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

INVOICE NUMBER:     230124585327                                           PAGE:               1 of 64           
BILL ACCOUNT NUMBER:2401631001                                             PAID CLAIMS MONTH:  January 2023      
BILL ACCOUNT NAME:  Utz Quality Foods                                      CLAIMS PAID THRU:   01/20/2023        
CLIENT NUMBER:      240163                                                 BILL CYCLE:         3 of 4            
CLIENT NAME:        Utz Quality Foods                                      PREPARED DATE:      01/24/2023        

            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                  115235050001 044685404  SEVIGNY          SUSAN      18   22400521747          12/12/2022           1      $365.00      $44.11
      ACCTS                  115235050001 044685404  SEVIGNY          SUSAN      18   21497824194          12/12/2022          (1)   ($777.00)   ($129.25)
      ACCTS                  115235050001 044685404  SEVIGNY          SUSAN      18   22400521747          12/12/2022           1      $777.00     $126.16
      ACCTS                  132434730001 115541873  GABEL            STEPHEN    18   22019017433          01/18/2023           1      $195.00       $6.29
      ACCTS                  132933897001 374178717  MARCINKUS        KYLE       18   22018640571          12/01/2022           1        $1.20       $1.20
      ACCTS                  132933897001 374178717  MARCINKUS        KYLE       18   22018828877          01/06/2023           1       $60.00       $3.97
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1      $100.00      $58.25
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1      $117.00      $68.04
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1      $117.00      $37.15
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400776541          01/03/2023           1      $528.00       $4.00
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1       $88.00      $51.34
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1      $704.00       $0.65
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1       $69.00      $40.39
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1       $90.00      $52.49
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400778155          01/03/2023           1      $642.00       $4.00
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1       $94.00      $54.79
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1       $36.00      $21.39
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1       $79.00      $46.15
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1    $2,559.00       $0.65
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1      $109.00      $63.43
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1       $49.00      $28.87
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1      $105.00      $61.13
      ACCTS                  127520266001 485902979  MCBURNEY         CATHLEEN   01   22400790156          01/03/2023           1      $106.00      $61.71
    ACCTS Total                                                                                                                      $6,213.20     $706.91

                                                                                                                                               PAGE:2 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    ADM
        ADM                  135683028001 156989949  THEODORE         NICHOLAS   18   22018648159          11/03/2022           1       $38.00       $6.18
        ADM                  135683028001 156989949  THEODORE         NICHOLAS   18   22018640456          11/03/2022           1       $12.00      $12.09
        ADM                  135683028001 156989949  THEODORE         NICHOLAS   18   22018640456          11/03/2022           1      $263.00       $3.09
        ADM                  127519401001 185749768  CROWDER          BRADLEY    19   22300592088          01/13/2023           1       $52.00      $45.84
        ADM                  127519401001 185749768  CROWDER          BRADLEY    19   22300592088          01/13/2023           1       $39.00      $20.20
        ADM                  127519401001 185749768  CROWDER          BRADLEY    19   22300592088          01/13/2023           1       $10.00       $8.87
        ADM                  127519401001 185749768  CROWDER          BRADLEY    19   22300592088          01/13/2023           1       $35.00       $9.40
        ADM                  127519401001 185749768  CROWDER          BRADLEY    19   22300592088          01/13/2023           1      $140.00      $96.62
        ADM                  104302863001 197541215  JENNINGS         CAROL      18   22018901509          01/17/2023           1      $150.00       $0.00
        ADM                  104302863001 197541215  JENNINGS         CAROL      18   22018756056          01/13/2023           1      $104.25      $13.00
        ADM                  104302863001 197541215  JENNINGS         CAROL      18   22018756056          01/13/2023           1       $52.25       $0.00
        ADM                  104302863001 197541215  JENNINGS         CAROL      18   22018756056          01/13/2023           1      $110.25       $0.00
        ADM                  104302863001 197541215  JENNINGS         CAROL      18   22018756056          01/13/2023           1      $123.25       $0.00
        ADM                  134907202001 295726817  MORRIS           TAYLOR     19   22100691911          01/13/2023           1       $36.00       $4.40
        ADM                  134907202001 295726817  MORRIS           TAYLOR     19   22100515822          01/11/2023           1       $36.00       $4.40
        ADM                  134907202001 295726817  MORRIS           TAYLOR     19   22100856288          01/16/2023           1      $189.00       $6.02
        ADM                  134907202001 295726817  MORRIS           TIMOTHY    18   22100517276          12/31/2022           1       $50.00      $38.93
        ADM                  134907202001 295726817  MORRIS           MCKENZIE   19   22100518382          12/31/2022           1       $50.00      $38.93
        ADM                  132459760001 330647304  LOPEZ            RAUL       18   22100513022          01/12/2023           1      $175.00       $4.00
        ADM                  127520379001 590128028  DELOZIER         ANNA       19   22019014089          01/16/2023           1      $160.00       $5.83
        ADM                  127520379001 590128028  DELOZIER         WILLIAM    01   22018644103          01/12/2023          30      $881.40       $5.83
        ADM                  129151216001 604266778  MARTINEZ DIAZ    ABIGAIL    18   22100746167          01/17/2023           1      $350.00       $0.00
        ADM                  133452855001 635823133  CAZINI           JONATHAN   19   22018642849          01/10/2023           1    $7,699.00      $23.18
        ADM                  133452855001 635823133  CAZINI           JONATHAN   19   22018833834          01/10/2023           1      $750.00     $134.34
        ADM                  133452855001 635823133  CAZINI           JONATHAN   19   22018642849          01/10/2023           1   $10,882.00       $4.87
        ADM                  133452855001 635823133  CAZINI           JONATHAN   19   22018833834          01/10/2023           1      $500.00      $55.72
        ADM                  133452855001 635823133  CAZINI           ELISANGE   18   22018297121          01/08/2023           1       $75.00       $0.00
        ADM                  132228407001 635887497  SMOLENSKY        FERNANDO   18   22200688477          01/11/2023           1      $323.00       $2.00
        ADM                  132228407001 635887497  SMOLENSKY        FERNANDO   18   22200688477          01/11/2023           1       $65.00       $2.00
    ADM Total                                                                                                                       $23,350.40     $545.74
    CKPT2

                                                                                                                                               PAGE:3 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      CKPT2                  134279041001 419986972  DICKERSON        VALERIE    01   22400408930          01/10/2023           1      $332.00       $0.00
      CKPT2                  134279041001 419986972  DICKERSON        VALERIE    01   22400408931          01/10/2023           1       $42.00       $0.00
    CKPT2 Total                                                                                                                        $374.00       $0.00
    FESPLT
      FESPLT                 132938864001 376905844  CASHEN           TIMOTHY    18   22800515064          12/01/2022           1        $1.20       $1.20
      FESPLT                 132938865001 379331371  ASUNCION         FELISA     18   22018646281          12/01/2022           1        $0.80       $0.80
      FESPLT                 132938865001 379331371  ASUNCION         ROMEO ED   19   22018507821          01/03/2023           1       $40.00      $43.02
      FESPLT                 132938865001 379331371  ASUNCION         ROMEO ED   19   22018641366          12/01/2022           1        $1.20       $1.20
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200519668          12/01/2022           1        $0.80       $0.80
      FESPLT                 119521552001 384723421  RIOS             MORRIS     18   22400513094          12/29/2022           1      $175.00       $3.94
      FESPLT                 132917718001 386768548  BIERI            ALEXANDE   19   22300512776          12/01/2022           1        $1.20       $1.20
      FESPLT                 132917718001 386768548  BIERI            PAUL       18   22300521082          12/01/2022           1        $0.80       $0.80
      FESPLT                 132933907001 462390805  LOPEZ            YOLANDA    01   22100510914          12/01/2022           1        $0.80       $0.80
      FESPLT                 132933907001 462390805  LOPEZ            ALBERTO    18   22100509470          12/01/2022           1        $0.80       $0.80
      FESPLT                 132900478001 492726714  VERNUM           STEVEN     18   22700519431          12/01/2022           1        $0.80       $0.80
    FESPLT Total                                                                                                                       $223.40      $55.36
    GFPLT
      GFPLT                  107347073001 367669752  WASHINGTON       E          18   22500867276          01/16/2023           1      $132.85      $74.77
      GFPLT                  107347073001 367669752  WASHINGTON       E          18   22500866375          01/16/2023           1       $16.34       $2.06
      GFPLT                  107347073001 367669752  WASHINGTON       E          18   22500866218          01/16/2023           1      $255.94       $3.09
      GFPLT                  107347073001 367669752  WASHINGTON       E          18   22500866218          01/16/2023           1        $4.50       $3.09
      GFPLT                  107347073001 367669752  WASHINGTON       E          18   22500867276          01/16/2023           1       $32.90      $24.94
      GFPLT                  107347073001 367669752  WASHINGTON       E          18   22500866375          01/16/2023           1       $15.54       $2.06
      GFPLT                  107347073001 367669752  WASHINGTON       E          18   22500866375          01/16/2023           1       $16.92       $2.06
      GFPLT                  134714764001 417410121  MYATT            ASHLEY     18   22100777942          06/22/2022           1      $150.00      $53.37
      GFPLT                  134714764001 417410121  MYATT            ASHLEY     18   22100777942          06/22/2022           1      $136.50     $138.56
      GFPLT                  134714764001 417410121  MYATT            ASHLEY     18   22100777942          06/22/2022           1       $50.00      $25.52
    GFPLT Total                                                                                                                        $811.49     $329.52
    HAN4
       HAN4                  127519626001 215864525  KELLY            VIVIAN     19   22017834236          12/05/2022           1       $30.00      $16.54
       HAN4                  127519626001 215864525  KELLY            VIVIAN     19   22017834236          12/05/2022           1      $185.00     $118.97
    HAN4 Total                                                                                                                         $215.00     $135.51

                                                                                                                                               PAGE:4 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    INVAZ
      INVAZ                  130351280001 189217271  VALDEZ MONTOYA   ANTONIO    19   22500694015          01/03/2023           1      $376.00      $10.32
      INVAZ                  127912544001 526776836  MUNOZ PINA       ROSEMARY   01   22800781346          01/12/2023           1       $51.00      $26.51
      INVAZ                  127912544001 526776836  MUNOZ PINA       ROSEMARY   01   22800781346          01/12/2023           1      $133.43      $95.74
      INVAZ                  127912544001 526776836  MUNOZ PINA       ROSEMARY   01   22800781346          01/12/2023           1      $268.00       $3.63
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700777369          01/09/2023           1       $92.00       $2.29
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700777369          01/09/2023           1       $37.00       $1.34
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700777369          01/09/2023           1       $73.00       $1.90
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700777369          01/09/2023           2      $158.00       $3.37
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700777369          01/09/2023           1       $16.00       $1.00
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22700777369          01/09/2023           1      $100.00       $2.28
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500692064          01/09/2023           1    $1,007.00      $12.40
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500866452          01/16/2023           1      $203.00       $3.58
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500866452          01/16/2023           1       $39.00       $1.65
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500692064          01/09/2023           1    $1,834.00      $15.09
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500689178          01/10/2023           1      $147.00       $3.46
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500689178          01/10/2023           1       $39.00       $2.58
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500866452          01/16/2023           1       $95.00       $2.33
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500866452          01/16/2023           1       $10.00       $1.16
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22500692064          01/09/2023           1    $1,445.00      $20.61
      INVAZ                  127930918001 764681843  RUIZ             NORMA      18   22400778374          01/16/2023           1      $289.00       $6.84
      INVAZ                  127930923001 864130699  VALENZUELA       ERIKA      18   22018829114          01/10/2023           1      $270.00       $5.58
      INVAZ                  127930923001 864130699  VALENZUELA       ERIKA      18   22018829114          01/10/2023           1      $239.00       $3.35
      INVAZ                  127930923001 864130699  VALENZUELA       ERIKA      18   22018829114          01/10/2023           1      $377.00       $5.14
    INVAZ Total                                                                                                                      $7,298.43     $232.15
    INVIN
      INVIN                  134714761001 273867079  FINDLEY          DANIELLE   18   21796990747          11/09/2022          (1)    ($12.19)     ($3.09)
      INVIN                  134714761001 273867079  FINDLEY          DANIELLE   18   22700520829          11/09/2022           1       $12.19      $11.81
      INVIN                  134714761001 273867079  FINDLEY          DANIELLE   18   21796990747          11/09/2022          (1)   ($600.00)     ($3.09)
      INVIN                  134714761001 273867079  FINDLEY          DANIELLE   18   22700520829          11/09/2022           1      $600.00       $2.06
      INVIN                  134714761001 273867079  FINDLEY          DANIELLE   18   22700520829          11/09/2022           1       $12.24       $2.10
      INVIN                  132571626001 278942894  VENDERLEY        KAYLA      18   22600515941          01/12/2023           1      $240.00       $3.09

                                                                                                                                               PAGE:5 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      INVIN                  132571626001 278942894  VENDERLEY        KAYLA      18   22600515941          01/12/2023           1       $97.00       $3.09
      INVIN                  128473618001 303905039  PULFER           LILY       19   22400867410          01/12/2023           1      $207.00       $3.09
      INVIN                  128473618001 303905039  PULFER           LILY       19   22400867410          01/12/2023           1       $27.00       $3.09
      INVIN                  128473618001 303905039  ZOLL             ZEA        19   22300504225          11/24/2020           1      $150.00      $78.00
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300690245          01/11/2023           1       $60.00       $2.06
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300690245          01/11/2023           1       $60.00       $2.06
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300859768          01/18/2023           1       $60.00       $2.06
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300859768          01/18/2023           1       $60.00       $2.06
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300515247          12/12/2022           1       $64.00       $6.18
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300690245          01/11/2023           2      $120.00       $2.06
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300687746          01/13/2023           2      $120.00       $3.09
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300859768          01/18/2023           1       $60.00       $2.06
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22300687746          01/13/2023           1       $60.00       $3.09
      INVIN                  131545332001 363963208  SCHMIDT          ANNA       19   22018735391          01/12/2023           1       $80.00       $3.90
      INVIN                  135641291001 385068917  COOK             ANDREW     18   22500778152          01/01/2023           1      $525.00       $6.18
    INVIN Total                                                                                                                      $2,002.24     $134.95
    MASS
       MASS                  134279276001 277888858  GILL             BRENT      18   22500690901          01/14/2023           1       $50.00       $0.89
       MASS                  134279276001 277888858  GILL             BRENT      18   22500865313          01/18/2023           1       $50.00       $3.09
       MASS                  134279276001 277888858  GILL             BRENT      18   22500690901          01/11/2023           1      $100.00       $0.88
       MASS                  134279276001 277888858  GILL             BRENT      18   22500690901          01/11/2023           1       $30.00       $0.88
       MASS                  134279276001 277888858  GILL             BRENT      18   22500865313          01/18/2023           1       $30.00       $3.09
       MASS                  134279276001 277888858  GILL             BRENT      18   22500690901          01/11/2023           1       $80.00       $0.88
       MASS                  134279276001 277888858  GILL             BRENT      18   22500690901          01/11/2023           1       $80.00       $0.88
       MASS                  134279276001 277888858  GILL             BRENT      18   22500690901          01/14/2023           1       $30.00       $0.89
       MASS                  134279276001 277888858  GILL             BRENT      18   22500690901          01/11/2023           1       $20.00       $0.88
    MASS Total                                                                                                                         $470.00      $12.36
    MKTG
       MKTG                  104317324001 197625405  JUSTH            DANIELLE   19   22700676508          01/16/2023           1      $285.00     $265.54
       MKTG                  104317324001 197625405  JUSTH            DANIELLE   19   22700676508          01/16/2023           1       $40.00      $20.20
    MKTG Total                                                                                                                         $325.00     $285.74
    MONT

                                                                                                                                               PAGE:6 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       MONT                  131693214001 498968055  MURRAY           BRODY      19   22300518500          01/05/2023           1      $148.83       $2.00
       MONT                  131693214001 498968055  MURRAY           BRODY      19   22300518500          01/05/2023           1      $126.00       $2.00
    MONT Total                                                                                                                         $274.83       $4.00
    NASH
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100516794          01/06/2023           1       $92.00       $2.61
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100521417          12/18/2022           1      $549.00     $111.68
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100776099          01/12/2023           1       $85.00       $4.26
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100516623          01/10/2023           2      $184.00       $5.24
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100775494          01/12/2023           2      $184.00       $5.24
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22100516794          01/06/2023           1      $220.00       $3.49
    NASH Total                                                                                                                       $1,314.00     $132.52
    PLT2
       PLT2                  121662611001 006902132  GARDNER          KRYSTINA   18   22800416640          01/10/2023           1       $90.00       $0.00
       PLT2                  127519565001 209568789  SLAGLE           DIANNA     18   22500585352          01/13/2023           1      $171.00       $0.00
       PLT2                  127519565001 209568789  SLAGLE           DIANNA     18   22500590533          01/12/2023           1    $1,976.00       $0.00
    PLT2 Total                                                                                                                       $2,237.00       $0.00
    PLT3
       PLT3                  134739494001 055620644  CONKLIN          BRAD       18   22800368543          12/13/2022           2      $268.00     $290.88
       PLT3                  134739494001 055620644  CONKLIN          BRAD       18   22800368543          12/20/2022           1      $134.00     $150.65
       PLT3                  127519171001 145081687  RAMIREZ          MICAELA    18   22700160213          01/06/2023           1       $48.00       $0.00
       PLT3                  127519171001 145081687  RAMIREZ          MICAELA    18   22700160213          01/06/2023           1       $78.00       $0.00
       PLT3                  127519171001 145081687  RAMIREZ          MICAELA    18   22700160213          01/06/2023           1       $56.00       $0.00
       PLT3                  127519171001 145081687  RAMIREZ          MICAELA    18   22700160213          01/06/2023           1       $31.00       $0.00
       PLT3                  127519171001 145081687  RAMIREZ          MICAELA    18   22700749048          01/17/2023           1      $148.00       $0.00
       PLT3                  127519171001 145081687  RAMIREZ          MICAELA    18   22700160213          01/06/2023           1       $10.00       $0.00
       PLT3                  101995154001 169643828  NEIDERER         KELLY      01   22800368515          01/05/2023           1      $498.00     $279.86
       PLT3                  101995154001 169643828  NEIDERER         KELLY      01   22800368515          01/05/2023           1      $279.00       $0.00
       PLT3                  101995154001 169643828  NEIDERER         KELLY      01   22800368515          01/05/2023           1      $149.00      $42.37
       PLT3                  134499349001 173801218  VALENTIN         JACOB      18   22100368367          01/10/2023           1      $277.00       $0.00
       PLT3                  135187537001 173801219  VALENTIN         JARRETT    18   22400556008          01/11/2023           1      $353.00     $118.91
       PLT3                  110126418001 203566772  TERRY            TEENA      18   22600362310          01/11/2023           1      $250.00       $0.00
       PLT3                  110126418001 203566772  TERRY            TEENA      18   22600362310          01/11/2023           1      $580.00       $0.00

                                                                                                                                               PAGE:7 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  110126418001 203566772  TERRY            TEENA      18   22600362310          01/11/2023           1      $500.00       $0.00
       PLT3                  110126418001 203566772  TERRY            TEENA      18   22600362310          01/11/2023           1      $500.00       $0.00
       PLT3                  127519549001 207744525  SHELLEMAN        DUSTIN     18   22700256824          01/10/2023           1       $77.00      $57.18
       PLT3                  127519549001 207744525  SHELLEMAN        DUSTIN     18   22700256824          01/10/2023           1      $350.00      $72.85
       PLT3                  133037780001 227297009  VON HUSEN        MICHAEL    18   22500655782          01/13/2023           1      $562.00       $0.00
       PLT3                  125623138001 599405801  LOPEZ-RIVERA     MICHAEL    18   22400764496          01/17/2023           1      $195.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22500556714          01/11/2023           1       $34.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22500556714          01/11/2023           1       $15.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22500603792          12/02/2022           1       $35.00      $13.60
       PLT3                  136052230001 795030749  SANDOVAL MARTINEZERIKA      18   22400669572          01/12/2023           1      $949.00       $0.00
       PLT3                  130676479001 881471062  DUARTE SANCHEZ   HILDA      18   22700841151          01/13/2023           2      $600.00       $0.00
    PLT3 Total                                                                                                                       $6,976.00   $1,026.30
    PLT4
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   22300589687          01/12/2023           1      $141.00       $0.00
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   22300589687          01/12/2023           1       $64.00       $0.00
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   22300369558          01/11/2023           1      $243.00       $0.00
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   22300548557          01/12/2023           1      $197.00       $0.00
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   22300589687          01/12/2023           1       $15.00       $0.00
       PLT4                  105510983001 212027252  RAVER            RUSSELL    19   22500478777          01/09/2023           1      $223.85       $0.00
       PLT4                  105510983001 212027252  RAVER            RUSSELL    19   22500478777          01/09/2023           1      $220.47       $0.00
       PLT4                  105510983001 212027252  RAVER            RUSSELL    19   22500478777          01/09/2023           1       $88.07       $0.00
       PLT4                  133152548001 388512323  SANCHEZ CASTILLO SANTA      01   22500678903          01/13/2023           3      $195.00       $0.00
       PLT4                  127520253001 449251947  CUE              BREANNA    01   22018710576          01/12/2023           1    $1,443.00       $0.00
       PLT4                  127520253001 449251947  CUE              BREANNA    01   22018710576          01/12/2023           1      $616.00       $0.00
       PLT4                  127520253001 449251947  CUE              BREANNA    01   22018710576          01/12/2023           1    $3,870.00       $0.00
       PLT4                  127520253001 449251947  CUE              BREANNA    01   22018710576          01/12/2023           1      $141.00       $0.00
    PLT4 Total                                                                                                                       $7,457.39       $0.00
    PLT5
       PLT5                  127519295001 173725544  JORDAN           BRIANNA    19   22500751219          01/17/2023           1      $110.00       $0.00
    PLT5 Total                                                                                                                         $110.00       $0.00
    PLTAD
      PLTAD                  134753379001 076863776  BERJAOUI         AFAF       18   22600777404          01/16/2023           1      $195.00       $4.00

                                                                                                                                               PAGE:8 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PLTAD                  111558986001 161682138  CONNORS          JOHN       18   22800439850          01/11/2023           1      $300.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500655780          01/13/2023           1       $10.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500582423          01/13/2023           1      $251.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500655780          01/13/2023           1       $98.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500655780          01/13/2023           1       $63.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500655780          01/13/2023           1       $98.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500655780          01/13/2023           1       $46.00       $0.00
      PLTAD                  126024764001 184720674  SCUTTA           CODY       18   22500655780          01/13/2023           1       $56.00       $0.00
      PLTAD                  127519439001 189687318  BARNES           STEPFANI   18   22500588229          01/10/2023           1      $150.00       $0.00
      PLTAD                  127519439001 189687318  BARNES           STEPFANI   18   22500675994          01/17/2023           1      $125.00       $0.00
      PLTAD                  115779710001 210683220  KRESS            WREN       19   22200467441          01/12/2023           1      $285.00     $285.00
      PLTAD                  115779710001 210683220  KRESS            WREN       19   22200467441          01/12/2023           1       $10.00       $2.69
      PLTAD                  115779710001 210683220  KRESS            WREN       19   22200467441          01/12/2023           4      $156.00      $80.80
      PLTAD                  115779710001 210683220  KRESS            WREN       19   22200467441          01/12/2023           5      $125.00      $76.25
      PLTAD                  115779710001 210683220  KRESS            WREN       19   22200467441          01/12/2023           1      $130.00     $107.03
      PLTAD                  115779710001 210683220  KRESS            WREN       19   22200467441          01/12/2023           1       $38.00      $24.36
      PLTAD                  115779710001 210683220  KRESS            WREN       19   22200467441          01/12/2023           1      $195.00     $183.57
      PLTAD                  115779710001 210683220  KRESS            WREN       19   22200467441          01/12/2023           1      $130.00     $119.30
      PLTAD                  132933904001 383082481  HARRIS           JOHANNAH   18   22700511945          12/01/2022           1        $0.40       $0.40
    PLTAD Total                                                                                                                      $2,461.40     $883.40
    RETAI
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600366823          01/05/2023          17       $33.25       $0.00
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600366823          01/05/2023           1      $330.00       $0.00
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600676715          01/09/2023           1      $103.25       $0.00
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600368987          01/05/2023           1      $720.00     $253.70
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600366823          01/05/2023           1    $2,133.00   $6,049.96
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600366823          01/05/2023           2      $696.00       $0.00
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600366823          01/05/2023           1       $40.50       $0.00
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600366823          01/05/2023           1      $203.00       $0.00
      RETAI                  101679504001 165601405  LAWVER           FRANCES    18   22600366823          01/05/2023           1       $38.00       $0.00
    RETAI Total                                                                                                                      $4,297.00   $6,303.66
    RWPLT

                                                                                                                                               PAGE:9 of 64
                                                                                                                                                            
            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   21298167544          12/16/2022           1    $3,411.00   $3,204.57
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           9      $134.50     $127.08
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           1    $3,126.00   $2,936.88
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           1   $25,740.00  $24,177.32
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   22200689809          12/16/2022           1       $36.00      $20.49
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           4      $272.00     $256.23
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           1   $20,767.00  $19,506.38
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           1      $363.00     $341.71
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           2      $204.00     $192.36
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           1       $40.00      $38.32
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           3      $608.00     $571.82
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           2    $4,800.00   $4,509.20
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           4      $465.00     $437.51
      RWPLT                  128659727001 592131186  LAGE             ALFONSO    18   21298167544          12/16/2022           1      $415.00     $390.52
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700865059          01/17/2023          71      $923.00       $4.00
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700693150          01/07/2023           1       $51.45       $1.00
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700693150          01/07/2023           1      $107.10       $1.00
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700775097          01/13/2023           1      $175.00       $4.00
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700693150          01/07/2023           1      $109.20       $1.00
      RWPLT                  134035558001 871996463  BOBADILLA        ANA        18   22700693150          01/07/2023           1      $306.60       $1.00
    RWPLT Total                                                                                                                     $62,053.85  $56,722.39
    SALES
      SALES                  100259585001 053585857  LAMOREAUX        ALISON     19   22800431861          01/09/2023           1      $666.00       $0.00
      SALES                  100259585001 053585857  LAMOREAUX        ALISON     19   22800412693          01/09/2023           1      $122.00       $0.00
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700650291          01/13/2023           1      $119.00       $7.42
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700197092          01/01/2023           1    $5,005.25     $549.72
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700197092          01/01/2023           6    $3,183.72   $1,079.69
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700197092          01/01/2023           1    $4,083.52   $1,384.54
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700865384          01/13/2023           1    $1,071.60     $369.25
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700197092          01/01/2023           1    $1,984.51     $842.44
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700197092          01/01/2023           1       $63.46      $22.53
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700197092          01/01/2023           1      $477.22     $162.72

                                                                                                                                              PAGE:10 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    SALES Total                                                                                                                     $16,776.28   $4,418.31
    SBPLT
      SBPLT                  101601605001 164606476  RITCHEY          SHONNA     18   22200627430          12/07/2022           1      $138.00       $0.00
      SBPLT                  130351296001 215116146  FLOYD            DAWN       01   22300683063          01/09/2023           1      $707.00     $150.45
      SBPLT                  130351296001 215116146  FLOYD            ROBERT     18   22300442006          01/12/2023           1      $250.00       $0.00
      SBPLT                  130351296001 215116146  FLOYD            DAWN       01   22300683063          01/09/2023           1      $700.00     $150.45
      SBPLT                  130351296001 215116146  FLOYD            DAWN       01   22300568877          01/09/2023           1      $129.00       $0.00
    SBPLT Total                                                                                                                      $1,924.00     $300.90
    SBSLS
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1       $24.41       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1       $16.25       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           2        $1.43       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1       $16.25       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022          12    $3,576.00       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022          20       $19.50       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           8        $2.18       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1      $203.00       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1    $1,190.00       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           6      $426.00       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           4        $3.09       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1        $6.54       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1       $89.31       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           2       $60.00       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1    $4,110.00       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1    $4,110.00   $9,596.58
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           6       $84.84       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1    $4,110.00       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           1    $1,190.00       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           6       $15.60       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           2       $29.64       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   22100008158          12/29/2022           7    $3,108.00       $0.00
    SBSLS Total                                                                                                                     $22,392.04   $9,596.58

                                                                                                                                              PAGE:11 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    SBUNB
      SBUNB                  134647654001 200789381  BUTLER           NICHOLAS   18   21494338366          10/17/2022           1      $125.00      $38.50
      SBUNB                  134647654001 200789381  BUTLER           NICHOLAS   18   21494338366          10/17/2022          (1)   ($125.00)    ($51.33)
      SBUNB                  130495224001 291987918  UTSINGER         JOHN       18   22300192544          01/06/2023           1      $180.00       $0.00
      SBUNB                  130495224001 291987918  UTSINGER         JOHN       18   22300192544          01/06/2023           1      $180.00       $0.00
    SBUNB Total                                                                                                                        $360.00    ($12.83)
    SLSUP
      SLSUP                  117749120001 181724326  JORDAN           BENNETT    19   22500585317          12/29/2022           1       $32.00       $0.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1       $50.00       $9.03
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $154.22      $27.55
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1      $298.12      $53.13
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022          22      $132.47      $23.69
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $209.74      $37.42
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1       $50.00       $9.04
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $271.89      $48.47
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1       $50.00       $9.04
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $306.95      $54.69
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1      $724.18     $128.85
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1       $25.85      $14.63
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1    $3,394.03     $603.37
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1      $144.24      $25.78
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $136.19      $24.36
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $551.25      $98.13
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1       $88.00      $15.79
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $380.79      $67.83
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1      $166.92      $29.81
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1       $50.00       $9.04
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1       $86.00      $19.26
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1       $25.85      $14.62
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1       $36.28       $6.60
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           3    $1,074.78     $191.17
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1      $292.09      $52.06

                                                                                                                                              PAGE:12 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1      $129.26      $23.13
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           4       $52.06      $29.31
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1       $50.00       $9.03
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1       $25.85      $14.63
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500524462          12/31/2022           1       $18.20       $1.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1      $274.50      $48.93
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           8       $19.40      $11.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1      $292.09      $52.06
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           3    $1,074.78     $191.17
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           8       $52.36      $29.48
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1      $209.74      $37.43
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500522492          01/01/2023           1        $9.10       $4.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $358.26      $63.81
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $823.64      $33.13
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $156.09      $27.88
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500016250          12/29/2022           1       $39.00       $2.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022          70    $6,417.60     $256.42
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           4      $213.92      $38.17
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1      $245.28      $43.74
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           4      $213.92      $38.17
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1      $298.12      $53.13
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $146.66      $26.20
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           3      $108.84      $19.49
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1      $203.23      $36.27
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500524462          12/31/2022           1        $9.10       $1.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           2      $106.96      $19.15
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           4       $75.64      $42.50
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1      $318.65      $56.78
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $123.19      $22.05
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1      $275.52      $49.12
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           3      $108.84      $19.49
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           1      $239.75      $42.76

                                                                                                                                              PAGE:13 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022          24      $174.55      $31.17
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1       $58.42      $10.53
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           7       $27.69       $5.06
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           4       $96.30      $17.26
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1       $43.06       $7.80
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1      $274.50      $48.93
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500524462          12/31/2022           1       $24.30       $1.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1      $154.22      $27.56
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $435.97      $77.64
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           1      $318.65      $56.78
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1       $50.00       $9.04
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           1      $318.65      $56.78
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500016250          12/29/2022           1    $1,126.00     $714.91
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/29/2022           2      $750.66     $133.56
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500524462          12/31/2022           1       $14.20       $1.00
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/30/2022           4       $75.64      $42.51
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   21900563244          12/31/2022           8       $22.18      $12.57
    SLSUP Total                                                                                                                     $25,386.38   $4,169.89
    TMPLT
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100856481          12/19/2022           1    $1,235.00     $248.40
    TMPLT Total                                                                                                                      $1,235.00     $248.40
    ZALA
       ZALA                  110000391001 416944310  DAVIS            KENNETH    18   22600688949          01/12/2023           1      $173.00       $5.51
    ZALA Total                                                                                                                         $173.00       $5.51
  025620-00 Total                                                                                                                  $196,711.33  $86,237.27
  025620-70
    COBRA
      COBRA                  116615711001 559655581  BERBLINGER       TAYLER     19   22200533790          10/10/2022           1      $170.00      $71.20
    COBRA Total                                                                                                                        $170.00      $71.20
  025620-70 Total                                                                                                                      $170.00      $71.20
HDHP PPO Total                                                                                                                     $196,881.33  $86,308.47

                                                                                                                                              PAGE:14 of 64
                                                                                                                                                            
            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                  127519125001 083622545  FOREMAN          HALEY      18   21688487621          07/20/2022          (1)    ($38.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           TREVOR     19   21689890156          08/15/2022          (1)    ($20.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689875020          08/11/2022          (1)    ($31.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21689407823          08/01/2022          (1)   ($135.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21688944329          07/27/2022          (1)   ($135.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689469343          08/03/2022          (1)    ($31.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           TREVOR     19   21688504599          07/13/2022          (1)    ($20.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689875020          08/11/2022          (1)    ($47.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           TREVOR     19   21688735492          07/27/2022          (1)    ($20.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689469343          08/03/2022          (1)    ($47.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21688487621          07/20/2022          (1)    ($47.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21688960102          08/01/2022          (1)    ($58.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689469343          08/03/2022          (1)    ($38.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689875020          08/11/2022          (1)    ($38.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21688487621          07/20/2022          (1)    ($31.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21688960102          08/01/2022          (1)    ($92.00)    ($35.70)
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1    $1,225.15      $53.45
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1       $51.06       $2.42
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1        $1.08       $0.26
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1    $3,613.00   $1,059.55
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           4    $1,348.00      $58.78
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1       $33.20       $1.64
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1       $32.84       $1.62
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1       $26.80       $1.37
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022          10       $10.25       $0.65
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           2        $1.23       $0.26
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022          20       $11.50       $0.70
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1       $11.50       $0.70
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1      $100.00      $26.94

                                                                                                                                              PAGE:15 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1       $30.00       $1.50
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1   $13,401.00   $3,929.41
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1    $1,609.00     $471.96
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           2      $556.00     $275.24
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           4       $92.00      $27.18
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           2       $32.63       $1.62
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           2        $6.86       $0.50
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1       $85.63       $3.92
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           4        $5.38       $1.79
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1       $18.42       $1.00
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           2       $32.50       $1.62
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           2       $12.38       $3.83
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           2        $2.00       $0.29
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022           1    $9,500.00     $413.07
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022          50    $1,630.19     $478.19
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100196776          12/22/2022          10    $4,907.76     $213.49
      ACCTS                  127519316001 176568300  SCHLOSKY         LILLIAN    19   22800511441          01/09/2023           1      $150.00       $4.00
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22700661375          01/13/2023           1       $11.00       $0.00
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22700661376          01/13/2023           1      $120.00       $0.00
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22700661375          01/13/2023           1       $25.00       $0.00
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22700661375          01/13/2023           1       $10.00       $0.00
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22700661376          01/13/2023           1       $60.00       $0.00
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22700661375          01/13/2023           1       $33.00       $0.00
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22700661374          01/13/2023           1      $140.00      $85.81
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22700661376          01/13/2023           1       $60.00       $0.00
      ACCTS                  127519694001 223193222  DORAN            TIMOTHY    18   22800388157          12/30/2022           1      $120.00      $86.90
      ACCTS                  127519694001 223193222  DORAN            TIMOTHY    18   22800703244          11/23/2022           1       $75.00      $46.68
      ACCTS                  127519694001 223193222  DORAN            TIMOTHY    18   22800703244          11/23/2022           1       $36.00      $20.42
      ACCTS                  127519694001 223193222  DORAN            TIMOTHY    18   21897114851          11/23/2022          (1)    ($25.00)    ($25.37)
      ACCTS                  127519694001 223193222  DORAN            TIMOTHY    18   22800703244          11/23/2022           1       $25.00      $24.88
      ACCTS                  127519694001 223193222  DORAN            TIMOTHY    18   21897114851          11/23/2022          (1)    ($75.00)    ($47.16)
      ACCTS                  127519694001 223193222  DORAN            TIMOTHY    18   21897114851          11/23/2022          (1)    ($36.00)    ($20.90)

                                                                                                                                              PAGE:16 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      ACCTS                  127519694001 223193222  DORAN            TIMOTHY    18   22800703244          11/23/2022           1      $120.00      $82.52
      ACCTS                  134623324001 254553922  O'HARE           NATALIE    18   22100687011          12/22/2022           1      $216.78     $115.52
      ACCTS                  134623324001 254553922  O'HARE           NATALIE    18   22100687011          12/22/2022           4       $28.00       $1.23
      ACCTS                  134623324001 254553922  O'HARE           NATALIE    18   22100687011          12/22/2022           1       $37.00       $1.23
      ACCTS                  134623324001 254553922  O'HARE           NATALIE    18   22100687011          12/22/2022           1      $100.00       $1.24
      ACCTS                  134623324001 254553922  O'HARE           NATALIE    18   22100687011          12/22/2022           2       $74.00       $1.24
      ACCTS                  134623324001 254553922  O'HARE           NATALIE    18   22100688394          12/20/2022           1      $331.62     $200.31
      ACCTS                  127519998001 300741357  STANCEL          MICHELLE   01   22600787825          01/14/2023           1    $3,469.00       $6.18
      ACCTS                  127519998001 300741357  STANCEL          MICHELLE   01   22600777025          01/14/2023           1      $280.00       $6.18
      ACCTS                  129707368001 444740009  REILLY           SHEENA     01   22700512319          01/05/2023           1      $194.00     $109.62
      ACCTS                  129707368001 444740009  REILLY           SHEENA     01   22700512319          01/05/2023           1      $600.00     $268.53
      ACCTS                  129707368001 444740009  REILLY           SHEENA     01   22700513150          01/05/2023           1      $430.00     $300.90
      ACCTS                  127822077001 457596730  COX              TRENTON    19   22018407566          01/09/2023           1       $73.00       $1.54
      ACCTS                  127822077001 457596730  COX              TRENTON    19   22018407566          01/09/2023           1      $140.00      $90.79
      ACCTS                  127822077001 457596730  COX              TRENTON    19   22018407566          01/09/2023           1       $35.00       $1.55
      ACCTS                  127822077001 457596730  COX              TRENTON    19   22018407566          01/09/2023           1       $35.00       $1.55
    ACCTS Total                                                                                                                     $44,451.76   $8,362.64
    ADM
        ADM                  134541889001 063581927  BURZYNSKI        LAURA      01   22700687607          01/12/2023           1       $99.75      $25.82
        ADM                  134541889001 063581927  BURZYNSKI        LAURA      01   22700603512          01/12/2023           1      $457.00     $128.95
        ADM                  127519135001 097786822  SANDERS          KELLY      18   22700762851          01/16/2023           1      $209.00       $0.00
        ADM                  134373697001 110642727  FERNANDEZ        LEOMARI    01   22700778666          01/12/2023          20      $300.00       $1.34
        ADM                  134373697001 110642727  FERNANDEZ        LEOMARI    01   22700778666          01/12/2023           1      $200.00       $1.33
        ADM                  134373697001 110642727  FERNANDEZ        LEOMARI    01   22700778666          01/12/2023           5       $25.00       $1.33
        ADM                  134373697001 110642727  GRANJA           MERVIL     18   22700778576          01/10/2023           1      $200.00     $154.00
        ADM                  122384765001 111587264  MARMOL           EDWARD     18   21298581036          08/04/2022           1       $50.00      $51.33
        ADM                  122384765001 111587264  MARMOL           EDWARD     18   21298581036          08/04/2022           1      $300.00     $301.33
        ADM                  122384765001 111587264  MARMOL           EDWARD     18   21298581036          08/04/2022           1      $100.00     $101.34
        ADM                  127519157001 135628506  BRICK            JASON      19   22200564348          12/14/2022           1      $469.00     $144.57
        ADM                  127519157001 135628506  BRICK            SARAH      01   22200609145          01/16/2023           1      $125.00       $0.00
        ADM                  109996055001 163565722  WARNER           JACKIE     18   22800438832          01/11/2023           1      $125.00      $22.85
        ADM                  118293406001 172663018  MESSINGER        ELSIE      19   22700547287          01/13/2023           1      $119.00      $22.85

                                                                                                                                              PAGE:17 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  118293406001 172663018  MESSINGER        ELSIE      19   22700547287          01/13/2023           1       $49.00       $0.00
        ADM                  110508697001 178620054  GANS             KIERAN     19   22100753532          01/17/2023           1      $130.00      $54.99
        ADM                  110508697001 178620054  GANS             DECLAN     19   22100323324          01/09/2023           1      $130.00      $89.99
        ADM                  110508697001 178620054  GANS             DECLAN     19   22100323324          01/09/2023           1      $150.00      $60.04
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           1    $2,299.00     $249.35
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           1       $56.00       $0.00
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           2      $288.00     $228.05
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           1       $78.00       $0.00
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           1       $10.00       $0.00
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400581854          01/08/2023           1      $484.00     $167.67
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           1       $64.00       $0.00
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           1    $2,598.00     $655.62
        ADM                  127519402001 185783849  JAHIC            DINO       01   22400471719          01/08/2023           1      $333.00       $0.00
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           1       $33.00       $0.00
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           4        $2.05       $0.00
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           2        $3.80       $0.00
        ADM                  127519402001 185783849  JAHIC            ILDA       18   22400434143          01/08/2023           1      $698.00     $582.88
        ADM                  132317941001 190582861  DUGAN            TINA       18   22400669570          01/09/2023           1    $1,352.00     $635.20
        ADM                  132317941001 190582861  DUGAN            TINA       18   22400549220          01/09/2023           1      $105.00      $59.80
        ADM                  134729432001 194760748  MCMASTER         COOPER     19   22800593432          01/12/2023           1       $32.00      $16.02
        ADM                  134729432001 194760748  MCMASTER         COOPER     19   22800593432          01/12/2023           1      $130.00     $125.27
        ADM                  134729432001 194760748  MCMASTER         EMMA       19   22800593433          01/10/2023           1       $12.00       $0.00
        ADM                  134729432001 194760748  MCMASTER         COOPER     19   22800593432          01/12/2023           1      $115.00     $111.97
        ADM                  134729432001 194760748  MCMASTER         EMMA       19   22800593433          01/10/2023           1       $85.00       $0.00
        ADM                  134729432001 194760748  MCMASTER         COOPER     19   22800593432          01/12/2023           1      $275.00     $257.94
        ADM                  134729432001 194760748  MCMASTER         COOPER     19   22800593432          01/12/2023           1      $175.00     $112.39
        ADM                  134729432001 194760748  MCMASTER         COOPER     19   22800593432          01/12/2023           1       $32.00      $21.21
        ADM                  134729432001 194760748  MCMASTER         EMMA       19   22800593433          01/10/2023           1      $130.00      $54.99
        ADM                  134729432001 194760748  MCMASTER         COOPER     19   22800593432          01/12/2023           1       $32.00      $16.02
        ADM                  134729432001 194760748  MCMASTER         COOPER     19   22800593432          01/12/2023           1       $45.00      $16.47
        ADM                  134729432001 194760748  MCMASTER         COOPER     19   22800593432          01/12/2023           1       $32.00      $16.02
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500664505          01/06/2023           1       $49.00      $19.82

                                                                                                                                              PAGE:18 of 64
                                                                                                                                                            
            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   22500582409          01/04/2023           1    $1,904.00     $247.06
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500582409          01/04/2023           1       $63.00       $9.34
        ADM                  104310230001 197582859  BYNAKER          AMANDA     18   22500582410          01/13/2023           1      $251.00      $85.81
        ADM                  115186244001 198669259  FENNER           LIAM       19   22500633530          01/16/2023           1      $110.00       $0.00
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500549692          01/06/2023           1      $277.00      $84.19
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500765099          01/13/2023           1       $53.00       $0.00
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500765099          01/13/2023           1      $115.00       $0.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100516665          01/10/2023           1       $20.00       $4.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100519417          01/10/2023           1       $44.00       $2.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100856756          01/15/2023           2       $22.00       $1.34
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100601186          01/13/2023           1      $320.00       $4.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100519417          01/10/2023           1       $40.00       $2.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100600461          01/13/2023           1       $20.00       $4.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100601777          01/13/2023           1       $40.00       $4.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100690715          01/10/2023           1       $53.00       $4.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100777235          01/10/2023           1       $78.00      $54.17
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100777235          01/10/2023           1       $55.00      $15.80
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100777235          01/10/2023           3       $36.00       $0.80
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100856756          01/15/2023           1      $201.00       $1.33
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100777235          01/10/2023           1      $307.00     $150.47
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100772374          01/15/2023           1       $40.00       $4.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100777235          01/10/2023           1      $201.00       $0.80
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100856756          01/15/2023           1      $229.00      $92.10
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22100772932          01/15/2023           1       $20.00       $4.00
        ADM                  132228393001 366982925  WARREN           MICHAEL    18   22600521899          12/01/2022           1        $0.80       $0.80
        ADM                  132142482001 368941316  MONTI            BLAKE      18   22018641839          01/10/2023           1      $110.62       $2.00
        ADM                  132142482001 368941316  MONTI            BLAKE      18   22018641839          01/10/2023           1      $207.18     $108.47
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $21.73       $0.55
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $48.76       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $38.99       $0.55
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $42.40       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $62.54       $0.54

                                                                                                                                              PAGE:19 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1      $164.79       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1      $338.14       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1      $116.60       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1      $155.82       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1      $102.82       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $66.78       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $72.08       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $48.76       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $99.64       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $82.68       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $77.38       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $89.04       $0.54
        ADM                  132736780001 400112551  HARPER           TAMMY      01   22100861615          01/09/2023           1       $22.26       $0.55
        ADM                  132684100001 424419143  RUSSELL          ALFRED     18   22700690027          01/13/2023           1       $62.00       $6.18
        ADM                  132228396001 451396060  BAIN             THOMAS     18   22018932998          11/17/2022           1    $2,234.00   $1,413.32
        ADM                  132228396001 451396060  BAIN             THOMAS     18   22016101437          11/17/2022          (1) ($2,234.00) ($1,413.99)
        ADM                  132228396001 451396060  BAIN             THOMAS     18   22018932998          11/17/2022           1    $1,730.00     $540.47
        ADM                  132228396001 451396060  BAIN             THOMAS     18   22018932998          11/17/2022           1    $2,014.00     $335.71
        ADM                  132228396001 451396060  BAIN             THOMAS     18   22016101437          11/17/2022          (1) ($1,730.00)   ($541.14)
        ADM                  130492424001 531255685  FOSTER           EMMETTE    18   22200521929          01/06/2023           1       $34.00       $6.18
        ADM                  134227182001 535689149  HEINSCH          KIMBERLY   18   22300522137          12/30/2022           1      $106.14      $32.68
        ADM                  134227182001 535689149  HEINSCH          KIMBERLY   18   22300522137          12/30/2022           1      $140.61      $42.29
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100547746          01/10/2023           1      $246.00      $80.88
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100412450          01/10/2023           1      $192.00      $76.29
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100474417          01/12/2023           1      $161.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100325412          01/10/2023           1      $161.00      $53.10
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100474425          01/09/2023           1      $246.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100547748          01/11/2023           1       $25.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100689284          01/09/2023           1   $15,636.25   $2,459.46
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100547713          01/13/2023           1      $195.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100474416          01/12/2023           1      $278.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100474418          01/09/2023           1      $630.00     $313.88

                                                                                                                                              PAGE:20 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100412453          01/11/2023           1      $278.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100474418          01/09/2023           1      $630.00     $313.88
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100474424          01/12/2023           1      $195.00      $53.10
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100412454          01/09/2023           1      $256.00     $100.78
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100474422          01/09/2023           1       $25.00       $8.03
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100412459          01/11/2023           1      $195.00       $0.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100412455          01/11/2023           1      $161.00       $0.00
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1      $129.36       $0.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1       $83.24       $0.30
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1      $101.23       $0.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1       $50.62       $0.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1       $84.36       $0.30
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1       $50.57       $0.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1       $48.37       $0.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1      $142.85       $0.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1      $112.49       $0.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800518464          12/04/2022           1      $100.00      $55.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1       $92.24       $0.30
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1       $67.51       $0.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1       $38.90       $0.31
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800514435          12/04/2022           1      $128.99       $4.00
        ADM                  133920098001 631223121  PATINO           MARGARIT   18   22800780906          01/09/2023           1      $110.24       $0.31
    ADM Total                                                                                                                       $42,462.38   $9,349.39
    BFALL
      BFALL                  132750765001 044781057  CYPHERS          JAMES      18   22018933000          05/06/2022           1      $225.00       $1.55
      BFALL                  132750765001 044781057  CYPHERS          JAMES      18   22001618157          05/06/2022          (1)   ($170.00)    ($42.52)
      BFALL                  132750765001 044781057  CYPHERS          JAMES      18   22018933000          05/06/2022           1      $132.00       $1.54
      BFALL                  132750765001 044781057  CYPHERS          JAMES      18   22001618157          05/06/2022          (4)    ($20.00)     ($2.06)
      BFALL                  132750765001 044781057  CYPHERS          JAMES      18   22018933000          05/06/2022           4       $20.00       $1.55
      BFALL                  132750765001 044781057  CYPHERS          JAMES      18   22001618157          05/06/2022          (1)   ($132.00)     ($2.06)
      BFALL                  132750765001 044781057  CYPHERS          JAMES      18   22018933000          05/06/2022           1      $170.00      $42.00
    BFALL Total                                                                                                                        $225.00       $0.00

                                                                                                                                              PAGE:21 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    CARR
       CARR                  117488925001 457271522  MCMANUS          SCOTT      18   22018926426          01/17/2023           1      $323.00      $91.08
       CARR                  117488925001 457271522  MCMANUS          SCOTT      18   22018926426          01/17/2023           1       $65.00       $2.00
    CARR Total                                                                                                                         $388.00      $93.08
    CHES
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22700693840          01/10/2023           1       $39.00      $23.78
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22700693840          01/10/2023           1      $120.00      $28.22
    CHES Total                                                                                                                         $159.00      $52.00
    CKPT2
      CKPT2                  121935242001 179621425  MARTIN           KERRI      19   22200004797          01/05/2023           1      $167.00      $50.70
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100501345          01/09/2023           1      $333.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100442947          01/09/2023           1      $484.00       $0.00
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200447773          09/05/2022           1      $168.00      $66.37
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200574147          07/01/2022           1       $98.00      $37.89
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200574147          07/01/2022           1       $98.00      $48.90
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200447775          09/06/2022           1      $168.00      $66.37
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200834794          09/12/2022           1      $294.00      $94.86
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200834794          09/12/2022           1       $56.00      $56.62
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200442899          09/01/2022           1      $484.00     $178.16
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200447774          09/03/2022           1      $218.00      $95.36
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200574146          09/12/2022           1      $137.00      $68.03
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200447772          09/02/2022           1       $39.00      $10.06
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200574146          09/12/2022           1       $98.00      $37.89
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200574147          07/01/2022           1       $20.00       $9.69
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200574147          07/01/2022           1      $106.00      $52.74
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200574147          07/01/2022           1       $48.00      $22.03
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200834793          07/15/2022           1      $294.00      $94.86
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200447774          09/04/2022           1      $218.00      $95.36
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200447834          09/01/2022           1       $39.00      $10.06
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200447776          09/01/2022           1      $424.00     $156.91
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200574147          07/01/2022           1       $89.00      $40.04
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22200447771          09/07/2022           1      $161.00      $67.01

                                                                                                                                              PAGE:22 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700463843          11/12/2022           1      $179.00       $0.00
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700463844          12/08/2022           1      $576.00     $125.87
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700463843          11/12/2022           1       $15.00       $0.00
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700463843          11/12/2022           1      $182.00       $0.00
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700463846          08/15/2022           1      $608.00     $246.15
    CKPT2 Total                                                                                                                      $5,801.00   $1,731.93
    CLARK
      CLARK                  101767674001 166700538  GALLEGOS AVALOS  BYANKA     19   22300680912          01/13/2023           1      $160.00       $0.00
      CLARK                  110169138001 172701233  KEENEY           EMILY      19   22300593446          01/05/2023           1      $130.00      $54.99
      CLARK                  109996048001 176646292  MILLER           TANIA      18   22100565199          01/13/2023           1      $100.00       $0.00
      CLARK                  109996048001 176646292  MILLER           TANIA      18   22100565199          01/13/2023           1      $125.00      $29.87
      CLARK                  109996048001 176646292  MILLER           TANIA      18   22100565199          01/13/2023           1      $215.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           1       $25.00      $78.18
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           1      $288.00     $900.65
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           2      $350.00   $1,094.62
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022          16    $2,050.00   $6,410.88
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $15.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400444588          12/27/2022           2      $250.00     $155.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400444588          12/27/2022           5       $57.60       $9.85
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           1    $3,137.00   $9,810.22
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022          73      $971.78   $3,039.01
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           4    $2,032.00   $6,354.59
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $73.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400517918          09/29/2022           1      $250.00      $84.81
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           1    $2,649.00   $8,284.11
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           4      $148.00     $462.83
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400584804          01/15/2023           1      $143.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $32.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $51.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400764621          01/17/2023           1      $143.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400678151          01/16/2023           1      $135.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           6      $490.00   $1,532.35

                                                                                                                                              PAGE:23 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1      $113.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $25.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           4      $174.00     $544.14
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400764484          01/17/2023           1      $143.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400444588          12/27/2022           3      $462.00     $297.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $86.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           2    $3,499.00  $10,942.29
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400659747          01/13/2023           1       $65.00      $14.18
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           1      $179.00     $559.78
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $55.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           2       $30.00      $93.81
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $43.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $63.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400038773          12/26/2022           1      $648.00   $2,026.46
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400669631          01/09/2023           1       $43.00       $0.00
    CLARK Total                                                                                                                     $19,648.38  $52,779.62
    CLEVE
      CLEVE                  127519935001 273806178  RILEY            STEPHEN    18   22600516327          01/10/2023           1       $46.30       $2.06
      CLEVE                  127519935001 273806178  RILEY            STEPHEN    18   22600516327          01/10/2023           1        $8.27       $2.06
      CLEVE                  127519935001 273806178  RILEY            STEPHEN    18   22600516327          01/10/2023           1       $22.05       $2.06
      CLEVE                  130492405001 287687650  HUFFORD          RAYMOND    18   22100777981          01/13/2023           1      $325.00       $6.18
      CLEVE                  127520003001 301907644  HARP             LUCA       19   22200514560          01/06/2023           1      $361.00      $85.93
    CLEVE Total                                                                                                                        $762.62      $98.29
    DENV
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600515207          01/11/2023           1      $130.00       $2.00
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600861315          01/16/2023           2      $250.00       $2.00
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600519296          12/19/2022           1      $250.00      $86.92
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600689048          01/13/2023           2      $250.00       $2.00
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600689048          01/13/2023           1      $130.00       $2.00
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600515207          01/11/2023           2      $250.00       $2.00
       DENV                  127520277001 523088824  MOORE            CAROL      18   22600861315          01/16/2023           1      $130.00       $2.00
    DENV Total                                                                                                                       $1,390.00      $98.92

                                                                                                                                              PAGE:24 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    FAIR
       FAIR                  130492396001 235293798  CAREY            MICHAEL    18   22100856284          01/16/2023           1      $301.00     $138.31
    FAIR Total                                                                                                                         $301.00     $138.31
    FESPLT
      FESPLT                 132917710001 362927834  O'BRIEN          KEVIN      18   22400515654          12/01/2022           1        $1.20       $1.20
      FESPLT                 132917710001 362927834  O'BRIEN          SEELEY     19   22400519591          12/01/2022           1        $0.80       $0.80
      FESPLT                 132900464001 363782957  BRIGHAM          DODIE      18   22200520749          12/01/2022           1        $0.80       $0.80
      FESPLT                 135196191001 367887776  BROWN            JAMIE      18   22018736636          01/11/2023           1       $15.00       $0.48
      FESPLT                 135196191001 367887776  BROWN            JAMIE      18   22018736636          01/05/2023           1       $90.00       $0.42
      FESPLT                 135196191001 367887776  BROWN            JAMIE      18   22018736636          01/06/2023           1       $15.00       $0.48
      FESPLT                 135196191001 367887776  BROWN            JAMIE      18   22018736636          01/05/2023           1       $15.00       $0.48
      FESPLT                 135196191001 367887776  BROWN            JAMIE      18   22018736636          01/05/2023           1       $85.00      $32.06
      FESPLT                 135196191001 367887776  BROWN            JAMIE      18   22018736636          01/11/2023           1       $60.00       $0.45
      FESPLT                 135196191001 367887776  BROWN            JAMIE      18   22018736636          01/05/2023           1       $60.00       $0.45
      FESPLT                 135196191001 367887776  BROWN            JAMIE      18   22018736636          01/06/2023           1       $60.00       $0.45
      FESPLT                 133920029001 371803293  LEWIS            ARNEISE    18   22200516358          12/01/2022           1        $0.80       $0.80
      FESPLT                 132884809001 373351965  DIAZ-MARTINEZ    ROMAN      19   22700521194          12/01/2022           1        $1.20       $1.20
      FESPLT                 132884809001 373351965  DIAZ-MARTINEZ    ALEXANDE   19   22700512690          12/01/2022           1        $1.20       $1.20
      FESPLT                 132884809001 373351965  DIAZ-MARTINEZ    DAIZY      19   22700513274          12/01/2022           1        $1.20       $1.20
      FESPLT                 132938863001 375047084  MCMURRAY         ETHAN      19   22700514818          12/01/2022           1        $0.80       $0.80
      FESPLT                 132938863001 375047084  MCMURRAY         JODI       18   22700523657          12/01/2022           1        $0.80       $0.80
      FESPLT                 132917714001 376683370  MOORHEAD         MARK       18   22800513494          12/01/2022           1        $1.20       $1.20
      FESPLT                 132900469001 377864181  NAVARRE          MICHAEL    18   22700522791          12/01/2022           1        $1.20       $1.20
      FESPLT                 132900469001 377864181  NAVARRE          MEARA      19   22700520145          12/01/2022           1        $1.20       $1.20
      FESPLT                 134316739001 383802866  NAVITSKAS        TERRI      18   22100598836          01/10/2023           1       $76.00       $3.16
      FESPLT                 134316739001 383802866  NAVITSKAS        TERRI      18   22100598836          01/10/2023           1       $18.00       $6.68
      FESPLT                 134316739001 383802866  NAVITSKAS        TERRI      18   22100598836          01/10/2023           1       $83.00      $20.86
      FESPLT                 132971374001 386238907  HUERTA-AVALOS    MONICA     18   22100514839          12/01/2022           1        $0.80       $0.80
      FESPLT                 136245948001 610435099  RODAS-CASTELLANOSDIEGO      19   22600520485          01/05/2023           1      $180.00       $3.88
    FESPLT Total                                                                                                                       $770.20      $83.05
    FLEET
      FLEET                  127519229001 165562976  HENRY            STEVEN     18   22017556297          11/30/2022           1       $85.00      $35.00

                                                                                                                                              PAGE:25 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      FLEET                  127519983001 295668783  WILSON           DAVE       18   22018921371          01/16/2023           1       $20.00       $6.18
    FLEET Total                                                                                                                        $105.00      $41.18
    FORPK
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700517513          01/12/2023           2      $194.00       $6.18
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700780781          01/16/2023           1       $65.00       $1.54
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700780781          01/16/2023           1       $60.00       $1.55
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700780781          01/16/2023           1      $100.00      $11.21
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700780781          01/16/2023           1       $45.00       $1.55
    FORPK Total                                                                                                                        $464.00      $22.03
    FRED
       FRED                  127519784001 231047148  SAMPSON          ROBERT     18   22800514251          01/12/2023           1      $155.00      $90.09
    FRED Total                                                                                                                         $155.00      $90.09
    FREE
       FREE                  132990694001 148725616  KASZUBA          STEPHANI   01   22700021621          12/29/2022           1      $250.00      $79.36
    FREE Total                                                                                                                         $250.00      $79.36
    GFPLT
      GFPLT                  121950800001 412020900  WELLS            SAMUEL     18   22800604293          01/12/2023           1      $155.00      $89.09
      GFPLT                  130858747001 419060646  MATT             CHRISTOP   18   22700864396          01/03/2023           1      $104.00       $0.88
      GFPLT                  130858747001 419060646  MATT             CHRISTOP   18   22700864396          01/03/2023           1      $154.00       $0.89
      GFPLT                  130858747001 419060646  MATT             CHRISTOP   18   22700864396          01/03/2023           1      $125.00       $0.88
      GFPLT                  130858747001 419060646  MATT             CHRISTOP   18   22700864396          01/03/2023           1       $76.00       $0.89
      GFPLT                  130858747001 419060646  MATT             CHRISTOP   18   22700864396          01/03/2023           1       $62.00       $0.88
      GFPLT                  130858747001 419060646  MATT             CHRISTOP   18   22700864396          01/03/2023           1       $85.00       $0.88
      GFPLT                  130858747001 419060646  MATT             CHRISTOP   18   22700864396          01/03/2023           1       $39.00       $0.88
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22300603025          01/11/2023           1       $31.13       $1.03
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22300603025          01/11/2023           1      $134.40       $1.03
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22300603025          01/11/2023           1       $27.87       $1.03
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22300862511          01/11/2023           1      $363.17      $30.97
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22300603025          01/11/2023           1      $134.40      $19.97
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22300603025          01/11/2023           1      $134.40      $19.97
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22300603025          01/11/2023           1       $25.00       $1.03
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22300862511          01/11/2023           1        $2.74       $3.09

                                                                                                                                              PAGE:26 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      GFPLT                  132900477001 420395562  INGRAM           AARON      18   22600775855          01/06/2023           1      $110.00      $34.43
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700602444          01/05/2023           1      $200.00      $73.52
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700602444          01/05/2023           1        $6.00       $1.55
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700518069          01/06/2023           1      $186.42       $3.09
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700602444          01/05/2023           1       $20.00      $16.69
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700602444          01/05/2023           1       $35.00      $23.81
      GFPLT                  121951042001 421116491  OGLESBY          KIM        01   22700518069          01/06/2023           1      $469.77       $3.09
      GFPLT                  107807628001 421764429  GIBBS            ALFRED     18   22300865414          12/07/2022           1    $1,000.00     $348.18
      GFPLT                  107824315001 422960552  LEONARD          EDDIE      18   22400866831          12/20/2022           1      $142.00       $0.78
      GFPLT                  107824315001 422960552  LEONARD          EDDIE      18   22400866831          12/20/2022           1       $17.00       $0.77
      GFPLT                  107824315001 422960552  LEONARD          EDDIE      18   22400866831          12/20/2022           1       $69.00       $0.77
      GFPLT                  107824315001 422960552  LEONARD          EDDIE      18   22400866831          12/20/2022           1      $168.00       $0.77
      GFPLT                  107824315001 422960552  LEONARD          EDDIE      18   22400866831          12/20/2022           1       $71.00       $0.78
      GFPLT                  107824315001 422960552  LEONARD          EDDIE      18   22400866831          12/20/2022           1       $90.00       $0.77
      GFPLT                  107824315001 422960552  LEONARD          EDDIE      18   22400866831          12/20/2022           1       $48.00       $0.77
      GFPLT                  107824315001 422960552  LEONARD          EDDIE      18   22400866831          12/20/2022           1      $175.00       $0.77
      GFPLT                  133920055001 423862577  SUTTON           MARCHELL   18   22100860946          01/13/2023           1      $246.00      $85.18
      GFPLT                  107836195001 423867346  JOHNSON WATSON   LUCINDA    01   22400522424          01/05/2023           1       $40.00       $3.09
      GFPLT                  107836195001 423867346  JOHNSON WATSON   LUCINDA    01   22400522424          01/05/2023           1       $40.00       $3.09
    GFPLT Total                                                                                                                      $4,786.30     $775.29
    HCOMP
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   22500312921          01/02/2023           1    $1,598.00     $495.85
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   22500746550          12/19/2022           1      $534.00     $220.88
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   22500312921          01/02/2023           1      $775.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022         160   $17,350.97  $16,147.71
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022         100   $10,844.32  $10,092.32
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022           1      $364.00     $337.09
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022          10    $5,933.79   $5,571.11
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   22500312921          01/02/2023           1       $61.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   22500312921          01/02/2023           1       $97.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022           1       $61.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022           1       $10.00       $0.00

                                                                                                                                              PAGE:27 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   22500312921          01/02/2023           1       $26.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022           1       $45.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   22500312921          01/02/2023           1       $35.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   22500312921          01/02/2023         100      $100.89       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022           2        $1.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022          90   $53,404.07  $50,140.05
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   21598097994          12/19/2022           1       $10.00       $0.00
      HCOMP                  102270677001 173327307  RICE             MICHAEL    18   22500312921          01/02/2023           1       $45.00       $0.00
    HCOMP Total                                                                                                                     $91,296.04  $83,005.01
    HCSLS
      HCSLS                  127520267001 486826697  TULLIS           KEELIE     01   22017556296          12/05/2022           1       $85.00      $35.00
    HCSLS Total                                                                                                                         $85.00      $35.00
    INRDC
      INRDC                  130590380001 315889257  NELSON           DAVID      18   22200687083          01/05/2023           1      $180.00      $57.88
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22200687172          01/12/2023           1      $120.00       $6.18
    INRDC Total                                                                                                                        $300.00      $64.06
    INVAZ
      INVAZ                  130351280001 189217271  VALDEZ MONTOYA   ANTONIO    19   22500694669          11/30/2022           1       $13.00       $5.85
      INVAZ                  130351280001 189217271  VALDEZ MONTOYA   ANTONIO    19   22500694669          11/30/2022           1       $90.00      $28.85
      INVAZ                  130351280001 189217271  VALDEZ MONTOYA   ANTONIO    19   22500694669          11/30/2022           1      $412.00      $87.56
      INVAZ                  130351280001 189217271  VALDEZ MONTOYA   ANTONIO    19   22500694669          11/30/2022           1      $159.00      $66.32
      INVAZ                  132711083001 625134116  CABALLERO        FLORINA    18   22800516497          01/04/2023           1    $1,190.00      $30.88
      INVAZ                  132711083001 625134116  CABALLERO        FLORINA    18   22800516441          01/04/2023           1    $2,580.00      $34.24
      INVAZ                  132711083001 625134116  CABALLERO        FLORINA    18   22800516441          01/04/2023           1      $135.00       $4.10
      INVAZ                  132711083001 625134116  CABALLERO        FLORINA    18   22800516441          01/04/2023          16      $321.72       $6.41
      INVAZ                  132711083001 625134116  CABALLERO        FLORINA    18   22800511280          01/04/2023           1       $45.00       $4.54
      INVAZ                  132711083001 625134116  CABALLERO        FLORINA    18   22800516441          01/04/2023           6       $26.70       $2.77
    INVAZ Total                                                                                                                      $4,972.42     $271.52
    INVIN
      INVIN                  129586960001 303504176  WAGGONER         TRACI      18   22100774627          01/06/2023           1      $121.00      $73.22
      INVIN                  127920396001 305788052  HUDGINS          LAURA      18   22300862786          01/13/2023           1      $111.00       $6.18
      INVIN                  127930867001 308236174  HARRIS           BELLA      18   22700775320          01/11/2023           1       $25.00       $6.18

                                                                                                                                              PAGE:28 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      INVIN                  127920405001 310840379  PERRY            KENNY      18   22300859595          01/06/2023           1      $220.00     $133.35
      INVIN                  135300727001 313764168  HERBER           JACQUELI   18   22100690649          01/13/2023           1      $120.00      $57.88
      INVIN                  128529435001 316687071  PRIBLE           MARK       18   22300690980          11/18/2022           1    $1,001.00     $206.18
      INVIN                  128529435001 316687071  PRIBLE           ERIN       01   22300603742          01/13/2023           1      $163.00      $50.06
      INVIN                  128529435001 316687071  PRIBLE           ERIN       01   22300521350          01/12/2023           1       $20.00       $3.09
      INVIN                  128529435001 316687071  PRIBLE           ERIN       01   22300521350          01/12/2023           1       $40.00       $3.09
      INVIN                  127920420001 317601973  CALVERT          GEORGE     18   22019013462          01/13/2023           4      $400.00       $6.18
      INVIN                  127920420001 317601973  CALVERT          GEORGE     18   22019013724          01/12/2023           1      $400.00       $6.18
      INVIN                  127920420001 317601973  CALVERT          GEORGE     18   22019017725          01/16/2023           2      $200.00       $6.18
      INVIN                  127920420001 317601973  CALVERT          GEORGE     18   22018741280          12/09/2022           1       $90.00      $46.43
      INVIN                  127920420001 317601973  CALVERT          GEORGE     18   22019018264          01/17/2023           1       $51.00       $6.18
      INVIN                  135019264001 595338157  PORTER           JEREMY     18   22400864158          12/10/2022           1      $176.20      $42.88
      INVIN                  136245947001 598165964  TORRES           LISMARIE   18   22500513943          01/11/2023           1      $206.00      $59.57
    INVIN Total                                                                                                                      $3,344.20     $712.83
    JACKS
      JACKS                  132459787001 437085859  LUCENTI          DOREEN     01   22100511579          01/06/2023           1        $9.04       $8.29
      JACKS                  132459787001 437085859  LUCENTI          DOREEN     01   22100511579          01/06/2023           1      $247.92      $23.17
      JACKS                  132459787001 437085859  LUCENTI          DOREEN     01   22100685562          01/13/2023           1      $200.00       $6.18
      JACKS                  132459787001 437085859  LUCENTI          DOREEN     01   22100511579          01/06/2023           1      $225.46     $119.12
    JACKS Total                                                                                                                        $682.42     $156.76
    KCSLS
      KCSLS                  130539776001 349708883  DONALDSON        TONY       18   22500865334          12/29/2022           1      $180.00     $122.56
      KCSLS                  130539776001 349708883  DONALDSON        TONY       18   22500514760          12/13/2022           1      $202.83      $98.03
      KCSLS                  130539776001 349708883  DONALDSON        TYLER      19   22500864135          12/29/2022           1      $180.00     $122.56
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600512806          01/02/2023           7      $122.00       $2.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600688806          01/02/2023           1       $16.70       $1.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600776904          01/02/2023           1       $12.60       $1.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600600567          01/02/2023           1      $280.00       $4.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600776904          01/03/2023           1       $12.60       $1.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600688806          01/02/2023           1       $23.80       $1.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600688806          01/02/2023           1       $40.10       $1.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600776904          01/03/2023           1       $41.50       $1.00

                                                                                                                                              PAGE:29 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600512806          01/02/2023           1      $963.00       $2.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600776904          01/03/2023           1       $41.50       $1.00
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600688806          01/02/2023           1       $41.50       $1.00
      KCSLS                  130539790001 359807748  LOOMIS           JOSEPH     18   22100514455          12/07/2022           1      $385.00       $4.87
      KCSLS                  130539790001 359807748  LOOMIS           JOSEPH     18   22100514455          12/07/2022           1      $236.50     $122.66
    KCSLS Total                                                                                                                      $2,779.63     $486.68
    KENN
       KENN                  112310338001 436574079  BOUDREAUX        ALEXA      19   22400865500          01/10/2023           1      $109.00       $3.17
       KENN                  112310338001 436574079  BOUDREAUX        ALEXA      19   22400865500          01/10/2023           1      $190.00      $62.57
    KENN Total                                                                                                                         $299.00      $65.74
    KMPLT
      KMPLT                  106563632001 266491401  GAIA             THOMAS     19   22500790055          12/28/2022           1      $323.20     $147.63
      KMPLT                  106563632001 266491401  GAIA             THOMAS     19   22500790055          12/28/2022           1    $2,308.25   $1,041.69
      KMPLT                  106563632001 266491401  GAIA             THOMAS     19   22500790055          12/28/2022           1       $10.00       $6.56
    KMPLT Total                                                                                                                      $2,641.45   $1,195.88
    LAUR
       LAUR                  110063980001 161605303  KING             SONYA      18   22100862845          12/27/2022           1      $134.00      $21.28
       LAUR                  110063980001 161605303  KING             JOSEPH     01   22100518839          01/03/2023           1      $456.00       $2.00
       LAUR                  110063980001 161605303  KING             SONYA      18   22100862845          12/27/2022           1      $150.50       $3.25
       LAUR                  110063980001 161605303  KING             SONYA      18   22100862845          12/27/2022           1      $140.50      $34.31
       LAUR                  110063980001 161605303  KING             JOSEPH     01   22100518839          01/03/2023           2      $350.00       $2.00
    LAUR Total                                                                                                                       $1,231.00      $62.84
    MANAS
      MANAS                  127519707001 224110814  MCCORMICK        DIANA      01   22300687773          01/11/2023           1      $175.00      $70.00
    MANAS Total                                                                                                                        $175.00      $70.00
    MASS
       MASS                  127519974001 292825732  MCPEEK           AUBRIE     19   22100774812          01/12/2023           1      $155.00     $157.06
       MASS                  127519974001 292825732  MCPEEK           AUBRIE     19   22100774812          01/12/2023           1      $135.00      $95.11
       MASS                  127519974001 292825732  MCPEEK           AUBRIE     19   22100774812          01/12/2023           1       $20.00      $22.06
       MASS                  127519974001 292825732  MCPEEK           KARA       01   22018649184          01/11/2023           1       $12.00       $6.87
       MASS                  127519974001 292825732  MCPEEK           KARA       01   22018649184          01/11/2023           1      $103.00       $2.06
       MASS                  127519974001 292825732  MCPEEK           KARA       01   22018649184          01/11/2023           1      $145.00      $96.16

                                                                                                                                              PAGE:30 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    MASS Total                                                                                                                         $570.00     $379.32
    MKTG
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22100268625          12/13/2022           1    $9,944.00   $7,205.94
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22100268625          11/30/2022          10       $70.00       $0.00
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22100268625          11/30/2022           1    $2,710.00   $4,048.10
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22100268625          11/30/2022           7    $1,827.00   $3,219.56
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22100268625          11/30/2022          89   $30,171.00  $36,613.00
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22100268625          11/30/2022           1    $1,853.00   $1,932.43
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           2       $50.00      $20.00
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1       $39.00      $19.99
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1       $39.00      $19.99
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1       $22.00       $0.33
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1       $35.00      $22.56
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1      $110.00      $45.17
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1       $75.00      $31.97
       MKTG                  132228406001 633341775  BULLA            SANDRA     18   22100514999          01/13/2023           1       $45.00       $0.67
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1       $39.00      $19.98
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1       $25.00      $13.35
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1      $115.00      $42.30
       MKTG                  132228406001 633341775  BULLA            SANDRA     18   22100514999          01/13/2023           6      $300.00       $0.66
       MKTG                  132228406001 633341775  BULLA            SANDRA     18   22100514999          01/13/2023           1       $65.00       $0.67
       MKTG                  132228406001 633341775  BULLA            SANDRA     18   22100514999          01/13/2023           4      $200.00       $0.67
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1      $170.00     $115.31
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100600672          01/13/2023           1       $25.00      $13.35
       MKTG                  132228406001 633341775  BULLA            SANDRA     18   22100514999          01/13/2023           1      $300.00     $142.53
       MKTG                  132228406001 633341775  BULLA            SANDRA     18   22100514999          01/13/2023           1      $100.00       $0.67
    MKTG Total                                                                                                                      $48,329.00  $53,529.20
    MOBL
       MOBL                  107770113001 418900638  DAVIS            JOHN       18   22015392692          11/21/2022          (1)   ($260.00)    ($94.18)
       MOBL                  107770113001 418900638  SMITHERMAN       LENKA      01   22018644744          01/09/2023           1    $1,887.65      $95.11
       MOBL                  107770113001 418900638  SMITHERMAN       LENKA      01   22018835031          01/09/2023           1      $109.38      $44.71
       MOBL                  107770113001 418900638  SMITHERMAN       LENKA      01   22018835031          01/09/2023           1       $92.00      $33.89

                                                                                                                                              PAGE:31 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       MOBL                  107770113001 418900638  SMITHERMAN       LENKA      01   22019015732          01/16/2023           1      $200.00     $112.67
    MOBL Total                                                                                                                       $2,029.03     $192.20
    NEW
        NEW                  115397528001 125684034  RUGGIERO         JAMES      18   22500524148          01/11/2023           1       $65.00       $4.00
    NEW Total                                                                                                                           $65.00       $4.00
    PLT1
       PLT1                  127519522001 203684453  BOYERS           TIFFANY    01   22700716541          01/12/2023           1       $50.00       $0.00
       PLT1                  127519522001 203684453  BOYERS           TIFFANY    01   22700716541          01/12/2023           1       $25.00       $0.00
       PLT1                  127519522001 203684453  BOYERS           JUSTIN     18   22700716543          01/12/2023           1       $25.00       $0.00
       PLT1                  127519522001 203684453  BOYERS           JUSTIN     18   22700716542          01/12/2023           1       $50.00       $0.00
    PLT1 Total                                                                                                                         $150.00       $0.00
    PLT18
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           4      $311.00     $218.63
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           4      $639.12     $448.82
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022          12      $748.63     $525.65
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           2       $53.88      $38.24
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022          63   $15,597.12  $10,942.80
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           7    $2,360.68   $1,656.60
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           1      $392.23     $275.61
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           2   $15,226.00  $10,682.43
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           5   $22,110.00  $15,511.98
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           2      $106.80      $75.37
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           3    $2,339.20   $1,641.55
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022       5,573    $5,226.26   $3,666.99
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022           2      $784.46     $550.79
      PLT18                  121950521001 421134367  PRICE            JOSHUA     19   21899242441          12/20/2022          36       $37.46      $26.72
      PLT18                  133920052001 422962227  CEPHUS           SHERROD    18   22700779486          01/17/2023           1      $409.00      $67.43
      PLT18                  107833107001 423665791  POWELL           SIDNEY     01   22300778670          12/19/2022           1       $75.00      $78.09
      PLT18                  107833107001 423665791  POWELL           SIDNEY     01   22300778670          12/19/2022           1       $46.00      $26.43
      PLT18                  135769569001 557373028  FLOWERS          CIARA      19   22700281142          11/24/2022           1      $939.00      $52.80
    PLT18 Total                                                                                                                     $67,401.84  $46,486.93
    PLT2

                                                                                                                                              PAGE:32 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  131796633001 020831958  LUGO CASTILLO    ELIZABET   01   22300840528          01/12/2023           1      $141.00     $191.37
       PLT2                  131796633001 020831958  LUGO CASTILLO    ELIZABET   01   22300840528          01/12/2023           1      $141.00     $191.37
       PLT2                  131796633001 020831958  LUGO CASTILLO    ELIZABET   01   22300466722          01/12/2023           1      $105.00     $100.00
       PLT2                  101499891001 163442294  STOCKHAM         LESLIE     01   22600466057          01/12/2023           1      $133.00      $37.85
       PLT2                  101499891001 163442294  STOCKHAM         IVAN       18   22600441899          01/06/2023           1       $90.18       $0.00
       PLT2                  102541673001 176466892  LITTLE           CAROLANN   18   22200501623          01/10/2023           1       $43.00       $0.00
       PLT2                  102541673001 176466892  LITTLE           CAROLANN   18   22200578723          01/10/2023           1       $49.00       $0.00
       PLT2                  102541673001 176466892  LITTLE           CAROLANN   18   22200367566          01/11/2023           1      $180.00      $52.69
       PLT2                  102541673001 176466892  LITTLE           CAROLANN   18   22200675936          01/13/2023           1      $152.00       $0.00
       PLT2                  134917070001 181488065  WALKER           MARY       01   22500774344          01/13/2023           1      $563.00       $0.00
       PLT2                  103102387001 183448079  LIVINGSTON       MICHELLE   18   22700547323          01/13/2023           1      $105.00      $85.00
       PLT2                  127519480001 196725478  KERNER           JUSTIN     01   22100409662          01/12/2023           1      $150.00       $0.00
       PLT2                  133541361001 197620638  RUPPERT          ANNA       18   22018801845          01/09/2023           1      $195.00       $0.00
       PLT2                  133541361001 197620638  RUPPERT          ANNA       18   22018801845          01/09/2023           1       $24.12       $0.00
       PLT2                  133541361001 197620638  RUPPERT          ANNA       18   22018801845          01/09/2023           1       $55.76       $0.00
       PLT2                  129555508001 199784906  GARCIA           GERARDO    18   22400669830          12/22/2022           1      $268.94      $70.81
       PLT2                  129555508001 199784906  GARCIA           GERARDO    18   22400669833          12/22/2022           1       $85.34       $0.00
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22700579902          01/15/2023           1      $350.00      $10.46
       PLT2                  104629005001 201545871  ENSOR            JOHN       18   22018817957          01/13/2023           1      $140.00      $50.70
       PLT2                  110081722001 202589615  STONESIFER       BELINDA    18   22400722025          01/13/2023           1      $110.00      $35.70
       PLT2                  127519519001 203660386  WAGNER           ELIZABET   01   22400549219          01/06/2023           1       $27.00       $0.00
       PLT2                  132646126001 217749734  STRAUSBAUGH      MARY       18   22400416434          01/09/2023           1      $432.00       $0.00
       PLT2                  132646126001 217749734  STRAUSBAUGH      MARY       18   22400416434          01/09/2023           1      $101.00       $3.48
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200574357          01/11/2023           1       $20.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22017557785          12/08/2022           1      $368.00      $75.05
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200834830          12/28/2022           1       $10.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200834830          12/28/2022           1       $41.00      $18.12
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200834830          12/28/2022           1       $98.00      $36.95
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200834830          12/28/2022           1       $56.00      $27.18
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200574357          01/11/2023           1       $56.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200661406          12/07/2022           1       $39.00      $10.06
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200417101          01/12/2023          16      $174.59       $0.00

                                                                                                                                              PAGE:33 of 64
                                                                                                                                                            
            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   22200574357          01/11/2023           1       $41.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22017557785          12/08/2022           1    $3,770.00   $1,784.97
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200417101          01/12/2023          40    $1,811.67       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200652792          01/12/2023           1      $331.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200574357          01/11/2023           1       $98.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200834830          12/28/2022           1       $20.00       $9.45
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21090082272          11/29/2021           1      $212.00      $68.76
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21088813773          11/12/2021           1      $277.00     $106.08
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21090169167          12/02/2021           1      $180.00      $70.50
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21083630177          08/31/2021           1      $176.00      $58.88
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21089136004          11/15/2021           1      $197.00      $67.43
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21083630176          08/31/2021           1       $40.00      $20.22
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21083630176          08/31/2021           1       $31.00      $22.18
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21090259256          12/03/2021           1      $180.00      $52.43
       PLT2                  132576291001 395991865  ANTONIO MONTERO  JOAQUIN    23   21092263476          11/02/2021           1      $197.00      $67.43
       PLT2                  127520419001 612087025  RAMIREZ          GRISELDA   18   22400669569          01/13/2023           1      $631.00       $4.20
    PLT2 Total                                                                                                                      $12,696.60   $3,329.32
    PLT3
       PLT3                  101207297001 159547083  SPANGLER         PHILLIP    01   21293343120          08/04/2022          (1)   ($350.00)    ($51.33)
       PLT3                  101207297001 159547083  SPANGLER         PHILLIP    01   21293343128          08/08/2022          (1)   ($350.00)    ($51.33)
       PLT3                  101207297001 159547083  SPANGLER         PHILLIP    01   21293343120          08/04/2022           1      $350.00      $38.50
       PLT3                  101207297001 159547083  SPANGLER         PHILLIP    01   21293343128          08/08/2022           1      $350.00      $38.50
       PLT3                  101281788001 160544510  SANDERS          SUSAN ME   01   22018573342          01/06/2023           1      $917.00     $221.14
       PLT3                  101281788001 160544510  SANDERS          SUSAN ME   01   22018492619          01/11/2023           1      $197.00       $0.00
       PLT3                  110016188001 165760678  GUTIERREZ        MARIA      01   22800004542          01/03/2023           1      $117.00      $30.99
       PLT3                  110016188001 165760678  GUTIERREZ        MARIA      01   22800004542          01/03/2023           1      $145.00      $38.56
       PLT3                  132547832001 166583384  HUNSINGER        RICHARD    18   22800004546          01/03/2023           1      $349.00       $0.00
       PLT3                  103440122001 187483901  REESE            JOHN       18   22800721851          01/06/2023           1      $198.00       $0.00
       PLT3                  103440122001 187483901  REESE            JOHN       18   22800669447          01/13/2023           1       $15.00       $0.00
       PLT3                  103440122001 187483901  REESE            JOHN       18   22800721851          01/06/2023           1      $304.00     $146.00
       PLT3                  103440122001 187483901  REESE            JOHN       18   22800721851          01/06/2023           1      $640.00       $0.00
       PLT3                  103440122001 187483901  REESE            JOHN       18   22800669447          01/13/2023           1       $68.00       $0.00

                                                                                                                                              PAGE:34 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  103440122001 187483901  REESE            JOHN       18   22800721851          01/06/2023           8       $32.00       $0.00
       PLT3                  103440122001 187483901  REESE            JOHN       18   22800669447          01/13/2023           1       $55.00       $0.00
       PLT3                  110043145001 191785424  SEHAGIC          LJILJANA   18   22100414245          12/29/2022           1       $74.00       $6.04
       PLT3                  127519454001 192723182  HOHF             BRISTOL    19   22200360868          01/10/2023           1       $28.00      $11.03
       PLT3                  127519454001 192723182  HOHF             BRISTOL    19   22200360868          01/10/2023           1      $130.00      $89.99
       PLT3                  127519454001 192723182  HOHF             BRISTOL    19   22200360868          01/10/2023           1      $150.00      $60.04
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22018786117          01/06/2023           1       $20.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22018786117          01/06/2023           1       $47.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22018786117          01/06/2023           1       $37.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          GILBERT    18   22300408411          01/10/2023           1      $109.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22018786117          01/06/2023           1       $20.00       $0.00
       PLT3                  104231405001 196602340  CRAWFORD         WILLIAM    01   22200436143          01/11/2023           1      $155.00       $0.00
       PLT3                  104231405001 196602340  CRAWFORD         WILLIAM    01   22200436143          01/11/2023           1      $154.00      $40.10
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   22800159877          01/04/2023           1    $1,529.00       $0.00
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   22800450259          01/11/2023           1      $247.00      $55.99
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   22800159877          01/04/2023           1       $33.00       $0.00
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   22800159877          01/04/2023           1      $562.00     $284.78
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   22800450259          01/11/2023           1        $6.00       $1.60
       PLT3                  104567957001 200682071  GRIMES           NATHAN     19   22800159877          01/04/2023           1      $562.00       $0.00
       PLT3                  104631015001 201561854  WRIGHT           ALLEN      01   22300567257          01/10/2023           1      $287.00       $0.00
       PLT3                  104631015001 201561854  WRIGHT           ALLEN      01   22300577064          01/10/2023           1    $2,113.00       $0.00
       PLT3                  104643309001 201628737  BROOKS           RANDY A    19   22300632960          12/14/2022           1      $150.00     $120.00
       PLT3                  104643309001 201628737  BROOKS           RANDY A    19   22300720321          01/13/2023           4      $140.00       $0.00
       PLT3                  104706840001 202483419  GROFT            LONNIE     18   22300619539          01/13/2023           1       $32.00       $0.00
       PLT3                  104706840001 202483419  GROFT            LONNIE     18   22300619539          01/13/2023           1       $45.00       $0.00
       PLT3                  104706840001 202483419  GROFT            LONNIE     18   22300619539          01/13/2023           1       $80.00      $18.94
       PLT3                  104798408001 203542957  ZINK             MELISSA    01   22500583876          01/13/2023           1       $40.00       $0.00
       PLT3                  104798408001 203542957  ZINK             MELISSA    01   22500583876          01/13/2023           1       $21.00       $0.00
       PLT3                  104798408001 203542957  ZINK             MELISSA    01   22500583876          01/13/2023           1       $40.00       $0.00
       PLT3                  104798408001 203542957  ZINK             MELISSA    01   22500583876          01/13/2023           1      $280.00     $107.86
       PLT3                  104798408001 203542957  ZINK             MELISSA    01   22500583876          01/13/2023           1       $40.00       $0.00
       PLT3                  104798408001 203542957  ZINK             MELISSA    01   22500583876          01/13/2023           1       $21.00       $0.00

                                                                                                                                              PAGE:35 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  104798408001 203542957  ZINK             MELISSA    01   22500583876          01/13/2023           1       $21.00       $0.00
       PLT3                  104971429001 205566401  NELSON           TERRI      18   22100505829          01/11/2023           1        $3.29       $0.00
       PLT3                  127519555001 208541945  TAYLOR           BARBARA    18   22400628166          01/13/2023           1      $109.00       $0.00
       PLT3                  105397372001 210542991  WARNER           WAYNE      18   22100773445          01/06/2023           1      $187.00      $43.11
       PLT3                  105397372001 210542991  WARNER           LORRIE     01   22100674086          01/16/2023           1      $197.00      $52.69
       PLT3                  134860228001 214902596  HOWINGTON        DALLAS     19   22700349792          01/06/2023           1      $268.00       $0.00
       PLT3                  134860228001 214902596  HOWINGTON        DALLAS     19   22700349792          01/06/2023           1      $268.00       $0.00
       PLT3                  134860228001 214902596  HOWINGTON        DALLAS     19   22700444674          01/06/2023           1      $227.00       $0.00
       PLT3                  134860228001 214902596  HOWINGTON        DALLAS     19   22700349792          01/06/2023           1    $1,202.00       $0.00
       PLT3                  134860228001 214902596  HOWINGTON        DALLAS     19   22700374647          01/06/2023           1       $31.00       $0.00
       PLT3                  134860228001 214902596  HOWINGTON        DALLAS     19   22700374647          01/06/2023           1       $34.00       $0.00
       PLT3                  134860228001 214902596  HOWINGTON        DALLAS     19   22700349792          01/06/2023           1        $6.40       $0.00
       PLT3                  105637507001 215905674  CLARK            WILLIAM    18   22700590793          01/13/2023           1       $99.00       $0.00
       PLT3                  105637507001 215905674  CLARK            WILLIAM    18   22700590793          01/13/2023           4      $316.00       $0.00
       PLT3                  105637507001 215905674  CLARK            CHERIE     01   22700405914          01/10/2023           1      $182.70       $0.00
       PLT3                  105637507001 215905674  CLARK            CHERIE     01   22700405914          01/10/2023           1      $162.75       $0.00
       PLT3                  105637507001 215905674  CLARK            CHERIE     01   22700405914          01/10/2023           1      $139.65       $0.00
       PLT3                  105637507001 215905674  CLARK            CHERIE     01   22700405914          01/10/2023           1      $148.05       $0.00
       PLT3                  105637507001 215905674  CLARK            CHERIE     01   22700405914          01/10/2023           1       $32.55       $0.00
       PLT3                  127520038001 388080629  TRENT            MARY       18   22100644994          01/10/2023           1      $120.00       $0.00
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   21498852886          12/29/2022           1    $1,202.00     $674.24
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   21498852886          12/30/2022           1        $0.50       $0.00
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   21498852886          12/30/2022           1       $98.00       $0.00
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   21498852886          12/30/2022           1       $56.00       $0.00
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   21498852886          12/30/2022           1        $0.65       $0.00
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   21498852886          12/30/2022           1       $49.00       $0.00
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   22400669571          01/13/2023           1       $73.00       $0.00
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   22400669571          01/13/2023           1       $15.00       $0.00
    PLT3 Total                                                                                                                      $15,437.54   $1,977.44
    PLT4
       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       $63.00       $0.00

                                                                                                                                              PAGE:36 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       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      $288.00     $453.20
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   21896783714          11/24/2022           1    $3,137.00   $2,925.53
       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)    ($86.00)       $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)    ($75.00)       $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)    ($55.00)       $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       $86.00       $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       $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      $111.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         MARISSA    19   22800548696          01/12/2023           1      $197.00      $52.69
       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)   ($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          (2)     ($3.25)       $0.00
       PLT4                  101766063001 166683029  HENRY            CHRISTOP   19   22300861661          01/18/2023           1      $275.00       $4.00
       PLT4                  103876644001 192521870  MCMASTER         HANNAH     19   22300401941          01/06/2023           1       $37.00       $0.00
       PLT4                  103876644001 192521870  MCMASTER         HANNAH     19   22300401941          01/06/2023           1       $61.00       $0.00
       PLT4                  103876644001 192521870  MCMASTER         HANNAH     19   22300401941          01/06/2023           1      $473.00       $0.00
       PLT4                  103876644001 192521870  MCMASTER         HANNAH     19   22300401941          01/06/2023           1       $87.00       $0.00
       PLT4                  127519487001 197808277  IBISEVIC         ALIJA      18   22800548640          01/10/2023           1    $1,347.00       $0.00
       PLT4                  132434732001 206762510  BAKER            MORGAN     01   22200762134          01/17/2023           1      $349.00     $127.45
       PLT4                  132434732001 206762510  BAKER            MORGAN     01   22200431644          01/09/2023           1      $270.00      $92.70
       PLT4                  127519646001 217272572  EDELIN           ALBINA     18   22500160078          01/05/2023           1    $1,131.00     $499.14
       PLT4                  127519646001 217272572  EDELIN           ALBINA     18   22500160078          01/05/2023           1      $125.00     $179.55
       PLT4                  127519646001 217272572  EDELIN           ALBINA     18   22500655781          01/13/2023           1      $562.00       $0.00

                                                                                                                                              PAGE:37 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  120983409001 220251535  GREENLEE         DALTON     19   22018727182          01/05/2023           1       $12.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         DALTON     19   22018727182          01/05/2023           1       $28.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         DALTON     19   22018727182          01/05/2023           1       $20.00       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018817988          01/16/2023           1      $197.00      $52.69
       PLT4                  120983409001 220251535  GREENLEE         SINICA     19   22018677365          01/12/2023           1      $119.00      $35.70
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018578757          01/11/2023           1       $39.00       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018911913          01/11/2023           1      $349.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         DALTON     19   22018727182          01/05/2023           1      $130.00      $54.99
       PLT4                  118141188001 252794239  CRUZ-MALDONADO   KELSEY     19   22600723685          12/30/2022           1      $241.84       $0.00
       PLT4                  118141188001 252794239  CRUZ-MALDONADO   KELSEY     19   22600723685          12/30/2022           1       $45.50       $0.00
       PLT4                  118141188001 252794239  CRUZ-MALDONADO   KELSEY     19   22600723685          12/30/2022           1       $88.07       $0.00
       PLT4                  127520316001 576530264  ELPUZ            NENETTE    18   22018700713          01/11/2023           1       $34.00       $2.69
       PLT4                  127520316001 576530264  ELPUZ            NENETTE    18   22018700713          01/11/2023           1      $120.00      $35.70
       PLT4                  129358651001 720677202  HERNANDEZ MENDOZAMODESTO    18   22400184320          01/09/2023           1      $119.00      $35.70
       PLT4                  133599165001 775525645  LOPEZ MARTINEZ   IKER       19   22600711161          01/17/2023           1      $125.00       $0.00
       PLT4                  133599165001 775525645  MARTINEZ         ANGELA     01   22600466128          01/12/2023           1       $14.00       $0.00
       PLT4                  133599165001 775525645  MARTINEZ         ANGELA     01   22600466128          01/12/2023         150      $135.00      $82.50
       PLT4                  133599165001 775525645  LOPEZ MARTINEZ   IKER       19   22600711161          01/17/2023           1      $275.00     $106.60
       PLT4                  133599165001 775525645  MARTINEZ         ANGELA     01   22600466128          01/12/2023           1       $46.00      $15.18
       PLT4                  133599165001 775525645  LOPEZ MARTINEZ   IKER       19   22600711161          01/17/2023           1       $40.00       $0.00
    PLT4 Total                                                                                                                       $7,091.41   $2,053.03
    PLT5
       PLT5                  102052318001 170482153  BROWN            MARYJO     01   21498683703          12/28/2022          18      $252.00       $0.00
       PLT5                  103440348001 187484457  PINKO            WILLIAM    18   22018908589          01/16/2023           1      $124.00      $85.81
       PLT5                  103440348001 187484457  PINKO            WILLIAM    18   22018595523          01/09/2023           1       $32.00       $0.00
       PLT5                  103440348001 187484457  PINKO            WILLIAM    18   22018595523          01/09/2023           1       $48.00       $0.00
       PLT5                  104788483001 203483404  SHIELDS          MICHAEL    18   22700766025          01/13/2023           1       $50.00       $0.00
       PLT5                  127850690001 214132758  MILLER           STEPHANI   01   22200552979          12/13/2022           2      $268.00     $190.14
       PLT5                  127850690001 214132758  MILLER           STEPHANI   01   22200552979          12/13/2022           1      $354.00     $449.33
       PLT5                  127850690001 214132758  MILLER           STEPHANI   01   22200552979          12/28/2022           2      $268.00     $218.12
       PLT5                  127850690001 214132758  MILLER           STEPHANI   01   22200474777          12/07/2022           1       $38.00       $8.34
       PLT5                  105627122001 215627290  CORADI           ANDREW     18   22800467534          01/12/2023           1      $197.00       $0.00

                                                                                                                                              PAGE:38 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           5       $38.50      $22.62
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           5      $270.00     $158.64
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           1        $7.70       $4.52
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (2)    ($15.40)    ($17.00)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           4   $10,588.00   $4,976.90
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (5)    ($38.50)    ($42.50)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (3) ($4,689.00) ($5,177.29)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          23    $1,429.00     $839.63
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (1)   ($393.00)   ($433.92)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           1       $63.00      $37.01
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           1      $294.00     $172.74
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (4)($10,588.00)($10,313.04)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           1       $32.00      $18.80
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           1    $1,135.00     $666.97
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           2      $333.00     $195.65
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022         (16)    ($73.40)    ($81.04)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (1)   ($126.00)   ($139.12)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          10       $22.20      $13.04
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           1    $7,839.00   $4,472.59
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (1)     ($7.70)     ($8.50)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022         (50)    ($22.00)    ($24.29)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           1      $393.00     $230.91
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           1      $126.00      $74.03
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           2      $114.00      $66.98
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (1)    ($32.00)    ($35.33)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           3    $4,689.00   $2,755.09
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022           2       $15.40       $9.04
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022         119    $1,955.40   $1,148.92
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022        (119) ($1,955.40) ($2,159.02)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (2)   ($114.00)   ($125.87)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (1)    ($63.00)    ($69.56)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          16       $73.40      $43.12

                                                                                                                                              PAGE:39 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (1) ($7,839.00) ($8,655.32)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022         (23) ($1,429.00) ($1,577.81)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (2)   ($333.00)   ($367.67)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (1) ($1,135.00) ($1,253.30)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (5)   ($270.00)   ($298.11)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022         (10)    ($22.20)    ($24.51)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          (1)   ($294.00)   ($324.61)
       PLT5                  109020571001 552795559  SANTOYO          ANTONIO    18   21782545695          03/10/2022          50       $22.00      $12.92
       PLT5                  127520402001 599540909  HERNANDEZ CASTRO CECILIO    18   22500467892          01/10/2023           1      $197.00      $52.69
    PLT5 Total                                                                                                                       $1,828.00($14,203.26)
    PLT7
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200478464          01/12/2023           1       $76.00       $0.00
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200568746          01/12/2023           1      $167.00       $0.00
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200478685          01/12/2023           1       $52.00       $0.00
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200777975          01/06/2023           3      $825.00      $16.70
       PLT7                  136052120001 161746800  PRAWDZIK         JAMES      18   22200222855          01/08/2023           1      $100.00      $51.33
       PLT7                  101583744001 164483355  SABETTA          SANDRA     01   22600041412          01/06/2023           1      $125.00      $83.66
       PLT7                  101583744001 164483355  SABETTA          MICHAEL    18   22600409371          01/11/2023           1      $125.00      $50.70
       PLT7                  111255170001 205544174  CASTNER          LORI       18   22500756068          01/07/2023           1       $98.00       $0.00
       PLT7                  111255170001 205544174  CASTNER          LORI       18   22500411316          12/17/2022           1      $100.00      $38.56
       PLT7                  111255170001 205544174  CASTNER          LORI       18   22500411316          12/17/2022           1       $81.00      $30.99
       PLT7                  111255170001 205544174  CASTNER          LORI       18   22500756068          01/07/2023           1      $200.00       $0.00
       PLT7                  111255170001 205544174  CASTNER          LORI       18   22500756068          01/07/2023           1      $124.00       $0.00
       PLT7                  111255170001 205544174  CASTNER          LORI       18   22500850081          01/19/2023           1      $125.00      $50.70
       PLT7                  111255170001 205544174  CASTNER          LORI       18   22500756068          01/07/2023           7      $238.00       $0.00
       PLT7                  111255170001 205544174  CASTNER          LORI       18   22500756068          01/07/2023           1      $124.00       $0.00
       PLT7                  111255170001 205544174  CASTNER          LORI       18   22500756068          01/07/2023           1      $789.00       $0.00
    PLT7 Total                                                                                                                       $3,349.00     $322.64
    PLTAD
      PLTAD                  104064952001 194606883  MINSINGER        SELENE     01   22400764623          01/17/2023           1      $119.00      $35.70
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   22300316058          01/10/2023           1      $995.00       $0.00
      PLTAD                  134410999001 209667271  FRYE             MAKAYLA    19   22400655833          01/10/2023           1      $125.00      $50.70

                                                                                                                                              PAGE:40 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PLTAD                  132900468001 375042974  O'BRIEN          DORTHEY    18   22600522304          12/01/2022           1        $1.20       $1.20
      PLTAD                  127520328001 579150219  BURKES           ASHLEY     01   22300444513          01/11/2023           1       $12.00       $0.00
      PLTAD                  127520328001 579150219  BURKES           ASHLEY     01   22300444513          01/11/2023           1      $172.00      $85.81
      PLTAD                  127520328001 579150219  BURKES           ASHLEY     01   22300444513          01/11/2023           1       $57.00       $0.00
      PLTAD                  127520328001 579150219  BURKES           ASHLEY     01   22300654505          01/11/2023           1      $148.10      $13.00
      PLTAD                  127520328001 579150219  BURKES           ASHLEY     01   22300654505          01/11/2023           1       $88.07       $0.00
      PLTAD                  127520328001 579150219  BURKES           ASHLEY     01   22300654505          01/11/2023           1      $130.49       $0.00
    PLTAD Total                                                                                                                      $1,847.86     $186.41
    PTOHD
      PTOHD                  110081730001 181488719  GRUBB            AMANDA     19   22300581518          01/13/2023           1      $242.00      $85.00
      PTOHD                  110081730001 181488719  GRUBB            AMANDA     19   22300742417          01/13/2023           1      $279.00     $122.79
      PTOHD                  110081730001 181488719  GRUBB            AMANDA     19   22300742417          01/13/2023           1      $279.00     $122.79
      PTOHD                  110063944001 182444432  PRITT            JIMMY      18   22100717847          01/16/2023           1       $55.00       $0.00
      PTOHD                  110063944001 182444432  PRITT            JIMMY      18   22100717847          01/16/2023           1      $130.00      $55.99
      PTOHD                  103630783001 189609744  SNEERINGER       CATHY      18   22400375204          01/06/2023           1      $145.00      $38.56
      PTOHD                  103630783001 189609744  SNEERINGER       CATHY      18   22400375204          01/06/2023           1      $117.00      $30.99
      PTOHD                  127519544001 207488327  ARENTZ           PAMELA     01   22200586839          01/12/2023           1      $264.00     $216.62
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023          86    $1,053.50       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           1       $17.00       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           4       $81.00       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023          30       $58.50       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300555364          01/10/2023           1       $37.00     $144.14
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           1       $67.75       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           1       $46.75       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           4       $27.75       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           1       $38.00       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           1       $74.75       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           2      $688.00       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           1    $8,777.00  $13,738.23
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           8       $66.25       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300555445          01/10/2023           1      $264.00     $216.62
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           8    $2,880.00       $0.00

                                                                                                                                              PAGE:41 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           1       $33.75       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           5      $116.38       $0.00
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300669120          01/12/2023           2       $41.00       $0.00
    PTOHD Total                                                                                                                     $15,879.38  $14,771.73
    RALE
       RALE                  132371997001 083720733  MAKOSIEJ         KEITH      18   21699131165          10/27/2022          (1)   ($263.88)    ($79.10)
       RALE                  132371997001 083720733  MAKOSIEJ         KEITH      18   22600534483          10/27/2022           1      $263.88      $79.10
       RALE                  127520049001 406132307  BAKER            MICHAEL    18   22300777253          01/09/2023           1      $300.00       $3.09
       RALE                  127520049001 406132307  BAKER            MICHAEL    18   22300777253          01/09/2023           1      $105.00       $3.09
    RALE Total                                                                                                                         $405.00       $6.18
    RG039
      RG039                  105706221001 217984020  GROSS            RENEE      01   22600462414          01/06/2023           1      $430.00     $321.22
    RG039 Total                                                                                                                        $430.00     $321.22
    ROAN
       ROAN                  127519681001 220724342  HEIMILLER        GEORGE     01   22400864759          01/10/2023           1      $209.00       $2.91
       ROAN                  127519681001 220724342  HEIMILLER        GEORGE     01   22400864759          01/10/2023           1      $197.00       $2.92
    ROAN Total                                                                                                                         $406.00       $5.83
    RWADM
      RWADM                  134035475001 240618050  DANIEL           JAYANDRI   18   22500781591          01/17/2023           1      $200.00       $6.18
    RWADM Total                                                                                                                        $200.00       $6.18
    RWPLT
      RWPLT                  134035463001 237673834  BARRON           LISA       01   22200519253          01/03/2023           7      $131.40       $1.54
      RWPLT                  134035463001 237673834  BARRON           LISA       01   22200519253          01/03/2023           1       $50.00       $1.55
      RWPLT                  134035463001 237673834  BARRON           LISA       01   22200519253          01/03/2023           1      $100.00       $1.55
      RWPLT                  134035463001 237673834  BARRON           LISA       01   22200519253          01/03/2023           1      $625.00       $1.54
      RWPLT                  134035466001 238083657  FREDELL          TIMOTHY    18   22500520351          01/04/2023           1       $69.30       $3.09
      RWPLT                  134035466001 238083657  FREDELL          TIMOTHY    18   22500520351          01/04/2023           1      $112.35       $3.09
      RWPLT                  134035466001 238083657  FREDELL          ANDREW     19   22500781437          01/16/2023           1      $252.00      $80.40
      RWPLT                  134035466001 238083657  FREDELL          ANDREW     19   22500781437          01/16/2023           1       $57.00       $3.09
      RWPLT                  134035466001 238083657  FREDELL          ANDREW     19   22500782548          01/16/2023           1       $75.00       $3.09
      RWPLT                  134035466001 238083657  FREDELL          ANDREW     19   22500782548          01/16/2023           1       $32.00       $3.09
      RWPLT                  134035466001 238083657  FREDELL          KRISTIE    01   22500604044          01/11/2023           1      $185.00       $6.18

                                                                                                                                              PAGE:42 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      RWPLT                  134035474001 240617170  WRIGHT           JAMES      19   22400863901          01/16/2023           1      $150.00     $118.09
      RWPLT                  134035474001 240617170  WRIGHT           JAMES      19   22400863901          01/16/2023           1       $28.00       $3.09
      RWPLT                  134035480001 242217202  HALE             ANGELA     18   22100776686          01/14/2023           1       $15.00       $3.09
      RWPLT                  134035480001 242217202  HALE             ANGELA     18   22100858503          01/14/2023           1       $12.11       $6.18
      RWPLT                  134035480001 242217202  HALE             ANGELA     18   22100776686          01/14/2023           1      $206.00      $33.77
    RWPLT Total                                                                                                                      $2,100.16     $272.43
    SALES
      SALES                  127519168001 144726272  BURNS            ALEXIS     19   22400522083          01/11/2023           1      $320.00     $286.16
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071025          04/22/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071036          04/01/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071049          03/25/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071035          07/02/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071047          04/08/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071036          04/01/2021           1      $131.20      $73.47
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071036          04/01/2021           1      $139.93      $78.36
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071047          04/08/2021           1      $320.30     $179.37
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071035          07/02/2021           1      $139.93      $78.36
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071046          02/23/2021           1      $409.72     $229.44
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071047          04/08/2021           1       $67.63      $37.87
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071049          03/25/2021           1      $131.20      $73.47
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071028          06/10/2021           1      $139.93      $78.36
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071049          03/25/2021           1      $139.93      $78.36
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071025          04/22/2021           1      $139.93      $78.36
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071047          04/08/2021           1      $131.20      $73.47
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071031          12/21/2021           1      $299.17     $165.14
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071038          06/03/2021           1       $30.96       $0.00
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071047          04/08/2021           1      $141.14      $79.04
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071044          08/03/2021           1      $244.79     $137.08
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071046          02/23/2021           2      $339.62     $190.18
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071038          06/03/2021           1      $141.14      $79.04
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071038          06/03/2021           1       $67.63      $37.87
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071028          06/10/2021           1       $30.96       $0.00

                                                                                                                                              PAGE:43 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SALES                  127519329001 177525627  ZETTLEMOYER      KENNETH    18   22300071035          07/02/2021           1      $320.30     $179.37
    SALES Total                                                                                                                      $3,981.41   $2,212.77
    SBADM
      SBADM                  101985946001 169584738  HERSH            BRETT      19   22700719850          01/17/2023           1      $195.00       $0.00
    SBADM Total                                                                                                                        $195.00       $0.00
    SBPLT
      SBPLT                  104717044001 202544848  ADAMS            MICHAEL    18   22100502761          01/08/2023           1      $681.00     $512.43
    SBPLT Total                                                                                                                        $681.00     $512.43
    SBSLS
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500412067          01/12/2023           1       $56.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1       $81.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/13/2022           1       $61.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/13/2022           1       $18.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500412067          01/12/2023           2      $122.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500412067          01/12/2023           1       $70.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022          25      $872.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1    $3,115.50  $15,635.13
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022          40      $165.25       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1      $181.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1    $3,115.50       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500449860          01/13/2023           1       $50.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/13/2022           1       $77.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/13/2022           2      $110.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1        $7.75       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           4       $13.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1      $133.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500449860          01/13/2023           1       $40.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500412067          01/12/2023           1       $80.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           3    $8,509.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022         266      $918.75       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/13/2022           1       $17.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022          50       $41.00       $0.00

                                                                                                                                              PAGE:44 of 64
                                                                                                                                                            
            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   21598417389          12/13/2022           2       $32.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           4        $1.75       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1       $73.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1       $25.50       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           3      $297.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1       $16.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1       $17.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/13/2022           1      $183.00   $1,005.28
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500750218          01/16/2023           1       $80.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500750218          01/16/2023           1       $56.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1        $3.75       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1       $18.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500750218          01/16/2023           2      $122.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           8       $56.50       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/13/2022           1       $70.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           2        $1.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500750218          01/16/2023           1       $70.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           1      $170.00     $933.84
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   21598417389          12/12/2022           6      $653.00       $0.00
    SBSLS Total                                                                                                                     $19,799.25  $17,574.25
    SBUNB
      SBUNB                  102771774001 179380808  MIRANDA          RICARDO    01   22018533712          01/04/2023           1      $250.65     $109.19
      SBUNB                  121488465001 184588977  MITCHELL         TAMMY      18   22300433895          01/09/2023           1      $181.00       $0.00
      SBUNB                  121488465001 184588977  MITCHELL         TAMMY      18   22300433895          01/09/2023           1       $81.00       $0.00
      SBUNB                  121488465001 184588977  MITCHELL         TAMMY      18   22300433895          01/09/2023           1      $180.00       $0.00
      SBUNB                  103813848001 191664245  RECKNER          DEREK      18   22018826927          01/13/2023           1      $174.00       $0.00
      SBUNB                  103813848001 191664245  RECKNER          DEREK      18   22018798911          01/13/2023           1      $142.00      $12.82
      SBUNB                  105061403001 206589276  REVELLO          ANDREW     18   22200432269          01/09/2023           1       $44.00       $0.00
      SBUNB                  105061403001 206589276  REVELLO          ANDREW     18   22200432269          01/09/2023           1      $109.00       $0.00
      SBUNB                  105061403001 206589276  REVELLO          ANDREW     18   22200432269          01/09/2023           1       $53.00       $0.00
      SBUNB                  105061403001 206589276  REVELLO          ANDREW     18   22200432269          01/09/2023           1       $87.00       $0.00
      SBUNB                  105061403001 206589276  REVELLO          ANDREW     18   22200432269          01/09/2023           1       $87.00       $0.00

                                                                                                                                              PAGE:45 of 64
                                                                                                                                                            
            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   22200432269          01/09/2023           1       $53.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           BROOKLYN   19   22800431790          12/05/2022           1    $1,035.00     $286.82
      SBUNB                  105062255001 206601643  LAIDIG           BROOKLYN   19   22800431790          12/05/2022           1      $637.00     $165.59
      SBUNB                  105062255001 206601643  LAIDIG           BROOKLYN   19   22800431790          12/05/2022           1      $686.00     $158.46
      SBUNB                  105317227001 209583548  MERKEL           ANDREW     19   22100626777          12/09/2022           1       $44.00       $0.00
      SBUNB                  105317227001 209583548  MERKEL           ANDREW     19   22100626777          12/09/2022           1      $171.00       $0.00
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800387645          01/09/2023           1      $110.00       $0.77
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800387645          01/09/2023           1       $48.07       $0.77
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800387645          01/09/2023           1       $99.09       $0.77
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800387645          01/09/2023           1      $102.90      $13.14
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800293122          01/09/2023           1       $23.00       $5.79
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800293122          01/09/2023           1      $240.00      $81.26
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800387645          01/09/2023           1       $45.18       $0.78
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800387645          01/09/2023           1      $100.59       $0.77
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800387645          01/09/2023           1      $103.11       $0.77
      SBUNB                  136052135001 213494583  SWAN             TRENTON    18   22800387645          01/09/2023           1      $198.26       $0.77
    SBUNB Total                                                                                                                      $5,084.85     $838.47
    SBUNM
      SBUNM                  113683189001 168669287  EMERICK          AARON      18   22400431497          01/06/2023           1      $545.00       $0.00
      SBUNM                  113683189001 168669287  EMERICK          AARON      18   22400431497          01/06/2023           1    $2,625.00       $0.00
    SBUNM Total                                                                                                                      $3,170.00       $0.00
    SLSUP
      SLSUP                  114488029001 202708742  SULLIVAN         SHANE      18   22100626630          01/14/2023           1       $30.00       $0.00
      SLSUP                  114488029001 202708742  SULLIVAN         SHANE      18   22100626630          01/14/2023           1       $40.00       $0.00
      SLSUP                  114488029001 202708742  SULLIVAN         SHANE      18   22100626630          01/14/2023           1       $45.00       $0.00
      SLSUP                  128110973001 206723917  O'NEILL          SHANNON    18   22500407685          01/12/2023           1      $115.00       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700547386          01/08/2023           1      $385.50       $0.00
    SLSUP Total                                                                                                                        $615.50       $0.00
    TMPLT
      TMPLT                  130351292001 201643190  GELTMACHER       LOUIS      18   22800522388          12/22/2022           1       $63.00      $35.83
      TMPLT                  130351292001 201643190  GELTMACHER       LOUIS      18   22800522388          12/22/2022           1       $58.00      $23.67
      TMPLT                  130351292001 201643190  GELTMACHER       LOUIS      18   22800522388          12/22/2022           1      $373.00     $264.61

                                                                                                                                              PAGE:46 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      TMPLT                  130351367001 522948802  BURCH            ROBERT     18   22200859208          01/12/2023           1      $232.00       $6.18
      TMPLT                  130351381001 533648008  ROOT             PAUL       18   22700780889          01/11/2023           1      $418.00     $269.86
      TMPLT                  130351390001 537272014  WHITE            SERENITY   19   22700777575          01/13/2023           4      $374.00       $5.83
    TMPLT Total                                                                                                                      $1,518.00     $605.98
    W36
        W36                  127519083001 029383533  LASELLE          RICHARD    18   22019018336          01/18/2023           1       $50.00       $6.07
    W36 Total                                                                                                                           $50.00       $6.07
    WALD
       WALD                  127519590001 212290786  GRISSOM          ADRIENNE   01   22300692684          01/11/2023           1      $190.00      $82.38
    WALD Total                                                                                                                         $190.00      $82.38
    WORC
       WORC                  127519073001 023426788  DEDEIAN          PAUL       18   22800780842          01/17/2023           1      $359.00     $246.36
    WORC Total                                                                                                                         $359.00     $246.36
  025620-01 Total                                                                                                                  $445,785.63 $291,641.01
  025620-02
    ACCTS
      ACCTS                  127519125001 083622545  BOWMAN           TREVOR     19   21688504599          07/13/2022           1       $20.00       $9.78
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698093043          12/10/2022           1      $133.00      $30.84
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698158372          12/10/2022          (1)   ($484.00)   ($140.41)
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689875020          08/11/2022           1       $47.00      $26.66
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21695805453          11/01/2022           1      $105.00      $85.00
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21688944329          07/27/2022           1      $135.00      $59.95
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21688960102          08/01/2022           1       $92.00      $35.70
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21689407823          08/01/2022           1      $135.00      $59.95
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698093043          12/10/2022          (1)   ($133.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21688960102          08/01/2022           1       $58.00      $34.70
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689469343          08/03/2022           1       $31.00       $8.36
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689469343          08/03/2022           1       $47.00      $26.66
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689875020          08/11/2022           1       $38.00      $19.66
      ACCTS                  127519125001 083622545  BOWMAN           TREVOR     19   21688735492          07/27/2022           1       $20.00       $9.78
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698093043          12/10/2022          (1)   ($133.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698093043          12/10/2022           1      $221.00      $51.30

                                                                                                                                              PAGE:47 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      ACCTS                  127519125001 083622545  BOWMAN           TREVOR     19   21689890156          08/15/2022           1       $20.00       $9.78
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21695805453          11/01/2022          (1)   ($105.00)    ($85.00)
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21688487621          07/20/2022           1       $47.00      $26.66
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698158372          12/10/2022           1      $484.00     $167.67
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21688487621          07/20/2022           1       $31.00       $8.36
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698093044          12/10/2022          (1)   ($349.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21691694454          08/29/2022          (1)   ($135.00)       $0.00
      ACCTS                  127519125001 083622545  BOWMAN           KRISTA     19   21691694454          08/29/2022           1      $135.00      $59.95
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698093044          12/10/2022           1      $349.00      $80.88
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689469343          08/03/2022           1       $38.00      $19.66
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21688487621          07/20/2022           1       $38.00      $19.66
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21695805453          11/01/2022          (1)    ($14.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21695805453          11/01/2022           1       $14.00       $4.80
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21689875020          08/11/2022           1       $31.00       $8.36
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698093043          12/10/2022          (1)   ($221.00)       $0.00
      ACCTS                  127519125001 083622545  FOREMAN          HALEY      18   21698093043          12/10/2022           1      $133.00      $30.84
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           1      $673.00     $345.27
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           3   $14,397.00   $7,379.52
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           1    $5,766.00   $2,955.70
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022          10    $3,651.60   $1,871.96
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600518368          12/31/2022           1      $140.00      $67.29
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600515910          01/02/2023           1      $195.00       $6.18
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           1      $608.00     $311.96
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           6    $1,142.00     $585.65
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600521670          12/29/2022           1      $380.00     $185.97
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022         100      $100.35      $51.75
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           2    $1,162.00     $595.91
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           1    $5,015.00   $2,570.76
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           2      $559.63     $287.18
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600518368          12/30/2022           1      $200.00      $95.48
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           5    $1,609.75     $825.40
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022          20    $7,157.96   $3,669.14

                                                                                                                                              PAGE:48 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           1    $2,273.00   $1,165.36
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           1      $282.00     $144.87
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022          11    $3,244.42   $1,663.26
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           2      $190.71      $98.07
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022          25      $488.77     $250.84
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600519469          01/02/2023           1      $846.00       $6.18
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600520367          01/01/2023           1      $140.00       $6.18
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           1    $2,809.00   $1,440.09
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600514055          12/29/2022           1   $12,201.00   $6,253.97
      ACCTS                  115413757001 287649586  JETT             ANDERSON   19   22700694607          01/16/2023           1      $395.00       $2.00
      ACCTS                  115413757001 287649586  JETT             ANDERSON   19   22700694607          01/16/2023           1      $230.00      $65.22
      ACCTS                  133920014001 308803100  MCCOLLUM         KAYLEE     01   22500693779          01/11/2023           1      $326.00       $6.18
    ACCTS Total                                                                                                                     $67,011.19  $33,576.89
    ADM
        ADM                  110677413001 169687231  WATSON           STEPHANI   18   22300406383          01/09/2023           1      $115.00       $0.00
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (5)   ($179.00)   ($159.50)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           5    $1,690.00   $1,256.63
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           9    $4,798.00   $3,567.71
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (2)($12,012.00)($10,010.41)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (3) ($5,442.00) ($4,849.41)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           2       $94.00      $69.89
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           5      $179.00     $133.09
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           2      $141.00     $104.84
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (3)   ($310.00)   ($276.24)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           2   $12,012.00   $8,238.16
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (4)   ($150.00)   ($133.66)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           1    $1,287.00     $956.97
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (2)   ($634.00)   ($564.96)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           4      $150.00     $111.53
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           3      $310.00     $230.50
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021         295      $956.25     $711.03
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           2      $634.00     $471.42

                                                                                                                                              PAGE:49 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021        (295)   ($956.25)   ($852.12)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (2)    ($94.00)    ($83.76)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (5) ($1,690.00) ($1,505.97)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (1) ($1,287.00) ($1,146.85)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (1)    ($94.00)    ($83.76)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           3    $5,442.00   $4,046.50
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (2)   ($141.00)   ($125.64)
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021           1       $94.00      $69.89
        ADM                  125698157001 182704876  DESPINES         JAMIE      18   21872895417          11/18/2021          (9) ($4,798.00) ($4,275.62)
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           1       $77.50      $66.98
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100544752          01/06/2023           1      $525.00     $280.25
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           2       $11.55       $9.99
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100317303          01/06/2023           1      $525.00     $280.25
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           8       $24.85      $21.48
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023          50       $14.75      $12.75
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           4       $13.60      $11.75
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           6      $102.80      $88.85
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023          40       $32.15      $27.78
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           1       $13.85      $11.97
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           2       $11.95      $10.33
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           4       $11.20       $9.68
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           1       $10.00       $8.64
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           3      $759.90     $656.82
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           1      $960.00     $829.77
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           1       $19.10      $16.51
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           6    $1,435.00   $1,097.68
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           2       $26.90      $23.26
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           9       $37.45      $32.37
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           1   $13,499.00   $8,694.26
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           1    $2,220.00   $1,535.08
        ADM                  111944980001 187687590  REISINGER        DONALD     18   22100400792          01/06/2023           1       $32.50      $28.09
        ADM                  131693212001 216150151  TEWEY            AVERY      19   22100777467          01/09/2023           1      $150.00       $6.18

                                                                                                                                              PAGE:50 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  134474527001 218218329  WOLF             REBECCA    18   22100183719          01/08/2023           1       $49.00       $0.00
        ADM                  134474527001 218218329  WOLF             REBECCA    18   22100183719          01/08/2023           1      $131.00       $8.60
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2      $402.32     $170.60
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           8      $296.00     $125.51
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022         120        $4.70       $1.99
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2       $26.55      $11.25
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2       $26.55      $11.25
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022          54    $2,134.35     $905.07
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           3    $1,133.00     $480.45
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022          28      $126.35      $53.57
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2      $114.00      $48.34
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022          11    $1,261.00     $534.73
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2       $26.55      $11.25
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2       $26.55      $11.25
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2       $26.55      $11.25
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2       $26.55      $11.25
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           1      $331.00     $140.58
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2       $26.55      $11.25
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           3      $804.00     $340.93
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           9      $731.00     $309.98
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2      $332.00     $140.78
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2       $26.55      $11.25
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           5      $922.00     $390.97
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           2      $332.00     $140.78
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           7   $20,384.00   $6,915.13
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022          10       $28.65      $12.14
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022          48       $50.85      $21.56
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           1    $6,162.00   $2,595.01
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           1       $24.10      $10.21
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           1    $2,299.00     $974.90
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022          26    $2,239.00     $949.45
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           1    $3,090.00   $1,310.32

                                                                                                                                              PAGE:51 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  116632608001 269740942  MARSHALL         CHRISTIN   18   21693572178          09/29/2022           1    $1,249.00     $529.64
        ADM                  132459746001 318582322  HENDERSON        PHARIES    18   22500524702          01/11/2023           1      $786.00     $114.99
        ADM                  132459746001 318582322  HENDERSON        PHARIES    18   22500602237          01/11/2023           1      $323.00       $9.75
        ADM                  132459767001 335562178  CONTOS           MICHAEL    18   22800522253          01/12/2023           1      $195.00      $34.09
        ADM                  132459767001 335562178  CONTOS           MICHAEL    18   22800603752          01/03/2023           1       $27.00       $2.00
        ADM                  132459767001 335562178  CONTOS           MICHAEL    18   22800603669          01/12/2023           1      $705.00       $4.00
        ADM                  132459767001 335562178  CONTOS           MICHAEL    18   22800604574          01/03/2023           1       $20.00       $4.00
        ADM                  132459767001 335562178  CONTOS           MICHAEL    18   22800603752          01/03/2023           1       $86.00       $2.00
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300690477          12/06/2022           2      $100.00      $52.29
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300690477          12/13/2022           2      $100.00      $48.93
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300693898          12/20/2022           2      $100.00      $52.29
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300690477          12/06/2022           1       $20.00       $8.67
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300690477          12/06/2022           2      $100.00      $48.92
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300693898          12/20/2022           1       $20.00       $8.67
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300693898          12/27/2022           1       $20.00       $8.67
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300693898          12/27/2022           2      $100.00      $52.30
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300693898          12/27/2022           2      $100.00      $48.93
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300690477          12/13/2022           2      $100.00      $52.30
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300690477          12/13/2022           1       $20.00       $8.67
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300693898          12/20/2022           2      $100.00      $48.92
        ADM                  132459780001 351768673  KWIATKOWSKI      JOHN       18   21386768990          06/27/2022           1    $4,818.00     $117.00
        ADM                  129880975001 416117617  BECKWITH         TOLETA     18   22400868071          01/05/2023           1      $213.00       $6.18
        ADM                  107782531001 419828569  CREASY           VIVIAN     01   22700692034          01/12/2023           1    $3,881.00     $439.49
        ADM                  107782531001 419828569  CREASY           VIVIAN     01   22700692034          01/12/2023           1    $4,343.00     $261.16
        ADM                  136336024001 451596586  BRIDGES          NOAH       19   22100773216          01/17/2023           1       $38.00      $13.07
        ADM                  136336024001 451596586  BRIDGES          NOAH       19   22100773216          01/17/2023           1      $216.00      $74.83
        ADM                  136336024001 451596586  BRIDGES          NOAH       19   22100773216          01/17/2023           1      $129.00     $103.42
        ADM                  134647661001 464778647  LODGE            KAMILAH    18   22200380647          10/17/2022           1      $189.00      $65.69
        ADM                  134647661001 464778647  LODGE            KAMILAH    18   22200380647          10/17/2022           1       $22.00       $1.33
        ADM                  134647661001 464778647  LODGE            KAMILAH    18   22200380647          10/17/2022           8        $1.44       $1.34
        ADM                  132142488001 524613639  JAMESON          SHANNON    18   22600694283          01/09/2023           1      $313.00      $85.89
        ADM                  134035522001 575814384  NGUYEN           THUY       18   22700689868          12/28/2022           1      $129.00      $58.53

                                                                                                                                              PAGE:52 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  130149982001 894450102  TEWODROS         JONATHAN   19   22100686161          01/16/2023           1       $75.00      $42.41
        ADM                  130149982001 894450102  TEWODROS         JONATHAN   19   22100686161          01/16/2023           1       $15.00       $4.65
        ADM                  130149982001 894450102  TEWODROS         NATHAN     19   22100601826          12/03/2022           1       $20.00      $21.39
        ADM                  130149982001 894450102  TEWODROS         JONATHAN   19   22100686161          01/16/2023           1       $50.00      $31.76
        ADM                  130149982001 894450102  TEWODROS         JONATHAN   19   22100686161          01/16/2023           1      $170.00      $78.79
        ADM                  130149982001 894450102  TEWODROS         NATHAN     19   22100601826          12/03/2022           1       $65.00      $45.98
        ADM                  130149982001 894450102  TEWODROS         JONATHAN   19   22100686161          01/16/2023           2       $64.00      $31.40
        ADM                  130149982001 894450102  TEWODROS         JONATHAN   19   22100686161          01/16/2023           1       $32.00      $16.19
    ADM Total                                                                                                                       $83,277.21  $28,973.11
    BURL
       BURL                  127520125001 423040515  BYERS            DONALD     18   22700864420          01/13/2023           1    $1,745.00   $1,206.84
    BURL Total                                                                                                                       $1,745.00   $1,206.84
    CKPT2
      CKPT2                  131613791001 196663205  CROSS            THOMAS     18   22500163372          12/28/2022           1      $670.00     $144.32
    CKPT2 Total                                                                                                                        $670.00     $144.32
    FESPLT
      FESPLT                 132933896001 373869172  SCHEID           JESSICA    01   22800519980          12/01/2022           1        $0.80       $0.80
      FESPLT                 132933896001 373869172  SCHEID           ADAM       18   22800518607          12/01/2022           1        $0.80       $0.80
    FESPLT Total                                                                                                                         $1.60       $1.60
    FLEET
      FLEET                  127519370001 181549626  MORRIS           PATTI      18   22800717476          01/17/2023           1       $80.00       $0.00
      FLEET                  127519370001 181549626  MORRIS           PATTI      18   22800411807          01/12/2023           1      $206.00      $88.58
      FLEET                  127519370001 181549626  MORRIS           PATTI      18   22800663393          01/16/2023           1      $172.00      $85.81
      FLEET                  127519370001 181549626  MORRIS           PATTI      18   22800717476          01/17/2023           1      $190.00       $0.00
    FLEET Total                                                                                                                        $648.00     $174.39
    GFPLT
      GFPLT                  134599218001 417434851  CAMPBELL         KIERA      18   22600687730          01/10/2023           1       $99.75      $42.40
      GFPLT                  115152115001 419191981  HUTCHINS-SAMUELS LAKEYSHA   18   22400689318          01/10/2023           1      $114.00      $85.18
      GFPLT                  115152115001 419191981  HUTCHINS-SAMUELS LAKEYSHA   18   22400601642          01/12/2023           1   $10,834.00       $6.18
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22100690639          01/12/2023           1       $80.00       $6.18
    GFPLT Total                                                                                                                     $11,127.75     $139.94
    HAN4

                                                                                                                                              PAGE:53 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       HAN4                  105607876001 214965065  GRAMS            DARRIN     18   22400567902          01/11/2023           1      $150.00      $35.70
    HAN4 Total                                                                                                                         $150.00      $35.70
    HCOMP
      HCOMP                  134316738001 172563121  WHYTE            AMY        01   22018642795          12/28/2022           1      $446.00     $133.96
      HCOMP                  134316738001 172563121  WHYTE            AMY        01   22018642795          12/28/2022           1      $400.00      $89.81
      HCOMP                  134316738001 172563121  WHYTE            AMY        01   22018642795          12/28/2022           1      $168.00     $129.29
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800112301          01/03/2023           1    $5,108.00   $1,441.55
      HCOMP                  133079696001 349645002  SHEA             LIAM       19   22800865895          01/11/2023           1      $200.00       $4.00
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800112301          01/03/2023           1       $15.50       $5.46
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800112301          01/03/2023          75      $647.25     $183.61
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800517117          01/05/2023           1        $6.00       $4.40
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800517117          01/05/2023           1        $6.00       $4.40
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800112301          01/03/2023          12   $16,942.47   $4,778.86
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800112301          01/03/2023          54    $1,512.00     $427.48
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800112301          01/03/2023           1       $83.00      $24.49
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800517117          01/05/2023           1        $6.00       $4.40
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800112301          01/03/2023           2    $1,708.00     $482.74
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800112301          01/03/2023          43    $1,935.00     $546.75
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800517117          01/05/2023           1        $6.00       $4.40
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800517117          01/05/2023           1        $6.00       $4.40
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800112301          01/03/2023           1    $7,264.00   $2,049.54
    HCOMP Total                                                                                                                     $36,459.22  $10,319.54
    INRDC
      INRDC                  130492416001 314843800  CURTS            BROCK      18   22300514226          01/11/2023           1      $139.00      $42.88
    INRDC Total                                                                                                                        $139.00      $42.88
    INVIN
      INVIN                  127930871001 312680323  PETTY            CATHRYN    01   21294058973          10/20/2022           1      $335.00     $316.63
      INVIN                  127930871001 312680323  PETTY            CATHRYN    01   21293404778          10/06/2022           1      $335.00     $316.63
      INVIN                  127930871001 312680323  PETTY            CATHRYN    01   22200521954          01/11/2023           1      $210.00       $3.09
      INVIN                  127930871001 312680323  PETTY            CATHRYN    01   21294058973          10/20/2022         240   $13,200.00   $9,123.09
      INVIN                  127930871001 312680323  PETTY            CATHRYN    01   22200521954          01/11/2023           1      $760.48       $3.09
      INVIN                  127930871001 312680323  PETTY            CATHRYN    01   22200859424          01/12/2023           1      $244.00     $111.86

                                                                                                                                              PAGE:54 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      INVIN                  127930871001 312680323  PETTY            CATHRYN    01   21293404778          10/06/2022         240   $13,200.00   $9,123.09
    INVIN Total                                                                                                                     $28,284.48  $18,997.48
    LROCK
      LROCK                  127520155001 429214680  HOWELL           GARY       18   22100600673          01/13/2023           1      $262.00      $47.74
    LROCK Total                                                                                                                        $262.00      $47.74
    MKTG
       MKTG                  133152552001 601883652  ROBINSON         RACHELLE   18   22018650339          01/11/2023           1       $92.04       $4.00
       MKTG                  133152552001 601883652  ROBINSON         RACHELLE   18   22019013398          01/18/2023           1       $92.04       $4.00
    MKTG Total                                                                                                                         $184.08       $8.00
    MOBL
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800780333          01/08/2023           1       $22.00       $6.18
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800781784          01/16/2023           1       $38.00       $3.09
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800781784          01/16/2023           1       $38.00       $3.09
    MOBL Total                                                                                                                          $98.00      $12.36
    NASH
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22800789697          01/13/2023           1      $575.86      $16.51
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22800789697          01/13/2023           1       $12.10       $5.11
    NASH Total                                                                                                                         $587.96      $21.62
    PARK
       PARK                  127519799001 233929218  MAYO             CHASE      19   22500692837          01/13/2023           1      $203.92       $1.54
       PARK                  127519799001 233929218  MAYO             CHASE      19   22500692837          01/13/2023           1       $66.00       $1.55
       PARK                  127519799001 233929218  MAYO             CHASE      19   22500692837          01/13/2023           1       $68.08       $1.55
       PARK                  127519799001 233929218  MAYO             CHASE      19   22500689641          01/13/2023           1      $100.00       $2.06
       PARK                  127519799001 233929218  MAYO             CHASE      19   22500692837          01/13/2023           1       $98.00       $1.54
       PARK                  127519799001 233929218  MAYO             CHASE      19   22500689641          01/13/2023           1      $466.00     $158.42
       PARK                  127519799001 233929218  MAYO             CHASE      19   22500689641          01/13/2023           1       $20.00       $2.06
    PARK Total                                                                                                                       $1,022.00     $168.72
    PITT
       PITT                  101656958001 165445881  BASTASIC         JAY        18   22500630078          01/31/2022           1      $300.00     $121.07
       PITT                  101656958001 165445881  BASTASIC         JAY        18   22500630078          01/31/2022           1      $157.00      $85.50
       PITT                  101656958001 165445881  BASTASIC         JAY        18   22500630078          01/31/2022           1       $26.00      $17.86
       PITT                  101656958001 165445881  BASTASIC         JAY        18   21576846137          01/31/2022          (1)   ($157.00)    ($85.50)

                                                                                                                                              PAGE:55 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    PITT Total                                                                                                                         $326.00     $138.93
    PLT1
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22018723307          01/12/2023           1      $498.00     $380.02
       PLT1                  127519146001 120158020  AVILES           JAQUELIN   19   22018813024          01/16/2023           1      $150.00      $60.04
       PLT1                  127519146001 120158020  AVILES           JAQUELIN   19   22018813024          01/16/2023           1      $130.00      $89.99
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100513677          01/04/2023           1       $78.00       $3.09
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22100513677          01/04/2023           1      $193.00     $102.28
    PLT1 Total                                                                                                                       $1,049.00     $635.42
    PLT18
      PLT18                  121950619001 005863272  WILCOX           PHILIP     18   22700863634          12/28/2022           1      $225.00     $118.68
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22400695409          01/04/2023           1      $303.00       $6.18
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22400866840          01/09/2023           1      $623.00       $6.18
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22400514337          01/09/2023           1       $53.00       $6.18
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22400601653          01/04/2023           1    $4,331.00       $6.18
    PLT18 Total                                                                                                                      $5,535.00     $143.40
    PLT2
       PLT2                  102403917001 174647663  SNYDER           SUSAN      18   22018684377          01/09/2023           1      $563.00       $0.00
       PLT2                  110081713001 179549663  LITTLE           DONALD     18   22400764690          01/16/2023           1      $180.00      $52.69
       PLT2                  103967108001 193561407  HARPER           VIOLET     19   22800581352          01/03/2023           1      $161.00       $0.00
       PLT2                  103967108001 193561407  HARPER           VIOLET     19   22800450305          01/02/2023           1      $193.00       $0.00
       PLT2                  103967108001 193561407  DEAVEN           BRIAN      18   22800777700          12/22/2022           1      $199.00      $78.08
       PLT2                  103967108001 193561407  DEAVEN           BRIAN      18   22800576971          01/10/2023           1      $331.00       $0.00
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   21798927904          01/01/2023          (1)    ($18.00)       $0.00
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   21798927904          01/01/2023           1       $24.00       $1.58
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   22700466812          01/01/2023           1       $18.00       $7.10
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   21798927904          01/01/2023           1       $18.00       $7.73
       PLT2                  105317927001 209585807  WOLF             CHRIS      18   22017556305          12/02/2022           1       $85.00      $35.00
       PLT2                  105317927001 209585807  WOLF             KATHLEEN   01   22800450336          12/23/2022           1      $148.00      $83.68
    PLT2 Total                                                                                                                       $1,902.00     $265.86
    PLT3
       PLT3                  101924046001 168669964  STROUSE          JAMIE      18   22018817986          01/16/2023           1      $197.00      $67.69
       PLT3                  101924046001 168669964  STROUSE          KALEB      19   22018712057          01/09/2023           1      $105.00       $0.00

                                                                                                                                              PAGE:56 of 64
                                                                                                                                                            
            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   22200589633          01/13/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200589633          01/13/2023           1      $130.66       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200763547          01/16/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200763547          01/16/2023           1      $130.66       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200763547          01/16/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200589633          01/13/2023           1       $98.03       $0.00
       PLT3                  111053636001 179609589  GRIFFITH         BRYON      18   22800175641          12/29/2022           1      $106.00      $70.12
       PLT3                  111053636001 179609589  GRIFFITH         BRYON      18   22800175641          12/29/2022           1      $141.00       $0.00
       PLT3                  111053636001 179609589  GRIFFITH         BRYON      18   22800175641          12/29/2022           1       $55.00      $40.69
       PLT3                  111053636001 179609589  GRIFFITH         BRYON      18   22800175641          12/29/2022           1       $64.00       $0.00
       PLT3                  111053636001 179609589  GRIFFITH         BRYON      18   22800175641          12/29/2022           1       $86.00       $0.00
       PLT3                  111053636001 179609589  GRIFFITH         BRYON      18   22800175641          12/29/2022           1       $15.00       $0.00
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           3    $5,186.00   $1,300.61
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (2) ($3,078.00) ($1,518.23)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           2       $35.65       $8.94
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           1      $911.00     $228.47
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          18    $2,657.00     $666.35
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020         (18) ($2,657.00) ($1,310.57)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           1       $74.00      $18.55
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (1)   ($604.00)   ($297.92)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           1    $1,355.00     $339.82
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (1)    ($74.00)    ($36.50)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          37      $571.50     $143.32
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (2)   ($432.00)   ($213.08)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (5) ($1,370.00)   ($675.75)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           1      $604.00     $151.47
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           1       $74.00      $18.55
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           7      $851.00     $213.58
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (3) ($5,186.00) ($2,558.02)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (3)   ($381.00)   ($187.93)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           3   $15,324.00   $3,843.16
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (1)    ($74.00)    ($36.50)

                                                                                                                                              PAGE:57 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          12      $109.40      $27.43
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           5      $387.00      $97.05
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           4       $61.74      $15.48
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020         (23)   ($345.00)   ($170.17)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (7)   ($851.00)   ($419.85)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           2      $432.00     $108.34
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020         (37)   ($571.50)   ($281.89)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          23      $345.00      $86.52
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           5    $1,370.00     $343.58
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (1)     ($0.01)     ($0.01)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (5)   ($387.00)   ($190.88)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           5      $105.50      $26.45
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020         (12)   ($109.40)    ($53.96)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           3      $381.00      $95.55
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (1)   ($911.00)   ($449.35)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020         (30)    ($18.50)     ($9.12)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (4)    ($61.74)    ($30.45)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          30       $18.50       $4.63
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020           2    $3,078.00     $771.94
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (5)   ($105.50)    ($52.03)
       PLT3                  103523645001 188488045  CHAMBERS         JUDITH     18   21256302605          08/17/2020          (2)    ($35.65)    ($17.58)
       PLT3                  104556067001 200589031  ZINN             CAROL      18   22700546706          01/12/2023           1      $109.00       $0.00
       PLT3                  105066358001 206624362  SHUE             CANDY      18   22700635405          01/06/2023           1      $143.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   22600678860          12/19/2022           1    $1,513.16     $227.15
       PLT3                  105300375001 209483752  PEREZ            JOYEL      01   22600678860          12/19/2022           1    $1,238.04     $227.15
       PLT3                  105300375001 209483752  PEREZ            ALFREDO    18   22600554557          12/21/2022           1        $1.75       $0.00
       PLT3                  132273202001 214782497  SWAIN            GLEN       18   22400678167          01/09/2023           1      $180.00      $52.69
       PLT3                  132273202001 214782497  SWAIN            GLEN       18   22400584837          01/09/2023           1       $53.00       $0.00
    PLT3 Total                                                                                                                      $21,339.38     $685.49
    PLT4
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400577533          01/10/2023           1       $10.00       $0.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400577533          01/10/2023           1       $67.00       $0.00

                                                                                                                                              PAGE:58 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  110016179001 182604574  SHORB            LAURA      18   22800618579          01/13/2023           1       $90.00      $35.70
       PLT4                  127875803001 197522896  BOREN            JUDY       18   22500142402          01/03/2023           1      $430.00       $0.00
       PLT4                  127875803001 197522896  BOREN            JUDY       18   22500142402          01/03/2023           1      $170.00      $55.00
       PLT4                  127875803001 197522896  BOREN            JUDY       18   22500142402          01/03/2023           8       $32.00       $0.00
       PLT4                  127875803001 197522896  BOREN            JUDY       18   22500142402          01/03/2023           1      $198.00       $0.00
       PLT4                  104904003001 204668323  SERRANO          CITLALY    19   22300677334          01/16/2023           1      $398.00     $334.59
       PLT4                  104904003001 204668323  SERRANO          CITLALY    19   22300677334          01/16/2023           1       $40.00      $20.20
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1       $68.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1       $69.00       $0.00
       PLT4                  127519600001 213154524  NEVEKER          BAILEY     19   22400441676          01/06/2023           1       $97.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1       $40.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1      $247.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400467696          01/10/2023           1      $197.00      $55.99
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1       $86.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1      $292.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          KAREN      01   22400789250          02/10/2022           1      $482.00     $254.39
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1       $15.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400467696          01/10/2023           1      $291.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1       $55.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1       $36.00       $0.34
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400556007          01/11/2023           1       $40.00       $0.00
       PLT4                  127520006001 306048954  SECHRIST         ANDREW     18   22500765037          01/17/2023           1      $197.00       $0.00
    PLT4 Total                                                                                                                       $3,647.00     $756.21
    PLT5
       PLT5                  102403081001 174644833  PLANK            TRAVIS     18   22100545811          12/14/2022           1      $141.00      $83.68
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500764909          01/16/2023           8       $72.00       $0.00
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500764909          01/16/2023           1      $152.00       $0.00
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500765100          01/16/2023           1       $19.00       $0.00
       PLT5                  111616506001 182507672  ELINE            NORMAN     18   22018801848          01/09/2023           1       $24.12       $0.00
       PLT5                  111616506001 182507672  ELINE            NORMAN     18   22018801848          01/09/2023           3      $332.06       $0.00
       PLT5                  111616506001 182507672  ELINE            NORMAN     18   22018715063          01/13/2023           1      $251.00      $52.69
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           1       $85.31       $0.62

                                                                                                                                              PAGE:59 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100684904          01/13/2023           1      $297.00     $143.67
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           1       $15.17       $0.62
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           3       $85.29       $0.62
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           1       $47.40       $0.62
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           1       $28.43       $0.62
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           1       $56.90       $0.62
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           3      $159.24       $0.61
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           1      $178.43       $0.61
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           1        $9.48       $0.62
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22100689306          01/13/2023           1       $47.40       $0.62
    PLT5 Total                                                                                                                       $2,001.23     $286.22
    PLT7
       PLT7                  110600788001 156748709  APPLEGATE        BREANNA    19   37356721101          11/28/2022           1      $200.00       $0.00
       PLT7                  110600788001 156748709  APPLEGATE        BREANNA    19   37356721101          11/28/2022           1      $500.00       $0.00
       PLT7                  110600788001 156748709  APPLEGATE        BREANNA    19   37356721101          11/28/2022           1      $500.00       $0.00
       PLT7                  110600788001 156748709  APPLEGATE        BREANNA    19   37356721101          11/28/2022           3      $600.00       $0.00
       PLT7                  110600788001 156748709  APPLEGATE        BREANNA    19   37356721101          11/28/2022           1      $500.00       $0.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22500632647          01/11/2023           1      $185.00       $0.00
    PLT7 Total                                                                                                                       $2,485.00       $0.00
    PLT9
       PLT9                  127519056001 015525026  KILCOYNE         CAROL      01   22018641799          01/06/2023           1       $75.37       $6.14
    PLT9 Total                                                                                                                          $75.37       $6.14
    PLTAD
      PLTAD                  101119148001 156761398  KISSANE          MOLLY      19   22800434480          01/04/2023           4      $148.00       $0.00
      PLTAD                  104978871001 205609182  BENDER           NICOLE     01   22018533590          01/12/2023           1       $50.00       $0.00
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800689196          01/12/2023           1       $33.95       $1.00
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1        $7.63       $0.40
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1       $36.26       $0.40
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800689196          01/12/2023           1      $110.67       $1.00
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800689196          01/12/2023           1      $110.67       $1.00
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800689196          01/12/2023           1       $26.74       $1.00
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1       $21.28       $0.40

                                                                                                                                              PAGE:60 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1       $31.01       $0.40
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1       $25.20       $0.40
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1       $20.09       $0.40
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1       $16.45       $0.40
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1       $20.72       $0.40
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1        $9.17       $0.40
      PLTAD                  134647658001 310906130  KACEDAN          COLLEN     19   22800688809          01/12/2023           1       $22.33       $0.40
    PLTAD Total                                                                                                                        $690.17       $8.00
    PROV
       PROV                  100568043001 109507287  LANSING          KAREN      01   22018650761          12/12/2022           1      $408.00     $132.59
       PROV                  100568043001 109507287  LANSING          CARLY      19   22018833683          01/10/2023           1       $92.22       $5.94
       PROV                  100568043001 109507287  LANSING          CARLY      19   22018833164          01/10/2023           1       $26.67       $3.01
       PROV                  100568043001 109507287  LANSING          KAREN      01   22018650761          12/12/2022           1      $415.00     $101.30
       PROV                  100568043001 109507287  LANSING          KAREN      01   22017696669          12/12/2022          (1)   ($415.00)   ($100.97)
       PROV                  100568043001 109507287  LANSING          CARLY      19   22018833164          01/10/2023           1      $339.90     $195.51
    PROV Total                                                                                                                         $866.79     $337.38
    RALE
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200779842          01/01/2023           1      $938.00       $6.18
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22200688000          12/14/2022           1      $172.00     $139.67
    RALE Total                                                                                                                       $1,110.00     $145.85
    RETAI
      RETAI                  129774120001 182706334  WATSON           ANNA       19   22600676723          01/13/2023           1       $73.00       $0.00
    RETAI Total                                                                                                                         $73.00       $0.00
    ROAN
       ROAN                  127519780001 230237151  PAXTON           DARRYL     18   22400522903          01/09/2023           1       $55.00      $10.99
       ROAN                  127519780001 230237151  PAXTON           DARRYL     18   22400522903          01/09/2023           1       $26.50       $1.94
       ROAN                  127519780001 230237151  PAXTON           DARRYL     18   22400524534          01/09/2023           1       $13.00       $5.83
       ROAN                  127519780001 230237151  PAXTON           DARRYL     18   22400522903          01/09/2023           1       $55.00       $1.94
       ROAN                  127519780001 230237151  PAXTON           DARRYL     18   22400511518          01/09/2023           1       $54.00       $5.83
    ROAN Total                                                                                                                         $203.50      $26.53
    SALES
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22018653054          12/13/2022           1       $75.00      $54.68

                                                                                                                                              PAGE:61 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22018642452          01/10/2023           1       $75.00       $6.18
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22019013371          01/17/2023           1       $75.00       $6.18
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22019017866          01/15/2023           1    $2,073.00     $620.86
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22019018690          01/18/2023           1       $75.00       $6.18
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22018640470          01/12/2023           1       $75.00       $6.18
    SALES Total                                                                                                                      $2,448.00     $700.26
    SBSLS
      SBSLS                  130351277001 178447251  FAULKNER         JEFFREY    18   22200774541          11/28/2022           1       $75.00      $32.80
      SBSLS                  130492401001 279624159  HYRNE            JACOB      19   22600690256          12/21/2022           1       $47.00       $4.52
      SBSLS                  130492401001 279624159  HYRNE            RANDALL    18   22600519357          01/12/2023           1       $45.00       $3.09
      SBSLS                  130492401001 279624159  HYRNE            RANDALL    18   22600519357          01/12/2023           2       $90.00       $3.09
    SBSLS Total                                                                                                                        $257.00      $43.50
    SBUNB
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1       $67.00       $0.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1      $156.00       $0.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1      $180.00       $0.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1       $81.00       $0.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1      $137.00       $0.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1       $79.00       $0.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1      $148.00       $0.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1       $16.00       $0.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1       $66.00       $0.00
      SBUNB                  101367270001 161589548  PECK             AMANDA     01   22018562478          01/09/2023           1      $181.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22700573639          01/09/2023           1       $87.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22700573639          01/09/2023           1       $36.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22700573639          01/09/2023           1       $16.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22017738677          12/21/2022           1      $220.00     $140.57
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22700592598          01/09/2023           1      $221.00     $135.43
    SBUNB Total                                                                                                                      $1,691.00     $276.00
    SBUNM
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   22300571434          01/12/2023           1      $283.00     $120.43
    SBUNM Total                                                                                                                        $283.00     $120.43

                                                                                                                                              PAGE:62 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    SLSUP
      SLSUP                  100979691001 149526025  AMATO            JANET      01   22600316618          01/09/2023           1      $266.00     $123.00
      SLSUP                  127519518001 203640623  ILGEN            JASON      18   22300437784          01/11/2023           1      $141.00       $0.00
      SLSUP                  127519518001 203640623  ILGEN            JASON      18   22300437784          01/11/2023           1       $70.00       $0.00
      SLSUP                  127519518001 203640623  ILGEN            JASON      18   22300437784          01/11/2023           1      $100.00       $8.60
      SLSUP                  105368371001 210361501  HOFFMAN          FRANKLIN   18   22700622602          01/11/2023           1       $11.00       $0.00
      SLSUP                  105368371001 210361501  HOFFMAN          FRANKLIN   18   22700622602          01/11/2023           1       $30.00       $0.00
      SLSUP                  105368371001 210361501  HOFFMAN          FRANKLIN   18   22700622602          01/11/2023           1       $10.00       $0.00
      SLSUP                  105368371001 210361501  HOFFMAN          FRANKLIN   18   22700622602          01/11/2023           1       $21.00       $0.00
      SLSUP                  105368371001 210361501  HOFFMAN          FRANKLIN   18   22700622602          01/11/2023           1       $35.00       $0.00
      SLSUP                  105368371001 210361501  HOFFMAN          FRANKLIN   18   22700622602          01/11/2023           1       $15.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800662173          01/11/2023           1       $42.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800662173          01/11/2023           2       $73.50       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800662173          01/11/2023           1       $42.00       $0.00
    SLSUP Total                                                                                                                        $856.50     $131.60
    TMPLT
      TMPLT                  134647662001 521396962  DEJULIO          GINA       18   22300513562          01/06/2023           1      $302.00     $132.93
      TMPLT                  133019342001 586486997  RASMUSSEN        ROM        18   22800522746          09/17/2022           1      $681.00     $687.18
    TMPLT Total                                                                                                                        $983.00     $820.11
    TMSLS
      TMSLS                  130492432001 537720912  CARLSON          CHERI      01   22100510950          01/06/2023           1       $50.00       $3.09
      TMSLS                  130492432001 537720912  CARLSON          CHERI      01   22100510950          01/06/2023           1       $80.00       $3.09
    TMSLS Total                                                                                                                        $130.00       $6.18
    WALD
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22400866986          12/20/2022           1    $3,530.00     $258.98
    WALD Total                                                                                                                       $3,530.00     $258.98
    WILSO
      WILSO                  134685340001 246432411  TEBO             DAVID      18   22700511624          01/05/2023           1      $154.80       $6.18
      WILSO                  134685340001 246432411  TEBO             ROBIN      01   22700691145          01/10/2023           1      $207.00     $112.24
    WILSO Total                                                                                                                        $361.80     $118.42
    ZALA
       ZALA                  108015416001 435351754  DUCOTE           DANNY      18   22800695806          01/10/2023           1      $312.00     $172.44

                                                                                                                                              PAGE:63 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       ZALA                  108015416001 435351754  DUCOTE           DANNY      18   22800694576          01/11/2023           1       $46.00      $39.18
       ZALA                  108015416001 435351754  DUCOTE           DANNY      18   22800695806          01/10/2023           1        $0.00     ($0.01)
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   21894615705          10/13/2022          (1) ($1,024.00)    ($66.57)
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   21894615827          10/13/2022          (1) ($2,560.00)   ($567.14)
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800521738          01/10/2023           1       $93.00       $4.94
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800695377          01/12/2023           1       $35.00       $2.28
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800695377          01/12/2023           3      $174.00       $3.09
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   21894615705          10/13/2022           1    $1,024.00      $75.09
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   21894615705          10/13/2022           1    $2,616.00     $342.01
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800521897          01/10/2023           4      $232.00       $5.45
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   21894615827          10/13/2022           1    $6,540.00   $3,087.57
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   21894615827          10/13/2022           1    $2,560.00     $570.91
    ZALA Total                                                                                                                      $10,048.00   $3,669.24
  025620-02 Total                                                                                                                  $293,559.23 $103,451.28
  025620-71
    ADM
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200598261          01/10/2023           1       $64.03      $37.47
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200598261          01/10/2023           1       $90.46      $52.46
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200598261          01/10/2023           1      $100.72      $58.30
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200598261          01/10/2023           1      $106.26      $61.44
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           1       $90.46      $52.36
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           1      $228.16       $0.97
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200598261          01/10/2023           1       $38.03      $22.69
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           1      $367.94       $0.98
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           2      $620.72       $0.97
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           1      $117.45      $25.55
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           1      $127.44       $0.98
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           1      $228.16       $0.97
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           1       $63.38      $36.98
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           1      $226.07       $0.97
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200598261          01/10/2023           1       $61.51      $36.03
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200598261          01/10/2023           1       $30.56      $18.44

                                                                                                                                              PAGE:64 of 64
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200514507          01/04/2023           1      $310.36       $0.97
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200598261          01/10/2023           1       $30.56      $18.44
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22200598261          01/10/2023           1      $149.16      $85.82
    ADM Total                                                                                                                        $3,051.43     $512.79
    COBRA
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400520671          01/13/2023           1      $115.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400520671          01/13/2023           1      $105.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400778259          01/17/2023           1      $120.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400520671          01/13/2023           2      $250.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400520671          01/13/2023           1      $120.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400778259          01/17/2023           2      $250.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400778259          01/17/2023           1      $115.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400778259          01/17/2023           1      $105.00       $1.00
      COBRA                  132938866001 382841554  CURTISS          COBY       19   22100515845          12/01/2022           1        $1.20       $1.20
      COBRA                  132938866001 382841554  CURTISS          KYLE       18   22100515443          12/01/2022           1        $1.20       $1.20
      COBRA                  132900480001 592077149  STODDARD         MARK       18   22018646692          12/01/2022           1        $1.20       $1.20
    COBRA Total                                                                                                                      $1,183.60      $11.60
  025620-71 Total                                                                                                                    $4,235.03     $524.39
  025620-72
    COBRA
      COBRA                  102058180001 170528032  TOTH             STEPHEN    18   22700419456          01/09/2023           1       $69.00       $0.00
      COBRA                  102058180001 170528032  TOTH             STEPHEN    18   22700419456          01/09/2023           1       $70.50       $0.00
      COBRA                  102058180001 170528032  TOTH             STEPHEN    18   22700419456          01/09/2023           1      $270.00       $0.00
    COBRA Total                                                                                                                        $409.50       $0.00
  025620-72 Total                                                                                                                      $409.50       $0.00
PPO Total                                                                                                                          $743,989.39 $395,616.68
Paid Claims Detail Total                                                                                                                       $481,925.15