PAID CLAIMS DETAIL                                                  
                                     Product/Sub Group-8 Digit/Payroll Location                                      

INVOICE NUMBER:     230117583406                                           PAGE:               1 of 65           
BILL ACCOUNT NUMBER:2401631001                                             PAID CLAIMS MONTH:  January 2023      
BILL ACCOUNT NAME:  Utz Quality Foods                                      CLAIMS PAID THRU:   01/13/2023        
CLIENT NUMBER:      240163                                                 BILL CYCLE:         2 of 4            
CLIENT NAME:        Utz Quality Foods                                      PREPARED DATE:      01/17/2023        

            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
HDHP PPO
  025620-00
    ACCTS
      ACCTS                  133330727001 357583152  PURCELL          JOHN       18   22200019656          12/21/2022           1       $55.00      $42.82
      ACCTS                  133330727001 357583152  PURCELL          JOHN       18   22200016932          01/05/2023           1       $30.00       $2.00
      ACCTS                  133330727001 357583152  PURCELL          JOHN       18   22200016932          01/05/2023           1       $55.00       $2.00
      ACCTS                  133330727001 357583152  PURCELL          JOHN       18   22200019656          12/21/2022           1       $30.00      $19.08
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400196529          12/06/2022           1       $63.32       $8.39
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1       $69.00      $50.25
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1      $257.00     $185.61
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1      $109.00      $79.05
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1      $326.00     $235.30
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1       $88.00      $63.93
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1       $79.00      $57.46
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1      $704.00     $507.45
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400196529          12/06/2022           1       $27.69       $4.21
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400196529          12/06/2022           1       $55.12       $5.61
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1      $117.00      $84.82
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400196529          12/06/2022           1       $42.74       $4.05
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1       $53.00      $38.73
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400196529          12/06/2022           1       $45.50       $6.38
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1       $49.00      $35.86
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1       $94.00      $68.26
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1      $109.00      $79.05
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1      $100.00      $72.57
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1       $36.00      $26.49
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1       $66.15      $48.20

                                                                                                                                               PAGE:2 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1       $66.15      $48.21
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   21498291846          12/13/2022           1      $105.00      $76.17
    ACCTS Total                                                                                                                      $2,831.67   $1,851.95
    ADM
        ADM                  101200918001 159503122  THOMAS           AMY        01   22400318803          01/06/2023           1      $110.00       $0.00
        ADM                  101214473001 159587809  MARTIN           STEPHEN    01   21598948560          01/06/2023           1       $20.00       $0.00
        ADM                  101214473001 159587809  MARTIN           STEPHEN    01   21598948560          01/06/2023           1       $42.00       $0.00
        ADM                  130657164001 164742000  RIFE             ERIC       18   22018021949          12/21/2022           1       $20.00       $0.00
        ADM                  130657164001 164742000  RIFE             ERIC       18   22018021949          12/21/2022           1       $47.00       $0.00
        ADM                  110260016001 165661412  BEITLER          CARYN      18   21899318278          12/27/2022           1      $614.00     $136.47
        ADM                  110260016001 165661412  BEITLER          CARYN      18   21899318278          12/27/2022           1      $155.00      $32.86
        ADM                  103047245001 182605953  HARE             TREY       19   22400017073          01/04/2023           1      $548.00       $6.18
        ADM                  127519414001 187669399  KLINE            CARTER     19   21799149501          01/03/2023           1      $237.00       $0.00
        ADM                  104133481001 195521201  NOVIS            MARK       18   22700319603          01/06/2023           1      $244.00       $0.00
        ADM                  104302863001 197541215  JENNINGS         CAROL      18   22018396323          12/31/2022           1      $145.00     $120.81
        ADM                  104302863001 197541215  JENNINGS         CAROL      18   22018396329          01/03/2023           1      $105.00       $0.00
        ADM                  104391325001 198588703  MORTON           LESLIE     18   22100318955          01/09/2023           1      $450.00       $0.00
        ADM                  104391325001 198588703  MORTON           LESLIE     18   22100318955          01/09/2023           1      $366.00       $0.00
        ADM                  127519573001 210525155  GROFT            JENNY      18   21498956821          01/04/2023           1      $105.00      $85.00
        ADM                  135094145001 218190076  OLISCHUK         KRISTOPH   18   22500201964          01/05/2023           1       $85.00       $6.18
        ADM                  112385840001 218966856  PALMER           HEATHER    18   21898477831          12/22/2022           1      $105.00      $85.00
        ADM                  134907202001 295726817  MORRIS           TAYLOR     19   22100293339          01/09/2023           1       $36.00       $4.40
        ADM                  133037782001 320720076  EDWARDS          TASHEANA   18   22700187948          01/08/2023           1       $95.00       $0.00
        ADM                  133037782001 320720076  EDWARDS          TASHEANA   18   22700282571          01/09/2023           1       $95.00       $0.00
        ADM                  132142486001 467997397  KOLB             SHANNON    18   21499060219          12/31/2022           1       $80.00      $64.00
        ADM                  129151211001 530709866  SIMPSON          CYNTHIA    18   22500178397          01/06/2023           1      $243.00       $0.00
        ADM                  129151211001 530709866  SIMPSON          CYNTHIA    18   22500178397          01/06/2023           1       $53.00       $0.00
        ADM                  127520379001 590128028  DELOZIER         MICHELE    18   22018107630          01/06/2023           2      $100.00       $2.91
        ADM                  127520379001 590128028  DELOZIER         MICHELE    18   22018107630          01/06/2023           2      $100.00       $2.92
        ADM                  127520379001 590128028  DELOZIER         MICHELE    18   22018308840          01/09/2023           2      $100.00       $2.91
        ADM                  127520379001 590128028  DELOZIER         MICHELE    18   22018308840          01/09/2023           2      $100.00       $2.92
        ADM                  120934323001 625703711  GRANT            SAMUEL     19   22018209172          12/22/2022           1      $315.00      $99.72

                                                                                                                                               PAGE:3 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  120934323001 625703711  GRANT            ABIGAIL    19   22018406988          12/26/2022           1      $329.00      $99.04
        ADM                  120934323001 625703711  GRANT            BROOKE     01   22018409592          12/26/2022           1      $329.00      $80.03
        ADM                  133452855001 635823133  CAZINI           JONATHAN   19   22018408753          01/06/2023           1      $280.00       $4.00
        ADM                  132228407001 635887497  SMOLENSKY        ANDRES     19   22200193034          01/09/2023           1       $20.00       $4.72
        ADM                  132228407001 635887497  SMOLENSKY        ANDRES     19   22200193034          01/09/2023           1       $25.00       $7.97
        ADM                  132228407001 635887497  SMOLENSKY        ANDRES     19   22200193034          01/09/2023           1       $25.00       $9.95
        ADM                  132228407001 635887497  SMOLENSKY        ANDRES     19   22200193034          01/09/2023           1      $209.00     $126.68
    ADM Total                                                                                                                        $5,932.00     $984.67
    ALTO
       ALTO                  101365685001 161585182  BARTLEY          LINDA      01   21899325359          01/04/2023           1      $260.00       $0.00
    ALTO Total                                                                                                                         $260.00       $0.00
    CKPT2
      CKPT2                  134279041001 419986972  DICKERSON        VALERIE    01   22400038213          01/04/2023           1       $74.00       $0.00
      CKPT2                  134279041001 419986972  DICKERSON        VALERIE    01   21499061333          01/04/2023           1      $266.00       $0.00
      CKPT2                  134279041001 419986972  DICKERSON        VALERIE    01   22400038213          01/04/2023           1       $74.00       $0.00
      CKPT2                  134279041001 419986972  DICKERSON        VALERIE    01   22400038213          01/04/2023           1       $15.00       $0.00
    CKPT2 Total                                                                                                                        $429.00       $0.00
    FESPLT
      FESPLT                 135160988001 378134235  USITALO          ROBERT     18   22500196641          01/05/2023           1      $129.00       $3.91
      FESPLT                 119521552001 384723421  RIOS             CLAUDIA    01   22400388899          12/26/2022           1      $220.00       $1.90
      FESPLT                 119521552001 384723421  RIOS             CLAUDIA    01   22400388899          12/26/2022           1      $171.00       $1.96
      FESPLT                 132900478001 492726714  VERNUM           STEVEN     18   22700291457          01/09/2023           1       $24.00       $3.98
    FESPLT Total                                                                                                                       $544.00      $11.75
    GFPLT
      GFPLT                  131796689001 419156986  BROWN            SPENCER    18   22500110667          12/14/2022           1      $618.00       $6.18
    GFPLT Total                                                                                                                        $618.00       $6.18
    HART
       HART                  100239251001 049726033  GERVAIS          COREY      18   22500389441          01/10/2023           1       $25.00       $3.09
       HART                  100239251001 049726033  GERVAIS          COREY      18   22500389441          01/10/2023           1      $305.00       $3.09
    HART Total                                                                                                                         $330.00       $6.18
    HCOMP
      HCOMP                  136316417001 125482097  FRIEDMAN         JACK       19   22500195931          01/09/2023           1       $42.00       $4.00

                                                                                                                                               PAGE:4 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   21298808334          12/30/2022           1      $960.00   $2,826.44
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   21298905177          12/30/2022           1      $917.00     $220.73
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   21298808334          12/30/2022          12        $7.00       $0.00
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   21298808334          12/30/2022          16      $496.00       $0.00
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   21298808334          12/30/2022          10        $1.50       $0.00
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   21298808334          12/30/2022          33    $1,518.00       $0.00
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   21298808334          12/30/2022           2      $135.15       $0.00
    HCOMP Total                                                                                                                      $4,076.65   $3,051.17
    HCSLS
      HCSLS                  134647659001 322086925  NEKRASOVA        ALINA      19   22018408917          10/21/2022           1       $30.00       $4.00
      HCSLS                  134647659001 322086925  NEKRASOVA        ALINA      19   22018418753          10/21/2022           1      $381.00       $9.75
      HCSLS                  132228402001 526712360  SCHULTZ          JASON      01   21698017817          12/12/2022          (1)    ($88.00)     ($2.00)
      HCSLS                  132228402001 526712360  SCHULTZ          JASON      01   22600394871          12/12/2022           1      $302.80       $1.33
      HCSLS                  132228402001 526712360  SCHULTZ          JASON      01   22600394871          12/12/2022           1       $87.92       $1.34
      HCSLS                  132228402001 526712360  SCHULTZ          RILEY      19   22600012176          01/03/2023           1      $251.00       $4.00
      HCSLS                  132228402001 526712360  SCHULTZ          JASON      01   22600394871          12/12/2022           1       $88.00       $1.33
      HCSLS                  132228402001 526712360  SCHULTZ          JASON      01   21698017817          12/12/2022          (1)   ($302.80)     ($2.00)
    HCSLS Total                                                                                                                        $749.92      $17.75
    INVAZ
      INVAZ                  127912525001 040874014  PASCUAL-HERNANDEZBERZAIN    18   22700382446          01/09/2023           1      $330.58       $8.03
      INVAZ                  127912544001 526776836  MUNOZ PINA       ROSEMARY   01   22800383589          01/09/2023           1       $45.15       $1.61
      INVAZ                  127912544001 526776836  MUNOZ PINA       ROSEMARY   01   22800383589          01/09/2023           1       $56.70       $1.81
      INVAZ                  127912544001 526776836  MUNOZ PINA       ROSEMARY   01   22800383589          01/09/2023           1       $90.30       $2.54
      INVAZ                  127912544001 526776836  MUNOZ PINA       ROSEMARY   01   22800383589          01/09/2023           1      $112.35       $2.90
      INVAZ                  127912544001 526776836  MUNOZ PINA       ROSEMARY   01   22800383589          01/09/2023           1       $87.15       $2.44
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700388432          01/04/2023           1       $92.00       $2.42
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700388432          01/04/2023           1      $100.00       $2.42
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700388432          01/04/2023           2      $158.00       $3.51
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700388432          01/04/2023           1       $16.00       $1.13
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700388432          01/04/2023           1       $37.00       $1.47
    INVAZ Total                                                                                                                      $1,125.23      $30.28
    INVIN

                                                                                                                                               PAGE:5 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      INVIN                  127912534001 307729111  LEWIS            MICHAEL    18   22700013030          01/05/2023           1      $260.00       $6.18
      INVIN                  128407144001 307922207  REYES            RASHELLE   18   22400290926          12/13/2022           1      $206.00      $88.89
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300199233          01/06/2023           1       $60.00       $3.09
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300384646          01/04/2023           1       $60.00       $2.06
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300291668          12/12/2022           1      $206.00       $6.18
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300016155          12/29/2022           1      $150.00       $3.09
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300384646          01/04/2023           2      $120.00       $2.06
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300384646          01/04/2023           1       $60.00       $2.06
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300199233          01/06/2023           2      $120.00       $3.09
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300013959          12/30/2022           1      $250.00       $6.18
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300016155          12/29/2022           1       $60.00       $3.09
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022         241   $11,527.00   $4,275.74
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   22400011925          12/30/2022           3      $774.00     $275.98
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           3   $17,068.06   $6,330.91
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022          20      $188.38       $8.49
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           1   $12,352.34   $4,581.85
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           5      $188.38       $2.98
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           1      $188.38      $70.24
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           1      $188.38      $70.24
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           1    $4,094.00   $1,518.83
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           8      $376.76       $3.38
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           3   $13,918.00   $5,162.55
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           4      $188.38       $8.72
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022          10      $192.84      $21.53
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   22400011925          12/27/2022           1      $644.00     $229.98
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           1   $12,352.33   $4,581.84
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           1      $128.11      $47.88
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           4      $188.38       $1.41
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           1   $12,352.33   $4,581.84
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   22400011925          12/27/2022           1      $258.00      $93.37
      INVIN                  128823862001 317982490  COUCH            WHITNEY    18   21498722612          12/23/2022           1      $188.38       $2.95
    INVIN Total                                                                                                                     $88,908.43  $31,996.68

                                                                                                                                               PAGE:6 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    KMPLT
      KMPLT                  134673767001 237555943  NORRIS           N KEIRA    19   22800114048          01/05/2023           1       $10.00       $6.18
    KMPLT Total                                                                                                                         $10.00       $6.18
    MKTG
       MKTG                  130646991001 165761457  HEGBERG          EMA        01   22300279636          01/10/2023           1       $42.00       $0.00
       MKTG                  104317324001 197625405  JUSTH            DANIELLE   19   22018162194          12/28/2022           1       $85.00       $0.00
    MKTG Total                                                                                                                         $127.00       $0.00
    NASH
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100194813          01/06/2023           1      $329.00       $4.17
       NASH                  106901551001 295802636  LEMON            RODNEY     18   21198876984          12/18/2022           1      $739.00     $359.08
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100194813          01/06/2023           1      $115.00       $2.29
       NASH                  106901551001 295802636  LEMON            RODNEY     18   21198876984          12/18/2022           1      $424.00     $206.89
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100018342          12/28/2022           1    $1,688.00     $403.08
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100018342          12/28/2022           1    $1,673.00     $277.21
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100018342          12/28/2022           1    $2,375.00   $1,080.26
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100018342          12/28/2022           1    $1,407.00      $30.49
       NASH                  106901551001 295802636  LEMON            RODNEY     18   21198876984          12/18/2022           2        $1.14       $2.61
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100194813          01/06/2023           1       $32.00       $1.66
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100198710          12/28/2022           1      $422.00      $39.00
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100198710          12/28/2022           1    $2,375.00     $192.10
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100018342          12/28/2022           1       $28.00      $15.17
    NASH Total                                                                                                                      $11,608.14   $2,614.01
    PLT2
       PLT2                  116221387001 181783276  YINGLING         AVIANA     19   21498861919          12/04/2022           1      $178.00      $72.85
       PLT2                  116221387001 181783276  YINGLING         AVIANA     19   21498861919          12/04/2022           1       $77.00      $57.18
       PLT2                  127520303001 552352383  LOUEY            CHERYL     18   21593786317          10/15/2022          (1)   ($145.00)    ($38.56)
       PLT2                  127520303001 552352383  LOUEY            CHERYL     18   21593786317          10/15/2022           1      $117.00      $30.99
       PLT2                  127520303001 552352383  LOUEY            CHERYL     18   21593786317          10/15/2022           1      $145.00      $38.56
       PLT2                  129848123001 613087783  RAMIREZ          MARIA      18   22200081271          01/08/2023           1      $350.00       $0.00
    PLT2 Total                                                                                                                         $722.00     $161.02
    PLT3
       PLT3                  101995154001 169643828  NEIDERER         KELLY      01   21899312942          01/05/2023           1      $119.00       $0.00

                                                                                                                                               PAGE:7 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022           1      $160.98      $73.60
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022          10        $3.30       $2.00
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022         150       $69.00      $26.40
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022          (1)     ($1.50)     ($0.54)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022         (22)    ($44.22)    ($35.38)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022          10        $4.30       $1.60
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022           1      $330.10     $151.31
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022        (150)    ($69.00)    ($26.40)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022          (4)    ($20.76)    ($15.46)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022           1        $6.78       $2.46
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022           4       $20.76      $15.46
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022           1       $73.23      $33.25
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022           5       $25.95      $19.32
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022           1       $38.68      $13.59
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022          (1)     ($6.78)     ($2.46)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022          22       $44.22      $35.38
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022         (10)    ($22.60)     ($8.72)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022          10        $4.30       $1.60
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022           1        $1.50       $0.54
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022          22       $44.22      $35.38
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022          (1)     ($6.78)     ($2.46)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022           1      $330.10     $151.31
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022           1        $1.50       $0.54
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022         (22)    ($44.22)    ($35.38)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022           2      $146.46      $66.50
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022          (5)    ($25.95)    ($19.32)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022           1        $6.78       $2.46
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022          10       $22.60       $8.72
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022         (10)     ($4.30)     ($1.60)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022          (1)     ($1.50)     ($0.54)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022           2       $77.36      $27.18
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022         (10)     ($4.30)     ($1.60)

                                                                                                                                               PAGE:8 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687917153          07/08/2022         (10)     ($3.30)     ($2.00)
       PLT3                  110043114001 209488629  WALTER           BRYAN      18   21687464977          07/06/2022           1      $160.98      $73.60
       PLT3                  127519624001 215715982  PENARRIETA       EUGENIO    18   22100255422          01/08/2023           1      $350.00      $90.10
       PLT3                  127519624001 215715982  PENARRIETA       EUGENIO    18   22100255422          01/08/2023           1       $77.00      $57.18
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1       $10.00       $0.00
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1    $1,529.00       $0.00
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1       $56.00       $0.00
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1       $64.00       $0.00
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1      $562.00       $0.00
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1       $33.00       $0.00
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1       $98.00       $0.00
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1       $83.00       $0.00
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1       $55.00       $0.00
       PLT3                  135327684001 216390293  BOONE            KASEY      18   21398701030          12/30/2022           1       $49.00       $0.00
       PLT3                  127519668001 218927984  DODSON           ASHLEY     01   22018132192          01/04/2023           1       $15.00       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           1       $54.25       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           2       $76.00       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           2       $41.00       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           1       $24.75       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           4       $33.25       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           2       $71.25       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           1   $21,755.00  $23,191.55
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           1       $67.50       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           2       $34.00       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022          15       $29.25       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           3      $817.00       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           2      $107.25       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           4       $27.75       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498673202          12/23/2022           1      $943.50       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           2    $3,426.41       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           1      $936.70       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022           5    $1,800.00       $0.00

                                                                                                                                               PAGE:9 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   21498606130          12/23/2022          54      $661.50       $0.00
       PLT3                  130214381001 597283246  DE JESUS MERCADO FRANCISC   18   22500038347          01/04/2023           1       $86.00       $0.00
       PLT3                  130214381001 597283246  DE JESUS MERCADO FRANCISC   18   22500038347          01/04/2023           1       $69.00       $0.00
       PLT3                  130214381001 597283246  DE JESUS MERCADO FRANCISC   18   22500038347          01/04/2023           1       $15.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22500038274          01/04/2023           1       $15.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22500038274          01/04/2023           1       $34.00       $0.00
       PLT3                  127520444001 641098008  GARCIA           JAQUELIN   19   22200360863          01/11/2023           1      $275.00     $257.94
       PLT3                  127520444001 641098008  GARCIA           JAQUELIN   19   22200360863          01/11/2023           1       $45.00      $16.47
       PLT3                  127520444001 641098008  GARCIA           JAQUELIN   19   22200360863          01/11/2023           1       $32.00      $16.02
       PLT3                  127520444001 641098008  GARCIA           JAQUELIN   19   22200360863          01/11/2023           1       $32.00      $21.21
       PLT3                  127520444001 641098008  GARCIA           JAQUELIN   19   22200360863          01/11/2023           1      $175.00     $112.39
       PLT3                  127520444001 641098008  GARCIA           JAQUELIN   19   22200360863          01/11/2023           1       $32.00      $16.02
       PLT3                  127520444001 641098008  GARCIA           JAQUELIN   19   22200360863          01/11/2023           1      $115.00     $111.97
       PLT3                  127520444001 641098008  GARCIA           JAQUELIN   19   22200360863          01/11/2023           1       $32.00      $16.02
       PLT3                  127520444001 641098008  GARCIA           JAQUELIN   19   22200360863          01/11/2023           1      $130.00     $125.27
       PLT3                  127520444001 641098008  GARCIA           JIMENA     19   22200080294          01/05/2023           1       $25.00      $10.96
       PLT3                  127520444001 641098008  GARCIA           JIMENA     19   22200080294          01/05/2023           1      $185.00     $119.36
       PLT3                  127520444001 641098008  GARCIA           JIMENA     19   22200360862          01/11/2023           1       $32.00      $21.21
       PLT3                  127520444001 641098008  GARCIA           JIMENA     19   22200360862          01/11/2023           1       $45.50      $25.58
       PLT3                  135954257001 646098876  EDLER            JENIFER    18   21598791381          12/23/2022           1      $430.00     $308.47
       PLT3                  130676479001 881471062  DUARTE SANCHEZ   HILDA      18   22700176070          01/06/2023           1      $389.00       $0.00
       PLT3                  130676479001 881471062  DUARTE SANCHEZ   HILDA      18   22700048598          01/06/2023           1      $231.00     $101.05
       PLT3                  130676479001 881471062  DUARTE SANCHEZ   HILDA      18   22700176070          01/06/2023           1       $51.00       $0.00
       PLT3                  130676479001 881471062  DUARTE SANCHEZ   HILDA      18   22700176070          01/06/2023           1       $15.00       $0.00
    PLT3 Total                                                                                                                      $37,814.75  $25,209.11
    PLT4
       PLT4                  118818322001 162587944  FLICKINGER       NOAH       19   22017071426          11/14/2022           1      $130.00      $89.99
       PLT4                  101765356001 166669715  RUPPERT          BRIAN      18   22700272477          01/09/2023           1      $277.00       $0.00
       PLT4                  127519317001 176601693  TRONE            DAVID      18   22017944672          01/03/2023           1      $282.00     $118.88
       PLT4                  127519317001 176601693  TRONE            DAVID      18   22017944672          01/03/2023           1      $251.00       $0.00
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          10/03/2022           2      $268.00     $191.30
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          09/29/2022           1      $134.00     $180.62

                                                                                                                                              PAGE:10 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          09/27/2022           2      $268.00       $0.00
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          10/13/2022           1      $134.00      $78.10
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          10/03/2022           2      $268.00     $156.15
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          10/13/2022           3      $402.00     $274.94
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          10/17/2022           1      $134.00     $135.12
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198946050          11/15/2022           1      $197.00       $0.00
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966127          09/21/2022           1      $134.00       $0.00
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          10/06/2022           2      $268.00     $191.30
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          10/17/2022           1      $134.00      $83.67
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966127          09/21/2022           1      $354.00     $166.13
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          09/27/2022           1      $134.00       $8.34
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          09/29/2022           1      $134.00     $153.52
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          09/27/2022           1      $151.00      $34.26
       PLT4                  134847595001 198529565  BIRGENSMITH      TRACY      18   21198966128          10/06/2022           2      $268.00     $156.15
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   21398437269          12/20/2022           1    $1,045.50     $339.25
       PLT4                  105510983001 212027252  RAVER            CHRISTOP   18   21598829043          12/29/2022           1      $681.00     $512.43
       PLT4                  133152548001 388512323  SANCHEZ CASTILLO SANTA      01   22500329464          01/10/2023           1       $60.00       $0.00
    PLT4 Total                                                                                                                       $6,108.50   $2,870.15
    PLT5
       PLT5                  101539461001 163706577  GALLEGOS-RAMOS   JOSE       18   21398716734          01/02/2023           1      $350.00      $72.85
       PLT5                  101539461001 163706577  GALLEGOS-RAMOS   JOSE       18   21398716734          01/02/2023           1       $77.00      $57.18
       PLT5                  103138317001 183664912  DELL             TYLER      19   22018475992          09/16/2022           1      $410.00     $204.98
       PLT5                  103138317001 183664912  DELL             TYLER      19   22016195869          11/01/2022           1       $35.00       $0.00
       PLT5                  103138317001 183664912  DELL             TYLER      19   22017865156          12/01/2022           2      $268.00     $237.28
    PLT5 Total                                                                                                                       $1,140.00     $572.29
    PLT6
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1    $1,299.00      $27.80
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1       $28.00       $0.98
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1       $48.00       $1.40
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $140.00       $3.36
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           2       $89.20       $2.27
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           2       $30.23       $1.03

                                                                                                                                              PAGE:11 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $195.00       $4.50
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $497.00     $659.49
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022          10       $12.38       $0.65
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $181.00       $4.21
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $185.00       $4.29
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $347.00       $7.71
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1       $92.00       $2.33
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $504.00      $11.02
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1    $1,018.00      $21.87
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1    $2,346.00      $49.89
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022         100      $180.00       $4.19
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1       $64.00       $1.74
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1    $1,018.00      $21.87
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $185.00       $4.29
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1       $99.00       $2.48
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $143.00       $3.41
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1       $59.00       $1.63
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1    $1,018.00      $21.87
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400111943          03/31/2022           1      $800.00      $17.27
    PLT6 Total                                                                                                                      $10,577.81     $881.55
    PLT7
       PLT7                  131796644001 159726992  CORLEY           DARRYL     18   21598875515          01/05/2023           1      $240.00     $178.53
    PLT7 Total                                                                                                                         $240.00     $178.53
    PLT9
       PLT9                  133919953001 025921946  ACOSTA           ANA        18   22700210675          08/03/2022           1      $383.00       $3.09
       PLT9                  133919953001 025921946  ACOSTA           ANA        18   22700210675          08/03/2022           1      $395.00     $126.63
    PLT9 Total                                                                                                                         $778.00     $129.72
    PLTAD
      PLTAD                  134753379001 076863776  BERJAOUI         AFAF       18   22600384255          01/09/2023           1      $195.00       $4.00
      PLTAD                  128489398001 093827219  COPE             MELANIE    18   22700176069          01/03/2023           1      $144.00     $154.65
      PLTAD                  128489398001 093827219  COPE             MELANIE    18   22700176069          01/03/2023           1      $181.00     $204.88
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           1       $90.75       $0.00

                                                                                                                                              PAGE:12 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           5        $0.75       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           1    $4,655.00   $6,960.90
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           4       $67.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           2        $2.85       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           1        $3.75       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           1      $166.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           2        $3.70       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           8        $6.50       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           4        $2.05       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022          50    $1,550.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022           4      $460.38       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022          30       $17.35       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   21598837061          12/28/2022           1       $95.00       $9.94
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500071017          12/28/2022         109    $3,950.00       $0.00
      PLTAD                  104476844001 199629886  MYERS            AARON      01   22700272770          12/26/2022           1      $176.00     $118.88
    PLTAD Total                                                                                                                     $11,767.08   $7,453.25
    RETAI
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600369020          01/05/2023           1      $754.00     $241.46
    RETAI Total                                                                                                                        $754.00     $241.46
    RWPLT
      RWPLT                  134035454001 125526387  TUPMAN           DAVID      19   21297792519          11/04/2022           1       $25.00       $1.55
      RWPLT                  134035454001 125526387  TUPMAN           DAVID      19   21297792519          11/04/2022           1      $250.00     $144.17
      RWPLT                  134035454001 125526387  TUPMAN           DAVID      19   21297792519          11/04/2022           1       $40.00      $13.95
      RWPLT                  134035454001 125526387  TUPMAN           DAVID      19   21297792519          11/04/2022           1      $250.00     $213.63
      RWPLT                  134303303001 240750459  STOUT            LLOYD      18   21298330343          12/20/2022           1    $4,984.00   $2,806.77
      RWPLT                  134303303001 240750459  STOUT            LLOYD      18   21298330343          12/20/2022           1       $90.80      $51.89
      RWPLT                  134303303001 240750459  STOUT            LLOYD      18   21298330343          12/20/2022           1        $3.40       $1.92
      RWPLT                  134303303001 240750459  STOUT            LLOYD      18   21298330343          12/20/2022           1      $402.75     $227.52
      RWPLT                  134303303001 240750459  STOUT            LLOYD      18   21298330343          12/20/2022           1      $420.35     $237.43
      RWPLT                  134303303001 240750459  STOUT            LLOYD      18   21298330343          12/20/2022           1      $234.85     $132.99
      RWPLT                  134303303001 240750459  STOUT            LLOYD      18   21298330343          12/20/2022           1      $424.25     $239.62
      RWPLT                  134303303001 240750459  STOUT            LLOYD      18   21298330343          12/20/2022           1    $2,818.15   $1,587.40

                                                                                                                                              PAGE:13 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   22200193371          12/16/2022           1      $413.00     $340.44
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   22200193371          12/16/2022           1    $1,537.00   $1,258.83
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   22200011279          12/16/2022           1       $31.00      $17.54
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   22200193371          12/16/2022           1      $730.00     $568.01
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700290133          12/17/2022           1      $210.36       $2.00
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700290133          12/17/2022           1       $33.06       $2.00
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700295250          12/27/2022           1      $210.36       $2.00
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700294919          01/07/2023           1      $264.00       $4.00
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700295250          12/27/2022           1       $33.06       $2.00
    RWPLT Total                                                                                                                     $13,405.39   $7,855.66
    SALES
      SALES                  100259585001 053585857  LAMOREAUX        ALISON     19   22800253154          11/29/2022           1       $70.00       $0.00
      SALES                  100259585001 053585857  LAMOREAUX        ALISON     19   22800253154          11/29/2022           1      $171.00       $0.00
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700009487          01/01/2023           1      $529.00       $0.81
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700009487          01/01/2023           3        $2.50       $1.55
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700009487          01/01/2023           3        $3.28       $1.54
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700302169          01/04/2023           1    $1,071.60       $4.13
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700009487          01/01/2023           1    $1,706.00     ($0.86)
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700053658          01/01/2023           1      $710.00       $0.00
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   21799091158          01/01/2023           1      $435.00       $0.00
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   21799064305          01/04/2023           1      $119.00       $0.00
    SALES Total                                                                                                                      $4,817.38       $7.17
    SBPLT
      SBPLT                  101601605001 164606476  RITCHEY          SHONNA     18   22200134880          12/28/2022           1      $163.00     $118.11
    SBPLT Total                                                                                                                        $163.00     $118.11
    SBSLS
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198806924          12/22/2022           1       $42.57      $20.34
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198806924          12/22/2022           1       $83.85      $40.06
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198956768          12/29/2022           1      $605.00      $78.82
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198956768          12/29/2022           1      $939.00     $122.45
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198956768          12/29/2022           1    $1,325.00     $388.91
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198956768          12/29/2022           1      $411.00     $126.08

                                                                                                                                              PAGE:14 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198806924          12/22/2022           2       $18.50       $5.28
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198955514          12/22/2022           1      $226.70     $108.29
    SBSLS Total                                                                                                                      $3,651.62     $890.23
    SBUNB
      SBUNB                  118513426001 200802757  CALES            MICHAEL    18   21498938027          09/26/2022           1       $75.00       $0.00
      SBUNB                  118513426001 200802757  CALES            MICHAEL    18   21498938027          09/26/2022           1       $40.00       $0.00
    SBUNB Total                                                                                                                        $115.00       $0.00
    SLSUP
      SLSUP                  102536557001 176441048  CLAPPER          JOSHUA     19   21799205195          01/05/2023           1      $240.00       $0.00
      SLSUP                  102536557001 176441048  CLAPPER          JOSHUA     19   22700254509          01/09/2023           1      $308.00       $0.00
      SLSUP                  102536557001 176441048  CLAPPER          JOSHUA     19   22700254509          01/09/2023           1      $530.00       $0.00
      SLSUP                  117749120001 181724326  JORDAN           BENNETT    19   21598968305          12/26/2022           1      $119.00       $0.00
      SLSUP                  117749120001 181724326  JORDAN           BENNETT    19   21598968305          12/26/2022           1       $49.00       $0.00
      SLSUP                  117749120001 181724326  JORDAN           BENNETT    19   22500178308          12/07/2022           1       $81.00       $0.00
      SLSUP                  109977359001 202587914  STRAUSBAUGH      JESSICA    01   22500256363          01/09/2023           1        $8.00       $4.71
      SLSUP                  109977359001 202587914  STRAUSBAUGH      JESSICA    01   22500372741          01/10/2023           1       $37.00       $0.00
      SLSUP                  109977359001 202587914  STRAUSBAUGH      JESSICA    01   22500256363          01/09/2023           1      $211.00     $118.88
      SLSUP                  109977359001 202587914  STRAUSBAUGH      JESSICA    01   22500100503          01/04/2023           1       $37.00       $0.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500294658          12/29/2022           1       $30.30       $0.80
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21598889450          01/01/2023           1      $187.87       $4.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500384624          12/30/2022           1        $9.10       $0.57
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500294658          12/29/2022           1       $19.20       $0.80
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500294658          12/29/2022           1       $14.20       $0.80
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500384624          12/30/2022           1       $34.90       $0.57
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500384624          12/29/2022           1       $24.80       $0.57
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500294658          12/29/2022           1        $9.10       $0.80
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500384624          12/29/2022           1       $14.70       $0.57
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500384624          12/30/2022           1        $9.60       $0.57
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500294658          12/29/2022           1       $24.30       $0.80
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500384624          12/30/2022           1       $33.90       $0.58
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500384624          12/30/2022           1       $15.20       $0.57
    SLSUP Total                                                                                                                      $2,047.17     $135.59

                                                                                                                                              PAGE:15 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    TMPLT
      TMPLT                  130351241001 157567887  ALLEN            ANTHONY    18   22200015321          12/30/2022           1      $250.00     $187.35
      TMPLT                  130351241001 157567887  ALLEN            ANTHONY    18   22200015321          12/30/2022           1       $63.25      $41.26
      TMPLT                  130351241001 157567887  ALLEN            ANTHONY    18   22200015321          12/30/2022           1      $302.50       $2.06
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1      $725.48     $234.67
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1    $5,849.98     $384.20
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1    $5,849.98     $157.21
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1    $3,406.00       $0.52
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022          75      $439.20       $4.94
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1      $145.96       $1.98
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1       $36.49       $3.81
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1    $3,850.28     $234.68
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           2       $13.20       $6.86
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1       $36.49      $12.00
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1       $36.49       $4.81
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100013697          12/19/2022           1      $289.98      $13.15
    TMPLT Total                                                                                                                     $21,295.28   $1,289.50
    WILSO
      WILSO                  127519833001 239497207  TYNDALL          REBECCA    01   22300292459          12/14/2022           1      $262.00     $220.73
    WILSO Total                                                                                                                        $262.00     $220.73
    ZALA
       ZALA                  110000391001 416944310  DAVIS            KENNETH    18   22600203210          12/01/2022           1       $15.72      $15.72
       ZALA                  125795150001 435390275  CASE             DOUGLAS    18   22800198784          12/01/2022           1        $8.64       $8.64
    ZALA Total                                                                                                                          $24.36      $24.36
  025620-00 Total                                                                                                                  $233,233.38  $88,815.23
  025620-70
    COBRA
      COBRA                  130351362001 479941447  GOHEEN           MARY       18   22600018207          12/23/2022           1      $110.00       $6.18
    COBRA Total                                                                                                                        $110.00       $6.18
  025620-70 Total                                                                                                                      $110.00       $6.18
HDHP PPO Total                                                                                                                     $233,343.38  $88,821.41

                                                                                                                                              PAGE:16 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
PPO
  025620-01
    ACCTS
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100016529          12/22/2022           1    $1,500.00     $474.01
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100019808          12/22/2022           1    $1,350.00     $474.01
      ACCTS                  102541615001 176466738  JACOBS           RICHARD    18   22700256862          12/09/2022           1      $305.00     $127.90
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   21799198126          01/04/2023           1       $87.00       $0.00
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22700038406          01/04/2023           1    $1,707.00       $0.00
      ACCTS                  110086137001 198526496  CHARLES          EMILY      19   22017952705          01/04/2023           1      $160.00       $0.00
      ACCTS                  131796660001 218475087  NEIDERER         CREW       19   22300137855          01/05/2023           1       $32.00      $21.21
      ACCTS                  131796660001 218475087  NEIDERER         CREW       19   22300137855          01/05/2023           1       $45.50      $25.58
      ACCTS                  127519694001 223193222  DORAN            TIMOTHY    18   22800291101          11/02/2022           1      $185.00      $37.75
      ACCTS                  127519998001 300741357  HOGSED           NOAH       19   22600292537          01/10/2023           1      $200.00       $6.18
      ACCTS                  127519998001 300741357  HOGSED           NOAH       19   22600109801          12/15/2022           1      $145.00     $103.28
      ACCTS                  127519998001 300741357  HOGSED           MATTHEW    18   22600293109          01/04/2023           1      $190.00      $29.88
      ACCTS                  133405278001 327784842  MCNAMARA         ROBERT     18   22600382213          01/06/2023           1      $100.00      $16.99
      ACCTS                  135654650001 408297455  ROBERTS          ANDREW     19   22800290249          12/05/2022           1       $49.00       $4.93
      ACCTS                  110513602001 562159238  ELMASRI          YVONNE     18   22100291482          01/07/2023           1      $134.00      $57.40
    ACCTS Total                                                                                                                      $6,189.50   $1,379.12
    ADM
        ADM                  127519137001 101687388  DELIO            ERIN       19   22018311377          01/04/2023           1      $130.00       $2.00
        ADM                  127519137001 101687388  DELIO            ERIN       19   21074293957          04/08/2021          (1)   ($300.00)   ($224.13)
        ADM                  127519137001 101687388  DELIO            ERIN       19   21078225365          06/06/2021          (1)   ($300.00)   ($224.13)
        ADM                  127519137001 101687388  DELIO            ERIN       19   22018303647          01/04/2023           1      $290.00       $2.00
        ADM                  127519137001 101687388  DELIO            ERIN       19   22018311377          01/04/2023           1       $63.00       $2.00
        ADM                  127519137001 101687388  DELIO            ERIN       19   21074783179          04/14/2021          (1)   ($300.00)   ($224.13)
        ADM                  127519137001 101687388  DELIO            ERIN       19   22018303647          01/04/2023           1      $360.00     $244.64
        ADM                  127519157001 135628506  BRICK            JASON      19   21298786898          12/29/2022           1      $170.00      $35.70
        ADM                  101570689001 164385514  SELL             WILMOT     18   22100056378          12/19/2022           1      $301.21     $301.21
        ADM                  102127457001 171429639  GARRETT          LORI       01   22200228454          01/05/2023           1       $50.00       $0.00
        ADM                  102127457001 171429639  GARRETT          LORI       01   22200228455          01/05/2023           1       $25.00       $0.00
        ADM                  130976991001 172780865  MCQUEEN          WILLIAM    18   22012213671          09/30/2022          (1)   ($203.00)    ($55.99)

                                                                                                                                              PAGE:17 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  130976991001 172780865  MCQUEEN          WILLIAM    18   22012213671          09/30/2022          (1)   ($705.00)   ($198.80)
        ADM                  130976991001 172780865  MCQUEEN          WILLIAM    18   22012213671          09/30/2022           1      $705.00     $198.80
        ADM                  130976991001 172780865  MCQUEEN          WILLIAM    18   22012213671          09/30/2022           1      $203.00      $55.99
        ADM                  130976991001 172780865  MCQUEEN          WILLIAM    18   22012213671          09/30/2022           1      $330.00      $92.57
        ADM                  133740647001 184789056  RAFFENSBERGER    ERIC       18   21899202907          01/04/2023           1      $125.00      $22.85
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400355623          01/10/2023           1      $376.00     $107.86
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400355623          01/10/2023           1        $6.00       $0.00
        ADM                  132990695001 189785410  BERGER           TYLER      18   21899217530          01/04/2023           1      $302.00      $99.19
        ADM                  132317941001 190582861  DUGAN            MICHAEL    01   21499060910          01/03/2023           1      $469.77       $0.00
        ADM                  132317941001 190582861  DUGAN            MICHAEL    01   21499060910          01/03/2023           1      $186.14       $0.00
        ADM                  127519455001 192723200  KLINEDINST       JESSE      18   22300354450          01/04/2023           1      $110.00      $37.85
        ADM                  104064952001 194606883  MINSINGER        SELENE     01   22400081973          01/05/2023           1      $446.00       $0.00
        ADM                  104064952001 194606883  MINSINGER        SELENE     01   22400081973          01/05/2023           1      $178.00      $22.85
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   22500256349          01/10/2023           1       $84.00       $0.00
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   22500256348          01/10/2023           1      $450.00     $158.76
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   21594524145          10/28/2022           1      $560.00     $318.19
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   21594524145          10/28/2022           1      $283.00      $80.01
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   21594524145          10/28/2022           1      $921.00     $369.90
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   21594524145          10/28/2022           1      $653.00     $184.85
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   21594524145          10/28/2022          (1)   ($283.00)    ($80.01)
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   21594524145          10/28/2022          (1)   ($653.00)   ($184.85)
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   21594524145          10/28/2022          (1)   ($921.00)   ($369.90)
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500071016          01/04/2023           4    $4,448.00       $0.00
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500248597          01/06/2023           1      $562.00     $310.20
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500071016          01/04/2023           2        $0.15       $0.00
        ADM                  104310230001 197582859  BYNAKER          TYLER      19   22500254896          01/06/2023         750    $2,077.50       $0.00
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500071016          01/04/2023           1       $94.88       $0.00
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500071016          01/04/2023           1       $60.00       $0.00
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500071016          01/04/2023           3        $4.65       $0.00
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500071016          01/04/2023           1    $9,421.00   $6,916.63
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500071016          01/04/2023           8        $1.20       $0.00
        ADM                  104310230001 197582859  BYNAKER          TYLER      19   22500254896          01/06/2023           1      $163.40       $0.00

                                                                                                                                              PAGE:18 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500071016          01/04/2023           1    $1,350.00       $0.00
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500071016          01/04/2023           3        $4.30       $0.00
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500090456          01/06/2023           1       $19.00       $0.00
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500090457          01/06/2023           1       $19.00       $0.00
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500175696          01/06/2023           2      $756.00       $0.00
        ADM                  104706633001 202482808  SNYDER           RONALD     18   22300223336          01/06/2023           1      $150.00       $0.00
        ADM                  104706633001 202482808  SNYDER           RONALD     18   21398622507          01/03/2023           2       $24.00       $0.00
        ADM                  104706633001 202482808  SNYDER           RONALD     18   21398622507          01/03/2023           1      $156.00       $0.00
        ADM                  104706633001 202482808  SNYDER           RONALD     18   21398622507          01/03/2023           1      $115.00       $0.00
        ADM                  104706633001 202482808  SNYDER           RONALD     18   22300223336          01/06/2023           1      $140.00      $35.70
        ADM                  105325281001 209628025  COLGAN           DANIEL     18   22018213363          12/29/2022           1      $450.00     $144.77
        ADM                  105325281001 209628025  COLGAN           DANIEL     18   22018212532          12/28/2022           1      $100.00      $91.22
        ADM                  105325281001 209628025  COLGAN           DANIEL     18   22018212532          12/28/2022           1      $200.00      $56.35
        ADM                  105325281001 209628025  COLGAN           DANIEL     18   22018212532          12/28/2022           1      $550.00     $187.28
        ADM                  105325281001 209628025  COLGAN           DANIEL     18   22018212532          12/28/2022           1      $100.00      $48.13
        ADM                  105377408001 210421772  SENFT            DENISE     18   21899214509          01/02/2023           1       $50.00       $0.00
        ADM                  105377408001 210421772  SENFT            DENISE     18   21899214509          01/02/2023           1      $150.00      $35.70
        ADM                  110505812001 216272256  RIO              ANDREW     19   21598968304          01/04/2023           1       $59.00      $38.63
        ADM                  110505812001 216272256  RIO              ANDREW     19   21598968304          01/04/2023           1       $49.00      $30.00
        ADM                  110505812001 216272256  RIO              ANDREW     19   21598968304          01/04/2023           1      $119.00      $72.85
        ADM                  110505812001 216272256  RIO              ANDREW     19   21598968304          01/04/2023           1       $73.00      $33.50
        ADM                  110505812001 216272256  RIO              ANDREW     19   21598968304          01/04/2023           1      $222.00     $123.00
        ADM                  114833354001 311702430  METZGER          DEBRA      01   22500011797          01/01/2023           1      $267.03      $62.31
        ADM                  114833354001 311702430  METZGER          DEBRA      01   22500011797          01/01/2023           1      $142.50      $33.08
        ADM                  114833354001 311702430  METZGER          DEBRA      01   22500011797          01/01/2023           1    $1,026.00     $221.77
        ADM                  114833354001 311702430  METZGER          MICHAEL    18   22500387256          01/09/2023           1       $74.00       $3.09
        ADM                  114833354001 311702430  METZGER          MICHAEL    18   22500387256          01/09/2023           1      $276.00       $3.09
        ADM                  132750769001 391824603  LANGLEY          REBECCA    18   22400200830          01/03/2023           1       $50.00       $4.00
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100384437          01/09/2023           1      $150.00      $17.24
        ADM                  107728254001 415439274  GATTENBY         LONNA      18   22018410782          01/09/2023           1       $15.00       $1.42
        ADM                  107728254001 415439274  GATTENBY         LONNA      18   22018410782          01/09/2023           1       $28.00       $1.49
        ADM                  107728254001 415439274  GATTENBY         LONNA      18   22018410782          01/09/2023           1       $40.00       $1.55

                                                                                                                                              PAGE:19 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  132684100001 424419143  RUSSELL          ALFRED     18   22700109821          01/05/2023           1       $97.00      $18.93
        ADM                  132684100001 424419143  RUSSELL          ALFRED     18   22700109751          01/05/2023           1      $504.00       $6.18
        ADM                  132142486001 467997397  KOLB             SHANNON    18   22400282954          01/09/2023           1       $80.00      $45.00
        ADM                  132142486001 467997397  KOLB             SHANNON    18   22400282953          01/09/2023           1       $90.00      $55.00
        ADM                  130492424001 531255685  FOSTER           EMMETTE    18   22200288882          01/05/2023           1       $20.00       $1.55
        ADM                  130492424001 531255685  FOSTER           EMMETTE    18   22200288882          01/05/2023           1       $47.05       $1.54
        ADM                  130492424001 531255685  FOSTER           EMMETTE    18   22200288882          01/05/2023           1       $88.05       $1.54
        ADM                  130492424001 531255685  FOSTER           EMMETTE    18   22200382994          01/06/2023           1      $364.00     $201.75
        ADM                  130492424001 531255685  FOSTER           EMMETTE    18   22200288882          01/05/2023           1       $44.70       $1.55
        ADM                  134227182001 535689149  HEINSCH          KIMBERLY   18   22300200313          12/30/2022           1       $47.00      $36.57
        ADM                  134227182001 535689149  HEINSCH          KIMBERLY   18   22300200313          12/30/2022           1       $11.00       $6.09
        ADM                  132814673001 546746467  WARD             JON        18   22800013404          12/27/2022           1       $51.00       $6.18
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100070510          01/04/2023           1       $56.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100070510          01/04/2023           1       $76.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100325418          01/10/2023           1      $250.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100325419          01/09/2023           1    $1,454.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100070510          01/04/2023           1       $10.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100177518          10/31/2022           1      $197.00     $120.81
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100070510          01/04/2023           1       $78.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100070510          01/04/2023           1       $48.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100070510          01/04/2023           1      $140.00       $0.00
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800389686          01/09/2023           1      $426.00     $125.87
        ADM                  132228409001 640209541  BATES            JENNIFER   18   22400108493          10/16/2022           1      $327.78       $4.00
    ADM Total                                                                                                                       $32,375.31   $9,880.84
    CHAMB
      CHAMB                  114007147001 215983826  WEIDNER          JAMES      18   21799020818          12/28/2022           1      $185.00     $162.20
      CHAMB                  114007147001 215983826  WEIDNER          JAMES      18   21799020818          12/28/2022           1       $50.00      $54.06
    CHAMB Total                                                                                                                        $235.00     $216.26
    CHES
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22700108610          01/07/2023           1      $120.00      $28.22
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22700108610          01/07/2023           1       $39.00      $23.78
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22700016635          01/05/2023           1       $39.00      $23.78

                                                                                                                                              PAGE:20 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22700016635          01/05/2023           1      $120.00      $28.22
    CHES Total                                                                                                                         $318.00     $104.00
    CKPT2
      CKPT2                  129469240001 172466550  ROYER            CINDY      18   21198161440          12/19/2022           1      $279.00       $0.00
      CKPT2                  129469240001 172466550  ROYER            CINDY      18   21198161440          12/19/2022           1      $562.00     $103.26
      CKPT2                  129469240001 172466550  ROYER            CINDY      18   21198161440          12/19/2022           1    $1,529.00       $0.00
      CKPT2                  129469240001 172466550  ROYER            CINDY      18   21198161440          12/19/2022           1      $155.00      $40.73
      CKPT2                  129469240001 172466550  ROYER            CINDY      18   21198161440          12/19/2022           1      $279.00       $0.00
      CKPT2                  129469240001 172466550  ROYER            CINDY      18   21198161440          12/19/2022           3        $1.50       $0.00
      CKPT2                  110687681001 178663434  PHAN             HANG       18   21298808291          12/28/2022           1       $93.00      $72.75
      CKPT2                  110687681001 178663434  PHAN             HANG       18   21298808291          12/28/2022           1      $367.00     $286.78
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100255426          01/09/2023           1       $39.00       $0.00
      CKPT2                  104901321001 204647270  DUTKA            LISA       18   22300321447          12/09/2022           1      $122.94       $0.00
      CKPT2                  104901321001 204647270  DUTKA            LISA       18   22300321447          12/09/2022           1      $148.10      $13.00
      CKPT2                  104974155001 205584798  WEYRICK          BENJAMIN   18   22018233409          01/06/2023           1    $1,200.00     $921.73
      CKPT2                  104974155001 205584798  WEYRICK          BENJAMIN   18   22018246529          01/06/2023           1      $750.00     $302.19
      CKPT2                  133360904001 833857884  SOK              KIMLENG    18   21298790740          11/29/2022           1      $109.00      $33.50
      CKPT2                  133360904001 833857884  SOK              KIMLENG    18   21298790740          11/29/2022           1      $110.00      $33.50
      CKPT2                  133360904001 833857884  SOK              KIMLENG    18   21298790740          11/29/2022           1      $109.00      $33.50
    CKPT2 Total                                                                                                                      $5,853.54   $1,840.94
    CLARK
      CLARK                  101767674001 166700538  AVALOS DE GALLEGOBLANCA     01   21398823973          01/02/2023           1      $681.00     $512.43
      CLARK                  129151144001 168786798  AGUAS            OLIVIA     18   22100081045          01/05/2023           1      $251.00       $0.00
      CLARK                  129151144001 168786798  AGUAS            OLIVIA     18   22100081045          01/05/2023           1      $380.00       $0.00
      CLARK                  110169138001 172701233  KEENEY           CONNOR     19   22300362842          01/10/2023           1      $130.00      $54.99
      CLARK                  110169138001 172701233  KEENEY           DEREK      19   21398701028          12/08/2022           1      $614.00     $266.31
      CLARK                  110169138001 172701233  KEENEY           JENNIFER   01   21398625273          12/27/2022           1       $77.00      $57.18
      CLARK                  110169138001 172701233  KEENEY           DEREK      19   21398701028          12/22/2022           1      $614.00     $266.31
      CLARK                  110169138001 172701233  KEENEY           JENNIFER   01   21398625273          12/27/2022           1       $96.00      $72.85
      CLARK                  110169138001 172701233  KEENEY           CONNOR     19   21398504819          12/29/2022           1      $150.00      $60.04
      CLARK                  110169138001 172701233  KEENEY           CONNOR     19   22300324380          12/23/2022           1      $130.00      $89.99
      CLARK                  110169138001 172701233  KEENEY           CONNOR     19   21398504819          12/29/2022           1      $130.00      $89.99

                                                                                                                                              PAGE:21 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      CLARK                  110169138001 172701233  KEENEY           ZACHARY    19   21398719227          01/04/2023           1      $130.00      $54.99
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1       $96.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1       $91.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1       $15.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1      $113.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1       $43.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1       $55.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   21499053653          12/27/2022           1      $143.00      $66.37
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1       $86.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1       $45.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   21498503069          12/16/2022           1      $150.00      $45.88
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1       $32.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038774          01/02/2023           1       $43.00       $0.00
      CLARK                  104456987001 199508159  SPANGLER         WILLIAM    18   22800370638          01/09/2023           1      $197.00      $67.69
    CLARK Total                                                                                                                      $4,492.00   $1,705.02
    CLEVE
      CLEVE                  130492405001 287687650  HUFFORD          RAYMOND    18   22100293470          01/06/2023           1      $135.00      $86.33
      CLEVE                  127519967001 290748068  MILLER           MELINDA    01   22100012216          01/04/2023           1       $55.00       $3.09
      CLEVE                  127519967001 290748068  MILLER           MELINDA    01   22100012216          01/04/2023           1       $90.00       $5.33
      CLEVE                  127520003001 301907644  HARP             LUCA       19   22200378902          01/06/2023           1       $33.00      $21.09
      CLEVE                  127520003001 301907644  HARP             LUCA       19   22200378902          01/06/2023           1      $277.04     $225.58
      CLEVE                  127520003001 301907644  HARP             LUCA       19   22200378902          01/06/2023           1       $16.00      $11.03
      CLEVE                  127520003001 301907644  HARP             LUCA       19   22200378902          01/06/2023           1      $324.28     $325.82
    CLEVE Total                                                                                                                        $930.32     $678.27
    DENV
       DENV                  104634536001 201582444  PRITCHARD        CARL       18   22500017544          12/12/2022           1      $336.00     $243.08
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600017003          12/30/2022           1      $125.00      $15.68
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600017003          12/30/2022           1      $355.00      $42.07
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600017003          12/30/2022           1      $130.00      $16.25
    DENV Total                                                                                                                         $946.00     $317.08
    FESPLT
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700292001          12/01/2022           1      $550.00     $553.32

                                                                                                                                              PAGE:22 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      FESPLT                 132900463001 356646568  OVALLES          SONIA      01   22100109624          01/03/2023           1       $14.00       $0.99
      FESPLT                 132900463001 356646568  OVALLES          SONIA      01   22100109624          01/03/2023           1      $187.00      $55.09
      FESPLT                 132900463001 356646568  OVALLES          SONIA      01   22100109624          01/03/2023           1       $24.00       $0.98
      FESPLT                 132900463001 356646568  OVALLES          SONIA      01   22100109624          01/03/2023           1       $32.00       $0.98
      FESPLT                 132900464001 363782957  BRIGHAM          DODIE      18   22200197205          12/05/2022           2      $222.00       $9.24
      FESPLT                 132884809001 373351965  DIAZ-MARTINEZ    ROMAN      19   22700013792          12/31/2022           1      $125.00      $91.14
      FESPLT                 132884809001 373351965  DIAZ-MARTINEZ    ROMAN      19   22700013792          12/31/2022          10       $10.00       $2.00
      FESPLT                 132900470001 378823964  NARDIN           DOUGLAS    18   21899151830          12/27/2022           1       $30.00      $31.72
      FESPLT                 132900470001 378823964  NARDIN           DOUGLAS    18   21899151830          12/27/2022           1       $40.00      $36.96
    FESPLT Total                                                                                                                     $1,234.00     $782.42
    FLEET
      FLEET                  102869483001 180505253  FOWLER           STEVEN     18   22500136515          12/23/2022           1      $315.00     $152.41
      FLEET                  102869483001 180505253  FOWLER           STEVEN     18   22500136516          12/16/2022           1      $315.00     $152.41
      FLEET                  127519983001 295668783  WILSON           DAVE       18   22018254166          12/14/2022           1      $304.11     $304.11
      FLEET                  127519983001 295668783  WILSON           DAVE       18   22018254166          12/14/2022           1      $200.71     $200.71
      FLEET                  127519983001 295668783  WILSON           DAVE       18   22018523445          12/23/2022           1      $152.05     $152.05
    FLEET Total                                                                                                                      $1,286.87     $961.69
    FORPK
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/03/2023           1       $55.00       $0.56
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/03/2023           1       $50.00       $0.56
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/05/2023           1       $45.00       $0.56
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/03/2023           1       $52.00       $0.56
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700203642          12/19/2022           1      $518.00     $300.27
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/10/2023           1       $55.00       $0.56
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/05/2023           1       $55.00       $0.56
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700295315          01/09/2023           1      $250.00       $3.09
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/05/2023           1       $52.00       $0.56
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/05/2023           1       $50.00       $0.56
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700295315          01/09/2023           1       $97.00       $3.09
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/10/2023           1       $50.00       $0.56
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/10/2023           1       $45.00       $0.57
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700389332          01/10/2023           1       $52.00       $0.57

                                                                                                                                              PAGE:23 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    FORPK Total                                                                                                                      $1,426.00     $312.63
    FRAZ
       FRAZ                  128991032001 195687564  DORTON           HEATHER    18   22800231009          01/03/2023           1       $90.00       $0.00
       FRAZ                  128991032001 195687564  DORTON           HEATHER    18   22800231009          01/03/2023           1      $257.00      $55.99
       FRAZ                  128991032001 195687564  DORTON           HEATHER    18   22800231010          01/03/2023           1      $495.00       $0.00
    FRAZ Total                                                                                                                         $842.00      $55.99
    GFADM
      GFADM                  135144200001 415962237  WEBB             ERIC       18   22200111361          12/21/2022           1      $349.00     $102.58
    GFADM Total                                                                                                                        $349.00     $102.58
    GFPLT
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700113775          01/05/2023           1       $45.20       $1.55
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700113775          01/05/2023           1       $37.90       $1.54
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700113775          01/05/2023           1       $34.70       $1.55
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700113775          01/05/2023           1       $54.70       $1.54
      GFPLT                  107807628001 421764429  GIBBS            ALFRED     18   22300109489          12/06/2022           1    $3,630.00     $879.83
      GFPLT                  107807628001 421764429  GIBBS            ALFRED     18   22300109534          12/09/2022           1    $3,630.00     $876.74
      GFPLT                  107807628001 421764429  GIBBS            ALFRED     18   22300109534          12/07/2022           1    $3,630.00     $876.74
      GFPLT                  133920055001 423862577  SUTTON           MARCHELL   18   22100195049          10/25/2022           1      $135.00      $37.40
      GFPLT                  133920055001 423862577  SUTTON           MARCHELL   18   22100195049          10/25/2022           1      $196.00      $49.45
      GFPLT                  133920055001 423862577  SUTTON           MARCHELL   18   22100109382          10/25/2022           1      $438.00     $117.72
    GFPLT Total                                                                                                                     $11,831.50   $2,844.06
    HAN4
       HAN4                  127519626001 215864525  KELLY            RICHARD    18   22300256067          01/10/2023           1      $178.00      $22.85
    HAN4 Total                                                                                                                         $178.00      $22.85
    HCOMP
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598983042          01/02/2023           1      $206.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598983042          01/02/2023           1      $324.00       $0.00
    HCOMP Total                                                                                                                        $530.00       $0.00
    INRDC
      INRDC                  130590380001 315889257  NELSON           DAVID      18   22200014547          01/05/2023           1       $20.00       $6.18
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22200293267          01/04/2023           1       $21.00       $2.06
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22200293267          01/04/2023           1      $120.00       $2.06

                                                                                                                                              PAGE:24 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22200293267          01/04/2023           1       $59.00       $2.06
    INRDC Total                                                                                                                        $220.00      $12.36
    INVAZ
      INVAZ                  135683031001 505802532  HAMILTON         JOLYNN     01   22300373954          01/12/2023           1       $55.00      $20.00
      INVAZ                  127930898001 527933346  RUELAS           MARA       01   22200013626          01/03/2023           1       $82.16       $2.52
      INVAZ                  127930898001 527933346  RUELAS           MARA       01   22200013626          01/03/2023           1      $102.46       $2.91
      INVAZ                  127930898001 527933346  RUELAS           MARA       01   22200013626          01/03/2023           1       $76.15       $2.41
      INVAZ                  127930898001 527933346  RUELAS           MARA       01   22200013626          01/03/2023           1       $47.93       $1.89
      INVAZ                  127930905001 600203917  GRADO            MIA        19   22018509156          12/05/2022           1      $811.00     $128.62
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100379573          12/13/2022           1      $208.00     $100.22
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100379573          12/15/2022           1      $208.00     $100.22
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100020039          12/12/2022           1      $998.00     $429.63
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100379573          12/12/2022           1      $403.00     $193.20
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100020530          12/01/2022           1      $498.00     $212.98
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100379573          12/14/2022           1      $208.00     $100.22
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100379573          12/16/2022           1      $213.00     $102.81
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100387388          01/09/2023           1       $66.15       $5.23
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100020530          12/01/2022           1    $1,743.00     $640.21
      INVAZ                  134397594001 601964765  AVITIA           JOHANNA    18   22018510121          01/10/2023           1      $223.55      $10.61
      INVAZ                  134397594001 601964765  GILDO AVITIA     JONATHAN   19   22017791602          12/31/2022           1       $25.00      $15.82
      INVAZ                  134397594001 601964765  GILDO AVITIA     JONATHAN   19   22017791602          12/31/2022           1       $80.00      $31.27
      INVAZ                  134397594001 601964765  GILDO AVITIA     JONATHAN   19   22017791602          12/31/2022           1       $80.00      $43.11
      INVAZ                  134397594001 601964765  GILDO AVITIA     JONATHAN   19   22017791602          12/31/2022           1       $25.00      $12.53
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500200039          10/28/2022           1      $331.00      $86.85
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500200039          10/28/2022           1       $29.00      $14.15
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500013307          12/13/2022           1      $250.00      $47.74
      INVAZ                  130630709001 619542889  GASTELUM         JAIME      18   21298161311          12/17/2022           1       $45.00       $4.54
      INVAZ                  132711083001 625134116  CABALLERO        FLORINA    18   22800201055          01/04/2023           1      $186.00       $4.07
      INVAZ                  132711083001 625134116  CABALLERO        FLORINA    18   22800201055          01/04/2023           1      $275.00      $61.03
      INVAZ                  127937168001 630492042  TEJEDA-MEXIA     GUADALUP   18   22800292158          12/09/2022           1       $79.00      $25.08
      INVAZ                  127937168001 630492042  TEJEDA-MEXIA     GUADALUP   18   22800292158          12/09/2022           1      $101.00      $29.15
      INVAZ                  131796707001 637528937  CARRILLO         ROSA       18   22500385528          01/06/2023           1       $33.06       $2.45

                                                                                                                                              PAGE:25 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      INVAZ                  131796707001 637528937  CARRILLO         ROSA       18   22500385528          01/06/2023           1      $294.38      $31.48
      INVAZ                  129848126001 731266038  ARZABA           FRANCISC   01   21598626342          12/30/2022           1      $335.00       $3.00
      INVAZ                  127930918001 764681843  RUIZ             NORMA      18   22400111713          12/14/2022           1       $20.00       $4.45
      INVAZ                  127930918001 764681843  RUIZ             NORMA      18   22400111713          12/14/2022           1       $20.00       $4.63
      INVAZ                  127930918001 764681843  RUIZ             NORMA      18   22400111713          12/14/2022           1      $125.00     $101.86
    INVAZ Total                                                                                                                      $8,276.84   $2,576.89
    INVIN
      INVIN                  129586960001 303504176  WAGGONER         TRACI      18   22100202611          01/05/2023           1      $120.00      $34.21
      INVIN                  129586960001 303504176  WAGGONER         TRACI      18   22100202611          01/05/2023           1      $100.00      $42.59
      INVIN                  132990698001 304924146  HOLMES           SIERRA     19   22200110519          01/03/2023           1      $150.00       $6.18
      INVIN                  127920399001 306889778  REYNOLDS         TRACY      18   22600198083          01/06/2023           1       $11.00       $6.18
      INVIN                  127920399001 306889778  REYNOLDS         TRACY      18   22600200421          01/06/2023           1      $396.00     $192.48
      INVIN                  135300727001 313764168  HERBER           JACQUELI   18   22100293305          01/06/2023           4      $292.00       $2.06
      INVIN                  135300727001 313764168  HERBER           JACQUELI   18   22100010375          01/03/2023           1      $120.00      $29.88
      INVIN                  135300727001 313764168  HERBER           JACQUELI   18   22100107357          01/05/2023           1      $175.00      $92.81
      INVIN                  135300727001 313764168  HERBER           JACQUELI   18   22100293305          01/06/2023           1       $63.00       $2.06
      INVIN                  135300727001 313764168  HERBER           JACQUELI   18   22100293305          01/06/2023           1      $341.00      $89.91
      INVIN                  134876903001 313840326  WILSON           SHELLY     18   22500291244          12/07/2022           1      $130.00       $8.76
      INVIN                  134876903001 313840326  WILSON           SHELLY     18   22500291244          12/07/2022           1      $139.00      $76.79
      INVIN                  127920420001 317601973  CALVERT          GEORGE     18   22018504248          01/06/2023           3      $300.00       $3.09
      INVIN                  127920420001 317601973  CALVERT          GEORGE     18   22018305235          01/04/2023           4      $400.00       $6.18
      INVIN                  127920420001 317601973  CALVERT          GEORGE     18   22018504248          01/06/2023           1       $98.00       $3.09
      INVIN                  127930884001 317763433  GINTER           NONDIS     18   22600196799          01/06/2023           1      $133.00      $52.09
      INVIN                  127930884001 317763433  GINTER           NONDIS     18   22600196799          01/06/2023           1       $63.00      $28.51
    INVIN Total                                                                                                                      $3,031.00     $676.87
    KCSLS
      KCSLS                  130539776001 349708883  DONALDSON        TYLER      19   22500112798          12/27/2022           1    $3,005.00   $2,408.88
      KCSLS                  130539776001 349708883  DONALDSON        TONY       18   22500112012          12/27/2022           1      $432.00     $350.47
      KCSLS                  130539776001 349708883  DONALDSON        TYLER      19   22500112162          01/04/2023           1       $73.00       $2.44
      KCSLS                  130539776001 349708883  DONALDSON        ABBEY      19   22500020350          01/05/2023           1       $20.25       $2.00
      KCSLS                  130539776001 349708883  DONALDSON        TYLER      19   22500112798          12/27/2022           1      $432.00     $350.47
      KCSLS                  130539776001 349708883  DONALDSON        TYLER      19   22500112162          01/04/2023           1      $126.00       $2.44

                                                                                                                                              PAGE:26 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      KCSLS                  130539776001 349708883  DONALDSON        ABBEY      19   22500020350          01/05/2023           1      $173.55      $61.68
      KCSLS                  130539776001 349708883  DONALDSON        TONY       18   22500112012          12/27/2022           1    $3,005.00   $2,408.88
      KCSLS                  130539776001 349708883  DONALDSON        TYLER      19   22500112162          01/04/2023           1      $222.00       $2.44
      KCSLS                  130539776001 349708883  DONALDSON        TYLER      19   22500112162          01/04/2023           1       $20.00       $2.43
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600108170          01/02/2023           1       $22.00       $4.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600294483          01/02/2023           1      $141.82       $4.00
      KCSLS                  130539779001 352545378  SINNETT          SUZANNA    18   22800108761          12/16/2022           1       $11.00       $4.14
      KCSLS                  130539779001 352545378  SINNETT          SUZANNA    18   22800108761          12/16/2022           1       $19.00       $4.13
      KCSLS                  130539779001 352545378  SINNETT          SUZANNA    18   22800108761          12/16/2022           1       $22.00       $4.13
      KCSLS                  130539789001 359703783  SCAPECCHI        ALLISON    19   22018504732          01/10/2023           1      $119.95      $29.75
      KCSLS                  130539789001 359703783  SCAPECCHI        ALLISON    19   22018312600          01/06/2023           1       $38.85       $5.66
      KCSLS                  130539789001 359703783  SCAPECCHI        ALLISON    19   22018504732          01/10/2023           1       $66.67       $2.00
      KCSLS                  130539789001 359703783  SCAPECCHI        ALLISON    19   22018312600          01/06/2023           1      $103.95       $2.00
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22600201302          12/22/2022           1       $62.00      $46.55
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22600201302          12/22/2022           1       $62.00      $32.59
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22600201832          12/16/2022           1       $62.00      $29.79
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22600201832          12/16/2022           1       $62.00      $33.11
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22600201832          12/16/2022           1       $62.00      $47.06
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22600201302          12/22/2022           1       $62.00      $29.27
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22600201302          12/22/2022           1       $62.00      $27.34
    KCSLS Total                                                                                                                      $8,488.04   $5,897.65
    KMPLT
      KMPLT                  106563632001 266491401  GAIA             THOMAS     19   22500108236          12/28/2022           1      $233.00      $85.04
    KMPLT Total                                                                                                                        $233.00      $85.04
    LAUR
       LAUR                  110063980001 161605303  KING             SONYA      18   22100300383          12/21/2022           1      $283.00     $257.18
       LAUR                  110063980001 161605303  KING             SONYA      18   22100300383          12/21/2022           1      $121.00      $51.86
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21194874025          10/21/2022          (4) ($1,180.00)     ($9.75)
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100018605          12/30/2022           1       $90.00      $71.28
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21196063778          11/11/2022         423   $26,557.25  $10,519.80
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21196063778          11/11/2022          77    $4,823.50   $1,943.92
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21194874025          10/21/2022         400   $25,116.50   $9,348.03

                                                                                                                                              PAGE:27 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21196063778          11/11/2022           1    $1,109.00   $1,478.21
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21196063778          11/11/2022          (4) ($1,180.00)   ($602.41)
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21194874025          10/21/2022           1    $1,109.00   $1,479.03
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21194874025          10/21/2022           4    $1,180.00     $744.07
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21196063778          11/11/2022           4    $1,180.00     $743.26
    LAUR Total                                                                                                                      $59,209.25  $26,024.48
    MKTG
       MKTG                  110508697001 178620054  GANS             JENNIFER   18   21198850466          08/15/2022           1      $140.00      $79.93
       MKTG                  110508697001 178620054  GANS             NORA       19   22017071560          12/08/2022           1      $185.00     $119.36
       MKTG                  110508697001 178620054  GANS             KIERAN     19   21198762535          01/03/2023           1      $130.00      $89.99
       MKTG                  110508697001 178620054  GANS             KIERAN     19   21198762535          01/03/2023           1      $150.00      $60.04
       MKTG                  110508697001 178620054  GANS             NORA       19   22017071560          12/08/2022           1       $30.00      $16.54
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1       $55.00       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1)    ($36.00)       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1      $508.00     $933.89
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1)    ($86.00)       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1)    ($15.00)       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1       $43.00       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1)   ($141.00)       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1)   ($508.00)   ($416.88)
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1)    ($43.00)       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1    $3,137.00   $1,985.11
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1)   ($508.00)   ($182.70)
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1       $15.00       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1      $508.00     $228.37
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1)     ($1.25)       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1    $1,489.00   $1,056.48
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1      $141.00       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1       $36.00       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1        $1.25       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1) ($1,352.00)   ($497.00)
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022          (1)    ($55.00)       $0.00

                                                                                                                                              PAGE:28 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1       $86.00       $0.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   21589940191          08/14/2022           1    $1,352.00     $611.23
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21657740184          03/02/2021         120    $5,579.24   $3,954.17
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21659658486          04/26/2021         120    $5,579.24   $4,551.08
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21672912075          11/08/2021         120    $5,579.24   $4,551.08
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21693432171          09/26/2022         120    $5,861.52   $4,781.14
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   22600011706          01/06/2023           2      $100.00       $2.00
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21695460195          10/24/2022         120    $5,861.52   $4,781.14
       MKTG                  131796681001 343766021  KELLY            GRACE      19   22600293262          01/04/2023           1      $104.00      $24.49
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21675486735          01/03/2022         120    $5,746.60   $4,551.08
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21664700087          07/19/2021         120    $5,579.24   $4,551.08
       MKTG                  131796681001 343766021  KELLY            GRACE      19   22600201980          01/04/2023           1      $243.00     $153.03
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21666362165          08/16/2021         120    $5,579.24   $4,551.08
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21657817838          02/23/2021         120    $5,579.24   $3,535.70
       MKTG                  131796681001 343766021  KELLY            GRACE      19   22600108133          01/04/2023           1      $158.00      $29.02
       MKTG                  131796681001 343766021  KELLY            GRACE      19   22600108133          01/04/2023           1      $158.00      $29.02
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21658350097          03/29/2021         120    $5,579.24   $4,551.08
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21661328148          05/24/2021         120    $5,579.24   $4,551.08
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21668570053          09/13/2021         120    $5,579.24   $4,551.08
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21696951499          11/21/2022         120    $5,861.52   $4,781.14
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21670367418          10/11/2021         120    $5,579.24   $4,551.08
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   22600011706          01/06/2023           1       $90.00       $2.00
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21673564198          12/06/2021         120    $5,579.24   $4,551.08
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   22600199223          01/07/2023           1      $135.00      $54.36
       MKTG                  131796681001 343766021  KELLY            MICHAEL    18   21663181731          06/21/2021         120    $5,579.24   $4,551.08
    MKTG Total                                                                                                                      $96,531.04  $76,273.45
    MOBL
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800290986          12/31/2022           1       $40.00      $12.67
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800290986          12/31/2022           2       $68.00      $23.79
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800290986          12/31/2022           1      $250.00     $112.79
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800290986          12/31/2022           1      $100.00      $32.56
    MOBL Total                                                                                                                         $458.00     $181.81

                                                                                                                                              PAGE:29 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    NEW
        NEW                  127519134001 097589598  ATTANASIO        RICHARD    18   22600300678          12/14/2022           1      $138.00      $21.75
    NEW Total                                                                                                                          $138.00      $21.75
    OHRDC
      OHRDC                  127519956001 283969841  VAUGHN           CHLOE      01   22018406346          01/03/2023           1      $160.86       $6.18
    OHRDC Total                                                                                                                        $160.86       $6.18
    PLT1
       PLT1                  127519192001 160549555  BITTLE           CHRIS      18   22100322312          12/23/2022           1      $148.10      $13.00
       PLT1                  127519192001 160549555  BITTLE           CHRIS      18   22100322312          12/23/2022           1       $33.67       $0.00
       PLT1                  127519192001 160549555  BITTLE           CHRIS      18   22100322312          12/23/2022           1       $21.89       $0.00
       PLT1                  127519192001 160549555  BITTLE           CHRIS      18   22100322312          12/23/2022           1       $88.07       $0.00
    PLT1 Total                                                                                                                         $291.73      $13.00
    PLT18
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800202905          12/20/2022           1      $468.00     $403.14
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800202803          12/23/2022           1      $127.00      $82.65
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800202685          12/22/2022           1      $180.00     $118.37
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800385772          12/27/2022           1       $95.00      $52.98
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800202905          12/20/2022           1      $231.00     $191.21
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800385667          12/23/2022           1      $277.00     $144.18
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800202993          12/26/2022           1      $127.00      $83.68
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800202803          12/25/2022           1      $127.00      $82.65
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800202993          12/27/2022           1      $127.00      $95.41
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800202685          12/20/2022           1      $347.00     $251.98
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   22800202803          12/24/2022           1      $127.00      $82.65
      PLT18                  107833107001 423665791  POWELL           SIDNEY     01   22300109433          12/28/2022           1       $43.00      $18.50
    PLT18 Total                                                                                                                      $2,276.00   $1,607.40
    PLT2
       PLT2                  131463684001 128867494  MIZHQUIRI        MARIA      18   22018204074          12/13/2022           1       $82.30       $0.00
       PLT2                  131463684001 128867494  MIZHQUIRI        MARIA      18   22018204074          12/13/2022           1      $293.75       $0.00
       PLT2                  127519163001 142153055  REINOSO          MARINO     18   22800048700          01/06/2023           1      $197.00      $52.69
       PLT2                  101499891001 163442294  STOCKHAM         LESLIE     01   21698626813          12/15/2022           1       $35.00       $0.00
       PLT2                  101499891001 163442294  STOCKHAM         IVAN       18   21699357879          12/29/2022           1      $520.93       $0.00

                                                                                                                                              PAGE:30 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  101499891001 163442294  STOCKHAM         LESLIE     01   21698626813          12/15/2022           1       $88.00       $0.00
       PLT2                  127519261001 170540907  WOLFE            ALLAN      01   21798752802          12/28/2022          (1)    ($24.00)    ($12.36)
       PLT2                  127519261001 170540907  WOLFE            ALLAN      01   21798828194          12/27/2022           1      $507.00     $610.00
       PLT2                  127519261001 170540907  WOLFE            ALLAN      01   21798828194          12/27/2022           1      $507.00       $0.00
       PLT2                  127519261001 170540907  WOLFE            ALLAN      01   21798752802          12/28/2022           1       $48.00      $24.72
       PLT2                  102145149001 171562662  KAGARISE         JILL       18   22017944597          01/03/2023           1      $110.00      $50.70
       PLT2                  134967804001 172826486  AGUILAR-DUARTE   ADAN       18   21699423121          01/04/2023           1       $80.00       $0.00
       PLT2                  102382277001 174521550  GROFT            MICHAEL    18   21598950353          01/04/2023           1      $251.00      $85.81
       PLT2                  116931972001 178529355  TRIVITT          LAURA      18   21398701029          12/31/2022           1       $98.00      $29.56
       PLT2                  116931972001 178529355  TRIVITT          LAURA      18   21398701029          12/31/2022           1       $10.00       $0.00
       PLT2                  116931972001 178529355  TRIVITT          LAURA      18   21398701029          12/31/2022           1      $298.00     $115.56
       PLT2                  116931972001 178529355  TRIVITT          LAURA      18   21398701029          12/31/2022           1      $213.00      $82.86
       PLT2                  127519409001 186809245  SORIANO          LUZAIDA    18   21298824086          01/02/2023           1      $350.00      $37.85
       PLT2                  103705690001 190526476  GLADFELTER       CIERRA     19   22400272726          01/10/2023           1      $243.00     $120.43
       PLT2                  115777877001 195681468  SANDERS          WILLIAM    18   22500103470          12/02/2022           1      $130.50       $0.00
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22018058225          12/01/2022           1      $141.00      $66.94
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22017976958          10/26/2022           1       $37.00      $12.51
       PLT2                  133541361001 197620638  RUPPERT          ANNA       18   22018278567          01/09/2023           1      $172.00      $85.81
       PLT2                  127519485001 197740792  ROJO-OROZCO      LARISSA    19   22600177501          01/06/2023           1      $190.00      $91.85
       PLT2                  127519485001 197740792  ROJO OROZCO      VALERIA    19   22600324131          01/09/2023           1      $190.00      $91.85
       PLT2                  104457985001 199521172  MILLHIMES        WENDY      18   21794615292          10/25/2022           1      $145.00      $38.56
       PLT2                  104457985001 199521172  MILLHIMES        WENDY      18   21794615292          10/25/2022           1      $117.00      $30.99
       PLT2                  104457985001 199521172  MILLHIMES        WENDY      18   21794615292          10/25/2022          (1)   ($145.00)    ($38.56)
       PLT2                  127519519001 203660386  HARRISON         JAYDEN     19   22400090183          01/08/2023           1       $49.00       $0.00
       PLT2                  127519519001 203660386  WAGNER           ELIZABET   01   22400272757          01/06/2023           1       $33.00       $0.00
       PLT2                  127519519001 203660386  HARRISON         JAYDEN     19   22400090183          01/08/2023           1      $119.00      $22.85
       PLT2                  113739743001 208381887  BANGE            JONELET    18   21298897865          12/30/2022           1       $33.25       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200070479          01/04/2023           1       $20.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200070478          01/04/2023           1      $268.00      $20.07
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200081189          12/21/2022           1      $247.00      $97.94
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200235252          12/05/2022           1    $1,442.00   $1,442.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200070479          01/04/2023           1       $98.00       $0.00

                                                                                                                                              PAGE:31 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200352475          01/10/2023           1      $178.00      $22.85
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200101343          01/04/2023           1       $42.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200070479          01/04/2023           1       $41.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200054337          01/05/2023          40    $1,811.67       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200070479          01/04/2023           1       $56.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200235252          12/05/2022           6       $73.65      $73.65
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200054337          01/05/2023          16      $174.59       $0.00
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1      $175.00     $179.37
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1       $15.00       $0.00
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           4       $27.75       $0.00
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1        $1.50       $0.00
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1       $63.00       $0.00
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1      $175.00     $916.97
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1       $25.00       $0.00
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1       $86.00       $0.00
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1    $3,137.00   $1,389.80
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1    $2,147.00   $1,031.35
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1       $55.00       $0.00
       PLT2                  123271381001 341175774  RUGERIO-DE-ESPINOLAURA      18   21198768592          12/30/2022           1       $65.00       $0.00
       PLT2                  120434340001 352876572  GARCIA VIALET    ANYA       19   22300324378          01/09/2023           1       $20.00       $0.00
       PLT2                  120434340001 352876572  GARCIA VIALET    ANYA       19   22300324378          01/09/2023           1       $28.00       $0.00
       PLT2                  120434340001 352876572  GARCIA VIALET    ANYA       19   22300324378          01/09/2023           1      $130.00      $54.99
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $91.00      $54.50
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1      $118.00      $57.06
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $41.00      $26.78
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $86.00      $51.02
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $88.00      $47.06
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $15.00       $0.00
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $86.00      $42.22
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $81.00      $41.30
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $92.00      $49.54
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $85.00      $42.94

                                                                                                                                              PAGE:32 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $42.00      $25.86
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021          (1)    ($15.00)       $0.00
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $42.00      $25.86
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1       $34.00      $20.71
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21091207207          12/10/2021           1      $100.00      $60.30
       PLT2                  108744588001 527454485  MORROW           AUSTIN     19   22018058206          01/03/2023           1       $18.00       $0.00
       PLT2                  108744588001 527454485  MORROW           AUSTIN     19   22018132249          01/03/2023           1      $350.00     $130.62
       PLT2                  127691996001 583773933  SANTIAGO-LOPEZ   MELVIN     18   22500126701          01/06/2023           1      $199.00      $50.70
       PLT2                  132576292001 584414035  PEREZ            JUAN       18   22100050905          01/03/2023           1       $66.00       $0.00
       PLT2                  133740679001 594614288  NALAVANY         IVAN       18   22400142238          12/28/2022           1      $101.00       $3.48
       PLT2                  127520437001 624808373  ROJO GARCIA      GAEL       19   22400253378          11/22/2022           1      $534.00     $220.88
       PLT2                  127520464001 750970007  RAMIREZ          JOEL       01   21498852885          12/30/2022           1      $696.00       $0.00
       PLT2                  127520464001 750970007  RAMIREZ          JOEL       01   21498852885          12/30/2022           1    $1,202.00      $98.37
       PLT2                  127520464001 750970007  RAMIREZ          JOEL       01   21498852885          12/30/2022           1       $18.00       $0.00
       PLT2                  127520464001 750970007  RAMIREZ          JOEL       01   21498852885          12/30/2022           1       $56.00       $0.00
       PLT2                  127520464001 750970007  RAMIREZ          JOEL       01   21498852885          12/30/2022           1       $17.75       $0.00
       PLT2                  127520464001 750970007  RAMIREZ          JOEL       01   21498852885          12/30/2022           1        $9.35       $0.00
    PLT2 Total                                                                                                                      $19,974.99   $7,878.81
    PLT3
       PLT3                  127519079001 027607293  KLECKER          MELISSA    19   22500255972          01/05/2023           1       $37.00       $0.00
       PLT3                  133152544001 140625700  LEVENS           MARIA      01   22100177625          01/09/2023           1      $197.00      $67.69
       PLT3                  101207297001 159547083  SPANGLER         PHILLIP    01   21296762160          07/17/2022           1      $143.00      $66.37
       PLT3                  101207297001 159547083  SPANGLER         PHILLIP    01   21296762160          07/16/2022           1      $143.00      $66.37
       PLT3                  101207297001 159547083  SPANGLER         PHILLIP    01   21296762160          07/15/2022           1      $206.00      $95.36
       PLT3                  101207297001 159547083  SPANGLER         PHILLIP    01   21296762160          07/14/2022           1      $206.00      $95.36
       PLT3                  101281788001 160544510  SANDERS          SUSAN ME   01   22018364307          01/06/2023           2      $135.15       $0.00
       PLT3                  101281788001 160544510  SANDERS          SUSAN ME   01   22018364307          01/06/2023          18       $10.40       $0.00
       PLT3                  101281788001 160544510  SANDERS          SUSAN ME   01   22018364307          01/06/2023           1    $1,408.00   $2,826.44
       PLT3                  101281788001 160544510  SANDERS          SUSAN ME   01   22018364307          01/06/2023          10        $2.40       $0.00
       PLT3                  101281788001 160544510  SANDERS          SUSAN ME   01   22018364307          01/06/2023          23      $713.00       $0.00
       PLT3                  101281788001 160544510  SANDERS          SUSAN ME   01   22018364307          01/06/2023          31    $1,426.00       $0.00
       PLT3                  110016188001 165760678  GUTIERREZ        MARIA      01   22800071219          01/03/2023           1      $367.00     $313.80

                                                                                                                                              PAGE:33 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  110016188001 165760678  GUTIERREZ        MARIA      01   22800071219          01/03/2023           1       $93.00      $79.61
       PLT3                  132547832001 166583384  HUNSINGER        RICHARD    18   22800071221          01/03/2023         100       $54.45       $0.00
       PLT3                  132547832001 166583384  HUNSINGER        RICHARD    18   22800071221          01/03/2023           1    $4,257.00       $0.00
       PLT3                  135300725001 166700386  HERNANDEZ GUZMAN CLAUDIO    18   21898783864          11/04/2022           1      $185.00     $162.20
       PLT3                  135300725001 166700386  HERNANDEZ GUZMAN CLAUDIO    18   21898783864          11/04/2022           1      $393.00      $99.80
       PLT3                  135300725001 166700386  HERNANDEZ GUZMAN CLAUDIO    18   21898783864          11/04/2022           1       $37.00       $0.00
       PLT3                  135300725001 166700386  HERNANDEZ GUZMAN CLAUDIO    18   21898783864          11/04/2022           1       $50.00      $54.06
       PLT3                  101995144001 169643780  EDELIN           STEWART    18   21799180629          01/04/2023           1      $251.00      $67.69
       PLT3                  110016127001 175586888  HOLSOPPLE        JULIE      01   22200119550          12/19/2022           1      $304.11     $304.11
       PLT3                  110016127001 175586888  HOLSOPPLE        JULIE      01   22200119550          12/19/2022           5        $0.40       $0.40
       PLT3                  110016127001 175586888  HOLSOPPLE        SETH       18   22017926598          12/12/2022           1       $55.00       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   21899217685          01/04/2023           1       $74.00      $42.45
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   21899285489          01/02/2023           1       $98.00       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   21899285489          01/02/2023           1       $41.00       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   22800159876          01/05/2023           1       $83.00     $107.54
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   22800054861          01/05/2023           4       $21.11       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   21899217685          01/04/2023           1      $302.00     $122.86
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   21899217685          01/04/2023           1      $455.00     $321.19
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   21899217685          01/04/2023           1       $24.00      $15.25
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   21899285489          01/02/2023           1       $20.00       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   22800054861          01/05/2023          80      $222.04       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   21899217685          01/04/2023           1       $40.00      $20.20
       PLT3                  109991118001 182545652  HALFMAN          JAKE       19   21398823345          01/06/2023           1      $225.00     $128.53
       PLT3                  121933069001 187601997  BRADY            MONICA     01   21799198047          01/05/2023           1      $133.00      $22.85
       PLT3                  110043145001 191785424  SEHAGIC          LJILJANA   18   22100157169          12/29/2022           1       $15.00       $0.00
       PLT3                  110043145001 191785424  SEHAGIC          LJILJANA   18   22100157169          12/29/2022           1       $78.00      $10.16
       PLT3                  110043145001 191785424  SEHAGIC          LJILJANA   18   22100157169          12/29/2022           1      $314.00      $45.89
       PLT3                  110043145001 191785424  SEHAGIC          LJILJANA   18   22100157169          12/29/2022           1      $317.00      $45.89
       PLT3                  110043145001 191785424  SEHAGIC          LJILJANA   18   22100157169          12/29/2022           1      $106.00      $11.06
       PLT3                  127519454001 192723182  HOHF             DELANEY    19   22200178964          01/10/2023           1      $125.00       $0.00
       PLT3                  127519454001 192723182  HOHF             DELANEY    19   22200178964          01/10/2023           1       $40.00       $0.00
       PLT3                  127519454001 192723182  HOHF             DELANEY    19   22200178964          01/10/2023           1      $135.00      $82.35

                                                                                                                                              PAGE:34 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22017377465          12/19/2022           1       $20.00      $11.87
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22017377465          12/19/2022           1       $20.00      $10.45
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22017377465          12/19/2022           1       $47.00      $33.32
       PLT3                  104231405001 196602340  CRAWFORD         TINA       18   21298732831          12/29/2022           1       $77.00      $57.18
       PLT3                  104231405001 196602340  CRAWFORD         TINA       18   21298732831          12/29/2022           1       $96.00      $72.85
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   22800169983          01/04/2023           1      $319.00       $0.00
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   21898946582          12/27/2022           1      $442.00     $303.82
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   22800102045          01/04/2023           1      $123.00       $0.00
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   22800102045          01/04/2023           1      $221.00       $0.00
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   21898946582          12/27/2022           1       $93.00      $57.53
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   21898946582          12/27/2022           1      $268.00     $230.46
       PLT3                  104631015001 201561854  WRIGHT           ALLEN      01   21398770900          12/15/2022           1      $170.00      $85.70
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   21398701027          12/30/2022           1    $1,194.67   $3,693.31
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   21398701027          12/30/2022           6        $3.75       $0.00
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   21398701027          12/30/2022          40    $1,840.00       $0.00
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   21398701027          12/30/2022          19       $11.05       $0.00
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   21398701027          12/30/2022           3      $498.00       $0.00
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   22300054607          12/30/2022           3      $429.00     $121.92
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   21398701027          12/30/2022          29      $899.00       $0.00
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   21398701027          12/30/2022           1      $597.33   $1,846.67
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   21398701027          12/30/2022           4      $222.57       $0.00
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   21398701027          12/30/2022           1       $55.00       $0.00
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   22300169325          12/30/2022           1      $667.00     $305.03
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   22300169325          12/30/2022           1      $588.00     $120.73
       PLT3                  104798408001 203542957  ZINK             MELISSA    01   22500081014          01/04/2023           1       $42.00       $0.00
       PLT3                  127519540001 206720996  SCHRUM           KEEGAN     19   21798826259          12/27/2022           1      $130.00      $89.99
       PLT3                  127519540001 206720996  SCHRUM           KEEGAN     19   21798826259          12/27/2022           1      $150.00      $60.04
       PLT3                  127519540001 206720996  SCHRUM           KEEGAN     19   21798826259          12/27/2022           1       $28.00      $11.03
       PLT3                  127519540001 206720996  SCHRUM           TROY       18   21799093624          01/04/2023           1      $178.00      $50.70
       PLT3                  127519540001 206720996  SCHRUM           KEEGAN     19   21798826259          12/27/2022           1       $20.00       $0.00
       PLT3                  127519540001 206720996  NOEL             KAMERAN    19   22700080527          01/05/2023           1      $130.00      $54.99
       PLT3                  127519540001 206720996  SCHRUM           HOLLY      01   21799180649          01/05/2023           1      $178.00      $50.70

                                                                                                                                              PAGE:35 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  127519555001 208541945  TAYLOR           AMANDA     19   22400048934          01/06/2023           1       $49.00       $0.00
       PLT3                  127519555001 208541945  TAYLOR           AMANDA     19   22400048934          01/06/2023           1      $119.00      $22.85
       PLT3                  127519566001 209607097  RUDY             ADDISON    19   22600082093          01/08/2023           1      $350.00     $102.69
       PLT3                  127519566001 209607097  RUDY             ADDISON    19   22600082093          01/08/2023           1       $77.00      $57.18
       PLT3                  127519566001 209607097  RUDY             ADDISON    19   22600082093          01/08/2023           1       $33.00      $10.50
       PLT3                  132711080001 210768627  KRESS            AMANDA     01   22500269899          01/04/2023           1       $15.00       $0.00
       PLT3                  132711080001 210768627  KRESS            AMANDA     01   22500269899          01/04/2023           1      $119.00     $176.25
       PLT3                  132711080001 210768627  KRESS            AMANDA     01   22500269899          01/04/2023           1      $184.00       $0.00
       PLT3                  132711080001 210768627  KRESS            AMANDA     01   22500269899          01/04/2023           1       $31.00       $0.00
       PLT3                  132711080001 210768627  KRESS            AMANDA     01   22500269899          01/04/2023           1       $45.00       $0.00
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   22100268582          01/07/2023           1       $15.00       $0.00
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   22100268582          01/07/2023           1       $64.00       $0.00
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   22100268582          01/07/2023           1       $55.00       $0.00
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   22100268582          01/07/2023           1       $69.00       $0.00
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   22100268582          01/07/2023           1      $106.00       $0.00
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   22100268582          01/07/2023           1       $86.00       $0.00
       PLT3                  115855874001 214786225  BECKER           THOMAS     18   22800232701          01/06/2023           1      $110.00      $35.70
       PLT3                  105637507001 215905674  CLARK            WILLIAM    18   22700279709          01/06/2023           3      $237.00       $0.00
       PLT3                  105637507001 215905674  CLARK            WILLIAM    18   22700279709          01/06/2023           1       $99.00       $0.00
       PLT3                  127519640001 216941852  HOFFMAN          BILLIE J   01   22800038542          01/04/2023           1      $111.00       $0.00
       PLT3                  127519640001 216941852  HOFFMAN          BILLIE J   01   22800038542          01/04/2023           1       $15.00       $0.00
       PLT3                  105767315001 219820399  LIPPY            JOHN       01   22800262049          01/10/2023           1      $250.00     $107.86
       PLT3                  135019261001 254291848  KELLY            MICHAEL    18   22100177673          01/09/2023           1      $180.00      $70.81
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21799102644          12/12/2022           1       $78.00       $3.48
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21799102766          10/16/2022           1       $24.00       $0.00
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21799102650          08/01/2022           1      $119.00      $35.70
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21799102648          03/16/2022           1      $180.00      $70.50
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21799102765          10/16/2022           1       $18.00       $0.00
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21799102649          06/20/2022           1       $78.00       $2.24
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21799102643          04/27/2022           1      $180.00      $70.50
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21799102593          12/14/2022           1      $243.00     $120.43
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500048258          01/06/2023           1      $266.00     $109.87

                                                                                                                                              PAGE:36 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   21498953645          12/29/2022           1      $319.00      $98.14
    PLT3 Total                                                                                                                      $27,223.43  $13,638.47
    PLT4
       PLT4                  127519155001 135066869  TORRES           RICARDO    01   22017954467          07/18/2022           1       $49.00       $0.00
       PLT4                  127519155001 135066869  TORRES           RICARDO    01   22017954467          07/18/2022           1      $180.00      $67.69
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (1)   ($288.00)   ($453.20)
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1      $111.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1       $75.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1      $393.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (1)   ($393.00)       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1    $3,137.00   $2,340.42
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (1)    ($75.00)       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (1)    ($86.00)       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1      $288.00     $362.56
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1       $15.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1      $980.00     $901.40
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (2)     ($3.25)       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (1)   ($980.00)   ($901.40)
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (1)   ($111.00)       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           2        $3.25       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (1)    ($55.00)       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1       $55.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (1)    ($15.00)       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022          (1)    ($63.00)       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1       $86.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1       $63.00       $0.00
       PLT4                  101756966001 166609552  COOL             SEAN       19   22500355542          01/10/2023           1      $245.00      $55.99
       PLT4                  101766063001 166683029  HENRY            REBECCA    19   22300381211          01/04/2023           1      $175.00       $6.18
       PLT4                  101766063001 166683029  HENRY            CHRISTOP   19   22300107166          01/03/2023           1      $275.00       $4.00
       PLT4                  101766063001 166683029  HENRY            CHRISTOP   19   22300386388          01/10/2023           1      $275.00       $4.00
       PLT4                  103188167001 184461810  BAKER            MICHELLE   01   22800048578          01/05/2023           1      $119.00      $22.85
       PLT4                  103876644001 192521870  MCMASTER         HANNAH     19   22300038301          01/04/2023           1      $111.00       $0.00

                                                                                                                                              PAGE:37 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  103876644001 192521870  MCMASTER         HANNAH     19   21398835916          01/02/2023           1      $111.00       $0.00
       PLT4                  103876644001 192521870  MCMASTER         HANNAH     19   22300318846          01/06/2023           1      $135.00       $0.00
       PLT4                  103876644001 192521870  MCMASTER         HANNAH     19   22300038301          01/04/2023           1       $15.00       $0.00
       PLT4                  103876644001 192521870  MCMASTER         HANNAH     19   21398835916          01/02/2023           1       $15.00       $0.00
       PLT4                  132434732001 206762510  BAKER            MORGAN     01   22200168395          01/09/2023           1      $242.00      $85.00
       PLT4                  105217356001 208484437  DUBBS            TERRY      18   22300198345          01/06/2023           1      $105.00       $2.06
       PLT4                  105217356001 208484437  DUBBS            TERRY      18   22300198345          01/06/2023           1      $280.00     $123.16
       PLT4                  105217356001 208484437  DUBBS            TERRY      18   22300198345          01/06/2023           1       $60.00      $56.11
       PLT4                  127519607001 214112478  MISTER           DANIEL     18   21298746116          12/28/2022           1      $430.00     $308.47
       PLT4                  127519646001 217272572  EDELIN           ALBINA     18   21598950365          01/05/2023           1      $178.00      $50.70
       PLT4                  120983409001 220251535  GREENLEE         BRETT      18   22018142434          01/05/2023           1       $23.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         BRETT      18   22018188503          01/05/2023           1       $36.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         BRETT      18   22018196755          01/05/2023           1      $394.00      $86.62
       PLT4                  120983409001 220251535  GREENLEE         BRETT      18   22018188503          01/05/2023           1       $54.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         BRETT      18   22018188503          01/05/2023           1       $55.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         SINICA     19   22018388573          01/09/2023           1       $49.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         BRETT      18   22018188503          01/05/2023           1       $15.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         SINICA     19   22018388572          01/09/2023           1       $56.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         SINICA     19   22018388573          01/09/2023           1      $119.00      $22.85
       PLT4                  120983409001 220251535  GREENLEE         BRETT      18   22018293957          01/05/2023           1      $180.00      $52.69
       PLT4                  130166364001 499081132  NEWELL           STETSON    19   21398719223          12/30/2022           1       $80.00      $21.16
       PLT4                  130166364001 499081132  NEWELL           WALKER     19   21398616496          12/29/2022           1      $275.00     $499.14
       PLT4                  127520422001 613122715  MORENO           JOSE       18   22700372194          01/11/2023           1      $120.00      $35.70
       PLT4                  129277059001 616488755  ARCEO            JESUS      18   21699288490          12/29/2022           1      $133.00      $22.85
       PLT4                  129277059001 616488755  ARCEO            JESUS      18   21699288490          12/29/2022           1       $27.00       $0.00
       PLT4                  129277059001 616488755  ARCEO            JESUS      18   21699288490          12/29/2022           1       $27.00       $0.00
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/14/2022           1      $134.00     $101.78
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/07/2022           1      $134.00     $178.64
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   22400169894          01/06/2023           1      $135.00      $85.81
       PLT4                  129358651001 720677202  HERNANDEZGONZALEZKEVIN      19   21498947631          12/26/2022           1       $77.00      $57.18
       PLT4                  129358651001 720677202  HERNANDEZGONZALEZKEVIN      19   21498947631          12/26/2022           1       $95.00      $45.46
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/14/2022           1      $134.00     $178.64

                                                                                                                                              PAGE:38 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/12/2022           1      $134.00     $101.78
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/12/2022           1      $134.00     $178.64
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/06/2022           2      $268.00     $203.55
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/19/2022           1      $134.00     $101.78
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/19/2022           1      $134.00     $178.64
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/06/2022           1      $134.00     $178.64
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   21499073377          12/07/2022           2      $268.00     $203.55
       PLT4                  133599165001 775525645  LOPEZ MARTIN     EDUARDO    19   21699082750          12/30/2022           1      $119.00      $72.85
       PLT4                  133599165001 775525645  LOPEZ MARTIN     EDUARDO    19   21699082750          12/30/2022           1       $73.00      $33.50
       PLT4                  133599165001 775525645  LOPEZ MARTIN     EDUARDO    19   21699082750          12/30/2022           1       $49.00      $30.00
       PLT4                  133599165001 775525645  LOPEZ MARTIN     EDUARDO    19   21699484706          12/30/2022           1      $430.00     $308.47
    PLT4 Total                                                                                                                      $10,366.00   $6,015.91
    PLT5
       PLT5                  104875147001 204485586  FUNK             WADE       18   21198831987          12/31/2022           1      $275.00     $499.14
       PLT5                  104875147001 204485586  FUNK             WADE       18   22100353258          01/11/2023           1      $251.00      $70.81
       PLT5                  127850690001 214132758  MILLER           STEPHANI   01   22200270660          01/09/2023           1      $119.00      $22.85
       PLT5                  127850690001 214132758  MILLER           STEPHANI   01   22200270660          01/09/2023           1       $49.00       $0.00
       PLT5                  112778911001 215028942  KICAS            VINCENT    18   22100177494          01/09/2023           1      $197.00      $67.69
    PLT5 Total                                                                                                                         $891.00     $660.49
    PLT7
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200191472          01/06/2023           1    $1,295.00   $1,018.73
       PLT7                  136052120001 161746800  PRAWDZIK         JAMES      18   22200236337          01/07/2023           1      $225.00     $178.53
    PLT7 Total                                                                                                                       $1,520.00   $1,197.26
    PLTAD
      PLTAD                  127519273001 171705272  WEAVER           JENNIFER   01   22100177495          01/09/2023           1      $133.00      $50.70
      PLTAD                  127822075001 182387527  KILE             DAVID      18   22700153939          12/28/2022           1   $13,440.00  $13,440.00
      PLTAD                  127822075001 182387527  KILE             DAVID      18   22700153939          12/28/2022          12        $0.96       $0.96
      PLTAD                  127822075001 182387527  KILE             DAVID      18   22700153939          12/28/2022           1    $1,216.43   $1,216.43
      PLTAD                  127519443001 191484861  BOYER            STEPHEN    18   22017938696          01/04/2023           1      $125.00      $22.85
      PLTAD                  127519443001 191484861  BOYER            STEPHEN    18   22017938696          01/04/2023           1       $92.00       $0.00
      PLTAD                  127519443001 191484861  BOYER            STEPHEN    18   22017938696          01/04/2023          12      $180.00       $0.00
      PLTAD                  134387637001 199641389  YEAGER           RENEE      01   21698777044          12/16/2022           1      $350.00      $93.94

                                                                                                                                              PAGE:39 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PLTAD                  134387637001 199641389  YEAGER           AVERY      19   22600070745          01/06/2023           1      $152.00      $22.85
      PLTAD                  134387637001 199641389  YEAGER           RENEE      01   21698777044          12/16/2022           1      $350.00      $46.98
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21398507357          12/30/2022           1      $120.00      $22.60
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21398336202          12/29/2022           1      $120.00      $22.60
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21397968848          12/21/2022           1      $120.00      $24.58
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   22300052255          01/04/2023           1      $120.00       $0.00
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21398336202          12/29/2022           1      $148.00      $28.53
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   22300052255          01/04/2023           2      $240.00       $0.00
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   22300052255          01/04/2023           1      $148.00       $0.00
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21397968848          12/21/2022           1      $148.00      $28.53
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21398507357          12/30/2022           1      $120.00      $24.58
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21398446253          12/22/2022           1    $1,661.00     $877.45
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21397968848          12/21/2022           2      $240.00      $45.20
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21398336202          12/29/2022           1      $298.00      $57.63
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21398507357          12/30/2022           1      $148.00      $28.53
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21398797592          12/22/2022           1      $480.00     $138.78
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   21398336202          12/29/2022           1      $120.00      $24.58
      PLTAD                  127519563001 209549705  REINDOLLAR       CHAD       18   22300353805          01/10/2023           2      $220.08       $0.00
      PLTAD                  127519563001 209549705  REINDOLLAR       CHAD       18   22300353804          01/10/2023           2       $27.84       $0.00
      PLTAD                  106684011001 276805249  CHRYSLER         WALTER     18   22018109286          01/01/2023           1      $139.00      $44.67
      PLTAD                  127520231001 438216231  HUTCHISON        ANGELIQU   18   22500203265          12/01/2022           1        $5.66       $5.66
    PLTAD Total                                                                                                                     $20,662.97  $16,268.63
    PTOHD
      PTOHD                  101364922001 161583162  ALTLAND          SEAN       18   22100048122          12/29/2022           1      $684.00       $0.00
      PTOHD                  101364922001 161583162  ALTLAND          SEAN       18   21198846957          12/29/2022           1        $1.00       $0.00
      PTOHD                  101364922001 161583162  ALTLAND          SEAN       18   21198846957          12/29/2022           1    $2,133.00   $4,446.32
      PTOHD                  101364922001 161583162  ALTLAND          SEAN       18   21198846957          12/29/2022          18       $35.25       $0.00
      PTOHD                  101364922001 161583162  ALTLAND          SEAN       18   21198846957          12/29/2022           2      $696.00       $0.00
      PTOHD                  101364922001 161583162  ALTLAND          SEAN       18   21198846957          12/29/2022           1       $40.50       $0.00
      PTOHD                  101364922001 161583162  ALTLAND          SEAN       18   21198846957          12/29/2022           1      $203.00       $0.00
      PTOHD                  101364922001 161583162  ALTLAND          SEAN       18   22100048191          12/29/2022           1      $761.00       $0.00
      PTOHD                  101364922001 161583162  ALTLAND          SEAN       18   21198846957          12/29/2022           1       $38.00       $0.00

                                                                                                                                              PAGE:40 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PTOHD                  103630783001 189609744  SNEERINGER       CATHY      18   22400159754          01/06/2023           1      $367.00     $313.80
      PTOHD                  103630783001 189609744  SNEERINGER       CATHY      18   22400159754          01/06/2023           1       $93.00      $79.61
      PTOHD                  103785243001 191484080  MCDONALD         DARRELL    18   22600038646          12/08/2022           1    $1,976.00   $1,057.54
      PTOHD                  109876835001 196608183  YOUNG            COLTON     19   21298938117          01/04/2023           1      $360.00       $0.00
      PTOHD                  110600781001 202609123  KOZICK           BILLY      19   22600340072          01/09/2023           1      $175.00       $0.00
    PTOHD Total                                                                                                                      $7,562.75   $5,897.27
    RALE
       RALE                  127520049001 406132307  BAKER            MICHAEL    18   22300294674          01/09/2023           1      $173.00      $54.96
    RALE Total                                                                                                                         $173.00      $54.96
    RG039
      RG039                  105706221001 217984020  GROSS            RENEE      01   22600048857          01/06/2023           1      $119.00      $22.85
      RG039                  105706221001 217984020  GROSS            RENEE      01   22600169747          01/09/2023           1      $178.00      $50.70
      RG039                  105706221001 217984020  GROSS            RENEE      01   22600048857          01/06/2023           1       $49.00       $0.00
    RG039 Total                                                                                                                        $346.00      $73.55
    RWADM
      RWADM                  134035475001 240618050  DANIEL           JAYANDRI   18   22500291123          12/21/2022           1      $200.00     $118.28
      RWADM                  134035475001 240618050  DANIEL           JAYANDRI   18   22500109941          12/29/2022           1       $14.90      $10.64
      RWADM                  134035475001 240618050  DANIEL           JAYANDRI   18   22500292040          01/10/2023           1      $200.00       $6.18
    RWADM Total                                                                                                                        $414.90     $135.10
    RWPLT
      RWPLT                  134035466001 238083657  FREDELL          ANDREW     19   22500017126          01/04/2023           2      $190.00       $3.09
      RWPLT                  134035466001 238083657  FREDELL          KRISTIE    01   22500109186          01/05/2023           1      $185.00       $6.18
      RWPLT                  134035466001 238083657  FREDELL          KRISTIE    01   21598198418          12/19/2022          (1)   ($331.00)   ($223.85)
      RWPLT                  134035466001 238083657  FREDELL          ANDREW     19   22500017126          01/04/2023           1      $252.00      $80.40
      RWPLT                  134035466001 238083657  FREDELL          KRISTIE    01   22500031022          12/19/2022           1      $331.00     $223.85
      RWPLT                  134035468001 238276702  HENRY            RAMEY      18   22700295476          01/03/2023           1       $25.00       $3.09
      RWPLT                  134035468001 238276702  HENRY            RAMEY      18   22700295476          01/03/2023           1        $6.00       $3.09
      RWPLT                  134035468001 238276702  HENRY            RAMEY      18   22700109161          12/20/2022           1      $275.00       $6.18
      RWPLT                  134035517001 563633741  WILLIAMS         FRANK      18   21298847819          12/10/2022           1    $1,355.00     $250.96
      RWPLT                  135185755001 589083993  BLANCO           JANO       01   22400388192          01/10/2023           1      $150.00       $2.00
      RWPLT                  135185755001 589083993  BLANCO           JANO       01   22400388192          01/10/2023           4       $52.00       $2.00
      RWPLT                  134035560001 892578615  CARMONA GALVEZ   DARIEL     18   22018110792          01/03/2023           1      $334.00     $184.00

                                                                                                                                              PAGE:41 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    RWPLT Total                                                                                                                      $2,824.00     $540.99
    SALES
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616780          04/29/2021           1      $139.93       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701081          03/11/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701082          03/04/2021           1      $139.93      $78.36
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701082          03/04/2021           1      $131.20      $73.47
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616777          02/18/2021           1      $235.19       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616777          02/18/2021           1      $131.20       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701078          05/20/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701079          08/11/2022           1       $29.19       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071030          05/18/2022           1      $227.71       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616780          04/29/2021           1      $320.30       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071043          03/22/2022           1      $279.02     $154.02
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071037          05/10/2022           1      $913.92      $91.91
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071034          02/10/2022           1      $227.71       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616780          04/29/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701078          05/20/2021           1      $131.20      $73.47
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701078          05/20/2021           1      $139.93      $78.36
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701081          03/11/2021           1      $139.93      $78.36
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616777          02/18/2021           1      $182.49       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701082          03/04/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701081          03/11/2021           1      $131.20      $73.47
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616777          02/18/2021           1      $139.93       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616777          02/18/2021           1      $320.30       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701078          05/20/2021           1      $320.30     $129.80
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701079          08/11/2022           1      $132.08       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616780          04/29/2021           1      $131.20       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398616777          02/18/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   21398701079          08/11/2022           1      $305.54       $0.00
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $19.92       $0.45
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $37.35      $37.30
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $24.90      $25.01

                                                                                                                                              PAGE:42 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21699387907          11/23/2022           1    $1,467.00     $309.18
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $62.25      $61.87
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $14.94       $0.45
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $87.87       $0.44
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $22.41       $0.44
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $51.55       $0.44
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $80.65       $0.44
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $98.85       $0.44
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           2       $27.00       $0.44
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1      $481.09     $475.14
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1      $142.63     $141.18
      SALES                  105322542001 209609300  MORRIS           KEITH      18   21698700076          11/23/2022           1       $74.70       $0.44
    SALES Total                                                                                                                      $7,697.31   $1,884.88
    SBPLT
      SBPLT                  114797920001 196708672  WIBLE            TAURA      18   22400016117          12/09/2022           1       $60.00      $21.04
      SBPLT                  114797920001 196708672  WIBLE            TAURA      18   22400016117          12/09/2022           1       $50.00      $16.60
      SBPLT                  114797920001 196708672  WIBLE            TAURA      18   22400016117          12/09/2022           1       $30.00       $8.68
      SBPLT                  114797920001 196708672  WIBLE            TAURA      18   22400012225          10/26/2022           1      $150.00      $28.92
    SBPLT Total                                                                                                                        $290.00      $75.24
    SBSLS
      SBSLS                  101909117001 168569010  KIRCHNER         KEITH      18   22200050624          11/29/2022           1    $2,300.40     $805.35
      SBSLS                  101909117001 168569010  KIRCHNER         KEITH      18   22200050614          11/29/2022           1      $939.60     $805.35
      SBSLS                  101909117001 168569010  KIRCHNER         KEITH      18   22200050624          11/29/2022           1      $130.00      $57.15
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500048099          01/05/2023           1       $70.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)    ($18.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/13/2022          (1)    ($77.00)    ($35.79)
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/13/2022          (2)   ($110.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (2)     ($1.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022         (50)    ($41.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022         (40)   ($165.25)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500354891          01/10/2023           2      $122.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/13/2022          (1)    ($17.00)       $0.00

                                                                                                                                              PAGE:43 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)     ($7.75)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500354891          01/10/2023           1       $56.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)     ($3.75)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500048099          01/05/2023           1       $56.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500354891          01/10/2023           1       $70.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)    ($16.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (4)     ($1.75)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)   ($181.00)   ($117.30)
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500048099          01/05/2023           2      $122.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/13/2022          (1)    ($70.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (3)   ($297.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/13/2022          (1)    ($18.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)    ($17.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (8)    ($56.50)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)   ($133.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500354891          01/10/2023           1       $80.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/13/2022          (1)    ($61.00)    ($35.79)
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (4)    ($13.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022        (266)   ($918.75)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/13/2022          (2)    ($32.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/13/2022          (1)   ($183.00)   ($157.68)
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)    ($73.00)       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)   ($170.00)   ($156.66)
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21597640688          12/12/2022          (1)    ($25.50)       $0.00
    SBSLS Total                                                                                                                      $1,238.75   $1,164.63
    SBUNB
      SBUNB                  103299529001 185646460  HILLEGAS         TRACY      18   22400336107          01/04/2023           1      $358.00      $30.99
      SBUNB                  103299529001 185646460  HILLEGAS         TRACY      18   22400336107          01/04/2023           1      $715.00      $38.56
      SBUNB                  103299529001 185646460  HILLEGAS         TRACY      18   22400068459          01/04/2023           1       $46.00      $46.00
      SBUNB                  103299529001 185646460  HILLEGAS         TRACY      18   22400068459          01/04/2023           1      $424.00     $424.00
      SBUNB                  105061403001 206589276  REVELLO          ANDREW     18   22200188787          01/09/2023           1       $30.00      $24.14
      SBUNB                  105061403001 206589276  REVELLO          ANDREW     18   21298872932          01/04/2023           1      $240.00     $128.53

                                                                                                                                              PAGE:44 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SBUNB                  105061403001 206589276  REVELLO          ANDREW     18   22200188787          01/09/2023           1      $100.00      $54.99
      SBUNB                  105061403001 206589276  REVELLO          ANDREW     18   22200188787          01/09/2023           1       $75.00      $70.81
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   21898945001          12/28/2022           1      $133.00      $36.79
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   21898945001          12/28/2022           1      $108.00      $26.63
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   21898945001          12/28/2022           1      $104.00      $16.90
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800192972          01/04/2023           1      $104.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   21898945001          12/28/2022           1       $44.00       $9.58
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800192972          01/04/2023           1       $91.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   21898945001          12/28/2022           1       $44.00      $16.32
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800335686          01/06/2023          15      $223.70       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800192972          01/04/2023           1      $133.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800164607          01/01/2023           9      $134.22       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800192972          01/04/2023           1      $108.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800226441          01/03/2023           1      $222.00      $52.70
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800192972          01/04/2023           1       $67.00       $0.00
      SBUNB                  105317227001 209583548  LEASE            STACEY     18   21198918470          12/30/2022           1       $32.00       $0.00
      SBUNB                  105317227001 209583548  LEASE            STACEY     18   21198918470          12/30/2022           5        $6.50       $0.00
      SBUNB                  105317227001 209583548  LEASE            STACEY     18   21198918470          12/30/2022           1    $1,579.00       $0.00
      SBUNB                  105317227001 209583548  LEASE            STACEY     18   21198918470          12/30/2022           1        $5.00       $0.00
      SBUNB                  105317227001 209583548  LEASE            STACEY     18   21198918470          12/30/2022           1       $23.20       $0.00
    SBUNB Total                                                                                                                      $5,149.62     $976.94
    SBUNM
      SBUNM                  113683189001 168669287  EMERICK          AARON      18   22400136571          12/30/2022           1      $149.00      $36.89
      SBUNM                  113683189001 168669287  EMERICK          AARON      19   21499008063          01/03/2023           1      $140.00       $0.00
      SBUNM                  103892736001 192620575  SCHAFER          LORI       01   21393759225          10/14/2022           1      $358.00      $30.99
      SBUNM                  103892736001 192620575  SCHAFER          LORI       01   21393759225          10/14/2022          (1)   ($715.00)    ($38.56)
      SBUNM                  103892736001 192620575  SCHAFER          DAVID      18   22300280947          01/06/2023           1       $35.00       $0.00
      SBUNM                  103892736001 192620575  SCHAFER          LORI       01   22300018322          12/30/2022           1      $148.00      $51.73
      SBUNM                  103892736001 192620575  SCHAFER          LORI       01   22300013856          01/03/2023           1       $32.00       $4.00
      SBUNM                  103892736001 192620575  SCHAFER          LORI       01   21393759225          10/14/2022           1      $715.00      $38.56
      SBUNM                  113162058001 235231309  HOOK             CAROLINE   19   22018309894          12/16/2022           1      $142.00      $31.57
    SBUNM Total                                                                                                                      $1,004.00     $155.18

                                                                                                                                              PAGE:45 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    SLSUP
      SLSUP                  134035450001 049728777  CHURCHILL        MATTHEW    18   22600308326          12/30/2022           1      $200.71     $200.71
      SLSUP                  134035450001 049728777  CHURCHILL        MATTHEW    18   21799121304          01/04/2023           1      $234.00      $94.16
      SLSUP                  128110973001 206723917  O'NEILL          SHANNON    18   21598975039          12/29/2022           1      $115.00       $0.00
      SLSUP                  127519597001 212969280  MOKLAK           JOSEPH     18   22100111616          01/04/2023           1      $357.00       $3.09
      SLSUP                  127519597001 212969280  MOKLAK           JOSEPH     18   22100111616          01/04/2023           1      $181.00       $3.09
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700256856          01/07/2023           1      $350.00      $55.10
      SLSUP                  118917218001 641129699  TRIMMER          HENRY      19   22200176120          01/04/2023           1      $130.00      $54.99
      SLSUP                  118917218001 641129699  TRIMMER          KRYSTAL    18   21298929978          12/29/2022           1      $100.00      $74.94
      SLSUP                  118917218001 641129699  TRIMMER          HENRY      19   22200360867          01/11/2023           1       $45.50      $25.58
      SLSUP                  118917218001 641129699  TRIMMER          HENRY      19   22200360867          01/11/2023           1       $32.00      $21.21
    SLSUP Total                                                                                                                      $1,745.21     $532.87
    STVL
       STVL                  130351311001 239431510  PENDERGRASS      BARBARA    01   22018210899          01/05/2023           1      $267.00     $260.81
       STVL                  130351311001 239431510  PENDERGRASS      BARBARA    01   22018210899          01/05/2023           1      $125.00     $109.65
    STVL Total                                                                                                                         $392.00     $370.46
    TMPLT
      TMPLT                  130351292001 201643190  GELTMACHER       LOUIS      18   22800013460          12/19/2022           1      $150.00      $97.79
      TMPLT                  130351367001 522948802  BURCH            ROBERT     18   22200300126          01/05/2023           1    $1,196.00       $6.18
      TMPLT                  130351367001 522948802  BURCH            ROBERT     18   21298853732          12/22/2022           1    $1,167.00     $936.69
      TMPLT                  130351367001 522948802  BURCH            ROBERT     18   21298853732          12/15/2022           1    $1,167.00     $936.69
      TMPLT                  130351367001 522948802  BURCH            ROBERT     18   22200382483          01/05/2023           1      $187.00      $96.78
      TMPLT                  108844102001 537234616  POLICARPIO       ROBERTO    18   22100291200          12/19/2022           1       $53.83       $6.18
    TMPLT Total                                                                                                                      $3,920.83   $2,080.31
    W040
       W040                  131181056001 259861340  BARFOOT          KIM        01   22800301554          09/08/2022           1      $540.00       $6.18
    W040 Total                                                                                                                         $540.00       $6.18
    W36
        W36                  127519083001 029383533  LASELLE          RICHARD    18   22018304913          01/04/2023           1       $50.00       $6.07
    W36 Total                                                                                                                           $50.00       $6.07
  025620-01 Total                                                                                                                  $362,317.56 $194,194.83
  025620-02

                                                                                                                                              PAGE:46 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    ACCTS
      ACCTS                  113330049001 160488464  REH              JOHN       18   21699480073          01/04/2023           1      $163.40       $0.00
      ACCTS                  113330049001 160488464  REH              JOHN       18   21699480073          01/04/2023           1       $51.28       $0.00
      ACCTS                  113330049001 160488464  REH              JOHN       18   21699480073          01/04/2023           1        $6.78       $0.00
      ACCTS                  113330049001 160488464  REH              JOHN       18   21699480073          01/04/2023           1       $73.23       $0.00
      ACCTS                  113330049001 160488464  REH              JOHN       18   21699480073          01/04/2023           1        $3.78       $0.00
      ACCTS                  104736810001 202669010  MYSEL            COLE       19   22300323552          01/03/2023           1      $100.75       $0.00
      ACCTS                  104736810001 202669010  MYSEL            COLE       19   21398702027          01/03/2023           1      $167.00      $50.70
      ACCTS                  104736810001 202669010  MYSEL            COLE       19   22300323552          01/03/2023           1      $120.00       $0.00
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600018754          12/31/2022           1      $215.00     $126.97
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600010255          12/30/2022           1      $410.00     $235.96
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600011860          12/29/2022           1      $267.00     $234.98
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600011690          12/29/2022           1       $27.00      $28.59
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600291999          12/10/2022           1    $2,227.00     $607.90
      ACCTS                  106546815001 265299686  CROSBY           CHRIS      18   22018210477          01/03/2023           1       $95.00      $12.65
      ACCTS                  106546815001 265299686  CROSBY           CHRIS      18   22018210477          01/03/2023           1      $126.00       $3.09
      ACCTS                  115413757001 287649586  JETT             ANDERSON   19   22700017313          12/21/2022           1      $180.00      $96.94
    ACCTS Total                                                                                                                      $4,233.22   $1,397.78
    ADM
        ADM                  110677413001 169687231  WATSON           STEPHANI   18   21398822718          12/27/2022           1      $115.00      $88.01
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100128172          01/03/2023           1      $212.00      $86.26
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100128172          01/03/2023           1       $30.00      $25.93
        ADM                  104978871001 205609182  BENDER           CAMERON    19   22017954465          12/29/2022           1       $88.00      $41.14
        ADM                  104978871001 205609182  BENDER           CAMERON    19   22017954465          12/29/2022           1       $35.00      $18.16
        ADM                  132459780001 351768673  KWIATKOWSKI      JOHN       18   22300290426          12/13/2022           1       $30.00       $9.00
        ADM                  132459780001 351768673  KWIATKOWSKI      JOHN       18   22300290426          12/13/2022           1      $120.00     $102.36
        ADM                  129880975001 416117617  BECKWITH         TOLETA     18   22400196644          01/05/2023           1      $751.00       $6.18
        ADM                  129880975001 416117617  BECKWITH         TOLETA     18   22400384985          01/05/2023           1       $10.00       $6.18
        ADM                  107782531001 419828569  CREASY           VIVIAN     01   22700111720          01/05/2023           1      $174.90      $34.06
        ADM                  132142485001 466371278  DENTON           LISA       18   21388648806          06/22/2022          (1)   ($975.00)   ($154.00)
        ADM                  132142485001 466371278  DENTON           LISA       18   22300395690          06/22/2022           1      $975.00     $153.34
        ADM                  132142485001 466371278  DENTON           LISA       18   22300395690          06/22/2022           1    $3,120.00   $1,166.93

                                                                                                                                              PAGE:47 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  132142485001 466371278  DENTON           LISA       18   21388648806          06/22/2022          (1) ($3,120.00) ($1,167.60)
        ADM                  132142485001 466371278  DENTON           LISA       18   22300395690          06/22/2022           1    $1,365.00     $305.33
        ADM                  122065180001 479821106  COOTS            ALICIA     01   22700020633          12/29/2022           1      $485.00     $149.49
        ADM                  122065180001 479821106  COOTS            ALICIA     01   22700020633          12/29/2022           1      $253.00      $75.09
        ADM                  130492422001 516963327  KILBY            CURTIS     18   22018209888          01/04/2023         300      $330.00       $6.18
    ADM Total                                                                                                                        $3,998.90     $952.04
    CKPT2
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           1      $930.00       $0.00
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           1       $55.00      $17.82
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           2       $29.00      $19.95
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           1       $48.00      $15.54
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           1      $608.00     $246.15
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           1       $96.00      $30.98
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           1       $15.00       $0.00
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           1       $74.00      $23.97
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           1       $42.00      $13.60
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   21598989442          12/28/2022           1       $28.00       $9.06
    CKPT2 Total                                                                                                                      $1,925.00     $377.07
    DENV
       DENV                  104634536001 201582444  PRITCHARD        CARL       18   22500386661          01/09/2023           1      $225.00      $76.38
    DENV Total                                                                                                                         $225.00      $76.38
    FLEET
      FLEET                  127519370001 181549626  MORRIS           ROBERT     01   22800232674          01/10/2023           1      $110.00      $35.70
    FLEET Total                                                                                                                        $110.00      $35.70
    FRAZ
       FRAZ                  127519258001 169607730  HORAN            ANN        01   21498413115          10/04/2022           1      $405.00     $127.26
    FRAZ Total                                                                                                                         $405.00     $127.26
    GFPLT
      GFPLT                  134599218001 417434851  CAMPBELL         KIERA      18   22600387237          01/10/2023           3       $15.00       $1.55
      GFPLT                  134599218001 417434851  CAMPBELL         KIERA      18   22600387237          01/10/2023           1        $8.00       $1.55
      GFPLT                  134599218001 417434851  CAMPBELL         KIERA      18   22600387237          01/10/2023           1      $395.00      $67.24
      GFPLT                  134599218001 417434851  CAMPBELL         KIERA      18   22600387237          01/10/2023           1       $17.99      $19.53

                                                                                                                                              PAGE:48 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      GFPLT                  131545335001 511742827  FRENCH           SUSAN      01   22300385702          01/05/2023           1      $140.00      $94.99
    GFPLT Total                                                                                                                        $575.99     $184.86
    HAN4
       HAN4                  105607876001 214965065  GRAMS            DARRIN     18   22400237863          12/30/2022           1      $375.00     $140.08
       HAN4                  105607876001 214965065  GRAMS            DARRIN     18   22400237863          12/30/2022           1       $67.00      $50.51
       HAN4                  105607876001 214965065  GRAMS            DARRIN     18   22400237863          12/30/2022           2    $2,766.00   $1,858.14
    HAN4 Total                                                                                                                       $3,208.00   $2,048.73
    HART
       HART                  127519099001 042424361  MOLLOY           RICHARD    18   22700386323          12/23/2022           1      $108.00      $48.40
    HART Total                                                                                                                         $108.00      $48.40
    HCOMP
      HCOMP                  127519321001 176645604  REDCAY           SHANNAN    18   22400217097          01/06/2023           1      $790.00       $0.00
      HCOMP                  127519321001 176645604  REDCAY           SHANNAN    18   22400217097          01/06/2023           1       $80.00       $0.00
      HCOMP                  127519321001 176645604  REDCAY           SHANNAN    18   22400327865          01/06/2023           1      $124.00       $0.00
      HCOMP                  127519321001 176645604  REDCAY           SHANNAN    18   22400327865          01/06/2023           1       $81.00      $27.32
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800111555          12/31/2022           1      $165.00      $51.40
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800196518          01/05/2023           1       $52.00      $21.80
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800196518          01/05/2023           1    $3,000.00     $714.01
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800111555          12/31/2022           1       $25.00      $11.93
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800196518          01/05/2023           1       $56.00      $23.40
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800196518          01/05/2023           1      $279.00     $111.71
      HCOMP                  133079696001 349645002  SHEA             LIAM       19   22800011890          12/28/2022           1      $200.00     $127.56
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800196518          01/05/2023           1      $154.00      $62.20
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800196518          01/05/2023           1       $40.00      $17.06
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800196518          01/05/2023           1      $384.00     $153.28
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800196518          01/05/2023           1      $142.00      $57.45
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800196111          01/05/2023           1      $365.00       $4.00
      HCOMP                  134387638001 610644106  LODH             KRITI      19   22700295099          01/10/2023           1      $155.00       $4.00
      HCOMP                  134387638001 610644106  LODH             KRITI      19   22700012290          01/05/2023           1      $155.00       $4.00
    HCOMP Total                                                                                                                      $6,247.00   $1,391.12
    HCSLS
      HCSLS                  127970740001 350742545  HEIL             TIMOTHY    18   22100193565          12/28/2022           1       $15.00       $8.00

                                                                                                                                              PAGE:49 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      HCSLS                  127970740001 350742545  HEIL             TIMOTHY    18   22100193565          12/28/2022           1       $55.00      $19.72
      HCSLS                  127970740001 350742545  HEIL             TIMOTHY    18   22100193565          12/28/2022           1       $35.00      $13.54
    HCSLS Total                                                                                                                        $105.00      $41.26
    INVIN
      INVIN                  127912533001 304923292  SHAW             CHANLEY    19   22600289356          01/06/2023           1      $216.00     $105.78
    INVIN Total                                                                                                                        $216.00     $105.78
    LANC
       LANC                  127519425001 188507788  KNOBLOCH         STEPHANI   01   22012613558          10/14/2022           1      $135.00      $62.21
       LANC                  127519425001 188507788  KNOBLOCH         STEPHANI   01   22012613558          10/14/2022           1      $108.00      $50.00
       LANC                  127519425001 188507788  KNOBLOCH         STEPHANI   01   22012613558          10/14/2022          (1)   ($135.00)    ($62.21)
    LANC Total                                                                                                                         $108.00      $50.00
    LROCK
      LROCK                  127520155001 429214680  HOWELL           GARY       18   22100199978          01/06/2023           1       $48.00       $2.00
      LROCK                  127520155001 429214680  HOWELL           GARY       18   22100200915          01/06/2023           1       $76.00       $4.00
      LROCK                  127520155001 429214680  HOWELL           GARY       18   22100199978          01/06/2023           1       $60.00       $2.00
      LROCK                  127520155001 429214680  HOWELL           GARY       18   22100387142          01/06/2023           1       $44.50       $4.00
      LROCK                  127520155001 429214680  HOWELL           GARY       18   22100193769          01/06/2023           1      $100.00      $53.31
      LROCK                  127520155001 429214680  HOWELL           GARY       18   22100193769          01/06/2023           2       $90.00      $35.10
    LROCK Total                                                                                                                        $418.50     $100.41
    MANAS
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/05/2022           1      $172.00      $42.13
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/16/2022           4      $808.00     $194.91
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/02/2022           3      $606.00     $146.28
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/02/2022           1      $189.00      $45.50
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/29/2022           2      $374.00      $94.56
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/22/2022           1      $172.00      $42.13
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/19/2022           1      $172.00      $42.13
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/05/2022           1      $189.00      $45.50
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/14/2022           4      $808.00     $194.91
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/16/2022           1      $189.00      $45.51
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/02/2022           2      $374.00      $94.55
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/29/2022           1      $172.00      $42.13

                                                                                                                                              PAGE:50 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/02/2022           2      $378.00      $90.60
      MANAS                  127519721001 225352060  PENNIX           MIKE       18   22800012292          12/22/2022           1      $187.00      $47.49
    MANAS Total                                                                                                                      $4,790.00   $1,168.33
    MEMP
       MEMP                  115026500001 417137727  LUNCEFORD        DANA       01   21298759908          12/28/2022           1       $50.00      $32.57
       MEMP                  115026500001 417137727  LUNCEFORD        DANA       01   21298759908          12/28/2022           2       $70.00      $23.78
       MEMP                  115026500001 417137727  LUNCEFORD        DANA       01   21298759908          12/28/2022           1       $35.00      $12.67
       MEMP                  115026500001 417137727  LUNCEFORD        DANA       01   21298759908          12/28/2022           1      $135.00      $45.47
       MEMP                  115026500001 417137727  LUNCEFORD        DANA       01   21298844280          12/28/2022           1       $23.00      $10.64
    MEMP Total                                                                                                                         $313.00     $125.13
    MKTG
       MKTG                  133152552001 601883652  ROBINSON         RACHELLE   18   22018112003          01/04/2023           1       $92.04       $4.00
    MKTG Total                                                                                                                          $92.04       $4.00
    NASH
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22800009745          10/31/2022           1      $130.00       $6.67
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22800382705          01/06/2023           1      $834.97      $20.25
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22800198812          11/28/2022           1      $130.00       $6.67
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22800198670          11/21/2022           1      $130.00       $6.67
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22800009902          11/07/2022           1      $130.00       $6.67
    NASH Total                                                                                                                       $1,354.97      $46.93
    PARK
       PARK                  127519799001 233929218  MAYO             KENNETH    18   22500382280          12/27/2022           1      $140.00      $48.82
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1      $128.32       $9.19
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1      $282.84       $7.62
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1      $148.73       $9.62
       PARK                  127519799001 233929218  MAYO             KENNETH    18   22500382280          12/27/2022           1      $170.00     $105.66
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1      $109.88       $7.65
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1      $131.22      $14.04
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1      $167.67       $6.98
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1       $79.24       $3.07
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1      $147.26       $7.45
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1       $34.51       $5.82

                                                                                                                                              PAGE:51 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22500019960          12/28/2022           1      $211.06       $5.40
    PARK Total                                                                                                                       $1,750.73     $231.32
    PLT1
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22018278680          01/09/2023           1      $117.00       $0.00
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22017659425          12/27/2022           1      $279.00      $98.23
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22018188504          01/05/2023           1      $498.00     $137.20
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100042001          01/04/2023           1      $107.40       $0.00
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100042001          01/04/2023           1       $69.30       $0.00
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100042001          01/04/2023           1      $102.90       $0.00
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100042001          01/04/2023           1       $98.70       $0.00
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100042001          01/04/2023           1       $32.55       $0.00
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100042001          01/04/2023           1       $48.30       $0.00
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100042001          01/04/2023           1       $46.70       $0.00
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100042001          01/04/2023           1       $38.85       $0.00
       PLT1                  117427753001 215705984  MARTIN           DOROTHY    01   22100109789          01/05/2023           1      $440.00      $20.88
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100042001          01/04/2023           1       $23.35       $0.00
       PLT1                  127519634001 216702418  WEST             CAROL      18   22200048111          01/06/2023           1      $277.00      $84.19
    PLT1 Total                                                                                                                       $2,179.05     $340.50
    PLT18
      PLT18                  121950619001 005863272  WILCOX           ISABELLA   19   22700011113          12/28/2022           1      $300.00     $108.40
      PLT18                  133641627001 024622014  CORNELL          RICHARD    18   22600294374          01/09/2023           1       $96.31      $10.58
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22400389074          12/31/2022           1      $286.00       $6.18
    PLT18 Total                                                                                                                        $682.31     $125.16
    PLT2
       PLT2                  112247695001 165689774  THERIT           MEGAN      18   21198928307          01/05/2023           1      $242.00      $85.00
       PLT2                  102302375001 173528355  EINSIG           KATHY      18   22300119689          12/20/2022           3        $0.24       $0.24
       PLT2                  102302375001 173528355  EINSIG           KATHY      18   22300119689          12/20/2022           1    $1,824.64   $1,824.64
       PLT2                  102302375001 173528355  EINSIG           KATHY      18   22300119689          12/20/2022           1      $912.33     $912.33
       PLT2                  102302375001 173528355  EINSIG           KATHY      18   22300119689          12/20/2022           1    $1,216.43   $1,216.43
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   22700038529          01/01/2023           1      $507.00       $0.00
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   22700038529          01/01/2023           1      $507.00       $0.00
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   22700038529          01/01/2023           1      $350.00       $0.00

                                                                                                                                              PAGE:52 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   22700038529          01/01/2023           1    $1,531.03   $1,417.83
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   22700038529          01/01/2023           1    $2,292.00   $1,222.35
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   22700038529          01/01/2023           1      $334.00       $0.00
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   22700048649          01/01/2023           1      $244.75       $0.00
       PLT2                  105317927001 209585807  WOLF             KATHLEEN   01   21899295000          01/05/2023           1      $251.00      $67.69
       PLT2                  127520314001 574912342  MARTIN           ALEAH      19   22700178765          01/09/2023           1      $192.00       $0.00
    PLT2 Total                                                                                                                      $10,404.42   $6,746.51
    PLT3
       PLT3                  101821520001 167544845  MASIMORE         ANGIE      18   22200168394          01/09/2023           1       $75.00      $15.18
       PLT3                  101911905001 168587693  MALZI            RUSSELL    18   22017842054          12/28/2022           1      $268.00     $230.46
       PLT3                  101911905001 168587693  MALZI            RUSSELL    18   22017842054          12/28/2022           1      $331.00       $0.00
       PLT3                  101911905001 168587693  MALZI            BONNIE     01   22011719722          10/05/2022         (57)   ($119.15)       $0.00
       PLT3                  101911905001 168587693  MALZI            BONNIE     01   22011719722          10/05/2022          57      $119.15       $0.00
       PLT3                  101911905001 168587693  MALZI            RUSSELL    18   22017842054          12/28/2022           1    $2,299.00   $1,101.69
       PLT3                  101911905001 168587693  MALZI            RUSSELL    18   22017842054          12/28/2022           1       $56.00       $0.00
       PLT3                  101911905001 168587693  MALZI            RUSSELL    18   22017842054          12/28/2022           1       $90.00       $0.00
       PLT3                  101911905001 168587693  MALZI            RUSSELL    18   22017842054          12/28/2022           1       $48.00       $0.00
       PLT3                  101911905001 168587693  MALZI            RUSSELL    18   22017842054          12/28/2022           1       $98.00       $0.00
       PLT3                  101924046001 168669964  STROUSE          CHLOE      19   22018346657          01/10/2023           1      $125.00      $22.85
       PLT3                  101984539001 169580481  RORRER           MICHAEL    18   21498945574          12/30/2022           1       $73.23      $41.56
       PLT3                  101984539001 169580481  RORRER           MICHAEL    18   21498945574          12/30/2022           6        $1.98       $1.50
       PLT3                  101984539001 169580481  RORRER           MICHAEL    18   21498945574          12/30/2022           1        $3.78       $1.83
       PLT3                  101984539001 169580481  RORRER           MICHAEL    18   21498945574          12/30/2022           1      $163.40      $93.40
       PLT3                  101984539001 169580481  RORRER           MICHAEL    18   21498945574          12/30/2022          80    $8,404.00   $2,978.40
       PLT3                  101984539001 169580481  RORRER           MICHAEL    18   21498945574          12/30/2022           1       $51.28      $28.95
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200054458          01/06/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200278085          01/09/2023           1      $130.66       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200278085          01/09/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   21298926869          01/04/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   21298926869          01/04/2023           1      $130.66       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200278085          01/09/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200054458          01/06/2023           1       $98.03       $0.00

                                                                                                                                              PAGE:53 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200054458          01/06/2023           1      $130.66       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   21298926869          01/04/2023           1       $98.03       $0.00
       PLT3                  102541444001 176466309  TAYLOR           JEAN       01   21799114073          01/05/2023           1      $115.00       $0.00
       PLT3                  102541444001 176466309  TAYLOR           JEAN       01   21799114073          01/05/2023           1      $130.00      $18.94
       PLT3                  102541444001 176466309  TAYLOR           JEAN       01   21799114073          01/05/2023           1      $186.00       $0.00
       PLT3                  111053636001 179609589  GRIFFITH         MOLLY      19   22800223196          01/10/2023           1       $40.00       $0.00
       PLT3                  111053636001 179609589  GRIFFITH         MOLLY      19   22800223196          01/10/2023           1      $135.00      $82.35
       PLT3                  104319364001 197642982  SHULTZ           JEANNIE    18   22400169893          01/07/2023           1       $48.00      $32.80
       PLT3                  104319364001 197642982  SHULTZ           JEANNIE    18   22400375206          01/07/2023           1      $145.00      $38.56
       PLT3                  104319364001 197642982  SHULTZ           JEANNIE    18   22400169893          01/07/2023           1      $195.00     $129.30
       PLT3                  104319364001 197642982  SHULTZ           JEANNIE    18   22400375206          01/07/2023           1      $117.00      $30.99
       PLT3                  105066358001 206624362  SHUE             CANDY      18   22700248901          01/06/2023           1      $166.00      $10.97
       PLT3                  105066358001 206624362  SHUE             CANDY      18   22700256898          01/06/2023           1      $342.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1       $55.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1      $182.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022          40    $1,240.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1   $38,056.00  $16,396.29
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1        $1.55       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           2        $2.85       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   22600256219          01/10/2023           1        $6.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022          10        $1.50       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1       $90.75       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1      $268.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   22600373466          01/06/2023           1       $35.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1        $1.85       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1        $0.95       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1       $31.25       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   22600159592          01/06/2023           1      $268.00      $20.07
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           4        $2.05       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           8        $6.50       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022         123    $3,306.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022           1       $32.70       $0.00

                                                                                                                                              PAGE:54 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   21699436881          12/19/2022          20       $11.55       $0.00
       PLT3                  110150393001 210420967  WEAVER           STEPHEN    18   21598863992          11/14/2022           4        $5.60       $2.30
       PLT3                  110150393001 210420967  WEAVER           STEPHEN    18   22500082002          12/07/2022           1      $178.00      $50.70
       PLT3                  110150393001 210420967  WEAVER           STEPHEN    18   22500082002          12/07/2022           1      $282.00     $118.88
       PLT3                  110150393001 210420967  WEAVER           STEPHEN    18   21598870171          11/14/2022           1      $251.00      $85.81
       PLT3                  110150393001 210420967  WEAVER           STEPHEN    18   21598863992          11/14/2022           1       $75.00      $12.14
       PLT3                  127519630001 216138447  DIGRUTTOLA       SONIA      18   21799197970          01/04/2023           1      $131.00       $8.60
       PLT3                  133920004001 252539495  BASS             CANDACE    18   22400329782          12/08/2022           1       $90.00      $58.28
    PLT3 Total                                                                                                                      $59,298.93  $21,612.80
    PLT4
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400324793          01/05/2023           1      $103.00       $0.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400324793          01/05/2023           1      $120.00       $0.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          12/14/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400142462          01/06/2023           1      $100.00       $0.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          11/30/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          12/07/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          12/29/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          01/05/2023           1      $116.00       $0.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          07/28/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          07/27/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          08/11/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          10/19/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          11/10/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          12/15/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          08/03/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400322532          12/08/2022           1      $103.00      $42.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   21499012033          12/27/2022           5      $300.00     $290.95
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          12/28/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          11/02/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          12/01/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          10/13/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          08/24/2022           1      $116.00      $26.58

                                                                                                                                              PAGE:55 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          08/25/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          11/23/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          11/03/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          08/31/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          09/29/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          09/22/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          11/09/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          09/28/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          09/07/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          12/21/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   21499012034          01/03/2023           5      $300.00       $0.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400324631          12/29/2022           1      $120.00      $61.88
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          10/06/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          07/20/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          07/13/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          10/05/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          07/21/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          10/27/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          09/14/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400324631          12/29/2022           1      $103.00      $42.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400322532          12/08/2022           1      $120.00      $84.38
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400034857          12/08/2022           1      $116.00     $116.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          08/10/2022           1      $116.00      $26.58
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400035364          10/12/2022           1      $116.00      $26.58
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   22300081239          01/06/2023           1      $350.00      $37.85
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398625326          01/01/2023           1       $39.00       $0.00
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398625326          01/01/2023           1       $39.00       $0.00
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          08/24/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          11/02/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          07/27/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          11/30/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          09/06/2022           1      $116.00      $21.26

                                                                                                                                              PAGE:56 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          01/04/2023           1      $116.00       $0.00
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          09/30/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          10/19/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          12/14/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          11/16/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          11/01/2022           1      $116.00      $21.26
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          08/02/2022           1      $116.00      $21.26
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          12/28/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          12/06/2022           1      $116.00      $21.26
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          10/05/2022           1      $116.00      $92.80
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700063010          08/10/2022           1      $116.00      $92.80
       PLT4                  112427572001 195626817  HARGET           LARRY      19   22400256838          01/07/2023           1      $350.00      $37.85
       PLT4                  127519600001 213154524  NEVEKER          BAILEY     19   22400247813          01/06/2023           1      $219.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          COOPER     19   21499053547          01/04/2023           1      $119.00      $72.85
       PLT4                  127519600001 213154524  ROBERTS          COOPER     19   21499053546          01/04/2023           1      $222.00     $123.00
       PLT4                  127519600001 213154524  ROBERTS          COOPER     19   21498946619          01/04/2023           1      $165.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          COOPER     19   21499053547          01/04/2023           1       $49.00      $30.00
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1       $83.00       $0.00
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022         100       $54.45       $0.00
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1       $56.00       $0.00
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1    $1,529.00   $1,295.63
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1      $331.00       $0.00
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1      $268.00     $288.07
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1       $73.00       $0.00
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1       $78.00       $0.00
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1    $2,031.00     $636.22
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1      $698.00     $728.60
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           2      $162.00       $0.00
       PLT4                  131392806001 237020643  INGRAM           JAMES      18   21699096984          12/25/2022           1       $90.00       $0.00
       PLT4                  127520006001 306048954  SECHRIST         ANDREW     18   21598059981          12/21/2022           1       $50.73      $15.95
       PLT4                  111972781001 590608900  SEIFERT          GRAYSON    19   21197578570          12/14/2022           1       $73.00      $33.50
    PLT4 Total                                                                                                                      $14,646.18   $7,224.75

                                                                                                                                              PAGE:57 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    PLT5
       PLT5                  111616506001 182507672  ELINE            NORMAN     18   22018364308          01/07/2023           1       $10.00       $0.00
       PLT5                  111616506001 182507672  ELINE            NORMAN     18   22018364308          01/07/2023           1       $98.00       $0.00
       PLT5                  111616506001 182507672  ELINE            NORMAN     18   22018364308          01/07/2023           1       $70.00       $0.00
       PLT5                  128128180001 184709079  ARNOLD           BRODY      19   22400169984          01/09/2023           1       $27.00      $13.52
       PLT5                  128128180001 184709079  ARNOLD           MADYSON    19   22400169985          01/09/2023           1       $26.00       $2.42
       PLT5                  128128180001 184709079  ARNOLD           BRODY      19   22400169984          01/09/2023           1       $26.00       $2.42
       PLT5                  128128180001 184709079  ARNOLD           BRODY      19   22400169984          01/09/2023           1      $225.00      $96.31
       PLT5                  128128180001 184709079  ARNOLD           MADYSON    19   22400169985          01/09/2023           1      $225.00      $96.31
       PLT5                  128128180001 184709079  ARNOLD           MADYSON    19   22400169985          01/09/2023           1       $27.00      $13.52
       PLT5                  103291219001 185589780  KOONTZ           SHANNON    01   22100081062          01/06/2023           1       $48.00      $32.80
       PLT5                  103291219001 185589780  KOONTZ           SHANNON    01   22100373012          01/06/2023           1      $117.00      $30.99
       PLT5                  103291219001 185589780  KOONTZ           SHANNON    01   22100373012          01/06/2023           1      $145.00      $38.56
       PLT5                  103291219001 185589780  KOONTZ           SHANNON    01   22100081062          01/06/2023           1      $195.00     $129.30
       PLT5                  103299669001 185646965  BOYLE            FRANCIS    18   22018241849          01/05/2023           1       $65.00       $3.48
       PLT5                  127519450001 192629919  PETERMAN         HOWARD     18   22700184795          01/09/2023           1      $119.00      $35.70
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022          (1)    ($36.00)    ($24.36)
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022           6      $138.00      $91.50
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022           1      $127.00      $74.87
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022           1      $348.00     $329.36
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022           1       $36.00      $24.36
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022           1      $194.00     $113.67
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022          (1)   ($348.00)   ($329.36)
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022          (1)   ($127.00)    ($74.87)
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022           3      $135.00      $60.60
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022          (1)   ($194.00)   ($113.67)
       PLT5                  132933886001 215194238  STOCKMAN         ANAKIN     19   21793913572          10/18/2022          (3)   ($135.00)    ($60.60)
       PLT5                  129811176001 375846021  RILEY            PATRICIA   18   22018145453          01/06/2023           1    $1,000.00     $221.14
       PLT5                  129811176001 375846021  RILEY            PATRICIA   18   22018145453          01/06/2023           1      $700.00       $0.00
       PLT5                  129811176001 375846021  RILEY            PATRICIA   18   22018346102          01/06/2023           1      $656.25     $300.90
       PLT5                  129811176001 375846021  RILEY            PATRICIA   18   22018132369          01/06/2023           1    $1,200.00     $310.23
       PLT5                  129811176001 375846021  RILEY            PATRICIA   18   22018132369          01/06/2023           1    $1,200.00     $632.65

                                                                                                                                              PAGE:58 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    PLT5 Total                                                                                                                       $6,317.25   $2,051.75
    PLT6
       PLT6                  133920058001 436595785  RAMSEY           AIDAN      19   22400201142          12/01/2022           1        $5.66       $5.66
       PLT6                  127520247001 439435182  PEYTAVIN         MARK       18   22300195844          12/14/2022           1       $25.00      $27.44
       PLT6                  127520247001 439435182  PEYTAVIN         MARK       18   22300195844          12/14/2022           1       $34.00       $2.44
       PLT6                  127520247001 439435182  PEYTAVIN         MARK       18   22300195844          12/14/2022           1       $10.00       $2.64
       PLT6                  127520247001 439435182  PEYTAVIN         MARK       18   22300195844          12/14/2022           1       $42.00      $44.44
    PLT6 Total                                                                                                                         $116.66      $82.62
    PLT7
       PLT7                  110600788001 156748709  APPLEGATE        CHRISTIN   01   22400069780          01/03/2023           1      $240.00       $0.00
       PLT7                  102130765001 171461774  CAVELLO          JOSEPH     18   21798741849          12/02/2022           1      $369.00      $58.00
       PLT7                  102130765001 171461774  CAVELLO          JOSEPH     18   21798741850          12/02/2022           1    $1,214.00     $211.91
       PLT7                  111424146001 173666220  NORRIS           CHARLES    18   22600323144          12/27/2022           1      $120.00      $49.50
       PLT7                  111424146001 173666220  NORRIS           CHARLES    18   22600323144          12/27/2022           1      $100.00      $33.60
       PLT7                  111424146001 173666220  NORRIS           CHARLES    18   21699472477          01/05/2023           1      $424.35       $0.00
       PLT7                  133919984001 200607250  SCHARPNICK       RONALD     18   22200280777          01/09/2023           1    $1,928.95     $829.68
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22500352310          01/10/2023           1       $76.00       $0.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22500352528          01/10/2023           1      $104.00       $0.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22500254658          01/10/2023           1      $200.00      $53.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22500042587          01/04/2023           1       $95.00      $36.28
    PLT7 Total                                                                                                                       $4,871.30   $1,271.97
    PLT9
       PLT9                  127519056001 015525026  KILCOYNE         CAROL      01   22018214680          01/06/2023           1      $211.00     $105.41
       PLT9                  127519056001 015525026  KILCOYNE         CAROL      01   22018412218          01/09/2023           1      $313.00     $181.27
    PLT9 Total                                                                                                                         $524.00     $286.68
    PLTAD
      PLTAD                  101119148001 156761398  KISSANE          DANIEL     19   21899198286          12/01/2022           2      $336.00     $111.75
      PLTAD                  101119148001 156761398  KISSANE          DANIEL     19   21899198286          12/15/2022           2      $336.00     $111.75
      PLTAD                  114749234001 167584601  DAY              RANDY      18   22800169973          01/06/2023           1      $350.00      $67.69
      PLTAD                  134647658001 310906130  KACEDAN          THOMAS     19   22800009868          12/27/2022           1       $38.00      $14.79
      PLTAD                  134647658001 310906130  KACEDAN          THOMAS     19   22800108413          01/06/2023           1      $157.00      $69.36
      PLTAD                  134647658001 310906130  KACEDAN          THOMAS     19   22800110626          12/27/2022           1       $19.55       $3.80

                                                                                                                                              PAGE:59 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PLTAD                  134647658001 310906130  KACEDAN          CHRISTIN   01   22800111770          12/27/2022           1       $65.00      $35.01
      PLTAD                  134647658001 310906130  KACEDAN          THOMAS     19   22800110626          12/27/2022           1       $23.00       $3.80
      PLTAD                  134647658001 310906130  KACEDAN          CHRISTIN   01   22800387121          01/12/2023           1       $65.00       $4.00
      PLTAD                  134647658001 310906130  KACEDAN          THOMAS     19   22800110348          12/27/2022           1      $445.00     $118.59
      PLTAD                  134647658001 310906130  KACEDAN          THOMAS     19   22800110626          12/27/2022           1       $40.25       $3.80
      PLTAD                  134647658001 310906130  KACEDAN          THOMAS     19   22800110626          12/27/2022           1       $10.35       $3.80
      PLTAD                  127520222001 438042578  RINAUDO          DEBBIE     18   22500198550          12/01/2022           1        $1.22       $1.22
      PLTAD                  127520222001 438042578  RINAUDO          SARAH      19   22500195199          12/01/2022           1        $7.22       $7.22
      PLTAD                  128068240001 617329158  MILLS-SADOQ      MAYA       19   21498681862          12/28/2022           1      $150.00      $60.04
      PLTAD                  128068240001 617329158  MILLS-SADOQ      MAYA       19   21498681862          12/28/2022           1       $28.00      $11.03
      PLTAD                  128068240001 617329158  MILLS-SADOQ      MAYA       19   21498681862          12/28/2022           1      $130.00      $89.99
      PLTAD                  128068240001 617329158  MILLS-SADOQ      MAYA       19   21498681862          12/28/2022           1       $35.00      $13.31
      PLTAD                  128068240001 617329158  MILLS-SADOQ      MAYA       19   21498681862          12/28/2022           1       $20.00       $0.00
    PLTAD Total                                                                                                                      $2,256.59     $730.95
    PROV
       PROV                  100568043001 109507287  LANSING          CARLY      19   22018214364          01/04/2023           1      $360.50     $316.24
       PROV                  100568043001 109507287  LANSING          CARLY      19   22018214364          01/04/2023           1      $250.00     $120.30
       PROV                  100568043001 109507287  LANSING          CARLY      19   22018213084          01/04/2023           1       $92.22      $73.53
       PROV                  100568043001 109507287  LANSING          ROBERT     18   22018113272          12/17/2022           1      $681.00     $687.18
       PROV                  100568043001 109507287  LANSING          KAREN      01   22018409663          01/09/2023           1      $318.12     $190.63
       PROV                  100568043001 109507287  LANSING          CARLY      19   22018214364          01/04/2023           1       $26.67      $24.21
       PROV                  100568043001 109507287  LANSING          CARLY      19   22018213084          01/04/2023           1      $273.18      $81.60
    PROV Total                                                                                                                       $2,001.69   $1,493.69
    RALE
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200110113          01/01/2023           2       $38.03      $18.06
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200110113          01/01/2023           1      $363.52     $158.93
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200111821          12/22/2022           1      $135.00     $112.06
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200110113          01/01/2023           2       $42.60      $20.15
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200201634          01/01/2023           1      $494.00     $161.72
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200110113          01/01/2023           1      $491.05     $245.09
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200110113          01/01/2023           1      $132.61      $66.69
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200110113          01/01/2023         100      $113.20      $52.42

                                                                                                                                              PAGE:60 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200111850          12/20/2022           1      $135.00     $112.06
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200111850          12/07/2022           1      $135.00     $112.06
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200110113          01/01/2023           1    $3,820.00   $1,797.62
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200111821          12/15/2022           1      $135.00     $112.06
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200110113          01/01/2023           1    $3,138.00     $552.66
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200110113          01/01/2023           1      $187.16      $93.83
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200111821          12/07/2022           1      $135.00     $112.06
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200111850          12/12/2022           1      $135.00     $112.06
    RALE Total                                                                                                                       $9,630.17   $3,839.53
    RETAI
      RETAI                  129774120001 182706334  WATSON           COURTNEY   18   21699464932          12/15/2022           1      $264.00     $112.50
      RETAI                  129774120001 182706334  WATSON           COURTNEY   18   21699464932          12/15/2022           1      $350.00      $56.00
    RETAI Total                                                                                                                        $614.00     $168.50
    ROAN
       ROAN                  127519780001 230237151  PAXTON           DARRYL     18   22400292764          01/06/2023           1      $211.00     $206.29
    ROAN Total                                                                                                                         $211.00     $206.29
    RWPLT
      RWPLT                  134457273001 606645218  GAVIA            BERTHA     18   22018308423          12/03/2022           1      $283.00       $4.00
      RWPLT                  134457273001 606645218  GAVIA            BERTHA     18   22018510712          12/16/2022           1      $370.00      $35.72
      RWPLT                  134457273001 606645218  GAVIA            BERTHA     18   22018307327          12/03/2022           1      $251.00     $106.71
      RWPLT                  134035550001 752986750  UGALDE           MARTA V    18   21899072938          12/08/2022           1      $100.00      $31.50
    RWPLT Total                                                                                                                      $1,004.00     $177.93
    SALES
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22018110097          01/05/2023           1       $75.00       $6.18
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22018109961          01/03/2023           1       $75.00       $6.18
      SALES                  104469343001 199585226  WAKSMONSKI       THOMAS     18   22700193329          01/06/2023           1      $108.00       $0.00
      SALES                  104469343001 199585226  WAKSMONSKI       THOMAS     18   22700193329          01/06/2023           1       $67.00       $0.00
      SALES                  104469343001 199585226  WAKSMONSKI       THOMAS     18   22700193329          01/06/2023           1       $23.00       $0.00
      SALES                  104469343001 199585226  WAKSMONSKI       THOMAS     18   22700352049          01/10/2023           1      $209.00      $72.83
      SALES                  104469343001 199585226  WAKSMONSKI       THOMAS     18   22700193329          01/06/2023           1       $67.00       $0.00
    SALES Total                                                                                                                        $624.00      $85.19
    SBPLT

                                                                                                                                              PAGE:61 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SBPLT                  103596372001 189423340  MOSHOLDER        LISA       18   21076889484          05/07/2021           1    $2,438.00     $827.53
      SBPLT                  103596372001 189423340  MOSHOLDER        LISA       18   21076889484          05/07/2021         100      $550.00     $685.95
      SBPLT                  103596372001 189423340  MOSHOLDER        LISA       18   21076889484          05/07/2021        (100)   ($550.00)   ($440.00)
      SBPLT                  103596372001 189423340  MOSHOLDER        LISA       18   21076889484          05/07/2021           1    $3,819.00     $725.77
    SBPLT Total                                                                                                                      $6,257.00   $1,799.25
    SBSLS
      SBSLS                  130492401001 279624159  HYRNE            RANDALL    18   22600019661          01/05/2023           1       $45.00       $3.09
      SBSLS                  130492401001 279624159  HYRNE            RANDALL    18   22600289525          01/10/2023           2       $90.00       $3.09
      SBSLS                  130492401001 279624159  HYRNE            RANDALL    18   22600019661          01/05/2023           2       $90.00       $3.09
      SBSLS                  130492401001 279624159  HYRNE            RANDALL    18   22600289525          01/10/2023           1       $45.00       $3.09
    SBSLS Total                                                                                                                        $270.00      $12.36
    SBUNB
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22013321530          10/21/2022          (1)   ($149.00)    ($37.00)
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22013321530          10/21/2022           1      $100.00      $31.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22013321530          10/21/2022           1      $149.00      $37.00
      SBUNB                  103535117001 188563721  STAHL            DOUGLAS    18   22800077944          01/06/2023           1      $246.00     $124.83
      SBUNB                  103535117001 188563721  STAHL            DOUGLAS    18   22800068611          01/06/2023           1       $67.00      $33.77
      SBUNB                  103535117001 188563721  STAHL            DOUGLAS    18   22800068611          01/06/2023           1       $96.00       $0.00
      SBUNB                  103535117001 188563721  STAHL            DOUGLAS    18   22800068611          01/06/2023           1       $23.00       $0.00
      SBUNB                  103535117001 188563721  STAHL            DOUGLAS    18   22800068611          01/06/2023           1       $67.00      $19.59
      SBUNB                  103535117001 188563721  STAHL            DOUGLAS    18   22800068611          01/06/2023           1      $138.00      $48.70
      SBUNB                  103535117001 188563721  STAHL            DOUGLAS    18   22800068611          01/06/2023           1      $108.00       $0.00
    SBUNB Total                                                                                                                        $845.00     $257.89
    SBUNM
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   21398725419          12/30/2022           1      $215.00       $1.44
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   21398725419          12/30/2022           1       $87.00      $38.87
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   21398725419          12/30/2022           1       $16.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   21398725419          12/30/2022           1       $57.00      $37.08
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   21398725419          12/30/2022           1       $59.00      $35.70
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   21398102108          12/16/2022           1      $908.00      $97.25
    SBUNM Total                                                                                                                      $1,342.00     $210.34
    SLSUP

                                                                                                                                              PAGE:62 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22700383186          01/09/2023           1      $522.00      $80.92
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22700383186          01/09/2023           1      $359.00     $177.05
      SLSUP                  100979691001 149526025  AMATO            JANET      01   22600176397          01/09/2023           1      $107.00      $37.85
      SLSUP                  100979691001 149526025  AMATO            JANET      01   21699147692          12/29/2022           1      $266.00     $123.00
      SLSUP                  101425374001 162464543  BIGELOW          ELLEN      18   22017756722          12/30/2022           1       $52.98      $11.20
      SLSUP                  101425374001 162464543  BIGELOW          ELLEN      18   22018039676          11/16/2022           1      $178.00      $37.85
      SLSUP                  101425374001 162464543  BIGELOW          ELLEN      18   22017756722          12/30/2022           1       $94.17      $20.34
      SLSUP                  101425374001 162464543  BIGELOW          ELLEN      18   22017756722          12/30/2022           1      $104.07      $22.51
      SLSUP                  101425374001 162464543  BIGELOW          ELLEN      18   22017756722          12/30/2022           6       $83.52      $15.84
      SLSUP                  127520220001 437677987  MARTIN           TRICIA     18   22300109824          01/05/2023           1      $293.00      $37.10
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800263171          01/09/2023           1       $42.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800263171          01/09/2023           1       $36.75       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   21899291031          01/04/2023           1      $150.00      $55.99
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800263171          01/09/2023           1      $110.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800256674          01/10/2023           1      $251.00      $70.81
      SLSUP                  123034807001 530510594  KANDLE           THERESA    18   22100048203          01/06/2023           1      $128.00       $0.00
    SLSUP Total                                                                                                                      $2,777.49     $690.46
    TMPLT
      TMPLT                  130351393001 537555444  RUMAN            ROBERT     18   21198186428          12/12/2022           1       $39.00       $0.89
      TMPLT                  130351393001 537555444  RUMAN            ROBERT     18   21198186428          12/12/2022           1      $118.00       $0.88
      TMPLT                  130351393001 537555444  RUMAN            ROBERT     18   21198186428          12/12/2022           1       $98.00       $0.88
      TMPLT                  130351393001 537555444  RUMAN            ROBERT     18   21198186428          12/12/2022           1      $227.00       $0.88
      TMPLT                  130351393001 537555444  RUMAN            ROBERT     18   21198186428          12/12/2022           1       $46.00       $0.88
      TMPLT                  130351393001 537555444  RUMAN            ROBERT     18   21198186428          12/12/2022           1       $90.00       $0.88
      TMPLT                  130351393001 537555444  RUMAN            ROBERT     18   21198186428          12/12/2022           1       $25.00       $0.89
      TMPLT                  130351394001 537626748  FINLAYSON        DAVID      18   22200012903          11/28/2022           1      $483.00     $303.01
    TMPLT Total                                                                                                                      $1,126.00     $309.19
    W040
       W040                  134457271001 386720541  JACKSON          RHONDA     18   22700295614          01/06/2023           1      $214.00       $1.55
       W040                  134457271001 386720541  JACKSON          RHONDA     18   22700295614          01/06/2023           1       $16.00       $1.55
       W040                  134457271001 386720541  JACKSON          RHONDA     18   22700295614          01/06/2023           1      $313.00       $1.54
       W040                  134457271001 386720541  JACKSON          RHONDA     18   22700295614          01/06/2023           1      $667.68     $140.20

                                                                                                                                              PAGE:63 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    W040 Total                                                                                                                       $1,210.68     $144.84
    WALD
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22400107717          01/06/2023           1      $620.00      $50.94
       WALD                  105763542001 219722904  KEYSER           BILLY      18   22600109270          10/31/2022           1    $3,079.21   $1,123.08
       WALD                  105763542001 219722904  KEYSER           BILLY      18   22600195875          12/20/2022           1    $3,530.00     $322.18
    WALD Total                                                                                                                       $7,229.21   $1,496.20
    WILSO
      WILSO                  134685340001 246432411  TEBO             DAVID      18   22700107462          01/05/2023           1       $21.50       $6.18
      WILSO                  134685340001 246432411  TEBO             DAVID      18   22700387180          01/05/2023           1       $29.03       $6.18
      WILSO                  134685340001 246432411  TEBO             DAVID      18   22700113429          01/05/2023           1       $79.66       $6.18
      WILSO                  134685340001 246432411  TEBO             DAVID      18   22700381412          01/05/2023           1       $19.35       $6.18
      WILSO                  134685340001 246432411  TEBO             DAVID      18   22700112296          01/05/2023           1      $390.68     $215.58
      WILSO                  134685340001 246432411  TEBO             DAVID      18   22700108149          01/05/2023           1       $32.25       $6.18
      WILSO                  134685340001 246432411  TEBO             DAVID      18   22700198382          01/05/2023           1      $111.30       $6.18
      WILSO                  134685340001 246432411  TEBO             DAVID      18   22700107259          01/05/2023           1       $26.88       $6.18
    WILSO Total                                                                                                                        $710.65     $258.84
    ZALA
       ZALA                  127520154001 429136207  BAYLESS          BRAYDEN    19   22018306983          12/01/2022           1       $17.89      $17.89
       ZALA                  108015416001 435351754  DUCOTE           DANNY      18   22800198794          12/01/2022           1        $8.64       $8.64
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800202588          01/05/2023           1       $54.00       $2.34
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800202588          01/05/2023           2      $116.00       $2.73
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800020401          01/03/2023           4      $232.00       $5.45
    ZALA Total                                                                                                                         $428.53      $37.05
  025620-02 Total                                                                                                                  $167,762.46  $60,173.74
  025620-71
    ADM
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   21298762754          12/30/2022           1      $484.15     $353.50
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200385695          01/09/2023           1      $394.00     $256.53
        ADM                  132459770001 342568759  CONNELL          JAMES      18   21298847810          12/27/2022           1      $323.00     $179.96
    ADM Total                                                                                                                        $1,201.15     $789.99
    COBRA
      COBRA                  114742724001 012545915  FORD             MICHAEL    18   22500196528          12/01/2022           1       $36.00      $21.02

                                                                                                                                              PAGE:64 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      COBRA                  114742724001 012545915  FORD             MICHAEL    18   22500196528          12/01/2022           1       $39.00      $16.40
      COBRA                  114742724001 012545915  FORD             MICHAEL    18   22500196528          12/01/2022           1       $50.00      $17.41
      COBRA                  114742724001 012545915  FORD             MICHAEL    18   22500196528          12/01/2022           1       $18.00       $9.03
      COBRA                  114742724001 012545915  FORD             MICHAEL    18   22500196528          12/01/2022           1       $50.00      $13.82
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400013685          01/06/2023           1      $105.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400389809          01/10/2023           2      $250.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400108322          01/05/2023           1      $160.00       $4.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400013685          01/06/2023           1      $120.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400389809          01/10/2023           1      $120.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400013685          01/06/2023           1      $115.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400389809          01/10/2023           1      $105.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400013685          01/06/2023           2      $250.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400389809          01/10/2023           1      $115.00       $1.00
      COBRA                  130539785001 357560791  STARCEVICH       COREY      01   21565841869          08/02/2021          (1)   ($187.00)    ($70.16)
      COBRA                  130539785001 357560791  STARCEVICH       COREY      01   21565841869          08/03/2021           1      $187.00      $68.16
      COBRA                  130539785001 357560791  STARCEVICH       COREY      01   21565841869          08/02/2021           1      $187.00      $68.16
    COBRA Total                                                                                                                      $1,720.00     $155.84
    HCSLS
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22017376713          12/19/2022           1       $60.00      $26.66
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22017376713          12/07/2022           1       $60.00      $26.66
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22017376713          12/12/2022           1       $60.00       $3.48
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22017376713          12/13/2022           1       $60.00       $3.48
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22017376714          12/19/2022           1       $50.00      $19.66
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22017376713          12/09/2022           1       $60.00      $26.66
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22017376713          12/13/2022           1       $50.00      $19.66
    HCSLS Total                                                                                                                        $400.00     $126.26
  025620-71 Total                                                                                                                    $3,321.15   $1,072.09
  025620-72
    COBRA
      COBRA                  100126678001 022709121  WALKER           JAMES      18   21498956786          01/04/2023           1        $9.00       $0.00
      COBRA                  100126678001 022709121  WALKER           JAMES      18   21498867524          12/29/2022           1      $164.00      $87.42
      COBRA                  100126678001 022709121  WALKER           JAMES      18   21498956787          01/04/2023           1      $195.00      $40.10

                                                                                                                                              PAGE:65 of 65
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      COBRA                  100126678001 022709121  WALKER           JAMES      18   21498956787          01/04/2023           1       $49.00       $0.00
    COBRA Total                                                                                                                        $417.00     $127.52
  025620-72 Total                                                                                                                      $417.00     $127.52
PPO Total                                                                                                                          $533,818.17 $255,568.18
Paid Claims Detail Total                                                                                                                       $344,389.59