Suite 70003, Team 1866
1 Pasquerilla Plaza
Number 135
Johnstown, PA 15901
Phone: (814)532-5269
joyce.stem@highmark.com	

Admiral Peary                            
Mike Revesz
948 Ben Franklin HWY
Ebensburg, PA 15931
	REGULAR
INVOICE SUMMARY	

INVOICE NUMBER:      230725589774                             PAID CLAIMS MONTH:  July 2023      
BILL ACCOUNT NUMBER: CN02401002                               CLAIMS PAID THRU:   07/21/2023     
BILL ACCOUNT NAME:   Admiral Peary                            BILL CYCLE:         3 of 4         
CLIENT NUMBER:       0240                                     PREPARED DATE:      07/25/2023     
CLIENT NAME:         Admiral Peary                            PAYMENT DUE DATE:   07/26/2023     	

Prior Billing Information
  Last Bill Amount                                $      458,473.82 
  Payments Received Through 07/24/2023            $            0.00 
Balance Forward                                                       $      458,473.82 
                                                                                
Current Charges
  Paid Claims/Expenses                            $      162,613.96 
  Other Claim Related Fees                        $          159.23 
Total Current Charges                                                 $      162,773.19 
                                                                    ______________________
TOTAL DUE                                                             $      621,247.01 

                                                                                

                                                                                

                                                                                

                                                                                
                                                                                
For your billing convenience, this invoice may contain charges for items that are not products of our company.

Note:	

                                                                                

Please notify your client manager or billing analyst if your address or contact information has changed.

PLEASE TRANSMIT WIRE PAYMENT TO:                                                                 
BNY Mellon                                                    PAYMENT DUE DATE:   07/26/2023     
ABA# 043000261                                                TOTAL AMOUNT DUE:   $621,247.01                        
Account Name: Highmark, Inc                                   Please Reference                   
Account Number: 129-1882                                      Bill Account Number:CN02401002