Suite 191B, Team 1866
120 Fifth Avenue
Fifth Avenue Place
Pittsburgh, PA 15222
Phone: (412)278-3310
jennifer.pushic@highmark.com	

Utz Quality Foods                        
Dean Garrett
350 Kindig Lane
Hanover, PA 17331
	REGULAR
INVOICE SUMMARY	

INVOICE NUMBER:      230117583406                             PAID CLAIMS MONTH:  January 2023   
BILL ACCOUNT NUMBER: 2401631001                               CLAIMS PAID THRU:   01/13/2023     
BILL ACCOUNT NAME:   Utz Quality Foods                        BILL CYCLE:         2 of 4         
CLIENT NUMBER:       240163                                   PREPARED DATE:      01/17/2023     
CLIENT NAME:         Utz Quality Foods                        PAYMENT DUE DATE:   01/18/2023     	

Prior Billing Information
  Last Bill Amount                                $      248,040.91 
  Payments Received Through 01/16/2023            $     (248,040.91)
Balance Forward                                                       $            0.00 
                                                                                
Current Charges
  Paid Claims/Expenses                            $      344,389.59 
  Other Claim Related Fees                        $          498.59 
  Additional Items                                $          (45.88)
Total Current Charges                                                 $      344,842.30 
                                                                    ______________________
TOTAL DUE                                                             $      344,842.30 

                                                                                

                                                                                

                                                                                

                                                                                
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:   01/18/2023     
ABA# 043000261                                                TOTAL AMOUNT DUE:   $344,842.30                        
Account Name: Highmark, Inc                                   Please Reference                   
Account Number: 129-1882                                      Bill Account Number:2401631001