelligence Platform Built For The Internet, Industrial-Strength Business Intelligence, Office Intelligence, MicroStrategy Office, MicroStrategy Report Services, MicroStrategy Web MMT, MicroStrategy Web Services, Pixel Perfect,

Pixel-Perfect, MicroStrategy Mobile, MicroStrategy Integrity Manager and MicroStrategy Data Mining Services are all registered trademarks or trademarks of MicroStrategy Incorporated.

All other company and product names may be trademarks of the respective companies with which they are associated. Specifications subject to change without notice. MicroStrategy is not responsible for errors or omissions. MicroStrategy makes no warranties or commitments concerning the availability of future products

or versions that may be planned or under development.

Patent Information

This product is patented. One or more of the following patents may apply to the product sold herein: U.S. Patent Nos. 6,154,766, 6,173,310, 6,260,050, 6,263,051, 6,269,393, 6,279,033, 6,567,796, 6,587,547, 6,606,596, 6,658,093, 6,658,432, 6,662,195, 6,671,715, 6,691,100, 6,694,316, 6,697,808, 6,704,723, 6,741,980, 6,765,997,

6,768,788, 6,772,137, 6,788,768, 6,798,867, 6,801,910, 6,820,073, 6,829,334, 6,836,537, 6,850,603, 6,859,798, 6,873,693, 6,885,734, 6,940,953, 6,964,012, 6,977,992, 6,996,568, 6,996,569, 7,003,512, 7,010,518, 7,016,480, 7,020,251, 7,039,165, 7,082,422, 7,113,993, 7,127,403, 7,174,349, 7,181,417, 7,194,457, 7,197,461, 7,228,303, 7,260,577,

7,266,181, 7,272,212, 7,302,639, 7,324,942, 7,330,847, 7,340,040, 7,356,758, 7,356,840, 7,415,438, 7,428,302, 7,430,562, 7,440,898, 7,486,780, 7,509,671, 7,516,181, 7,559,048, 7,574,376, 7,617,201, 7,725,811, 7,801,967, 7,836,178, 7,861,161, 7,861,253, 7,881,443, 7,925,616 and 7,945,584. Other patent applications are pending.

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