OTHER CLAIM RELATED FEE SUMMARY                                           
            Other Claim Related Fee Description/Incurred Date/Product/Sub Group-8 Digit/Payroll Location             

INVOICE NUMBER:     230124585327                                           PAGE:               1 of 2            
BILL ACCOUNT NUMBER:2401631001                                             PAID CLAIMS MONTH:  January 2023      
BILL ACCOUNT NAME:  Utz Quality Foods                                      CLAIMS PAID THRU:   01/20/2023        
CLIENT NUMBER:      240163                                                 BILL CYCLE:         3 of 4            
CLIENT NAME:        Utz Quality Foods                                      PREPARED DATE:      01/24/2023        

Other Claim Related Fee Description                                                                                Fee Amount                            
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
Pre Pay Coding Validation
  01/23
    Pre Pay Coding Validation
      025620-01
         PLT3                                                                                                          $12.49
      025620-01 Total                                                                                                  $12.49
    Pre Pay Coding Validation Total                                                                                    $12.49
  01/23 Total                                                                                                          $12.49
Pre Pay Coding Validation Total                                                                                        $12.49
                                                                                                                                                            
Prepay Claims Savings Fee
  02/21
    Prepay Claims Savings Fee
      025620-01
        SALES                                                                                                       $2,353.07
      025620-01 Total                                                                                               $2,353.07
    Prepay Claims Savings Fee Total                                                                                 $2,353.07
  02/21 Total                                                                                                       $2,353.07
  09/22
    Prepay Claims Savings Fee
      025620-01
          ADM                                                                                                          $10.08
      025620-01 Total                                                                                                  $10.08
    Prepay Claims Savings Fee Total                                                                                    $10.08
  09/22 Total                                                                                                          $10.08
  01/23
    Prepay Claims Savings Fee

                                                                                                                                                PAGE:2 of 2
                                                                                                                                                            
Other Claim Related Fee Description                                                                                Fee Amount                            
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      025620-02
          ADM                                                                                                           $5.75
         PLT5                                                                                                           $8.00
      025620-02 Total                                                                                                  $13.75
    Prepay Claims Savings Fee Total                                                                                    $13.75
  01/23 Total                                                                                                          $13.75
Prepay Claims Savings Fee Total                                                                                     $2,376.90
                                                                                                                                                            
Other Claims Related Fee Summary Total                                                                              $2,389.39