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

INVOICE NUMBER:     230131587845                                           PAGE:               1 of 68           
BILL ACCOUNT NUMBER:2401631001                                             PAID CLAIMS MONTH:  January 2023      
BILL ACCOUNT NAME:  Utz Quality Foods                                      CLAIMS PAID THRU:   01/27/2023        
CLIENT NUMBER:      240163                                                 BILL CYCLE:         4 of 4            
CLIENT NAME:        Utz Quality Foods                                      PREPARED DATE:      01/31/2023        

            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                  132434730001 115541873  GABEL            LISA       01   22019524810          01/24/2023           1      $120.00      $75.37
      ACCTS                  132434730001 115541873  GABEL            LISA       01   22019524810          01/24/2023           1      $265.00     $181.45
      ACCTS                  132434730001 115541873  GABEL            LISA       01   22019524810          01/24/2023           1      $255.00       $2.94
      ACCTS                  127920387001 120387099  FRIEDMAN         GARY       18   22300990127          01/20/2023           1       $23.00       $6.18
      ACCTS                  127920387001 120387099  FRIEDMAN         GARY       18   22301172393          01/20/2023           1      $162.75       $6.18
      ACCTS                  127519819001 238219163  FOUTZ            MELODY     18   22701265155          01/12/2023           1      $210.00       $6.18
      ACCTS                  127519819001 238219163  FOUTZ            MELODY     18   22701086764          01/19/2023           1    $1,100.00     $901.99
      ACCTS                  133330727001 357583152  PURCELL          JOHN       18   22200986964          01/09/2023           1       $30.00       $1.33
      ACCTS                  133330727001 357583152  PURCELL          JOHN       18   22200986964          01/09/2023           1       $25.00       $1.34
      ACCTS                  133330727001 357583152  PURCELL          JOHN       18   22200990866          01/16/2023           1       $55.00       $2.00
      ACCTS                  133330727001 357583152  PURCELL          JOHN       18   22200990866          01/16/2023           1       $30.00       $2.00
      ACCTS                  133330727001 357583152  PURCELL          JOHN       18   22200986964          01/09/2023           1       $55.00       $1.33
      ACCTS                  112157564001 595662434  COSTANTINI       ELIZABET   01   22501086367          01/20/2023           1       $15.00       $1.33
      ACCTS                  112157564001 595662434  COSTANTINI       CAROLINE   19   22501086438          01/20/2023           1      $225.00     $150.04
      ACCTS                  112157564001 595662434  COSTANTINI       CAROLINE   19   22501086438          01/20/2023           1      $150.00     $148.25
      ACCTS                  112157564001 595662434  COSTANTINI       ELIZABET   01   22501086367          01/20/2023           1       $34.00       $1.33
      ACCTS                  112157564001 595662434  COSTANTINI       CAROLINE   19   22501086438          01/20/2023           1       $38.00      $23.59
      ACCTS                  112157564001 595662434  COSTANTINI       ELIZABET   01   22501086367          01/20/2023           1       $20.00       $1.34
    ACCTS Total                                                                                                                      $2,812.75   $1,514.17
    ADM
        ADM                  101200918001 159503122  THOMAS           RUSSELL    18   22401285391          01/20/2023           1      $110.00       $0.00
        ADM                  101214473001 159587809  MARTIN           STEPHEN    01   22501252504          01/25/2023           1       $42.00       $0.00
        ADM                  101214473001 159587809  MARTIN           STEPHEN    01   22501252504          01/25/2023           1       $20.00       $0.00
        ADM                  127519401001 185749768  CROWDER          MELANIE    18   22301147090          01/20/2023           1      $141.00       $0.00

                                                                                                                                               PAGE:2 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  127519401001 185749768  CROWDER          MELANIE    18   22301147090          01/20/2023           1      $149.00       $0.00
        ADM                  127519401001 185749768  CROWDER          MELANIE    18   22301044585          01/20/2023           1      $119.00       $0.00
        ADM                  127519401001 185749768  CROWDER          MELANIE    18   22301147090          01/20/2023           1       $15.00       $0.00
        ADM                  127519401001 185749768  CROWDER          JESSE      19   22301076105          01/22/2023           1       $55.00       $0.00
        ADM                  127519401001 185749768  CROWDER          MELANIE    18   22301147090          01/20/2023           1      $111.00       $0.00
        ADM                  127519401001 185749768  CROWDER          MELANIE    18   22301147090          01/20/2023           1      $160.00       $0.00
        ADM                  127519414001 187669399  KLINE            CARTER     19   22700898124          12/12/2022           1      $237.00       $0.00
        ADM                  135290142001 187786489  HOFFNAGLE        LUKE       18   22019236311          01/12/2023           1      $110.00       $0.00
        ADM                  104391325001 198588703  MORTON           LESLIE     18   22101016510          01/20/2023           1       $55.00       $0.00
        ADM                  105416855001 210663874  COURVILLE        CHRISTIN   18   22801021907          01/20/2023           4      $139.00     $111.20
        ADM                  134613832001 211700010  JOHNSON          CHRISTOP   19   22401154622          01/19/2023           1       $52.00      $10.50
        ADM                  134613832001 211700010  JOHNSON          CHRISTOP   19   22401154622          01/19/2023           1       $75.00      $51.33
        ADM                  134613832001 211700010  JOHNSON          CHRISTOP   19   22401154622          01/19/2023           1      $206.00     $105.99
        ADM                  123618860001 213133224  SMALL            AMY        18   22801058305          01/18/2023           1      $251.00       $0.00
        ADM                  132273201001 214358541  WHITE            ALEXANDR   18   22300844006          01/18/2023           1      $180.00       $0.00
        ADM                  129277055001 214924166  MARTIN           DERRICK    18   22201344664          12/29/2022           1      $306.00       $2.06
        ADM                  129277055001 214924166  MARTIN           DERRICK    18   22201344664          12/29/2022           1      $137.00       $2.06
        ADM                  129277055001 214924166  MARTIN           DERRICK    18   22201344664          12/29/2022           1      $183.00       $2.06
        ADM                  135094145001 218190076  OLISCHUK         KRISTOPH   18   22501176766          01/18/2023           1      $170.00       $6.18
        ADM                  112385840001 218966856  PALMER           HEATHER    18   22800721849          01/10/2023           1      $235.00       $0.00
        ADM                  127520379001 590128028  DELOZIER         MICHELE    18   22019151420          01/18/2023           1       $50.00       $2.92
        ADM                  127520379001 590128028  DELOZIER         MICHELE    18   22019151420          01/18/2023           2      $100.00       $2.91
        ADM                  132814674001 599180857  RODRIGUEZ        KAREN      18   22019525374          01/20/2023           1      $265.00       $4.00
        ADM                  129151216001 604266778  MARTINEZ DIAZ    ABIGAIL    18   22101160574          01/24/2023           1       $86.00       $0.00
        ADM                  129151216001 604266778  MARTINEZ DIAZ    ABIGAIL    18   22100578817          01/15/2023           1      $350.00      $72.85
        ADM                  129151216001 604266778  MARTINEZ DIAZ    ABIGAIL    18   22100578817          01/15/2023           1       $77.00      $57.18
        ADM                  133452855001 635823133  CAZINI           JONATHAN   19   22019343700          01/10/2023          14    $5,712.00   $1,048.12
        ADM                  133452855001 635823133  CAZINI           JONATHAN   19   22019343700          01/10/2023           5      $700.00     $394.36
        ADM                  133452855001 635823133  CAZINI           JONATHAN   19   22019343700          01/10/2023           5      $890.00     $543.90
        ADM                  133452855001 635823133  CAZINI           JONATHAN   19   22019340681          01/19/2023           1      $280.00      $89.14
        ADM                  132228407001 635887497  FALLENA          MARGARIT   01   22200984979          01/19/2023           1       $18.00       $7.23
        ADM                  132228407001 635887497  SMOLENSKY        ANDRES     19   22201260952          01/23/2023           1       $80.00       $2.00

                                                                                                                                               PAGE:3 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  132228407001 635887497  SMOLENSKY        ANDRES     19   22201260952          01/23/2023           1      $140.00       $2.00
        ADM                  132228407001 635887497  FALLENA          MARGARIT   01   22201344509          01/19/2023           1      $130.00      $23.96
        ADM                  132228407001 635887497  FALLENA          MARGARIT   01   22200984979          01/19/2023           1      $128.00       $0.80
        ADM                  132228407001 635887497  FALLENA          MARGARIT   01   22200984979          01/19/2023           1      $280.00       $0.80
        ADM                  132228407001 635887497  FALLENA          MARGARIT   01   22200987124          01/19/2023           1      $418.00     $236.99
        ADM                  132228407001 635887497  FALLENA          MARGARIT   01   22200984979          01/19/2023           1       $60.00      $10.84
        ADM                  132228407001 635887497  FALLENA          MARGARIT   01   22200984979          01/19/2023           1       $65.00       $0.80
        ADM                  133578701001 849075207  CANAVAN          RICHARD    18   22800818196          01/12/2023           1       $40.00       $0.00
        ADM                  133578701001 849075207  CANAVAN          RICHARD    18   22801319419          01/16/2023           1       $40.00       $0.00
        ADM                  133578701001 849075207  CANAVAN          RICHARD    18   22801319419          01/16/2023           1       $35.00       $0.00
        ADM                  133578701001 849075207  CANAVAN          RICHARD    18   22800818196          01/12/2023           1       $35.00       $0.00
        ADM                  133578701001 849075207  CANAVAN          RICHARD    18   22800818196          01/12/2023           1       $22.00       $0.00
        ADM                  133578701001 849075207  CANAVAN          RICHARD    18   22801319419          01/16/2023           1       $22.00       $0.00
        ADM                  133578701001 849075207  CANAVAN          RICHARD    18   22800818196          01/12/2023           1      $110.00       $0.00
    ADM Total                                                                                                                       $13,391.00   $2,792.18
    CKPT2
      CKPT2                  134570887001 228068356  LAMBETH          ROBERT     18   22700895050          01/17/2023           1      $237.00       $0.00
      CKPT2                  134279041001 419986972  DICKERSON        VALERIE    01   22400919015          01/18/2023           1      $157.00       $0.00
    CKPT2 Total                                                                                                                        $394.00       $0.00
    DALL
       DALL                  105951446001 228316077  CAMENSKY         ALENA      19   22801267351          01/18/2023           1      $150.00       $4.00
       DALL                  105951446001 228316077  CAMENSKY         ERIN       01   22801178122          01/13/2023           1      $264.00       $4.00
    DALL Total                                                                                                                         $414.00       $8.00
    FESPLT
      FESPLT                 135160988001 378134235  USITALO          ROBERT     18   22501177765          01/18/2023           1       $35.00       $1.97
      FESPLT                 135160988001 378134235  USITALO          ROBERT     18   22501177765          01/18/2023           1       $52.00       $1.96
      FESPLT                 135160988001 378134235  USITALO          ROBERT     18   22501263177          01/18/2023           1      $723.00       $9.24
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200983074          01/13/2023           1       $28.00      $21.65
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200991614          01/13/2023           1       $64.10       $1.75
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200991614          01/13/2023           1       $72.02       $1.72
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200983074          01/13/2023           1      $223.00     $190.65
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200983074          01/13/2023           1      $638.00     $289.51

                                                                                                                                               PAGE:4 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200991614          01/13/2023           1       $24.94      $21.71
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200983074          01/13/2023           1       $46.00      $21.68
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200991614          01/13/2023           1       $16.00      $14.63
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200991614          01/13/2023           1       $46.92      $39.13
      FESPLT                 132900473001 379331377  ASUNCION         MARISSA    18   22200983074          01/13/2023           1       $46.00      $39.25
      FESPLT                 119521552001 384723421  RIOS             CLAUDIA    01   22400995259          12/26/2022           1       $41.00       $3.98
    FESPLT Total                                                                                                                     $2,055.98     $658.83
    FORPK
      FORPK                  135274543001 258859772  HEARD            CHRISTOP   18   22701350046          12/29/2022           1       $12.00       $9.69
      FORPK                  135274543001 258859772  HEARD            CHRISTOP   18   22701350046          12/29/2022           1      $275.00     $249.21
    FORPK Total                                                                                                                        $287.00     $258.90
    FRED
       FRED                  127519770001 229532773  SULLIVAN         BENJAMIN   18   22301083737          12/21/2022           1      $195.00       $5.83
    FRED Total                                                                                                                         $195.00       $5.83
    GFPLT
      GFPLT                  107347073001 367669752  WASHINGTON       E          18   22500867038          01/16/2023           1       $80.00      $46.18
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           1      $150.00      $75.62
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           1       $26.00      $11.73
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           1       $26.00      $11.74
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           1       $35.00       $0.62
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           1        $1.00       $0.62
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           1       $15.00       $8.56
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           1       $20.00       $0.62
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           1       $20.00      $11.74
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           1      $200.00      $63.36
      GFPLT                  107823039001 422887587  MOORE            TAMI       18   22600776770          01/10/2023           2       $52.00       $0.62
    GFPLT Total                                                                                                                        $625.00     $231.41
    HART
       HART                  100239251001 049726033  GERVAIS          COREY      18   22500994886          01/18/2023           1       $25.00       $3.09
       HART                  100239251001 049726033  GERVAIS          COREY      18   22500994886          01/18/2023           1      $265.00       $3.09
    HART Total                                                                                                                         $290.00       $6.18
    HCOMP

                                                                                                                                               PAGE:5 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      HCOMP                  136316417001 125482097  FRIEDMAN         JACK       19   22501173272          01/23/2023           1       $42.00       $4.00
      HCOMP                  136316417001 125482097  FRIEDMAN         JACK       19   22500988944          01/19/2023           1       $42.00       $4.00
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   22201291884          01/25/2023           1      $102.06       $0.00
      HCOMP                  127520255001 452531358  NOBLE            THEO       19   22201160326          01/24/2023           1      $135.00       $0.00
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   22200942894          12/30/2022           1      $820.00     $150.45
      HCOMP                  127520255001 452531358  NOBLE            MARGARET   01   22200942894          12/30/2022           1    $1,002.22     $150.45
    HCOMP Total                                                                                                                      $2,143.28     $308.90
    HCSLS
      HCSLS                  111815677001 211689563  ADAMS            SEAN       18   22101017359          01/19/2023           1      $125.00       $0.00
      HCSLS                  111815677001 211689563  ADAMS            SEAN       18   22101017359          01/19/2023           1      $175.00       $0.00
    HCSLS Total                                                                                                                        $300.00       $0.00
    INVAZ
      INVAZ                  127912525001 040874014  PASCUAL-HERNANDEZBERZAIN    18   22701176713          01/20/2023           1       $20.00       $1.40
      INVAZ                  127912525001 040874014  PASCUAL-HERNANDEZBERZAIN    18   22701176713          01/20/2023           1      $494.50       $6.22
      INVAZ                  127912525001 040874014  PASCUAL-HERNANDEZBERZAIN    18   22701176713          01/20/2023           1      $114.12       $2.20
      INVAZ                  127912525001 040874014  PASCUAL-HERNANDEZBERZAIN    18   22701176713          01/20/2023           1      $272.94       $3.33
      INVAZ                  127937148001 353687763  HERMOSILLO       GERARDO    18   22601175775          01/20/2023           1      $162.00       $5.84
      INVAZ                  107294656001 360640714  GAWEL            KEVIN      18   22401178543          01/10/2023           1      $712.00      $11.68
      INVAZ                  107294656001 360640714  GAWEL            KEVIN      18   22400985977          01/16/2023           1      $230.00       $5.16
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22701086967          01/16/2023           1       $79.00       $2.16
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22701086967          01/16/2023           2      $200.00       $4.16
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22701086967          01/16/2023           1       $16.00       $1.12
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22701086967          01/16/2023           2      $184.00       $4.04
      INVAZ                  127912552001 608198286  DIAZ             MARIA      18   22701086967          01/16/2023           1       $37.00       $1.47
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22501179833          01/09/2023           1    $2,247.00      $75.39
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22501179833          01/09/2023           1   $36,953.40   $1,202.16
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22501179833          01/09/2023           1   $27,571.95   $1,981.99
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22501265961          01/09/2023           1    $1,650.00     $346.13
      INVAZ                  127937165001 610480667  MARTINEZ         SANTOS     18   22501179833          01/09/2023           1   $27,571.95   $1,226.74
      INVAZ                  129848126001 731266038  VALLE MAGANA     ANA        18   22500988734          01/17/2023           1      $183.00       $6.39
      INVAZ                  127930918001 764681843  RUIZ             NORMA      18   22400987193          01/05/2023           1      $125.00       $4.50
    INVAZ Total                                                                                                                     $98,823.86   $4,892.08

                                                                                                                                               PAGE:6 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    INVIN
      INVIN                  123401160001 235255861  MARTIN           NICHOLAS   19   22019340046          01/17/2023           1      $140.00       $6.18
      INVIN                  128407144001 307922207  REYES            RASHELLE   18   22401262710          05/10/2022           1      $167.00      $76.38
      INVIN                  128407144001 307922207  REYES            RASHELLE   18   22401262710          05/10/2022           1      $167.00      $76.38
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22301084128          01/19/2023           2      $120.00       $3.09
      INVIN                  127920414001 313826658  NELSON           JOCELYN    19   22301084128          01/19/2023           1       $60.00       $3.09
      INVIN                  135641291001 385068917  COOK             ANDREW     18   22501263440          01/01/2023           1      $618.00       $6.18
    INVIN Total                                                                                                                      $1,272.00     $171.30
    JACKS
      JACKS                  127519915001 259352886  BENNETT          GRANT      19   21490601069          08/09/2022          (1)    ($95.00)     ($6.18)
    JACKS Total                                                                                                                       ($95.00)     ($6.18)
    MASS
       MASS                  133360900001 275908357  MARTIN           KAIYA      19   22701264656          01/21/2023           1      $825.00       $6.18
    MASS Total                                                                                                                         $825.00       $6.18
    MKTG
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22101058013          01/16/2023           1       $25.00       $0.00
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22101058013          01/16/2023           1       $63.00       $0.00
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22101058013          01/16/2023           1       $73.00       $0.00
       MKTG                  127519219001 164463960  WEIKERT          SCOTT      18   22101058013          01/16/2023           1       $51.00       $0.00
       MKTG                  130646991001 165761457  HEGBERG          EMA        01   22301141061          01/19/2023           1      $178.00       $0.00
    MKTG Total                                                                                                                         $390.00       $0.00
    NASH
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22101172793          01/12/2023           1      $148.10       $3.80
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22101261022          01/20/2023           1      $115.00       $2.29
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22101172793          01/12/2023           1       $33.67       $1.59
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22101172793          01/12/2023           1       $70.48       $2.32
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22101261022          01/20/2023           1       $32.00       $1.66
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22101172793          01/12/2023           1       $21.37       $1.40
       NASH                  106901551001 295802636  LEMON            RODNEY     18   22101261022          01/20/2023           1      $329.00       $4.17
    NASH Total                                                                                                                         $749.62      $17.23
    PLT18
      PLT18                  133920040001 419049663  SANK             BERNARD    18   22401090184          11/26/2022           1    $1,085.64     $165.97

                                                                                                                                               PAGE:7 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    PLT18 Total                                                                                                                      $1,085.64     $165.97
    PLT2
       PLT2                  100323349001 065561298  LEDDEN           COLLEEN    18   22701021679          01/10/2023           1    $1,310.00      $34.76
       PLT2                  100323349001 065561298  LEDDEN           COLLEEN    18   22701021677          01/10/2023           1    $3,270.00       $0.00
       PLT2                  100323349001 065561298  LEDDEN           COLLEEN    18   22701021677          01/10/2023           1      $766.00       $0.00
       PLT2                  100323349001 065561298  LEDDEN           COLLEEN    18   22701021677          01/10/2023           1    $2,553.00       $0.00
       PLT2                  100323349001 065561298  LEDDEN           COLLEEN    18   22701021677          01/10/2023           1    $2,808.00       $0.00
       PLT2                  100323349001 065561298  LEDDEN           COLLEEN    18   22701021679          01/10/2023           1      $704.00     $324.50
       PLT2                  100323349001 065561298  LEDDEN           COLLEEN    18   22701021677          01/10/2023           1      $981.00       $0.00
       PLT2                  100323349001 065561298  LEDDEN           COLLEEN    18   22701021677          01/10/2023           1      $842.00       $0.00
       PLT2                  127519565001 209568789  SLAGLE           DIANNA     18   22501046257          01/20/2023           1      $243.00       $0.00
       PLT2                  127519565001 209568789  SLAGLE           DIANNA     18   22500836404          01/13/2023           1       $66.00       $0.00
       PLT2                  127519565001 209568789  SLAGLE           DIANNA     18   22500921439          12/30/2022           1      $211.00     $101.05
       PLT2                  127519565001 209568789  SLAGLE           DIANNA     18   22500921439          12/30/2022           1        $8.00       $4.01
       PLT2                  135605022001 598022824  DO               VAN        18   22600940825          01/19/2023           1      $380.00       $0.00
    PLT2 Total                                                                                                                      $14,142.00     $464.32
    PLT3
       PLT3                  134739494001 055620644  CONKLIN          BRAD       18   22801337086          01/24/2023           1      $197.00       $0.00
       PLT3                  134739494001 055620644  CONKLIN          BRAD       18   21888520594          07/23/2022           1    $1,976.00   $1,289.19
       PLT3                  134739494001 055620644  CONKLIN          BRAD       18   22801244671          01/24/2023           1       $11.00       $3.28
       PLT3                  134739494001 055620644  CONKLIN          BRAD       18   22801337086          01/24/2023           1      $231.00     $101.05
       PLT3                  127519171001 145081687  RAMIREZ          MICAELA    18   22701042380          01/17/2023           1    $3,090.00       $0.00
       PLT3                  135187537001 173801219  VALENTIN         JARRETT    18   22401151087          01/20/2023           1    $1,352.00       $0.00
       PLT3                  135187537001 173801219  VALENTIN         JARRETT    18   22400677982          01/16/2023           1      $197.00       $0.00
       PLT3                  129737468001 198667763  LEHR             KADY       19   22201240807          01/24/2023           1       $40.00      $20.20
       PLT3                  129737468001 198667763  LEHR             KADY       19   22201240807          01/24/2023           1      $277.00     $196.13
       PLT3                  129737468001 198667763  LEHR             KADY       19   22201240807          01/24/2023           1       $74.00      $42.45
       PLT3                  129737468001 198667763  LEHR             KADY       19   22201240808          01/24/2023           1      $194.00      $96.31
       PLT3                  129737468001 198667763  LEHR             KADY       19   22201240807          01/24/2023           1      $398.00     $334.59
       PLT3                  129737468001 198667763  LEHR             KADY       19   22201240807          01/24/2023           3       $72.00      $45.75
       PLT3                  129737468001 198667763  LEHR             KADY       19   22201240807          01/24/2023           1       $36.00      $24.36
       PLT3                  135698981001 203768818  SCOTT            KELLY      18   22501057421          12/20/2022           1       $16.00       $0.00

                                                                                                                                               PAGE:8 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  135698981001 203768818  SCOTT            KELLY      18   22501057422          12/29/2022           1      $201.00       $0.00
       PLT3                  135698981001 203768818  BENSON           ROWAN      19   22501142683          01/23/2023           1      $126.00     $102.70
       PLT3                  135698981001 203768818  BENSON           ROWAN      19   22501142683          01/23/2023           1       $32.00      $23.03
       PLT3                  135698981001 203768818  BENSON           ROWAN      19   22501142683          01/23/2023           1       $25.00      $23.11
       PLT3                  135698981001 203768818  BENSON           ROWAN      19   22501142683          01/23/2023           1       $20.00      $15.92
       PLT3                  136052132001 209802831  WILEY            TREVOR     18   22500751298          01/17/2023           1       $45.00      $20.20
       PLT3                  136052132001 209802831  WILEY            TREVOR     18   22500751298          01/17/2023           1      $358.00     $334.59
       PLT3                  133037780001 227297009  VON HUSEN        MICHAEL    18   22501234568          01/24/2023           1      $178.00       $0.00
       PLT3                  133037780001 227297009  VON HUSEN        MICHAEL    18   22500946893          01/13/2023           1      $110.00       $0.00
       PLT3                  127519924001 266598591  ARNDT            TIMOTHY    18   22400764483          12/22/2022           1       $18.00      $10.06
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1       $67.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1       $45.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $143.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $195.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1       $52.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $592.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $141.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $199.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $101.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22800942934          01/18/2023           1       $74.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1       $15.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $685.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1       $69.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22800942934          01/18/2023           1       $74.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $247.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1       $91.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $118.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $214.00       $0.00
       PLT3                  133272593001 596035298  GONZALES         ELIZABET   18   22801150084          01/18/2023           1      $149.00       $0.00
       PLT3                  125623138001 599405801  LOPEZ-RIVERA     MICHAEL    18   22401037475          01/17/2023           1      $378.00     $102.62
       PLT3                  125623138001 599405801  LOPEZ-RIVERA     MICHAEL    18   22400846877          01/17/2023           1       $19.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22501148822          01/16/2023           1       $37.00     $144.14

                                                                                                                                               PAGE:9 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22501329604          01/20/2023           2      $696.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22501329604          01/20/2023           1    $2,133.00   $4,629.96
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22501148822          01/16/2023           1       $50.00      $56.30
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   21578421717          02/22/2022          13      $182.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22501329604          01/20/2023           1      $203.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22501329604          01/20/2023           1       $38.00       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22501329604          01/20/2023           1       $40.50       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   21578421717          02/22/2022           1    $2,352.00   $3,564.51
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22501329604          01/20/2023          12       $23.50       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   21578421717          02/22/2022         (13)   ($182.00)       $0.00
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   22501148822          01/16/2023           1      $185.00     $168.90
       PLT3                  133599164001 639465337  LOZADA           JOSEFINA   18   21578421717          02/22/2022           1    $2,005.00       $0.00
       PLT3                  133666511001 730226949  VARELA           SOLEINY    18   22500764866          01/17/2023           1      $197.00       $0.00
       PLT3                  133666511001 730226949  VARELA           SOLEINY    18   22501329605          01/19/2023           1      $106.00      $73.02
       PLT3                  133666511001 730226949  VARELA           SOLEINY    18   22501329605          01/19/2023           1      $125.00      $77.82
       PLT3                  133666511001 730226949  VARELA           SOLEINY    18   22501329605          01/19/2023           1       $15.00       $0.00
       PLT3                  133666511001 730226949  VARELA           SOLEINY    18   22501329605          01/19/2023           1       $86.00       $0.00
       PLT3                  134907206001 764071592  VARGAS           JOSHUA     18   22501152260          01/17/2023           1      $385.50     $209.59
       PLT3                  136052230001 795030749  SANDOVAL MARTINEZERIKA      18   22400943167          01/12/2023           1       $94.00       $0.00
    PLT3 Total                                                                                                                      $21,713.50  $11,709.78
    PLT4
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   21398719790          12/27/2022           1       $62.00      $40.64
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   21398218449          12/28/2022           2    $7,600.00   $5,829.82
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   21398218449          12/28/2022           2       $80.00      $59.18
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   21398218449          12/28/2022           2      $700.00     $524.86
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   21398719790          12/27/2022           1      $101.00      $66.97
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   21398719790          12/27/2022           3      $639.75     $268.65
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   21398218449          12/28/2022           2    $7,600.00   $5,829.82
       PLT4                  112355283001 205520610  GUIHER           DEBORAH    01   22300941239          01/19/2023           1      $243.00       $0.00
       PLT4                  132825062001 206745878  GRAHAM           DEREK      18   22201076111          01/23/2023           1       $95.00       $0.00
       PLT4                  120307643001 207661645  BRODBECK         MARK       18   22801153436          01/23/2023           1      $195.00       $0.00
       PLT4                  130434279001 212845610  BRANNOCK         MICHELLE   18   22600940738          01/19/2023           1      $119.00       $0.00

                                                                                                                                              PAGE:10 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  131463686001 230694122  MCKENZIE         DANIELLE   01   22200771548          09/27/2022           1      $584.00     $837.72
       PLT4                  131463686001 230694122  MCKENZIE         DANIELLE   01   22200771548          09/28/2022           1      $498.00     $510.40
       PLT4                  127520253001 449251947  CUE              BREANNA    01   22019138457          01/12/2023           1      $108.00       $0.00
       PLT4                  127520253001 449251947  CUE              BREANNA    01   22019138457          01/12/2023           1      $267.00       $0.00
       PLT4                  127520253001 449251947  CUE              BREANNA    01   22019007329          01/12/2023           1      $313.00       $0.00
       PLT4                  129151210001 503939283  ANGELES MENDOZA  KARINA     18   22401332129          01/19/2023           1      $144.00     $154.65
       PLT4                  129151210001 503939283  ANGELES MENDOZA  KARINA     18   22401048326          01/19/2023           1      $105.00     $100.00
       PLT4                  129151210001 503939283  ANGELES MENDOZA  KARINA     18   22401332129          01/19/2023           1      $141.00     $204.88
       PLT4                  129151210001 503939283  ANGELES MENDOZA  KARINA     18   22401332129          01/19/2023           1      $141.00     $204.88
       PLT4                  129151210001 503939283  ANGELES MENDOZA  KARINA     18   22401332129          01/19/2023           1      $181.00     $204.88
       PLT4                  129907882001 596106308  MARTE            JENNY      18   22100903445          01/13/2023           1      $430.00       $0.00
       PLT4                  129907882001 596106308  MARTE            JENNY      18   22100903445          01/13/2023           1      $203.00       $0.00
    PLT4 Total                                                                                                                      $20,549.75  $14,837.35
    PLT6
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           6      $916.00     $308.28
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1    $3,373.00   $1,134.28
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400780841          05/03/2022           1      $235.00     $108.64
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022       3,819   $12,811.25   $4,307.24
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1      $763.00     $256.83
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1    $1,299.00     $437.04
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1       $41.30      $14.21
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           2      $354.00     $119.35
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1      $342.00     $115.31
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           2       $46.00      $15.80
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           5    $1,571.00     $528.47
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022          56    $5,180.00   $1,741.75
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022          15    $1,055.00     $355.01
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           2      $250.00      $84.39
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   22400780841          05/02/2022           1      $317.00     $151.67
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           4   $11,772.00   $3,957.88
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           2      $782.00     $263.24
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022          12    $2,716.00     $913.40

                                                                                                                                              PAGE:11 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022          17      $895.00     $301.22
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           5   $12,175.00   $4,093.35
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1      $466.00     $157.00
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           3    $6,123.00   $2,058.78
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           4    $7,412.00   $2,492.12
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1    $1,367.00     $459.90
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1      $285.00      $96.15
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1    $4,058.00   $1,364.56
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           6   $39,762.00  $13,367.59
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           1      $481.00     $162.04
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           4      $929.00     $312.65
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022           8    $2,272.00     $764.15
       PLT6                  127842844001 434877529  BORNE            NATALIE    01   21493892452          03/31/2022          18   $17,622.00   $5,924.54
    PLT6 Total                                                                                                                     $137,670.55  $46,366.84
    PLT9
       PLT9                  127519067001 021548924  IANACHINO        RICHARD    18   22201257879          01/24/2023           1      $142.00       $2.89
       PLT9                  127519067001 021548924  IANACHINO        RICHARD    18   22201257879          01/24/2023           1      $418.00       $2.48
    PLT9 Total                                                                                                                         $560.00       $5.37
    PLTAD
      PLTAD                  134753379001 076863776  BERJAOUI         AFAF       18   22601346717          01/23/2023           1      $195.00       $4.00
      PLTAD                  134753379001 076863776  BERJAOUI         AFAF       18   22601171085          01/17/2023           1      $200.00     $167.02
      PLTAD                  134753379001 076863776  BERJAOUI         AFAF       18   22601171085          01/17/2023           1       $50.00       $1.34
      PLTAD                  134753379001 076863776  BERJAOUI         AFAF       18   22601171085          01/17/2023           1       $10.00       $8.80
      PLTAD                  111558986001 161682138  CONNORS          CLAIRE     19   22801049162          01/18/2023           1      $188.00       $0.00
      PLTAD                  111558986001 161682138  CONNORS          CLAIRE     19   22801112847          01/18/2023           1      $124.00       $0.00
      PLTAD                  111558986001 161682138  CONNORS          CLAIRE     19   22801049162          01/18/2023           1       $10.00       $0.00
      PLTAD                  114958995001 171668102  MOZDZEN          MICHAEL    18   22600844236          01/17/2023           1       $60.00       $0.00
      PLTAD                  114958995001 171668102  MOZDZEN          MICHAEL    18   22600844236          01/17/2023           1       $51.00       $0.00
      PLTAD                  114958995001 171668102  MOZDZEN          MICHAEL    18   22600844236          01/17/2023           1       $57.00       $0.00
      PLTAD                  103512656001 188408797  MUMMERT          SCOTT      18   22201043572          01/09/2023           3      $240.00       $0.00
      PLTAD                  103512656001 188408797  MUMMERT          SCOTT      18   22201043572          01/09/2023           1       $40.00       $0.00
      PLTAD                  103512656001 188408797  MUMMERT          SCOTT      18   22201043572          01/09/2023           1      $200.00       $0.00

                                                                                                                                              PAGE:12 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PLTAD                  103512656001 188408797  MUMMERT          SCOTT      18   22201043572          01/09/2023           1       $42.00       $0.00
      PLTAD                  103512656001 188408797  MUMMERT          SCOTT      18   22201043572          01/09/2023           1       $30.00       $0.00
      PLTAD                  115779710001 210683220  KRESS            LINDSEY    18   22200893596          01/19/2023           1       $75.00       $0.00
      PLTAD                  115779710001 210683220  KRESS            QUINN      19   22201062871          01/22/2023           1       $49.00       $0.00
      PLTAD                  115779710001 210683220  KRESS            QUINN      19   22201062871          01/22/2023           1      $119.00       $0.00
      PLTAD                  132933904001 383082481  HARRIS           JOHANNAH   18   22701261153          01/18/2023           1      $135.00       $3.85
    PLTAD Total                                                                                                                      $1,875.00     $185.01
    PTOHD
      PTOHD                  102085235001 170763985  STOVER           JESSICA    01   22800923878          01/19/2023           1      $251.00       $0.00
    PTOHD Total                                                                                                                        $251.00       $0.00
    RWPLT
      RWPLT                  134739498001 506178827  WALLACE          JUSTICE    18   22301082223          12/27/2022           1       $38.00       $6.36
      RWPLT                  134739498001 506178827  WALLACE          JUSTICE    18   22301082223          12/27/2022           1      $100.00      $14.53
      RWPLT                  134739498001 506178827  WALLACE          JUSTICE    18   22301082223          12/27/2022           1       $68.00      $10.31
      RWPLT                  134613837001 839177388  PARRA            MIA        19   22019438346          01/21/2023           1      $103.95       $1.33
      RWPLT                  134613837001 839177388  PARRA            MIA        19   22019438346          01/21/2023           1      $200.55       $1.33
      RWPLT                  134613837001 839177388  PARRA            MIA        19   22019438346          01/21/2023           1       $26.25       $1.34
    RWPLT Total                                                                                                                        $536.75      $35.20
    SALES
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22700817169          01/13/2023           1      $345.00      $68.56
      SALES                  127519216001 163686588  BUCHINSKI        LILY       19   22701296930          01/04/2023           1      $345.00      $68.56
    SALES Total                                                                                                                        $690.00     $137.12
    SBPLT
      SBPLT                  103106741001 183468900  HAYMAN           ROBERT     18   22501148416          01/19/2023           1       $81.00       $0.00
      SBPLT                  103106741001 183468900  HAYMAN           ROBERT     18   22501148416          01/19/2023           1       $16.00       $0.00
      SBPLT                  103106741001 183468900  HAYMAN           CINDY      01   22501285560          08/04/2022           1      $114.23       $0.00
    SBPLT Total                                                                                                                        $211.23       $0.00
    SBSLS
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198957618          01/04/2023           2      $480.00       $0.00
      SBSLS                  131796640001 118603001  GALLAHER         JOHN       18   21198957618          01/04/2023           1      $109.00       $0.00
    SBSLS Total                                                                                                                        $589.00       $0.00
    SBUNB

                                                                                                                                              PAGE:13 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SBUNB                  130495224001 291987918  UTSINGER         JOHN       18   22300819448          01/06/2023           1      $300.00       $0.00
    SBUNB Total                                                                                                                        $300.00       $0.00
    SLSUP
      SLSUP                  119974026001 199745991  HARTRANFT        DEBORAH    18   22301019840          01/20/2023           1      $125.00       $0.00
      SLSUP                  109977359001 202587914  STRAUSBAUGH      JESSICA    01   22500921187          01/18/2023           1       $37.00       $0.00
      SLSUP                  109977359001 202587914  STRAUSBAUGH      JESSICA    01   22501320419          01/24/2023           1       $37.00       $0.00
      SLSUP                  135160987001 217139162  FRANEY           SARA       18   22401236726          01/24/2023           1      $242.00      $85.00
      SLSUP                  132142484001 457451292  WILDER           JENNIFER   18   22200985100          01/19/2023           1       $21.11      $10.49
      SLSUP                  132142484001 457451292  WILDER           JENNIFER   18   22201081815          01/19/2023           1       $90.75       $1.33
      SLSUP                  132142484001 457451292  WILDER           JENNIFER   18   22201081815          01/19/2023           1       $78.25       $1.33
      SLSUP                  132142484001 457451292  WILDER           JENNIFER   18   22201081815          01/19/2023           1       $29.25       $1.34
      SLSUP                  132142484001 457451292  WILDER           JENNIFER   18   22200986039          01/19/2023           1      $369.22       $4.00
      SLSUP                  124236412001 492727040  BAKER            LAURIE     18   22701350025          01/23/2023           1      $552.00       $6.18
      SLSUP                  124236412001 492727040  BAKER            LAURIE     18   22700988114          01/12/2023           1      $298.00       $3.09
      SLSUP                  124236412001 492727040  BAKER            LAURIE     18   22700988114          01/12/2023           1       $88.00       $3.09
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500601876          01/01/2023           1       $53.48       $1.95
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500601876          01/01/2023           1       $36.28       $1.95
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500601876          01/01/2023           1      $358.26       $1.95
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500601876          01/01/2023           9       $59.90       $1.95
      SLSUP                  132228410001 640426345  HERNANDEZ        SONIA      18   22500601876          01/01/2023           1      $292.09       $1.95
    SLSUP Total                                                                                                                      $2,767.59     $125.60
    TMPLT
      TMPLT                  133319548001 574134459  HUNSLEY          ALANNAH    18   22100981455          12/19/2022           1       $45.50      $29.25
    TMPLT Total                                                                                                                         $45.50      $29.25
  025620-00 Total                                                                                                                  $327,861.00  $84,926.82
  025620-70
    COBRA
      COBRA                  134860230001 376745385  FAWCETT          NEIL       18   22019440929          12/27/2022           1       $32.40       $0.50
      COBRA                  134860230001 376745385  FAWCETT          NEIL       18   22019440929          12/27/2022           1       $54.20       $0.49
      COBRA                  134860230001 376745385  FAWCETT          NEIL       18   22019440929          12/27/2022           1       $23.58       $0.48
      COBRA                  134860230001 376745385  FAWCETT          NEIL       18   22019440929          12/27/2022           1       $12.05       $0.50
      COBRA                  134860230001 376745385  FAWCETT          NEIL       18   22019440929          12/27/2022           1       $52.20       $0.48

                                                                                                                                              PAGE:14 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      COBRA                  134860230001 376745385  FAWCETT          NEIL       18   22019440929          12/27/2022           1       $12.05       $0.50
      COBRA                  134860230001 376745385  FAWCETT          NEIL       18   22019440929          12/27/2022           1       $14.95       $0.49
      COBRA                  134860230001 376745385  FAWCETT          NEIL       18   22019440929          12/27/2022           1       $20.25       $0.49
    COBRA Total                                                                                                                        $221.68       $3.93
  025620-70 Total                                                                                                                      $221.68       $3.93
HDHP PPO Total                                                                                                                     $328,082.68  $84,930.75
                                                                                                                                                            
PPO
  025620-01
    ACCTS
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100020866          12/22/2022           4      $500.00     $177.70
      ACCTS                  128566801001 151622789  SPENCER          KEARA      19   22100020866          12/22/2022           2      $234.00      $42.13
      ACCTS                  110028445001 170445884  ERNST            ROBERT     18   22701143806          01/17/2023           1        $8.00       $4.01
      ACCTS                  110028445001 170445884  ERNST            PAMELA     01   22701322012          01/25/2023           1      $170.00     $108.72
      ACCTS                  110028445001 170445884  ERNST            ROBERT     18   22701143806          01/17/2023           1      $245.00     $109.87
      ACCTS                  110028445001 170445884  ERNST            PAMELA     01   22701322012          01/25/2023           1        $8.00       $4.01
      ACCTS                  127519316001 176568300  SCHLOSKY         LILLIAN    19   22801295534          01/25/2023           1       $30.00       $0.00
      ACCTS                  127519316001 176568300  SCHLOSKY         LILLIAN    19   22801295534          01/25/2023           1      $275.00      $42.14
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22701256618          01/23/2023          19      $228.00       $0.00
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22701256618          01/23/2023           1      $225.00     $107.86
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22701256618          01/23/2023           1       $60.00       $0.00
      ACCTS                  102635440001 177528174  LUDWIG           KEVIN      18   22701244616          01/23/2023           1      $197.00      $85.81
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22701244617          01/23/2023           1      $197.00      $85.81
      ACCTS                  102635440001 177528174  LUDWIG           DENNEAN    01   22701256618          01/23/2023          39      $390.00       $0.00
      ACCTS                  110086137001 198526496  CHARLES          EMILY      19   22019005266          01/17/2023           1      $160.00       $0.00
      ACCTS                  127519998001 300741357  STANCEL          MICHELLE   01   22601173532          01/16/2023           1      $200.00      $42.88
      ACCTS                  127519998001 300741357  HOGSED           NOAH       19   22600984824          01/19/2023           1      $200.00       $6.18
      ACCTS                  109915959001 426415597  LOVETT           DONALD     18   22301173016          11/30/2022           1       $65.00      $38.17
    ACCTS Total                                                                                                                      $3,392.00     $855.29
    ADM
        ADM                  127519135001 097786822  SANDERS          KELLY      18   22700936307          01/16/2023           1    $1,277.00      $65.44
        ADM                  127519137001 101687388  DELIO            ERIN       19   22018835579          04/14/2021           1      $300.00     $272.13

                                                                                                                                              PAGE:15 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  127519137001 101687388  DELIO            ERIN       19   22018828676          04/08/2021           1      $300.00     $272.13
        ADM                  127519137001 101687388  DELIO            ERIN       19   22018835579          04/14/2021           1        $0.01       $2.01
        ADM                  127519137001 101687388  DELIO            ERIN       19   22018828676          04/08/2021           1        $0.01       $2.01
        ADM                  134373697001 110642727  GRANJA           JEREMIAH   19   22700994243          01/18/2023           1      $635.00     $390.78
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1      $138.36      $13.50
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1      $223.85      $20.25
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1       $55.12       $4.88
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1       $32.02       $3.38
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1      $146.23       $6.38
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1       $60.75       $6.75
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1      $319.46      $27.75
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1       $37.12       $1.88
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1      $138.36      $13.50
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1      $169.85       $6.06
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1      $234.98      $27.00
        ADM                  127519157001 135628506  BRICK            KAITLYN    19   22201204502          12/23/2022           1      $112.49       $9.75
        ADM                  102127457001 171429639  GARRETT          DEAN       18   22201200305          01/18/2023           1       $25.00       $0.00
        ADM                  102127457001 171429639  GARRETT          LORI       01   22200904896          01/16/2023           1      $170.00      $35.70
        ADM                  102127457001 171429639  GARRETT          LORI       01   22200904896          01/16/2023           1      $430.00       $0.00
        ADM                  102127457001 171429639  GARRETT          DEAN       18   22201200305          01/18/2023           1       $50.00       $0.00
        ADM                  118293406001 172663018  MESSINGER        ELSIE      19   22701057725          01/14/2023           1      $319.00       $0.00
        ADM                  118293406001 172663018  MESSINGER        ELSIE      19   22700892175          01/14/2023           1       $33.00       $0.00
        ADM                  118293406001 172663018  MESSINGER        ELSIE      19   22700892175          01/14/2023           1    $1,529.00       $0.00
        ADM                  118293406001 172663018  MESSINGER        ELSIE      19   22700892175          01/14/2023           1       $64.00       $0.00
        ADM                  118293406001 172663018  MESSINGER        ELSIE      19   22700892175          01/14/2023           1      $268.00       $0.00
        ADM                  118293406001 172663018  MESSINGER        ELSIE      19   22700766035          01/14/2023           1       $35.00       $0.00
        ADM                  132434731001 173662391  ELICKER          RACHEL     19   22101314814          01/20/2023           1    $1,217.00       $0.00
        ADM                  132434731001 173662391  ELICKER          LAUREN     19   22100911353          01/09/2023           4      $148.00       $0.00
        ADM                  110508697001 178620054  GANS             KIERAN     19   22101229427          01/22/2023           1      $130.00      $54.99
        ADM                  132317941001 190582861  DUGAN            MICHAEL    01   22400949894          01/17/2023           1      $469.77       $0.00
        ADM                  132317941001 190582861  DUGAN            MICHAEL    01   22400949894          01/17/2023           1      $186.14       $0.00
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   22500817631          12/28/2022           1      $198.00      $63.14

                                                                                                                                              PAGE:16 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   22500817631          12/28/2022           1      $304.00     $107.86
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   22500817631          12/28/2022           1      $640.00      $42.65
        ADM                  104269919001 197340692  KLEIN            WILLIAM    18   22500817631          12/28/2022           8       $32.00       $0.96
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500670597          01/13/2023           1        $2.00       $0.00
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500670597          01/13/2023           1        $5.75       $0.00
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500670597          01/13/2023           2       $14.00       $0.00
        ADM                  115186244001 198669259  TAYLER           JUDE       19   22500670597          01/13/2023           1    $2,163.00   $2,972.46
        ADM                  112385669001 201683406  FREEMAN          ALEXIS     19   22501135838          01/20/2023           1       $64.00       $0.00
        ADM                  112385669001 201683406  FREEMAN          ALEXIS     19   22501057351          01/20/2023           1       $30.00       $0.00
        ADM                  112385669001 201683406  FREEMAN          ALEXIS     19   22501135838          01/20/2023           1      $279.00       $0.00
        ADM                  112385669001 201683406  FREEMAN          ALEXIS     19   22501135838          01/20/2023           1      $279.00       $0.00
        ADM                  112385669001 201683406  FREEMAN          ALEXIS     19   22501057351          01/20/2023           1      $350.00      $67.69
        ADM                  112385669001 201683406  FREEMAN          ALEXIS     19   22501135838          01/20/2023           2      $558.00       $0.00
        ADM                  112385669001 201683406  FREEMAN          ALEXIS     19   22501057351          01/20/2023           1       $16.00       $0.00
        ADM                  112385669001 201683406  FREEMAN          ALEXIS     19   22501135838          01/20/2023           1      $279.00       $0.00
        ADM                  112385669001 201683406  FREEMAN          ALEXIS     19   22501135838          01/20/2023           1      $441.00       $0.00
        ADM                  130763390001 207580860  KEISER           MICHELLE   18   22501045768          01/22/2023           1      $150.00       $0.00
        ADM                  105493878001 211587271  SMAY             SANDRA     18   22018966842          01/17/2023           1       $92.00       $0.00
        ADM                  132527658001 214769802  SMITH            ROBERT     18   22301140977          01/20/2023           1      $376.00     $107.86
        ADM                  134035476001 240935276  SILVERS          VIRGINIA   18   22601085438          12/28/2022           1      $215.00      $88.63
        ADM                  114833354001 311702430  METZGER          DEBRA      01   22500985068          01/19/2023           1      $105.00      $15.84
        ADM                  114833354001 311702430  METZGER          DEBRA      01   22500985068          01/19/2023           1       $61.00       $3.09
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22101262430          01/19/2023           1      $201.00       $1.33
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22101262430          01/19/2023           1      $157.00      $71.77
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22401267286          01/24/2023           1      $227.00       $4.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22401267159          01/23/2023           1      $447.00       $4.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22101345866          01/24/2023           1      $350.00       $4.00
        ADM                  132459745001 318546201  SZAJUK           EDWARD     18   22101262430          01/19/2023           2       $22.00       $1.34
        ADM                  132459764001 333827619  MURPHY           MELANIE    01   22501264050          01/20/2023           1      $285.00     $103.44
        ADM                  132484369001 359588661  NORMAN           PHILIP     18   22401090317          01/19/2023           1       $80.00      $34.22
        ADM                  132484369001 359588661  NORMAN           PHILIP     18   22401090317          01/19/2023           1      $270.00     $173.49
        ADM                  107728254001 415439274  GATTENBY         LONNA      18   22019149450          01/18/2023           1       $40.00       $1.55

                                                                                                                                              PAGE:17 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  107728254001 415439274  GATTENBY         LONNA      18   22019149450          01/18/2023           1       $15.00       $1.42
        ADM                  107728254001 415439274  GATTENBY         LONNA      18   22019149450          01/18/2023           1       $28.00       $1.49
        ADM                  132142486001 467997397  KOLB             SHANNON    18   22401254798          01/24/2023           1       $95.00      $60.00
        ADM                  132142486001 467997397  KOLB             SHANNON    18   22401080308          01/17/2023           1       $95.00      $60.00
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100949136          01/15/2023           1      $192.00      $76.29
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100949134          01/13/2023           1      $192.00      $76.29
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100949135          01/14/2023           1      $192.00      $76.29
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100949125          01/09/2023           1      $144.00      $13.14
        ADM                  129547621001 593281034  KOHN             AMBER      18   22100949151          01/09/2023           1      $449.00     $167.67
        ADM                  132228409001 640209541  BATES            JENNIFER   18   22401178754          10/15/2022           1      $984.00       $4.00
    ADM Total                                                                                                                       $20,373.27   $5,642.18
    BETH
       BETH                  128836567001 081561167  MANDES           NITZA      01   22100825779          01/18/2023           1      $160.00       $0.00
       BETH                  128836567001 081561167  MANDES           NITZA      01   22100825779          01/18/2023           1      $100.00       $0.00
    BETH Total                                                                                                                         $260.00       $0.00
    CARR
       CARR                  117488925001 457271522  MCMANUS          SCOTT      18   22019439766          01/17/2023           1       $21.99       $4.00
    CARR Total                                                                                                                          $21.99       $4.00
    CHAMB
      CHAMB                  105494869001 211600089  HOLLENBAUGH      JAMES      18   22101220831          01/19/2023           1      $120.00       $0.00
    CHAMB Total                                                                                                                        $120.00       $0.00
    CHES
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22701085633          01/18/2023           1       $64.46       $0.97
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22701085633          01/18/2023           1       $32.55       $0.97
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22701085844          01/13/2023           1      $120.00      $28.22
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22701085633          01/18/2023           1       $70.99       $0.97
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22701085633          01/18/2023           1       $69.30       $0.98
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22701085633          01/18/2023           1       $44.10       $0.97
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22701085844          01/13/2023           1       $39.00      $23.78
       CHES                  127519756001 228089342  STEWART          RICHARD    18   22701085633          01/18/2023           1      $102.90       $0.97
    CHES Total                                                                                                                         $543.30      $57.83
    CKPT2

                                                                                                                                              PAGE:18 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100574344          01/09/2023           1       $98.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100574344          01/09/2023           1      $331.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100574344          01/09/2023           1       $49.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           1       $75.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           1        $2.70       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           1       $98.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           1    $1,202.00     $579.72
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           2      $254.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100831141          01/12/2023           1      $319.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           4        $1.50       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           1      $296.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100574344          01/09/2023           1       $90.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100574344          01/09/2023           1    $2,598.00     $576.42
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100574344          01/09/2023           4        $2.05       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100574344          01/09/2023           1       $56.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           2      $150.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100574344          01/09/2023           1    $1,529.00      $39.54
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           1       $56.00       $0.00
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100832945          01/12/2023           1      $698.00     $512.46
      CKPT2                  129691279001 186661203  WIKER            PATRICK    18   22100574344          01/09/2023           1      $698.00     $512.46
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201318334          04/06/2022           1      $168.00      $56.12
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201318334          04/05/2022           1      $168.00      $56.12
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201318434          04/03/2022           1      $584.00     $259.22
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201324515          06/23/2022           1      $169.00      $66.34
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201318444          04/03/2022           1       $39.00      $10.61
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201324516          04/08/2022           1      $247.00      $97.75
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201318335          04/04/2022           1      $393.00     $156.37
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201324517          04/03/2022           1      $470.00     $259.22
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201318334          04/07/2022           1      $168.00      $56.12
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201318334          04/08/2022           1      $168.00      $56.12
      CKPT2                  134499350001 208464299  BLYMIER          JAMES      18   22201318435          06/22/2022           1      $484.00     $212.13
      CKPT2                  105314522001 209565797  RHODES           MONICA     18   22501041161          01/12/2023           1       $10.00       $0.00

                                                                                                                                              PAGE:19 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      CKPT2                  105314522001 209565797  RHODES           MONICA     18   22501041161          01/12/2023           1       $25.00       $0.00
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22701080841          11/11/2022           1      $210.00      $55.99
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700708157          09/10/2022           1      $182.00      $58.94
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700708157          09/10/2022           1      $247.00      $79.99
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700463845          01/13/2022           1      $608.00     $246.49
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700708157          09/10/2022           1      $179.00      $57.98
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700708157          09/10/2022           1       $39.00      $12.63
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700708157          09/10/2022           1      $208.00      $67.37
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700708157          09/10/2022           1       $94.00      $30.45
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700708157          09/10/2022           1       $15.00       $0.00
      CKPT2                  107995714001 433473958  BOYD             MARK       18   22700708157          09/10/2022           1       $41.00      $13.28
    CKPT2 Total                                                                                                                     $13,519.25   $4,129.84
    CLARK
      CLARK                  101767674001 166700538  AVALOS DE GALLEGOBLANCA     01   22301044584          01/20/2023           1      $105.00     $100.00
      CLARK                  129151144001 168786798  AGUAS            OLIVIA     18   22100831189          01/18/2023           1      $178.00       $0.00
      CLARK                  110169138001 172701233  KEENEY           JENNIFER   01   22300843897          01/18/2023           1      $195.00      $40.10
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22401245833          01/14/2023           1      $376.00     $147.68
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400846843          01/18/2023           1      $143.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400943275          01/19/2023           1      $143.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22401048318          01/20/2023           1      $290.00     $130.99
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400678033          01/16/2023           1      $143.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22401337714          01/14/2023           1      $401.00     $147.68
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400846705          01/18/2023           1      $206.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22400846861          01/18/2023           1      $135.00       $0.00
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22401245833          01/15/2023           1      $135.00      $53.10
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22401245827          01/17/2023           1      $103.25      $32.51
      CLARK                  132409588001 192503185  CRISAMORE        ELLIOTT    19   22401066857          01/14/2023           1      $504.50     $203.66
      CLARK                  104456987001 199508159  SPANGLER         WILLIAM    18   22801062689          01/16/2023           1      $430.00     $321.22
      CLARK                  104456987001 199508159  SPANGLER         WILLIAM    18   22801047249          01/16/2023           1      $133.00      $22.85
    CLARK Total                                                                                                                      $3,620.75   $1,199.79
    CLEVE
      CLEVE                  127519935001 273806178  RILEY            STEPHEN    18   22601343293          01/23/2023           1       $52.98       $3.09

                                                                                                                                              PAGE:20 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      CLEVE                  127519935001 273806178  RILEY            STEPHEN    18   22601343293          01/23/2023           1      $181.38       $3.09
      CLEVE                  127519967001 290748068  MILLER           MELINDA    01   22201342090          01/19/2023           1      $300.00      $76.03
      CLEVE                  127520003001 301907644  HARP             RONALD     18   22201343109          09/13/2022           1    $1,256.00     $534.05
    CLEVE Total                                                                                                                      $1,790.36     $616.26
    COLUM
      COLUM                  133920010001 289822398  SIMPSON          BRANDON    18   21176674117          01/21/2022         100      $128.00      $48.09
      COLUM                  133920010001 289822398  SIMPSON          BRANDON    18   21176674117          01/21/2022        (100)   ($128.00)     ($6.18)
      COLUM                  133920010001 289822398  SIMPSON          BRANDON    18   21176674117          01/21/2022           1      $550.00     $148.09
    COLUM Total                                                                                                                        $550.00     $190.00
    DALL
       DALL                  135825917001 643167851  EDWARDS          QUENTON    18   22501267099          01/17/2023           1      $350.00     $150.85
       DALL                  135825917001 643167851  EDWARDS          QUENTON    18   22501267099          01/17/2023           1      $100.00       $2.00
    DALL Total                                                                                                                         $450.00     $152.85
    DENV
       DENV                  127520277001 523088824  MOORE            CAROL      18   22601347434          01/24/2023           2      $260.00       $2.00
       DENV                  127520277001 523088824  MOORE            CAROL      18   22601347434          01/24/2023           1      $125.00       $2.00
    DENV Total                                                                                                                         $385.00       $4.00
    FAIR
       FAIR                  130351310001 236886937  WILSON           RONALD     18   22800990791          01/11/2023           1      $240.00     $132.53
    FAIR Total                                                                                                                         $240.00     $132.53
    FESPLT
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/29/2022           4      $181.40      $19.71
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/29/2022           6      $198.60      $21.54
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/20/2022           1    $5,128.00     $550.08
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/29/2022           1    $5,128.00     $550.09
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/20/2022          50      $822.50      $88.44
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/13/2022           8      $264.80      $28.64
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/06/2022           8      $264.80      $28.64
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/15/2022           2      $242.10      $26.20
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/13/2022           4      $181.40      $19.69
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/27/2022          50      $822.50      $88.45
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/08/2022           8      $264.80      $28.64

                                                                                                                                              PAGE:21 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/08/2022           2      $242.10      $26.20
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/08/2022           4      $181.40      $19.69
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/08/2022           1    $5,128.00     $550.08
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/06/2022           3      $363.15      $39.17
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/20/2022           4      $181.40      $19.70
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/27/2022           6      $198.60      $21.54
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/06/2022          50      $822.50      $88.44
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/06/2022           4      $181.40      $19.69
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/01/2022           8      $264.80      $28.64
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/27/2022           1    $5,128.00     $550.09
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/22/2022           2      $242.10      $26.21
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/27/2022           2       $90.70       $9.97
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/29/2022           2      $242.10      $26.21
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/01/2022           3      $136.05      $14.83
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/15/2022           8      $264.80      $28.64
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/13/2022           1    $5,128.00     $550.08
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/22/2022           2       $90.70       $9.97
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/20/2022           8      $264.80      $28.65
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/01/2022           1    $5,128.00     $550.08
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/13/2022           3      $363.15      $39.17
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/13/2022          50      $822.50      $88.44
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/15/2022           1    $5,128.00     $550.08
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/20/2022           3      $363.15      $39.17
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/06/2022           1    $5,128.00     $550.08
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/27/2022           3      $363.15      $39.18
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/15/2022           4      $181.40      $19.69
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/22/2022           1    $5,128.00     $550.09
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/22/2022           8      $264.80      $28.65
      FESPLT                 132900460001 289708580  PRATT            RANDY      18   22700301751          12/01/2022           2      $242.10      $26.20
      FESPLT                 136245948001 610435099  FLORES-CASTELLANOJOCELYN    19   22601083571          01/18/2023           1      $171.00      $25.78
    FESPLT Total                                                                                                                    $55,932.75   $6,014.53
    FLEET

                                                                                                                                              PAGE:22 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      FLEET                  127519229001 165562976  HENRY            STEVEN     18   22201109807          01/11/2023           1      $198.00       $0.00
      FLEET                  127519229001 165562976  HENRY            STEVEN     18   22201109807          01/11/2023           8       $32.00       $0.00
      FLEET                  120775540001 169749353  WOLFE            BRETT      18   22401154536          01/22/2023           1      $131.00       $8.60
      FLEET                  120775540001 169749353  WOLFE            BRETT      18   22401153694          01/23/2023           1      $105.00      $29.87
      FLEET                  120775540001 169749353  WOLFE            BRETT      18   22401154536          01/22/2023           1       $49.00       $0.00
      FLEET                  102869483001 180505253  FOWLER           STEVEN     18   22500136517          12/23/2022           1       $12.00       $2.82
      FLEET                  102869483001 180505253  FOWLER           STEVEN     18   22500136518          12/16/2022           1       $12.00       $2.82
      FLEET                  103694299001 190464437  LESCHAK          JAMES      18   22701290388          01/19/2023           1       $75.00       $0.00
      FLEET                  113640083001 191666065  PIRRING          NICHOLAS   18   22800323334          01/11/2022           1      $222.00     $102.70
      FLEET                  127519983001 295668783  WILSON           DAVE       18   22019144345          01/16/2023           1      $171.00       $2.06
      FLEET                  127519983001 295668783  WILSON           DAVE       18   22019144345          01/16/2023           2      $252.00       $2.06
      FLEET                  127519983001 295668783  WILSON           DAVE       18   22019144345          01/16/2023           3      $273.00       $2.06
    FLEET Total                                                                                                                      $1,532.00     $152.99
    FORPK
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700985127          01/18/2023           1       $65.00       $2.06
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/17/2023           1       $45.00       $0.51
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/17/2023           1       $52.00       $0.51
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/17/2023           1       $50.00       $0.51
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/19/2023           1       $52.00       $0.52
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/19/2023           1       $55.00       $0.51
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/17/2023           1       $55.00       $0.51
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701268768          01/23/2023           1       $45.00       $2.06
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/24/2023           1       $50.00       $0.52
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/24/2023           1       $45.00       $0.52
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/19/2023           1       $50.00       $0.52
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/24/2023           1       $52.00       $0.52
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700985127          01/18/2023           1       $60.00       $2.06
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/24/2023           1       $55.00       $0.52
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701268768          01/23/2023           1       $65.00       $2.06
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701268768          01/23/2023           1       $60.00       $2.06
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22700985127          01/18/2023           1       $45.00       $2.06
      FORPK                  106468594001 259943181  SHERIDAN         GLYNN      18   22701347284          01/19/2023           1       $45.00       $0.51

                                                                                                                                              PAGE:23 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    FORPK Total                                                                                                                        $946.00      $18.54
    FREE
       FREE                  132990694001 148725616  KASZUBA          STEPHANI   01   22700863949          01/05/2023           1      $180.00      $73.11
    FREE Total                                                                                                                         $180.00      $73.11
    GFPLT
      GFPLT                  121950237001 418943984  JONES            SEARCY     18   22301260263          01/23/2023           1    $1,548.00       $6.18
      GFPLT                  121950237001 418943984  JONES            SEARCY     18   22301347470          01/23/2023           1    $3,700.00     $685.96
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22301346445          01/19/2023           1      $265.51       $6.18
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22301084551          01/18/2023           1       $20.00      $19.55
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22301083053          01/18/2023           1       $54.33      $11.62
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22301083053          01/18/2023           1       $88.34      $22.30
      GFPLT                  134847597001 419989111  HUTCHINS         JESSIE     18   22301083053          01/18/2023           1      $116.33       $2.06
      GFPLT                  132900477001 420395562  INGRAM           AARON      18   22601260389          01/23/2023           1       $25.00       $1.55
      GFPLT                  132900477001 420395562  INGRAM           AARON      18   22601260389          01/23/2023           1       $12.00       $1.55
      GFPLT                  132900477001 420395562  INGRAM           AARON      18   22601260389          01/23/2023           1       $55.00       $1.54
      GFPLT                  132900477001 420395562  INGRAM           AARON      18   22601260389          01/23/2023           1      $155.00     $119.82
      GFPLT                  107807628001 421764429  GIBBS            ALFRED     18   22300109461          12/02/2022           1    $1,347.00     $243.88
      GFPLT                  127520120001 422250799  STONE            ALTON      01   22201081956          01/19/2023           1       $15.00       $1.23
      GFPLT                  127520120001 422250799  STONE            ALTON      01   22201081956          01/19/2023           1       $20.00       $1.24
      GFPLT                  127520120001 422250799  STONE            ALTON      01   22201263008          01/19/2023           1       $77.10       $3.09
      GFPLT                  127520120001 422250799  STONE            ALTON      01   22201081956          01/19/2023           1       $75.00      $16.88
      GFPLT                  127520120001 422250799  STONE            ALTON      01   22201081956          01/19/2023           1      $120.00      $61.23
      GFPLT                  127520120001 422250799  STONE            ALTON      01   22201081956          01/19/2023           1       $30.00      $18.69
      GFPLT                  127520120001 422250799  STONE            ALTON      01   22201263008          01/19/2023           1       $21.12       $3.09
    GFPLT Total                                                                                                                      $7,744.73   $1,227.64
    HCOMP
      HCOMP                  102270677001 173327307  RICE             JANE       01   22500949483          01/19/2023           1    $1,025.00       $0.00
      HCOMP                  102270677001 173327307  RICE             JANE       01   22500949483          01/19/2023           1      $194.00       $0.00
      HCOMP                  102270677001 173327307  RICE             JANE       01   22500949483          01/19/2023           1      $366.00      $67.12
    HCOMP Total                                                                                                                      $1,585.00      $67.12
    HCSLS
      HCSLS                  127520267001 486826697  TULLIS           MACIE      19   22501321077          01/25/2023           1      $350.00      $37.85

                                                                                                                                              PAGE:24 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    HCSLS Total                                                                                                                        $350.00      $37.85
    INRDC
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22801161355          01/20/2022           1      $204.00      $13.60
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22801163100          05/23/2022           1      $139.00      $49.93
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22801161355          01/20/2022           1       $25.00       $1.66
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22801161355          01/20/2022           1      $184.00      $12.26
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22801161355          01/20/2022           1      $148.00       $9.86
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22201083982          01/19/2023           1      $120.00       $6.18
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22201259588          01/04/2023           1    $1,136.00       $6.18
      INRDC                  130658132001 316177855  BRICKLEY         KORYN      18   22801161355          01/20/2022           1       $54.00       $3.63
    INRDC Total                                                                                                                      $2,010.00     $103.30
    INVAZ
      INVAZ                  135683031001 505802532  HAMILTON         JOLYNN     01   22301265412          01/22/2023           1       $22.90       $5.98
      INVAZ                  135683031001 505802532  HAMILTON         JOLYNN     01   22301265412          01/22/2023           1        $5.68       $0.91
      INVAZ                  135683031001 505802532  HAMILTON         JOLYNN     01   22301265412          01/22/2023           1       $45.10      $20.17
      INVAZ                  135683031001 505802532  HAMILTON         JOLYNN     01   22301265412          01/22/2023           1      $120.00       $3.22
      INVAZ                  135683031001 505802532  HAMILTON         JOLYNN     01   22301265412          01/22/2023           1      $276.10      $64.67
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100980876          12/14/2022           1    $1,200.00     $113.71
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100980876          12/12/2022           1    $1,900.00     $210.19
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100980876          12/15/2022           1    $1,200.00     $113.69
      INVAZ                  127937161001 601089470  LUTZ             NICHOLAS   18   22100980876          12/13/2022           1    $1,200.00     $113.71
      INVAZ                  127900348001 601738851  FLORES           ARTURO     01   22701348108          01/23/2023           1       $53.03       $3.03
      INVAZ                  127900348001 601738851  FLORES           ARTURO     01   22701348108          01/23/2023           1       $95.02       $3.79
      INVAZ                  130630709001 619542889  GASTELUM         JAIME      18   22200982520          10/18/2022           1      $413.00      $90.57
      INVAZ                  131796707001 637528937  CARRILLO         ROSA       18   22500987514          01/17/2023           1      $202.70      $10.19
    INVAZ Total                                                                                                                      $6,733.53     $753.83
    INVIN
      INVIN                  129586960001 303504176  WAGGONER         TRACI      18   22100987121          01/05/2023           1      $319.00     $278.30
      INVIN                  129586960001 303504176  WAGGONER         RICKY      01   22100858487          01/17/2023           1      $192.00     $127.81
      INVIN                  129586960001 303504176  WAGGONER         TRACI      18   22100987121          01/05/2023           1      $319.00     $149.09
      INVIN                  129586960001 303504176  WAGGONER         RICKY      01   22101169284          01/16/2023           1       $34.00       $6.18
      INVIN                  127900338001 305667679  DAVIS            KEVIN      18   22601345637          01/18/2023           1      $173.00      $56.48

                                                                                                                                              PAGE:25 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      INVIN                  127900338001 305667679  DAVIS            KEVIN      18   22601345637          01/18/2023           1       $50.00       $3.09
      INVIN                  127920396001 305788052  HUDGINS          LAURA      18   21395427408          11/09/2022           1       $73.00      $25.72
      INVIN                  127920399001 306889778  REYNOLDS         TRACY      18   22600691508          01/06/2023           1       $77.74       $1.23
      INVIN                  127920399001 306889778  REYNOLDS         TRACY      18   22600691508          01/06/2023           7      $676.02       $1.24
      INVIN                  127920399001 306889778  REYNOLDS         TRACY      18   22600691508          01/06/2023           1       $20.02       $1.23
      INVIN                  127920399001 306889778  REYNOLDS         TRACY      18   22600691508          01/06/2023           1      $133.95       $1.24
      INVIN                  127920399001 306889778  REYNOLDS         TRACY      18   22600691508          01/06/2023           1       $58.61       $1.24
      INVIN                  127930867001 308236174  HARRIS           BELLA      18   22700779556          01/11/2023           1       $27.00      $16.91
      INVIN                  135300727001 313764168  HERBER           JACQUELI   18   22101171258          01/07/2023           1      $990.00       $6.18
      INVIN                  135300727001 313764168  HERBER           CHRISTOP   01   22101256792          01/09/2023           2      $100.00       $3.09
      INVIN                  135300727001 313764168  HERBER           CHRISTOP   01   22101256792          01/09/2023           1       $60.00       $3.09
      INVIN                  127920417001 316925878  HOLMES           ARIYAH     19   22601174138          12/14/2022           1      $180.00      $57.88
      INVIN                  134685341001 316944723  COLLINS          ASHTON     19   22801086600          01/10/2023           1      $125.00       $6.18
      INVIN                  134685341001 316944723  COLLINS          ADRIANNA   19   22801079048          01/15/2023           1      $110.00      $75.00
      INVIN                  127930884001 317763433  GINTER           NONDIS     18   22601259551          01/16/2023           1      $120.00      $34.21
      INVIN                  127930884001 317763433  GINTER           NONDIS     18   22601259551          01/16/2023           1      $100.00      $42.59
      INVIN                  136052160001 317949374  KING             JAMIE      18   22600985198          01/19/2023           1      $206.00      $50.06
    INVIN Total                                                                                                                      $4,144.34     $948.04
    JACKS
      JACKS                  130789481001 415199542  PARRISH          AUSTIN     19   22500982863          01/19/2023           1      $454.00       $6.18
    JACKS Total                                                                                                                        $454.00       $6.18
    KCSLS
      KCSLS                  130539760001 334581725  KERSH            JACQUELI   01   22701268677          01/23/2023           1       $69.00       $1.33
      KCSLS                  130539760001 334581725  KERSH            JACQUELI   01   22701268677          01/23/2023           1       $41.00       $1.34
      KCSLS                  130539760001 334581725  KERSH            JACQUELI   01   22701268677          01/23/2023           1       $34.00       $1.33
      KCSLS                  130539776001 349708883  DONALDSON        ABBEY      19   22501176727          01/23/2023           1      $119.95      $31.75
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22601173963          01/17/2023           1       $52.00      $13.75
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600989073          01/16/2023           1       $62.56      $26.73
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22601173963          01/16/2023           1      $263.00     $152.61
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22601173963          01/16/2023           1      $242.00      $60.68
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600989073          01/16/2023           1       $23.28      $11.17
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22601173963          01/17/2023           1      $392.00     $308.61

                                                                                                                                              PAGE:26 of 68
                                                                                                                                                            
            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   22600989073          01/16/2023           1      $138.19       $1.95
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600989073          01/16/2023           1       $76.82       $1.99
      KCSLS                  130539777001 350727853  CAUDILLO         EDWARD     18   22600989073          01/16/2023           1      $101.60       $1.95
      KCSLS                  130539783001 356445356  LUDLUM           RONALD     18   22301347434          01/25/2023           1       $63.60       $1.00
      KCSLS                  130539783001 356445356  LUDLUM           RONALD     18   22301347434          01/25/2023           1       $63.60       $1.00
      KCSLS                  130539783001 356445356  LUDLUM           RONALD     18   22301347434          01/25/2023           1      $169.18      $80.03
      KCSLS                  130539783001 356445356  LUDLUM           RONALD     18   22301347434          01/25/2023           1       $88.30       $1.00
      KCSLS                  130539789001 359703783  SCAPECCHI        ALLISON    19   22019141493          01/06/2023           1       $23.00       $4.00
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22601347543          01/12/2023           1      $105.18       $2.06
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22601265133          01/20/2023           1      $756.00       $3.09
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22601347543          01/12/2023           1       $23.28       $2.06
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22601347543          01/12/2023           1      $121.67       $2.06
      KCSLS                  130539795001 483989173  SCHNEIDER        TODD       18   22601265133          01/20/2023           1    $1,213.00       $3.09
    KCSLS Total                                                                                                                      $4,242.21     $714.58
    KENN
       KENN                  112310338001 436574079  BOUDREAUX        ALYSSA     01   22401264940          01/23/2023           1       $66.00       $4.22
       KENN                  112310338001 436574079  BOUDREAUX        ALYSSA     01   22401086429          01/18/2023           1      $355.00     $113.99
       KENN                  112310338001 436574079  BOUDREAUX        ALYSSA     01   22401086429          01/18/2023           1        $0.00     ($0.01)
    KENN Total                                                                                                                         $421.00     $118.20
    LAUR
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022          16    $1,388.00     $765.37
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1    $1,915.00   $1,055.83
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           2      $686.00     $378.52
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1    $1,443.00     $795.69
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1      $287.00     $158.63
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1       $86.00      $47.85
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           8   $13,968.00   $7,698.08
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022          36    $3,094.00   $1,705.53
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022          37    $4,115.00   $2,268.19
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022          52    $5,693.00   $3,137.82
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1      $944.00     $520.69
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1    $1,776.00     $979.19

                                                                                                                                              PAGE:27 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1      $615.00     $339.38
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1      $295.00     $163.03
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21198869747          12/07/2022           8      $840.00     $198.22
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21198869747          12/07/2022           1      $228.00      $25.63
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1    $1,179.00     $650.20
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           2    $2,360.00   $1,301.04
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022         445   $14,090.75   $7,765.72
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           4    $3,168.00   $1,746.31
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   21198869747          12/07/2022           1      $158.00      $34.14
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022          17    $1,511.50     $833.43
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           1      $297.00     $164.14
       LAUR                  106354090001 252319913  WATTS            MELISSA    01   22100379428          12/24/2022           3      $347.00     $191.70
    LAUR Total                                                                                                                      $60,484.25  $32,924.33
    MANAS
      MANAS                  127519700001 223751607  GOMEZ            DAWN       01   22500988156          01/18/2023           1      $410.00     $184.74
      MANAS                  127519700001 223751607  GOMEZ            DAWN       01   22500987126          01/18/2023           1      $102.00      $25.46
      MANAS                  127519707001 224110814  MCCORMICK        DIANA      01   22301347768          01/23/2023           1      $111.82       $3.09
      MANAS                  127519707001 224110814  MCCORMICK        DIANA      01   22301347768          01/23/2023           1      $119.18       $3.09
    MANAS Total                                                                                                                        $743.00     $216.38
    MEMP
       MEMP                  130795646001 413695984  JOHNSON          JEREMIAH   18   22500993893          10/20/2022           1       $66.00       $2.10
       MEMP                  130795646001 413695984  JOHNSON          JEREMIAH   18   22500993893          10/20/2022           4        $8.00       $1.44
       MEMP                  130795646001 413695984  JOHNSON          JEREMIAH   18   22500993893          10/20/2022           1      $198.00      $27.03
       MEMP                  115026500001 417137727  LUNCEFORD        GREGORY    18   22201081562          01/20/2023           1      $309.80      $78.91
       MEMP                  115026500001 417137727  LUNCEFORD        GREGORY    18   22201081562          01/20/2023           1       $31.16      $12.15
       MEMP                  115026500001 417137727  LUNCEFORD        GREGORY    18   22201081562          01/20/2023           1      $151.00      $32.05
       MEMP                  115026500001 417137727  LUNCEFORD        GREGORY    18   22201081562          01/20/2023           1      $100.00      $18.57
       MEMP                  115026500001 417137727  LUNCEFORD        GREGORY    18   22201081562          01/20/2023           1       $31.16      $12.15
       MEMP                  115026500001 417137727  LUNCEFORD        GREGORY    18   22201081562          01/20/2023           1       $31.16      $12.15
    MEMP Total                                                                                                                         $926.28     $196.55
    MKTG
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   22401220300          01/10/2023           1      $316.27     $316.27

                                                                                                                                              PAGE:28 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   22401220300          01/10/2023           1        $4.00       $4.00
       MKTG                  127519412001 187626415  ROBERTS          JEFFREY    18   22401220300          01/10/2023           4        $0.36       $0.36
       MKTG                  133138701001 217495556  GREENBERG        IDA        18   22019344143          01/20/2023           1       $53.55       $1.24
       MKTG                  133138701001 217495556  GREENBERG        IDA        18   22019344143          01/20/2023           1      $203.70       $1.23
       MKTG                  133138701001 217495556  GREENBERG        IDA        18   22019344143          01/20/2023           1      $103.95       $1.24
       MKTG                  133138701001 217495556  GREENBERG        IDA        18   22019344143          01/20/2023           1       $88.20       $1.24
       MKTG                  133138701001 217495556  GREENBERG        IDA        18   22019344143          01/20/2023           1      $111.30       $1.23
       MKTG                  131796681001 343766021  KELLY            COLEMAN    19   22601263821          12/07/2022           1       $55.00      $32.65
       MKTG                  131796681001 343766021  KELLY            COLEMAN    19   22601084728          12/28/2022           2       $60.32      $61.65
       MKTG                  131796681001 343766021  KELLY            COLEMAN    19   22601084728          12/28/2022           2       $38.52      $39.85
       MKTG                  131796681001 343766021  KELLY            COLEMAN    19   22601081716          12/30/2022           2       $38.52      $39.85
       MKTG                  131796681001 343766021  KELLY            COLEMAN    19   22601263821          12/07/2022           1      $122.00      $90.90
       MKTG                  131796681001 343766021  KELLY            COLEMAN    19   22601081716          12/30/2022           2       $63.16      $64.50
       MKTG                  131796681001 343766021  KELLY            COLEMAN    19   22601081716          12/30/2022           2       $60.32      $61.65
       MKTG                  131796681001 343766021  KELLY            COLEMAN    19   22601263821          12/07/2022           1       $68.00       $5.96
       MKTG                  131796681001 343766021  KELLY            COLEMAN    19   22601084728          12/28/2022           1       $31.58      $32.92
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100985290          01/16/2023           1      $475.00     $171.23
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100985290          01/16/2023           1      $100.00       $1.34
       MKTG                  132228406001 633341775  BULLA            NOVA       19   22100985290          01/16/2023           1       $50.00       $1.33
    MKTG Total                                                                                                                       $2,043.75     $930.64
    NEW
        NEW                  127519134001 097589598  ATTANASIO        RICHARD    18   22600988325          01/11/2023           1      $372.84       $1.50
        NEW                  127519134001 097589598  ATTANASIO        RICHARD    18   22600988325          01/11/2023           1      $686.58       $1.50
        NEW                  134373698001 130686310  FALCON           LIV        19   22800990679          11/14/2022           1      $142.00      $38.11
    NEW Total                                                                                                                        $1,201.42      $41.11
    PITT
       PITT                  103714668001 190583408  REITMEYER        ROY        18   22019110940          01/18/2023           1      $366.00      $52.69
       PITT                  103714668001 190583408  REITMEYER        ROY        18   22019296143          01/18/2023           1       $31.00       $0.00
       PITT                  103714668001 190583408  REITMEYER        ROY        18   22019140194          01/18/2023           1      $540.00       $0.00
       PITT                  103714668001 190583408  REITMEYER        ROY        18   22019296167          01/18/2023           1       $27.00       $0.00
       PITT                  103714668001 190583408  REITMEYER        ROY        18   22019140194          01/18/2023           1      $540.00       $0.00
       PITT                  103714668001 190583408  REITMEYER        NATALIE    01   22019110938          01/18/2023           1      $366.00      $52.69

                                                                                                                                              PAGE:29 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    PITT Total                                                                                                                       $1,870.00     $105.38
    PLT1
       PLT1                  102953763001 181489289  LINEBAUGH        JIMMIE     18   22019216916          01/20/2023           1      $148.00       $0.00
       PLT1                  102953763001 181489289  LINEBAUGH        JIMMIE     18   22019397745          01/20/2023           1    $3,090.00     $203.69
    PLT1 Total                                                                                                                       $3,238.00     $203.69
    PLT18
      PLT18                  112061487001 417191057  HAYNES           LARRY      18   22301081747          01/19/2023           1    $1,147.00       $2.06
      PLT18                  112061487001 417191057  HAYNES           LARRY      18   22301081747          01/19/2023           1    $1,675.00       $2.06
      PLT18                  112061487001 417191057  HAYNES           LARRY      18   22301081747          01/19/2023           1    $1,592.00       $2.06
      PLT18                  112061487001 417191057  HAYNES           LARRY      18   22301084950          01/19/2023           1      $298.00      $94.99
      PLT18                  107833107001 423665791  POWELL           SIDNEY     01   22301344439          12/28/2022           1      $115.00     $117.06
      PLT18                  107833107001 423665791  POWELL           SIDNEY     01   22301344439          12/28/2022           1        $7.00       $5.51
      PLT18                  107833107001 423665791  POWELL           SIDNEY     01   22301344439          12/28/2022           1      $107.00     $109.06
      PLT18                  134647663001 567959970  MCPHAIL          BRADLEY    18   22401348248          01/04/2023           1       $32.00       $3.09
      PLT18                  134647663001 567959970  MCPHAIL          BRADLEY    18   22401348248          01/04/2023           1       $32.00       $3.09
    PLT18 Total                                                                                                                      $5,005.00     $338.98
    PLT2
       PLT2                  127519163001 142153055  MORA-REINOSO     MINERVA    01   21899088411          12/22/2022           1      $999.00       $0.00
       PLT2                  127519227001 164842779  CERVANTES DE GONZNOELIA     18   21081788891          07/30/2021          (1)    ($69.00)    ($39.56)
       PLT2                  134967804001 172826486  AGUILAR-DUARTE   ADAN       18   22600815474          01/11/2023           1       $80.00       $0.00
       PLT2                  134967804001 172826486  AGUILAR-DUARTE   ADAN       18   22600905177          01/18/2023           1       $80.00       $0.00
       PLT2                  102541673001 176466892  LITTLE           CAROLANN   18   22200574356          01/10/2023           1      $562.00     $190.09
       PLT2                  102541673001 176466892  LITTLE           CAROLANN   18   22200574356          01/10/2023           2        $0.15       $0.00
       PLT2                  102541673001 176466892  LITTLE           CAROLANN   18   22200574356          01/10/2023           1      $268.00       $0.00
       PLT2                  102541673001 176466892  LITTLE           CAROLANN   18   22200574356          01/10/2023           1    $1,529.00       $0.00
       PLT2                  102541673001 176466892  LITTLE           CAROLANN   18   22200748635          01/10/2023           1      $227.00      $58.17
       PLT2                  116931972001 178529355  TRIVITT          LAURA      18   21397406720          11/30/2022           1      $301.00      $92.86
       PLT2                  116931972001 178529355  TRIVITT          LAURA      18   22301319812          01/25/2023           1       $39.00       $0.00
       PLT2                  116931972001 178529355  TRIVITT          LAURA      18   22301319790          01/25/2023           1      $350.00      $37.85
       PLT2                  110063956001 178580165  JACOBY           GENEVA     18   22018158909          12/23/2022           1       $85.00      $35.00
       PLT2                  102987441001 181781309  ILDEFONSO        ANA        18   22019216848          01/20/2023           1       $30.00       $0.00
       PLT2                  102987441001 181781309  ILDEFONSO        ANA        18   22019302507          01/20/2023           1       $64.00       $0.00

                                                                                                                                              PAGE:30 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  102987441001 181781309  ILDEFONSO        ANA        18   22019216848          01/20/2023           1      $350.00      $55.10
       PLT2                  110081717001 184461167  CRAWFORD         DANA       18   22800548722          01/14/2023           1       $49.00       $0.00
       PLT2                  110081717001 184461167  CRAWFORD         DANA       18   22800548722          01/14/2023           1      $119.00      $50.70
       PLT2                  127519409001 186809245  SORIANO          LUZAIDA    18   22201055214          01/20/2023           1       $45.00      $20.20
       PLT2                  127519409001 186809245  SORIANO          LUZAIDA    18   22201055214          01/20/2023           1       $77.00      $42.45
       PLT2                  127519409001 186809245  SORIANO          LUZAIDA    18   22201055214          01/20/2023           1      $251.00      $85.81
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22001874232          03/27/2022           1      $309.00     $233.73
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22001874232          03/27/2022           2      $235.00     $177.75
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22001874232          03/27/2022           6       $90.00      $68.07
       PLT2                  133541361001 197620638  RUPPERT          ANNA       18   22019498424          01/25/2023           1      $251.00      $70.81
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1       $64.20       $0.00
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/21/2022           1       $76.05       $0.00
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22001874232          03/27/2022          17      $964.75     $729.75
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1      $698.00     $728.60
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/21/2022           2        $0.15       $0.00
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22001874232          03/27/2022           1    $2,946.00   $2,228.45
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           4       $47.40       $0.00
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1      $144.00     $142.53
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1       $76.05       $0.00
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1       $98.00       $0.00
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1        $5.70       $0.00
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1       $10.00       $0.00
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1       $47.00       $0.00
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/21/2022          12    $1,608.00       $0.00
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22001874232          03/27/2022           6      $272.00     $205.74
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           2      $162.00       $0.00
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22001874232          03/27/2022          10   $17,440.00  $12,180.28
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1      $153.00       $0.00
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1    $2,299.00   $1,609.69
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22001874232          03/27/2022         140    $1,018.00     $770.03
       PLT2                  133541361001 197620638  RUPPERT          MATTHEW    01   22001874232          03/27/2022           8      $477.00     $360.81
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           2      $166.00       $0.00

                                                                                                                                              PAGE:31 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           1       $56.00       $0.00
       PLT2                  133541361001 197620638  RUPPERT          CODY       19   22018989073          11/20/2022           4        $0.30       $0.00
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           1       $69.00      $47.74
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           5    $1,157.00     $798.09
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22700979531          01/15/2023           1      $347.00     $100.71
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           9      $241.20     $166.37
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023          26       $44.85      $30.93
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701057724          01/15/2023           1      $484.00     $209.59
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023          10    $5,590.00   $3,084.75
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           3   $13,449.00   $6,270.22
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           3      $993.00     $684.96
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           1      $698.00     $481.47
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           4       $18.05      $12.45
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023         100       $54.45      $37.55
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           1       $24.50      $16.89
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           1      $268.00     $184.86
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           1       $42.65      $29.41
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           1    $2,031.00   $1,291.89
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           1    $2,299.00   $1,268.66
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           4      $929.00     $640.81
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           1      $275.00     $189.69
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           8    $1,123.00     $774.63
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           5      $249.00     $171.75
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22700854161          01/15/2023           1       $35.00       $0.00
       PLT2                  109998340001 200445452  NEIDERER         LARRY      01   22701042379          01/15/2023           4       $18.05      $12.45
       PLT2                  104629005001 201545871  ENSOR            MARIANA    19   22019319612          08/19/2022           1      $130.00      $50.70
       PLT2                  127519519001 203660386  HARRISON         JAYDEN     19   22401114809          01/23/2023           1       $90.00       $0.00
       PLT2                  105238663001 208607197  RABER            DOUGLAS    18   22701136700          01/20/2023           1       $50.00       $0.00
       PLT2                  105283798001 209369200  MORNINGSTAR      MARTIN     01   22700920689          01/18/2023           1      $110.00      $72.85
       PLT2                  105283798001 209369200  MORNINGSTAR      MARTIN     01   22700920689          01/18/2023           2       $50.00      $21.00
       PLT2                  105283798001 209369200  MORNINGSTAR      MARTIN     01   22700920689          01/18/2023           1       $54.00      $33.10
       PLT2                  115837583001 212159911  MARQUISS         TIMOTHY    18   22501223511          01/19/2023           1      $212.00       $0.00

                                                                                                                                              PAGE:32 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  115837583001 212159911  MARQUISS         TIMOTHY    18   22501223511          01/19/2023           1       $56.00      $23.84
       PLT2                  115837583001 212159911  MARQUISS         TIMOTHY    18   22501223511          01/19/2023           1       $98.00       $0.00
       PLT2                  115837583001 212159911  MARQUISS         TIMOTHY    18   22501223511          01/19/2023           1       $34.00      $13.10
       PLT2                  115837583001 212159911  MARQUISS         TIMOTHY    18   22501223511          01/19/2023           1       $10.00       $0.00
       PLT2                  115837583001 212159911  MARQUISS         TIMOTHY    18   22501223511          01/19/2023           1      $125.00      $41.08
       PLT2                  115837583001 212159911  MARQUISS         TIMOTHY    18   22501223511          01/19/2023           1      $676.00     $261.14
       PLT2                  105578851001 214110451  HORVATH          DAVID      18   22400981133          01/13/2023           1      $114.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22201140556          12/09/2022           1      $470.00     $256.62
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22201140554          12/14/2022           1      $218.00      $95.36
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200679907          12/07/2022          41      $613.50     $445.41
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22201140554          12/13/2022           1      $218.00      $95.36
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200922270          12/09/2022           1      $360.00     $125.97
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22201126425          01/19/2023           8      $368.88       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200679907          12/07/2022           1    $1,783.00     $959.58
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22201140555          12/11/2022           1      $470.00     $256.62
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22201318463          01/12/2023           1       $39.00       $0.00
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22201140556          12/10/2022           1      $470.00     $256.62
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22200922269          12/14/2022           1      $168.00      $66.37
       PLT2                  129897092001 218152854  WHITED           TIFFANY    01   22201140554          12/12/2022           1      $470.00     $256.62
       PLT2                  113019508001 236253065  CORBIN           MARCIA     01   22101042260          01/19/2023           1       $75.00       $0.00
       PLT2                  127520296001 544674183  DIAL             JADE CAR   19   22701110788          01/19/2023           1      $130.00      $54.99
       PLT2                  130351419001 579895051  LEMUS CORONA     MARIA      18   22019507368          01/19/2023           1      $141.00     $204.88
       PLT2                  130351419001 579895051  LEMUS CORONA     MARIA      18   22019507368          01/19/2023           1      $144.00     $154.65
       PLT2                  130351419001 579895051  LEMUS CORONA     MARIA      18   22019507368          01/19/2023           1      $141.00     $204.88
       PLT2                  127691996001 583773933  SANTIAGO CARTAGENKELVIN     19   22501035673          01/14/2023           1       $50.00      $56.30
       PLT2                  127691996001 583773933  SANTIAGO-LOPEZ   MELVIN     18   22500942610          01/19/2023           1      $119.00      $50.70
       PLT2                  127691996001 583773933  SANTIAGO-LOPEZ   MELVIN     18   22500942610          01/19/2023           1       $49.00       $0.00
       PLT2                  127691996001 583773933  SANTIAGO CARTAGENKELVIN     19   22501035673          01/14/2023           1      $185.00     $168.90
       PLT2                  127691996001 583773933  SANTIAGO-LOPEZ   MELVIN     18   22501035672          01/14/2023           1       $50.00      $56.30
       PLT2                  127691996001 583773933  SANTIAGO-LOPEZ   MELVIN     18   22501035672          01/14/2023           1      $185.00     $168.90
       PLT2                  132576292001 584414035  PEREZ            JUAN       18   22100914990          01/13/2023           1       $86.00       $0.00
       PLT2                  132576292001 584414035  PEREZ            JUAN       18   22100914990          01/13/2023           1       $80.00       $0.00

                                                                                                                                              PAGE:33 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  132576292001 584414035  PEREZ            JUAN       18   22100914990          01/13/2023           2      $184.00       $0.00
       PLT2                  134860232001 595867043  GARCIA           DANYEL     18   22201149987          01/23/2023           1      $180.00      $70.81
       PLT2                  134860232001 595867043  GARCIA           DANYEL     18   22200940686          01/19/2023           1       $49.00       $0.00
       PLT2                  134860232001 595867043  GARCIA           DANYEL     18   22200940686          01/19/2023           1      $119.00      $50.70
       PLT2                  134860232001 595867043  GARCIA           DANYEL     18   22201240746          01/19/2023           1      $244.75       $0.00
       PLT2                  127520419001 612087025  RAMIREZ          GRISELDA   18   22401048435          01/13/2023           1       $69.00       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1        $1.55       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           8        $6.50       $4.11
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1        $3.70       $2.82
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023          20       $11.55      $15.42
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           6       $65.90      $14.71
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           8        $1.90      $63.89
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023         136    $4,216.00       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           5       $25.85      $41.91
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           2        $3.80       $9.57
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1   $25,088.00   $4,085.57
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           4       $68.55      $19.14
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1       $46.00      $37.73
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023         100       $72.75      $77.06
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           2        $2.85       $1.73
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1        $1.95       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023          23    $6,142.61       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1       $10.00       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023         109    $2,718.00       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1       $32.70       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1      $166.00      $61.06
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           3       $13.05       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1       $48.30       $0.58
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           4        $2.05       $1.77
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1      $122.00       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1       $34.00       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1      $948.00     $147.95

                                                                                                                                              PAGE:34 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           3       $18.50       $0.00
       PLT2                  109707342001 636031830  LUA              NORMA      18   22600575862          01/11/2023           1       $59.73   $3,155.68
       PLT2                  127520464001 750970007  RAMIREZ          JOEL       01   22401059206          01/20/2023           1      $113.00       $3.48
    PLT2 Total                                                                                                                     $115,372.42  $48,958.31
    PLT3
       PLT3                  127519079001 027607293  KLECKER          MELISSA    19   22501056616          01/19/2023           1       $37.00       $0.00
       PLT3                  110016165001 159626236  SHEAFFER         JOHN       18   22301241652          01/24/2023           1      $180.00      $70.81
       PLT3                  110016165001 159626236  SHEAFFER         JOHN       18   22301150457          01/20/2023           1      $180.00      $52.69
       PLT3                  101281788001 160544510  SANDERS          HOPE OLI   19   22018974130          01/11/2023           1      $165.00       $0.00
       PLT3                  101281788001 160544510  SANDERS          HOPE OLI   19   22018974130          01/06/2023           1      $200.00       $0.00
       PLT3                  101281788001 160544510  SANDERS          HOPE OLI   19   22018974130          01/18/2023           1      $165.00       $0.00
       PLT3                  135300725001 166700386  HERNANDEZ GUZMAN CLAUDIO    18   22801153544          01/20/2023           1      $197.00      $67.69
       PLT3                  127519241001 166829050  GARCIA           EMILIANO   01   22501165291          12/01/2022           1       $82.80       $0.00
       PLT3                  127519241001 166829050  GARCIA           EMILIANO   01   22501165291          12/01/2022           1       $71.43       $0.00
       PLT3                  135825907001 174762013  KRAFT            MATTHEW    18   22401236845          01/24/2023           1      $150.00      $67.69
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   22801311063          01/25/2023           1      $150.00       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   22800823822          01/11/2023           1      $150.00       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   22801043356          01/09/2023           1       $98.00       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   22801043356          01/09/2023           1       $41.00       $0.00
       PLT3                  102541499001 176466450  SHELLEMAN        MARTY      18   22801043356          01/09/2023           1       $20.00       $0.00
       PLT3                  103440199001 187484106  BRILLHART        DANIEL     18   22400836618          01/13/2023           1       $44.00       $0.00
       PLT3                  103440199001 187484106  BRILLHART        DANIEL     18   22400836618          01/13/2023           1      $251.00      $70.81
       PLT3                  121933069001 187601997  BRADY            MONICA     01   22701346590          01/18/2023           1      $375.00     $214.73
       PLT3                  110043145001 191785424  SEHAGIC          LJILJANA   18   22100831175          01/18/2023           1      $251.00      $67.69
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/09/2023           1      $134.00      $32.97
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          12/19/2022           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          12/28/2022           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/12/2023           1      $134.00      $32.97
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          12/30/2022           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/09/2023           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          12/30/2022           1      $134.00      $29.66
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          12/19/2022           1      $331.00     $225.82

                                                                                                                                              PAGE:35 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/12/2023           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          12/28/2022           2      $268.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/16/2023           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/04/2023           1      $134.00      $10.04
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/04/2023           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/09/2023           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/12/2023           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          12/19/2022           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/16/2023           1      $134.00       $0.00
       PLT3                  127519447001 191801783  DAUTOVIC         DZEMAL     18   22401037476          01/16/2023           1      $134.00      $55.73
       PLT3                  104132919001 195509503  MEHRING          GILBERT    18   22301016144          01/19/2023           1       $63.00       $3.48
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22018160951          12/30/2022           1       $37.00      $22.41
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22018160951          12/30/2022           1       $47.00      $33.32
       PLT3                  104132919001 195509503  MEHRING          GILBERT    18   22301016144          01/19/2023           1      $110.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22019191325          01/16/2023           1       $20.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          GILBERT    18   22301016144          01/19/2023           1       $25.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22019191325          01/13/2023           1       $20.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22019191325          01/13/2023           1       $47.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22019191325          01/13/2023           1       $20.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22019191325          01/13/2023           1       $37.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22019191326          01/16/2023           1       $47.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22019191325          01/16/2023           1       $20.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22019191326          01/16/2023           1       $37.00       $0.00
       PLT3                  104132919001 195509503  MEHRING          EUGENIA    01   22018160951          12/30/2022           1       $20.00      $10.45
       PLT3                  104631015001 201561854  WRIGHT           ALLEN      01   21394090408          09/27/2022          (1)   ($235.00)   ($120.81)
       PLT3                  104631015001 201561854  WRIGHT           ALLEN      01   21394090408          09/27/2022           1      $235.00     $120.81
       PLT3                  104631015001 201561854  WRIGHT           ALLEN      01   22301040624          01/17/2023           1    $2,113.00     $831.34
       PLT3                  104631015001 201561854  WRIGHT           ALLEN      01   22301110037          01/17/2023           1      $170.00      $35.70
       PLT3                  104631015001 201561854  WRIGHT           ALLEN      01   21394090408          09/27/2022           1      $287.00     $127.11
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   22300943298          12/30/2022           1      $948.63     $174.05
       PLT3                  104643309001 201628737  SIPLING          KELLY      18   22300943298          12/30/2022           1    $1,159.43     $174.05
       PLT3                  133303014001 204824859  TURI GONZALEZ    KARLA      19   22019236269          01/21/2023           1       $59.00       $0.00

                                                                                                                                              PAGE:36 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  133303014001 204824859  TURI GONZALEZ    KARLA      19   22019236269          01/21/2023           1       $92.00      $37.85
       PLT3                  105328781001 209662233  JONES            BRAELON    19   22801207663          01/17/2023           1      $170.00      $55.00
       PLT3                  105328781001 209662233  JONES            BRAELON    19   22801207663          01/17/2023           1      $432.00       $0.00
       PLT3                  132711080001 210768627  KRESS            AMANDA     01   22500942718          01/19/2023           1       $40.00      $20.20
       PLT3                  132711080001 210768627  KRESS            AMANDA     01   22500942718          01/19/2023           1       $74.00      $42.45
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601141153          01/19/2023           1        $8.00       $4.01
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601205591          01/19/2023           1       $42.74       $0.00
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601205591          01/19/2023           1      $264.06       $0.00
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601205591          01/19/2023           1      $241.84       $0.00
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601141153          01/19/2023           1        $9.00       $2.00
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601141153          01/19/2023           1      $211.00     $101.05
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601205591          01/19/2023           1      $148.48      $17.50
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601141153          01/19/2023           1       $12.00       $3.28
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601205591          01/19/2023           1      $148.10      $13.00
       PLT3                  105468702001 211443978  WEAVER           CHRISTOP   01   22601141153          01/19/2023           1       $66.00      $10.46
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   22101171217          01/18/2023           1      $295.00     $118.96
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           1      $596.00     $691.41
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022          32    $1,869.50   $2,168.77
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022          10    $1,250.00   $1,450.10
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022          28    $2,478.00   $2,874.68
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022          14    $3,808.00   $4,417.59
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           1      $331.00     $383.98
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           8    $2,688.00   $3,118.30
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           4   $25,808.00  $29,939.44
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022          13      $675.00     $783.05
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           2    $3,488.00   $4,046.37
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           2   $13,012.00  $15,095.01
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           1      $611.00     $708.81
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           1      $331.00     $383.98
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022          11      $374.00     $433.87
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022         815    $9,394.25  $10,898.11
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           7   $23,198.00  $26,911.62

                                                                                                                                              PAGE:37 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           1      $118.00     $137.09
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022          45    $2,815.00   $3,265.63
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           2    $3,655.00   $4,240.10
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           1    $4,583.00   $5,316.66
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022           5    $2,302.97   $2,671.63
       PLT3                  120216169001 214048038  RUBIO            CHRISTOP   18   21185449876          05/29/2022          12      $180.00     $208.81
       PLT3                  105637507001 215905674  CLARK            WILLIAM    18   22701150363          01/20/2023           1       $92.00       $0.00
       PLT3                  105637507001 215905674  CLARK            WILLIAM    18   22700852424          01/18/2023           3      $237.00       $0.00
       PLT3                  105637507001 215905674  CLARK            WILLIAM    18   22700852424          01/18/2023           1       $99.00       $0.00
       PLT3                  105637507001 215905674  CLARK            WILLIAM    18   22701150363          01/20/2023           1       $99.00       $0.00
       PLT3                  105637507001 215905674  CLARK            WILLIAM    18   22701150363          01/20/2023           3      $237.00       $0.00
       PLT3                  127519640001 216941852  HOFFMAN          BILLIE J   01   21899135992          12/27/2022           1      $119.00   $1,146.21
       PLT3                  127519640001 216941852  HOFFMAN          BILLIE J   01   21899135992          12/27/2022           2        $3.25       $0.00
       PLT3                  127519640001 216941852  HOFFMAN          BILLIE J   01   21899135992          12/27/2022           1       $25.25       $0.00
       PLT3                  127519640001 216941852  HOFFMAN          BILLIE J   01   21899135992          12/27/2022           1        $2.00       $0.00
       PLT3                  127519640001 216941852  HOFFMAN          BILLIE J   01   21899135992          12/27/2022         180   $22,082.25  $44,085.30
       PLT3                  127519640001 216941852  HOFFMAN          BILLIE J   01   21899135992          12/27/2022           4      $132.50       $0.00
       PLT3                  127519678001 220045976  BROOKS           ALLEN      18   22101332110          01/24/2023           1      $243.00     $120.43
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   22700936363          01/13/2023           1       $37.00     $146.78
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   22700936363          01/13/2023           1       $50.00      $56.30
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   22700936363          01/13/2023           1      $185.00     $168.90
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21778024192          02/16/2022          (1)   ($180.00)    ($70.50)
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   21778024192          02/16/2022           1      $180.00       $0.00
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   22701035502          01/17/2023           1      $532.00     $539.87
       PLT3                  110043151001 360608346  SANTIAGO         MARIA      18   22701035502          01/17/2023           1      $155.00       $0.00
       PLT3                  131796697001 560738686  NAVARRO          MACKENZI   19   22400846807          01/18/2023           1      $277.00      $84.19
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           2      $202.00       $0.00
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1       $31.00      $19.94
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1      $184.00       $0.00
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1      $141.00       $5.29
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1      $141.00       $0.00
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22501046358          01/20/2023           1      $217.00      $93.93

                                                                                                                                              PAGE:38 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1       $69.00      $45.35
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1       $15.00       $0.00
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1      $389.00       $0.00
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1      $141.00       $0.00
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           2      $314.00       $0.00
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1      $350.00       $0.00
       PLT3                  134303306001 596220266  BOSQUES          OSVALDO    18   22500937159          01/13/2023           1       $55.00      $36.29
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   22400621345          01/12/2023           1       $36.00      $20.20
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   22401153696          01/23/2023           1      $100.00      $32.71
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   22400621345          01/12/2023           1       $61.00      $42.45
       PLT3                  134753386001 598625571  APONTE SEDA      DEBLIN     18   22400621345          01/12/2023           1      $280.00      $85.81
       PLT3                  126513578001 624508971  LUA              CARLOS     18   22201240754          01/24/2023           1      $277.00      $99.19
       PLT3                  126513578001 624508971  LUA              CARLOS     18   22201240754          01/24/2023           1       $49.00       $0.00
       PLT3                  126513578001 624508971  LUA              CARLOS     18   22201318399          01/25/2023           1      $158.00       $8.60
       PLT3                  134248555001 634623719  PUTNAM           JOHNATHO   18   22100980402          12/27/2022           1       $50.00       $6.18
       PLT3                  136336026001 772796658  SOLIS            OSVALDO    18   22301147149          01/20/2023           1      $343.00     $137.62
    PLT3 Total                                                                                                                     $144,868.48 $169,893.02
    PLT4
       PLT4                  112385278001 159602531  BOWERS           JENNIFER   18   22101105649          11/04/2022           1      $675.00     $466.29
       PLT4                  110074814001 165687694  RINEHART         OWEN       18   22801036497          01/18/2023           1       $43.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         OWEN       18   22801047371          01/20/2023           1      $197.00      $85.81
       PLT4                  110074814001 165687694  RINEHART         OWEN       18   22801036497          01/18/2023           1       $15.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         OWEN       18   22801036497          01/18/2023           1       $86.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         OWEN       18   22801036497          01/18/2023           1      $141.00       $0.00
       PLT4                  110074814001 165687694  RINEHART         OWEN       18   22801036497          01/18/2023           1      $106.00       $0.00
       PLT4                  127519275001 171800966  SULJIC           SEVALA     18   22301150673          01/21/2023           1       $14.00       $0.00
       PLT4                  127519275001 171800966  SULJIC           SEVALA     18   22301147148          01/20/2023           1      $264.00     $216.62
       PLT4                  127519275001 171800966  SULJIC           SEVALA     18   22301334209          01/25/2023           1      $119.00      $22.85
       PLT4                  127519275001 171800966  SULJIC           SEVALA     18   22301150510          01/20/2023           1      $180.00      $52.69
       PLT4                  129387370001 177785824  SMITH            TRAVIS     18   22401290898          01/19/2023           1      $165.00       $0.00
       PLT4                  129387370001 177785824  SMITH            TRAVIS     18   22401290898          01/05/2023           1      $165.00       $0.00
       PLT4                  129151147001 190520016  KAEHLER          MARK       18   22400817846          01/18/2023           1      $100.00       $0.00

                                                                                                                                              PAGE:39 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  129151147001 190520016  KAEHLER          MARK       18   22400817846          01/18/2023           1      $140.00       $0.00
       PLT4                  127519487001 197808277  IBISEVIC         ALIJA      18   22800846281          01/11/2023           1      $103.25       $0.00
       PLT4                  127519606001 214063830  CHASE            MITCHELL   19   22101108428          01/23/2023           1       $90.00       $0.00
       PLT4                  127519646001 217272572  EDELIN           ALBINA     18   22500768111          01/13/2023           1      $114.00       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           4        $2.05       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           1    $2,299.00     $336.68
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           1    $4,257.00   $1,049.24
       PLT4                  120983409001 220251535  GREENLEE         SINICA     19   22019428639          01/20/2023           1      $114.00       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22019498397          01/11/2023           1      $484.00     $142.53
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023          75       $40.85       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           1       $98.00       $0.00
       PLT4                  120983409001 220251535  GREENLEE         SINICA     19   22019428637          01/20/2023           1       $35.00       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           1      $698.00     $582.88
       PLT4                  120983409001 220251535  GREENLEE         SINICA     19   22019369393          01/20/2023           1      $130.00      $54.99
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023          20        $2.95       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           2      $288.00     $228.05
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           1       $10.45       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           3      $432.00     $342.09
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           1       $56.00       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           1      $331.00       $0.00
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22019418473          01/24/2023           1       $78.00       $3.48
       PLT4                  120983409001 220251535  KRESS-GREENLEE   HEATHER    01   22018887529          01/11/2023           1       $49.00       $0.00
       PLT4                  133599165001 775525645  LOPEZ LOPEZ      DANIEL     18   22600764320          01/16/2023           1       $98.03       $0.00
       PLT4                  133599165001 775525645  LOPEZ LOPEZ      DANIEL     18   22600764320          01/16/2023           1      $130.66       $0.00
       PLT4                  133599165001 775525645  LOPEZ LOPEZ      DANIEL     18   22601048177          01/20/2023           1      $130.66       $0.00
       PLT4                  133599165001 775525645  LOPEZ LOPEZ      DANIEL     18   22601048177          01/20/2023           1       $98.03       $0.00
       PLT4                  133599165001 775525645  LOPEZ LOPEZ      DANIEL     18   22600764320          01/16/2023           1      $184.76       $0.00
       PLT4                  133599165001 775525645  LOPEZ LOPEZ      DANIEL     18   22601048177          01/20/2023           1       $98.03       $0.00
    PLT4 Total                                                                                                                      $12,862.72   $3,584.20
    PLT5
       PLT5                  127519212001 163527613  KIMMEY           DONALD     18   22301054498          01/20/2023           1      $135.00      $85.81
       PLT5                  127519253001 168705901  MONFORT          JOANNA     19   22801036498          01/13/2023           1       $55.00       $0.00

                                                                                                                                              PAGE:40 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT5                  127519253001 168705901  MONFORT          JOANNA     19   22801036498          01/13/2023           1       $15.00       $0.00
       PLT5                  127519253001 168705901  MONFORT          JOANNA     19   22801036498          01/13/2023           1      $123.00       $0.00
       PLT5                  127519253001 168705901  MONFORT          JOANNA     19   22801036498          01/13/2023           1       $64.00       $0.00
       PLT5                  127519253001 168705901  MONFORT          JOANNA     19   22801036498          01/13/2023           1      $141.00       $0.00
       PLT5                  127519253001 168705901  MONFORT          JOANNA     19   22801036498          01/13/2023           1       $54.00       $0.00
       PLT5                  127519253001 168705901  MONFORT          JOANNA     19   22801036498          01/13/2023           1      $111.00       $0.00
       PLT5                  127519253001 168705901  MONFORT          JOANNA     19   22801036498          01/13/2023           1       $36.00       $0.00
       PLT5                  102047364001 170446460  THOMAN           JUDY       01   22019295503          01/20/2023           3      $211.50       $0.00
       PLT5                  102047364001 170446460  THOMAN           JUDY       01   22019295503          01/20/2023           2      $138.00       $0.00
       PLT5                  102047364001 170446460  THOMAN           DEAN       18   22501217915          01/09/2023           1      $779.49     $779.49
       PLT5                  102047364001 170446460  THOMAN           DEAN       18   22501217915          01/09/2023          10        $0.90       $0.90
       PLT5                  102047364001 170446460  THOMAN           DEAN       18   22501217915          01/09/2023           1      $300.31     $300.31
       PLT5                  102052318001 170482153  BROWN            FRED       18   22400907712          01/04/2023           1      $250.00       $0.00
       PLT5                  111936259001 178567421  SHAFER           ZACHARY    19   22101221933          01/20/2023           1      $105.00       $3.48
       PLT5                  111936259001 178567421  SHAFER           ZACHARY    19   22101221933          01/18/2023           1      $293.00     $107.86
       PLT5                  111936259001 178567421  SHAFER           ZACHARY    19   22101322674          01/23/2023          40       $13.20       $0.00
       PLT5                  111936259001 178567421  SHAFER           ZACHARY    19   22101322674          01/23/2023          45        $6.00       $0.00
       PLT5                  111936259001 178567421  SHAFER           ZACHARY    19   22101322674          01/23/2023           5       $10.45       $0.00
       PLT5                  111936259001 178567421  SHAFER           ZACHARY    19   22101322674          01/23/2023          30       $81.30       $0.00
       PLT5                  127519366001 181488179  CRAUMER          STEVEN     18   22401225467          12/16/2022           1      $134.00      $51.85
       PLT5                  127519366001 181488179  CRAUMER          STEVEN     18   22401059071          01/20/2023           1      $113.00       $3.48
       PLT5                  127519366001 181488179  CRAUMER          STEVEN     18   22401225467          12/16/2022           1      $134.00      $52.02
       PLT5                  127519366001 181488179  CRAUMER          STEVEN     18   22401200072          01/23/2023           1      $366.00      $67.12
       PLT5                  127519366001 181488179  CRAUMER          STEVEN     18   22401225467          12/16/2022           1      $140.00      $54.26
       PLT5                  127519366001 181488179  CRAUMER          STEVEN     18   22401225467          12/16/2022           1       $10.00       $0.00
       PLT5                  127519366001 181488179  CRAUMER          STEVEN     18   22401225467          12/16/2022           1      $186.00      $72.26
       PLT5                  103440348001 187484457  PINKO            WILLIAM    18   22019418333          01/20/2023           1        $6.00       $0.00
       PLT5                  103440348001 187484457  PINKO            WILLIAM    18   22019316131          01/20/2023           1       $36.00       $0.00
       PLT5                  103440348001 187484457  PINKO            WILLIAM    18   22019316131          01/20/2023           1      $292.00       $0.00
       PLT5                  133740675001 196744411  DELL             AMANDA     01   22019418474          01/23/2023           1      $105.00     $100.00
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           1    $2,408.00   $3,122.50
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           3       $45.00      $58.35

                                                                                                                                              PAGE:41 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           1      $164.00     $212.77
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           4      $215.00     $278.79
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           3       $90.00     $116.70
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           1    $2,355.00   $3,053.77
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           1    $3,122.00   $4,048.35
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           1      $183.00     $237.29
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           1       $25.00      $32.41
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           2       $68.00      $88.17
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           1    $2,946.00   $3,820.13
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021         133   $19,165.75  $21,168.20
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           1      $371.00     $481.08
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021          14    $1,114.00   $1,444.54
       PLT5                  113648093001 206522891  STOUGH           JAY        18   21874795787          12/16/2021           1      $459.00     $595.19
    PLT5 Total                                                                                                                      $37,175.90  $40,437.08
    PLT7
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200913308          01/06/2023           1    $1,011.00     $305.03
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1      $509.00      $84.47
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1    $1,694.00     $177.49
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1       $71.00      $11.78
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/13/2023           1      $203.00      $33.69
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1       $71.00      $11.78
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/13/2023           1       $27.00       $0.00
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1      $134.00      $22.24
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1    $4,785.00       $0.00
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1      $405.00      $67.21
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1       $54.00       $0.00
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1      $115.00      $19.09
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1      $517.00      $85.79
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200739786          01/12/2023           1       $95.00      $15.77
       PLT7                  133525388001 089645865  FONTANEZ         CHRISTIN   18   22200745059          01/12/2023           1      $656.00       $0.00
       PLT7                  101583744001 164483355  SABETTA          SANDRA     01   22600897904          01/18/2023           4        $4.00       $0.00
       PLT7                  101583744001 164483355  SABETTA          SANDRA     01   22600897904          01/18/2023           1      $150.00       $0.00

                                                                                                                                              PAGE:42 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT7                  102309096001 173568062  LEWIS            DANIEL     18   22300909927          01/19/2023           1       $90.00      $50.70
    PLT7 Total                                                                                                                      $10,591.00     $885.04
    PLTAD
      PLTAD                  127519377001 182643980  WEAVER           MIA        19   22601232692          01/24/2023           1       $33.00      $10.50
      PLTAD                  127519377001 182643980  WEAVER           MIA        19   22601232692          01/24/2023           1      $350.00      $72.85
      PLTAD                  127519377001 182643980  WEAVER           MIA        19   22601232692          01/24/2023           1       $77.00      $57.18
      PLTAD                  127519453001 192723158  GLADFELTER       MERRIDY    19   22100590954          01/12/2023           1       $30.00      $11.03
      PLTAD                  127519453001 192723158  GLADFELTER       MERRIDY    19   22100590954          01/12/2023           1       $30.00      $11.03
      PLTAD                  127519453001 192723158  GLADFELTER       MERRIDY    19   22100590954          01/12/2023           1      $150.00      $53.90
      PLTAD                  127519453001 192723158  GLADFELTER       MERRIDY    19   22100590954          01/12/2023           1      $130.00      $89.99
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   22300905288          01/18/2023           1      $148.00       $0.00
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   22300905288          01/18/2023           2      $240.00       $0.00
      PLTAD                  127519500001 200746606  BECHTEL          JESSE      18   22300905288          01/18/2023           1      $120.00       $0.00
      PLTAD                  134410999001 209667271  FRYE             MAKAYLA    19   22400919382          01/18/2023           1      $295.00      $55.99
      PLTAD                  106684011001 276805249  CHRYSLER         RACHEL     19   22019527372          11/11/2022           1       $47.00      $12.26
      PLTAD                  106684011001 276805249  CHRYSLER         RACHEL     19   22019527372          11/11/2022           1       $55.00      $10.18
      PLTAD                  106684011001 276805249  CHRYSLER         RACHEL     19   22019527372          11/11/2022           1       $62.00      $12.84
      PLTAD                  134110131001 353722723  FRANK            OPHELIA    19   22600981213          01/18/2023           1      $125.00      $54.07
      PLTAD                  127520328001 579150219  BURKES           ASHLEY     01   22301319716          01/25/2023           1      $110.00      $50.70
    PLTAD Total                                                                                                                      $2,002.00     $502.52
    PTOHD
      PTOHD                  102985303001 181704005  CHRONISTER       JACKIE     18   22400368334          09/27/2021           1      $568.00     $532.22
      PTOHD                  103785243001 191484080  MCDONALD         DARRELL    18   22601044626          12/12/2022           1      $119.00      $85.70
      PTOHD                  109876835001 196608183  YOUNG            COLTON     19   22201228632          01/04/2023           1      $400.00       $0.00
      PTOHD                  109876835001 196608183  YOUNG            COLTON     19   22201228632          01/04/2023          50   $17,033.10     $507.20
      PTOHD                  110600781001 202609123  KOZICK           BILLY      18   22601226495          01/24/2023           2       $18.40       $0.00
      PTOHD                  110600781001 202609123  KOZICK           BILLY      18   22601226495          01/24/2023           1      $270.00       $0.00
      PTOHD                  110600781001 202609123  KOZICK           BILLY      18   22601226495          01/24/2023           1      $154.00       $0.00
      PTOHD                  110600781001 202609123  KOZICK           BILLY      18   22601226495          01/24/2023           1       $89.30       $0.00
      PTOHD                  110600781001 202609123  KOZICK           BILLY      19   22601294965          01/23/2023           1       $95.00       $0.00
      PTOHD                  110600781001 202609123  KOZICK           BILLY      18   22601226495          01/24/2023           2      $186.00       $0.00
      PTOHD                  127519544001 207488327  ARENTZ           PAMELA     01   22201044366          01/13/2023           1       $14.00       $0.00

                                                                                                                                              PAGE:43 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      PTOHD                  127519544001 207488327  ARENTZ           PAMELA     01   22201044345          01/19/2023           1      $197.00      $70.81
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300844070          01/11/2023           1       $14.00       $6.18
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300941130          01/12/2023           1    $1,278.00     $494.39
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22300941131          01/10/2023           1      $180.00      $52.69
      PTOHD                  105797298001 220785995  WEEMS            LANDON     19   22301147147          01/20/2023           1      $264.00     $427.82
      PTOHD                  106506276001 262597472  SWARTZ           JOEL       19   22601232700          01/20/2023           1      $446.00       $0.00
      PTOHD                  106506276001 262597472  SWARTZ           JOEL       19   22601232700          01/20/2023           1      $247.00      $55.99
      PTOHD                  106506276001 262597472  SWARTZ           JOEL       19   22600919816          01/11/2023           1      $110.00      $37.85
    PTOHD Total                                                                                                                     $21,682.80   $2,270.85
    RWPLT
      RWPLT                  134035463001 237673834  BARRON           LISA       01   22200599478          01/03/2023           1       $70.45       $2.06
      RWPLT                  134035463001 237673834  BARRON           LISA       01   22200599478          01/03/2023           1       $70.45       $2.06
      RWPLT                  134035463001 237673834  BARRON           LISA       01   22200599478          01/03/2023           1    $1,438.40     $285.34
      RWPLT                  134035466001 238083657  FREDELL          ANDREW     19   22501265177          01/04/2023           1      $345.00       $2.06
      RWPLT                  134035466001 238083657  FREDELL          ANDREW     19   22501265177          01/04/2023           1      $248.95       $2.06
      RWPLT                  134035466001 238083657  FREDELL          KRISTIE    01   22501085419          01/12/2023           1      $625.00       $1.54
      RWPLT                  134035466001 238083657  FREDELL          KRISTIE    01   22501085419          01/12/2023           1      $100.00       $1.55
      RWPLT                  134035466001 238083657  FREDELL          KRISTIE    01   22501085419          01/12/2023           1        $7.20       $1.54
      RWPLT                  134035466001 238083657  FREDELL          KRISTIE    01   22501085419          01/12/2023           1       $50.00       $1.55
      RWPLT                  134035466001 238083657  FREDELL          ANDREW     19   22501265177          01/04/2023           1      $449.70       $2.06
      RWPLT                  134860229001 246290685  HARPER           MELISSA    18   22801177450          01/23/2023           1        $8.00       $2.06
      RWPLT                  134860229001 246290685  HARPER           MELISSA    18   22801177450          01/23/2023           1      $151.00      $32.34
      RWPLT                  134860229001 246290685  HARPER           MELISSA    18   22801177450          01/23/2023           1      $194.00       $2.06
      RWPLT                  134035498001 381884979  COLLINS          MIZEALIA   18   22100980222          01/16/2023           1      $506.00     $134.00
      RWPLT                  134035509001 552698414  HERNANDEZ        MARISSA    01   22301345511          01/24/2023           1      $100.00      $15.00
    RWPLT Total                                                                                                                      $4,364.15     $487.28
    SALES
      SALES                  127519168001 144726272  BURNS            ALEXIS     19   22400991685          01/18/2023           1      $218.00     $184.56
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1       $67.04       $7.61
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1       $69.08       $4.26
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21696367262          11/16/2022           1      $362.00     $166.89
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022          (1)    ($99.04)       $0.00

                                                                                                                                              PAGE:44 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21697352085          08/26/2022          (1)   ($241.08)       $0.00
      SALES                  105322542001 209609300  MORRIS           MARQUIS    19   21696370685          11/14/2022           1       $33.00       $6.18
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698870289          10/05/2022           1      $188.00      $78.41
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1       $37.04       $2.43
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1       $95.52      $11.18
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21696367262          11/16/2022           1      $357.00     $159.26
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698870289          10/05/2022           1       $10.91       $6.78
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1       $90.17      $10.58
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21697352085          08/26/2022           1      $116.73      $12.45
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21696367262          11/16/2022           1      $265.00     $112.16
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21697352085          08/26/2022           1       $10.00       $6.47
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698870289          10/05/2022           1       $40.87      $11.82
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1      $102.04       $7.10
      SALES                  105322542001 209609300  MORRIS           KEITH      18   22600987450          01/13/2023           1      $118.00      $15.54
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21697352085          08/26/2022           1      $241.08       $0.00
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1       $79.48       $9.36
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1      $172.04      $15.99
      SALES                  105322542001 209609300  MORRIS           MARQUIS    19   21698703443          11/14/2022           1      $996.00       $6.18
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1       $58.09       $6.90
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           2      $158.96      $18.18
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698870289          10/05/2022           1       $31.01      $17.45
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           3      $505.83      $56.79
      SALES                  105322542001 209609300  MORRIS           MARQUIS    19   21697208610          11/29/2022           1       $82.30       $0.00
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21697042493          11/28/2022           1      $200.00     $164.16
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1      $233.04      $22.30
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1       $47.04       $4.64
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           6      $726.42      $79.88
      SALES                  105322542001 209609300  MORRIS           VANESSA    01   21698871339          10/28/2022           1       $99.04       $0.00
    SALES Total                                                                                                                      $5,470.61   $1,205.51
    SBADM
      SBADM                  101985946001 169584738  HERSH            HALEY      19   22701078431          01/21/2023           1       $55.00      $20.00
    SBADM Total                                                                                                                         $55.00      $20.00

                                                                                                                                              PAGE:45 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    SBPLT
      SBPLT                  114797920001 196708672  WIBLE            TAURA      18   22400995730          12/21/2022           1       $50.00      $20.58
      SBPLT                  114797920001 196708672  WIBLE            TAURA      18   22400995730          12/21/2022           1       $60.00       $0.00
      SBPLT                  104717044001 202544848  ADAMS            MICHAEL    18   22101038587          01/18/2023           1       $35.00       $0.00
      SBPLT                  104717044001 202544848  ADAMS            MICHAEL    18   22101038587          01/18/2023           1       $35.00       $0.00
      SBPLT                  104717044001 202544848  ADAMS            MICHAEL    18   22101324618          01/24/2023           2       $70.00       $0.00
      SBPLT                  104717044001 202544848  ADAMS            MICHAEL    18   22101038587          01/18/2023           1      $150.00       $0.00
      SBPLT                  104717044001 202544848  ADAMS            MICHAEL    18   22101230724          01/20/2023           1       $70.00       $0.00
      SBPLT                  104717044001 202544848  ADAMS            MICHAEL    18   22101230724          01/20/2023           2       $70.00       $0.00
    SBPLT Total                                                                                                                        $540.00      $20.58
    SBSLS
      SBSLS                  101909117001 168569010  KIRCHNER         KEITH      18   22200979704          01/16/2023           1      $149.00       $0.00
      SBSLS                  101909117001 168569010  KIRCHNER         KEITH      18   22200979704          01/13/2023           1      $448.00       $0.00
      SBSLS                  101909117001 168569010  KIRCHNER         KEITH      18   22200979704          01/16/2023           2      $328.00       $0.00
      SBSLS                  101909117001 168569010  KIRCHNER         KEITH      18   22200979704          01/13/2023           1      $149.00       $0.00
      SBSLS                  101909117001 168569010  KIRCHNER         KEITH      18   22200979704          01/13/2023           1      $164.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500952836          12/12/2022           1    $4,544.00     $457.25
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500952836          12/12/2022           1       $90.00      $34.76
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22501110190          01/23/2023           1       $56.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22501110190          01/23/2023           2      $122.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22501110187          01/19/2023           2      $122.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22501110187          01/19/2023           1       $56.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22501110190          01/23/2023           1       $80.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500952836          12/12/2022           1    $1,994.00      $59.80
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22500952835          12/12/2022           1    $4,528.00     $457.25
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22501110187          01/19/2023           1       $70.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22501110190          01/23/2023           1       $70.00       $0.00
      SBSLS                  103878347001 192526922  ROBY             RONALD     18   22501110187          01/19/2023           1       $80.00       $0.00
    SBSLS Total                                                                                                                     $13,050.00   $1,009.06
    SBUNB
      SBUNB                  102771774001 179380808  MIRANDA          RICARDO    01   22019295412          10/03/2022           1       $60.00      $12.84
      SBUNB                  102771774001 179380808  MIRANDA          RICARDO    01   22019295495          01/20/2023           1       $60.00       $0.00

                                                                                                                                              PAGE:46 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SBUNB                  102771774001 179380808  MIRANDA          CINDY      18   22019495055          01/21/2023           1      $137.00       $0.00
      SBUNB                  102771774001 179380808  MIRANDA          RICARDO    01   22019295495          01/20/2023           1       $69.00       $0.00
      SBUNB                  102771774001 179380808  MIRANDA          CINDY      18   22019495055          01/21/2023           1       $16.00       $0.00
      SBUNB                  102771774001 179380808  MIRANDA          RICARDO    01   22019295412          10/03/2022           1       $69.00      $22.60
      SBUNB                  102771774001 179380808  MIRANDA          CINDY      18   22019495055          01/21/2023           1      $180.00       $0.00
      SBUNB                  102771774001 179380808  MIRANDA          RICARDO    01   22019295412          10/03/2022           1       $69.00      $28.53
      SBUNB                  102771774001 179380808  MIRANDA          RICARDO    01   22019295412          10/03/2022           2      $141.00      $49.16
      SBUNB                  102771774001 179380808  MIRANDA          CINDY      18   22019495055          01/21/2023           1      $181.00      $25.53
      SBUNB                  102771774001 179380808  MIRANDA          RICARDO    01   22019295495          01/20/2023           1       $70.50       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801161566          01/11/2023           1      $108.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801161566          01/11/2023           1       $91.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800335685          10/11/2022         256      $216.00     $122.88
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801161566          01/11/2023           1      $133.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800335685          10/11/2022           6    $3,300.00   $1,689.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801038027          01/18/2023           1       $44.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801038027          01/18/2023           1       $67.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801161566          01/11/2023           1       $62.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801161566          01/11/2023           1       $67.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800335685          10/11/2022           7      $420.00     $101.50
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801038027          01/18/2023           1      $104.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801038027          01/18/2023           1      $108.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801161566          01/11/2023           1      $104.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22800335685          10/11/2022           1      $223.70      $11.01
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801161566          01/11/2023           1       $44.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801054518          01/19/2023           1      $127.00       $0.00
      SBUNB                  105062255001 206601643  LAIDIG           NICOLE     01   22801054518          01/19/2023           1       $20.00       $0.00
    SBUNB Total                                                                                                                      $6,291.20   $2,063.05
    SBUNM
      SBUNM                  113683189001 168669287  EMERICK          AARON      19   22401065919          01/12/2023           1      $175.00       $0.00
      SBUNM                  113683189001 168669287  EMERICK          AARON      18   22400810522          01/06/2023           1      $105.00       $0.00
      SBUNM                  103892736001 192620575  SCHAFER          LORI       01   22301262758          12/30/2022           1      $272.00     $185.42
    SBUNM Total                                                                                                                        $552.00     $185.42

                                                                                                                                              PAGE:47 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    SLSUP
      SLSUP                  114488029001 202708742  SULLIVAN         SHANE      18   22101199042          01/23/2023           1       $30.00       $0.00
      SLSUP                  114488029001 202708742  SULLIVAN         SHANE      18   22101199042          01/23/2023           2       $80.00       $0.00
      SLSUP                  114488029001 202708742  SULLIVAN         SHANE      18   22101199042          01/23/2023           1       $35.00       $0.00
      SLSUP                  114488029001 202708742  SULLIVAN         SHANE      18   22101199042          01/23/2023           1       $45.00       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700554092          01/08/2023           1       $75.00       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700554092          01/08/2023           1      $111.00       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700554092          01/08/2023           1       $86.00       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700554092          01/08/2023           1      $393.00       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700554092          01/08/2023           1      $141.00       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700554092          01/08/2023           1        $0.75       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700554092          01/08/2023           1       $15.00       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700554092          01/08/2023           1       $55.00       $0.00
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700554092          01/08/2023           1    $2,292.00     $639.86
      SLSUP                  130726285001 213212921  LOPER            AMANDA     18   22700942026          01/09/2023           1       $18.00       $0.00
      SLSUP                  118917218001 641129699  TRIMMER          HENRY      19   22201200116          01/20/2023           1      $130.00      $54.99
    SLSUP Total                                                                                                                      $3,506.75     $694.85
    STVL
       STVL                  130351311001 239431510  PENDERGRASS      NELSON     18   22019340309          01/17/2023           1       $58.00      $21.40
       STVL                  130351311001 239431510  PENDERGRASS      NELSON     18   22019340309          01/17/2023           1       $67.00       $2.06
       STVL                  130351311001 239431510  PENDERGRASS      NELSON     18   22019340309          01/17/2023           1       $90.00       $2.06
    STVL Total                                                                                                                         $215.00      $25.52
    TAMPA
      TAMPA                  136052119001 152809083  MASCARELLI       JOHN       18   22100981337          01/17/2023           1      $263.00      $82.67
      TAMPA                  134673769001 245236892  BOWMAN           BRIAN      19   22101258518          01/20/2023           1      $160.00       $6.18
    TAMPA Total                                                                                                                        $423.00      $88.85
    TMPLT
      TMPLT                  119342429001 292868130  RAUM             MATTHEW    18   22800985024          01/18/2023           1      $240.00     $119.65
      TMPLT                  130351367001 522948802  BURCH            ROBERT     18   22201346954          01/19/2023           1      $187.00      $81.78
      TMPLT                  119346521001 533216457  SIROTIN          TATYANA    01   21597744041          12/14/2022          (1)   ($261.00)   ($172.92)
      TMPLT                  130351390001 537272014  WHITE            SERENITY   19   21493506562          02/25/2022           1      $165.00      $64.04
      TMPLT                  130351390001 537272014  WHITE            SERENITY   19   21493506568          03/10/2022           1      $165.00      $64.04

                                                                                                                                              PAGE:48 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    TMPLT Total                                                                                                                        $496.00     $156.59
    W040
       W040                  106395294001 255088320  GRIFFIN          TERRELL    18   22301344511          12/01/2022           1      $500.00     $370.50
    W040 Total                                                                                                                         $500.00     $370.50
    W36
        W36                  127519083001 029383533  LASELLE          RICHARD    18   22019526044          01/25/2023           1       $80.00       $2.99
        W36                  127519083001 029383533  LASELLE          RICHARD    18   22019526044          01/25/2023           1      $100.00      $21.54
    W36 Total                                                                                                                          $180.00      $24.53
    W44
        W44                  130492404001 285884206  DELLAMORTE       ARAYA      19   22019442051          01/20/2023           1      $148.10      $12.73
    W44 Total                                                                                                                          $148.10      $12.73
    WALD
       WALD                  127519637001 216927827  CHANDLER         JAMES PE   19   22501266518          01/18/2023           1       $25.00      $12.18
       WALD                  127519637001 216927827  CHANDLER         JAMES PE   19   22501266518          01/18/2023           1      $194.00      $94.29
    WALD Total                                                                                                                         $219.00     $106.47
    WORC
       WORC                  127519073001 023426788  DEDEIAN          PAUL       18   22800995780          01/12/2023           1       $37.00       $1.19
       WORC                  127519073001 023426788  DEDEIAN          PAUL       18   22800995780          01/12/2023           1      $102.00       $1.19
       WORC                  127519073001 023426788  DEDEIAN          PAUL       18   22800995780          01/12/2023           1       $37.00       $1.19
       WORC                  127519073001 023426788  DEDEIAN          PAUL       18   22800995780          01/12/2023           1      $320.00       $0.97
       WORC                  127519073001 023426788  DEDEIAN          PAUL       18   22800995780          01/12/2023           1      $353.00       $0.87
    WORC Total                                                                                                                         $849.00       $5.41
  025620-01 Total                                                                                                                  $588,468.31 $331,184.91
  025620-02
    ACCTS
      ACCTS                  100052110001 004602433  WILSON           LOGAN      19   22101340705          01/24/2023           1      $249.00      $96.94
      ACCTS                  104736810001 202669010  MYSEL            DAVID      18   22301140291          01/23/2023           1      $167.00      $50.70
      ACCTS                  104736810001 202669010  MYSEL            DAVID      18   22301140291          01/23/2023           1      $380.00     $118.88
      ACCTS                  127519706001 224029868  CLARK            RICHARD    18   22201081325          01/18/2023           1      $302.75       $5.83
      ACCTS                  127519706001 224029868  CLARK            RICHARD    18   22200983721          01/18/2023           1       $39.00       $5.83
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601260323          12/20/2022           1    $1,071.00     $402.96
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601260323          12/20/2022          18       $72.30      $27.85

                                                                                                                                              PAGE:49 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601260323          12/20/2022           1       $75.18      $28.93
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601260323          12/20/2022           1      $656.26     $247.19
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601260323          12/20/2022          32       $83.77      $32.16
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601173073          12/21/2022           2      $470.00     $153.57
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601260323          12/20/2022           1       $73.27      $28.21
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601260323          12/20/2022           1    $5,753.44   $2,161.69
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601260323          12/20/2022           1      $887.87     $334.17
      ACCTS                  106519065001 263456784  RIDGELY          CLARK      18   22601260323          12/20/2022           1      $887.87     $334.17
      ACCTS                  106519065001 263456784  DUNCAN-RIDGELY   RUTH       01   22600986862          01/02/2023           1      $149.00       $6.18
      ACCTS                  115413757001 287649586  JETT             ETHAN      19   22701084317          01/12/2023           1      $133.00      $71.66
      ACCTS                  115413757001 287649586  JETT             ETHAN      19   22701084317          01/12/2023           2       $72.00       $0.80
      ACCTS                  115413757001 287649586  JETT             JAMES      18   22701088338          01/12/2023          10       $10.00       $0.80
      ACCTS                  115413757001 287649586  JETT             ETHAN      19   22701084317          01/12/2023           1       $50.00       $0.80
      ACCTS                  115413757001 287649586  JETT             ANDERSON   19   22501085930          01/20/2023           1      $150.00       $4.00
      ACCTS                  115413757001 287649586  JETT             JAMES      18   22701088338          01/12/2023           1      $133.00      $71.66
      ACCTS                  115413757001 287649586  JETT             ETHAN      19   22701084317          01/12/2023          10       $10.00       $0.80
      ACCTS                  115413757001 287649586  JETT             ETHAN      19   22701084317          01/12/2023           1        $8.00       $0.80
      ACCTS                  115413757001 287649586  JETT             JAMES      18   22701088338          01/12/2023           2       $72.00       $0.80
      ACCTS                  115413757001 287649586  JETT             JAMES      18   22701088338          01/12/2023           1        $8.00       $0.80
      ACCTS                  115413757001 287649586  JETT             JAMES      18   22701088338          01/12/2023           1       $50.00       $0.80
      ACCTS                  133920014001 308803100  MCCOLLUM         KAYLEE     01   22501344918          01/11/2023           1      $182.00      $92.81
    ACCTS Total                                                                                                                     $12,195.71   $4,281.79
    ADM
        ADM                  135144199001 019866402  BARRON           ANNIE      01   22101341255          01/24/2023           1      $200.00      $55.17
        ADM                  110677413001 169687231  WATSON           STEPHANI   18   22301133751          01/23/2023           1      $115.00       $0.00
        ADM                  102076346001 170644637  PHELPS           BENJAMIN   19   22201055175          01/20/2023           1      $350.00      $55.10
        ADM                  102076346001 170644637  PHELPS           MICHAEL    18   22201146545          01/20/2023           1      $106.00       $0.00
        ADM                  102076346001 170644637  PHELPS           BENJAMIN   19   22201250846          01/20/2023           1       $53.00       $0.00
        ADM                  102076346001 170644637  PHELPS           MICHAEL    18   22201146545          01/20/2023           1       $15.00       $0.00
        ADM                  102076346001 170644637  PHELPS           MICHAEL    18   22201146545          01/20/2023           1      $106.00       $0.00
        ADM                  102076346001 170644637  PHELPS           MICHAEL    18   22201146545          01/20/2023           1       $69.00       $0.00
        ADM                  102076346001 170644637  PHELPS           MICHAEL    18   22201146545          01/20/2023           1      $247.00       $0.00

                                                                                                                                              PAGE:50 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
        ADM                  102076346001 170644637  PHELPS           BENJAMIN   19   22201140579          01/23/2023           1      $376.00     $122.86
        ADM                  102076346001 170644637  PHELPS           BENJAMIN   19   22201231967          01/20/2023           1       $75.00       $0.00
        ADM                  102076346001 170644637  PHELPS           MICHAEL    18   22201146545          01/20/2023           1       $86.00       $0.00
        ADM                  102076346001 170644637  PHELPS           MICHAEL    18   22201146545          01/20/2023           1      $141.00       $0.00
        ADM                  102076346001 170644637  PHELPS           MICHAEL    18   22201146545          01/20/2023           1       $55.00       $0.00
        ADM                  103289013001 185583972  TINLEY           MARGARET   18   22019295414          11/21/2022           1       $69.00      $18.08
        ADM                  103289013001 185583972  TINLEY           MARGARET   18   22019095735          01/17/2023           1       $23.00       $0.00
        ADM                  103289013001 185583972  TINLEY           MARGARET   18   22019095735          01/17/2023           1      $108.00       $0.00
        ADM                  103289013001 185583972  TINLEY           MARGARET   18   22019295414          11/21/2022           1       $60.00      $10.27
        ADM                  103289013001 185583972  TINLEY           MARGARET   18   22019095735          01/17/2023           1       $67.00       $0.00
        ADM                  131693212001 216150151  TEWEY            AVERY      19   22101170518          01/22/2023           1       $56.99      $52.89
        ADM                  131693212001 216150151  TEWEY            HUDSON     19   22101173869          01/22/2023           1       $56.99      $52.89
        ADM                  132228386001 246373749  SHEPARD          MICHAEL    18   22801084682          01/20/2023           1       $69.00      $17.72
        ADM                  132228386001 246373749  SHEPARD          MICHAEL    18   22801084682          01/20/2023           1      $449.00     $163.36
        ADM                  132459767001 335562178  CONTOS           MICHAEL    18   22801267460          01/24/2023           1      $229.00     $137.92
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300983729          01/19/2023           1      $377.00     $138.28
        ADM                  132459771001 343625277  URQUHART         JASON      19   22301082384          01/18/2023           1      $572.00       $9.75
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300983729          01/19/2023           1      $114.00       $2.00
        ADM                  132459771001 343625277  URQUHART         JASON      19   22300989708          01/18/2023           1      $219.00     $104.41
        ADM                  132459771001 343625277  URQUHART         JASON      19   22301350522          01/20/2023           1   $15,402.72   $2,539.16
        ADM                  107782531001 419828569  CREASY           VIVIAN     01   22701265646          01/13/2023           1      $114.00      $62.79
        ADM                  107782531001 419828569  CREASY           VIVIAN     01   22700993487          01/16/2023           1    $2,396.00     $375.64
        ADM                  134647661001 464778647  LODGE            KAMILAH    18   22200981595          01/17/2023           1      $140.25       $4.00
        ADM                  122065180001 479821106  COOTS            ALICIA     01   22701085144          01/13/2023           1      $239.00       $6.18
        ADM                  130492439001 575625094  WASSON           RALPH      18   22801086297          01/16/2023           1      $148.48       $1.24
        ADM                  130492439001 575625094  WASSON           RALPH      18   22801086297          01/16/2023           1        $9.45       $1.23
        ADM                  130492439001 575625094  WASSON           RALPH      18   22801086297          01/16/2023           1       $88.07       $1.24
        ADM                  130492439001 575625094  WASSON           RALPH      18   22801086297          01/16/2023           1       $45.50       $1.24
        ADM                  130492439001 575625094  WASSON           RALPH      18   22801086297          01/16/2023           1      $137.98       $1.23
        ADM                  134035522001 575814384  NGUYEN           THUY       18   22500985073          11/01/2022           1       $45.50      $10.71
        ADM                  130149982001 894450102  TEWODROS         JONATHAN   19   22101169074          01/16/2023           1       $51.45       $6.18
    ADM Total                                                                                                                       $23,282.38   $3,951.54

                                                                                                                                              PAGE:51 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    BURL
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701347687          01/13/2023           1    $1,120.00     $152.00
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701084591          01/13/2023           4        $4.02       $2.75
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701084591          01/13/2023          16       $13.67       $7.73
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701084591          01/13/2023           1       $60.00      $31.59
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701084591          01/13/2023           1    $3,283.00   $1,691.44
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701084591          01/13/2023           1        $0.25       $0.81
       BURL                  127520125001 423040515  BYERS            DONALD     18   22700986097          01/13/2023           1      $164.00       $6.18
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701084591          01/13/2023          62    $3,134.55   $1,614.98
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701084591          01/13/2023           1        $1.00       $1.20
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701084591          01/13/2023          50       $34.13      $18.27
       BURL                  127520125001 423040515  BYERS            DONALD     18   22701084591          01/13/2023           1      $370.00     $191.24
    BURL Total                                                                                                                       $8,184.62   $3,718.19
    CKPT2
      CKPT2                  132646125001 174641943  REESE            ROBERT     01   22301140951          01/23/2023           1        $8.00       $0.00
      CKPT2                  102952968001 181487050  BUNN             MATTHEW    18   22600818620          01/16/2023           1       $90.00       $0.00
      CKPT2                  102952968001 181487050  BUNN             MATTHEW    18   22600818620          01/16/2023           1      $125.00       $0.00
    CKPT2 Total                                                                                                                        $223.00       $0.00
    FAIR
       FAIR                  127519800001 234114855  CRALTON          ZANDER     19   22601174514          01/17/2023           1       $38.00       $4.00
       FAIR                  127519800001 234114855  CRALTON          ZANDER     19   22601173642          01/18/2023           1      $214.00       $4.00
       FAIR                  127519800001 234114855  CRALTON          ZANDER     19   22600989919          12/19/2022           1       $31.12      $18.21
       FAIR                  127519800001 234114855  CRALTON          ZANDER     19   22600989919          12/19/2022           1      $116.90      $48.82
    FAIR Total                                                                                                                         $400.02      $75.03
    FORPK
      FORPK                  134588889001 253391980  LEE              LAFAYE     18   22019340912          01/23/2023           1      $125.00       $6.18
    FORPK Total                                                                                                                        $125.00       $6.18
    FRAZ
       FRAZ                  127519258001 169607730  HORAN            ANN        01   22401046441          01/18/2023           3      $368.55       $0.00
    FRAZ Total                                                                                                                         $368.55       $0.00
    FRED
       FRED                  127519792001 231849910  SULLIVAN         BENJAMIN   18   22701088305          01/19/2023           1       $35.00       $0.83

                                                                                                                                              PAGE:52 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       FRED                  127519792001 231849910  SULLIVAN         BENJAMIN   18   22701177052          01/19/2023           1      $238.00     $185.48
       FRED                  127519792001 231849910  SULLIVAN         BENJAMIN   18   22701088305          01/19/2023           1       $35.69       $0.84
       FRED                  127519792001 231849910  SULLIVAN         BENJAMIN   18   22701088305          01/19/2023           1       $10.00       $0.84
       FRED                  127519792001 231849910  SULLIVAN         BENJAMIN   18   22701088305          01/19/2023           1       $25.00       $0.83
       FRED                  127519792001 231849910  SULLIVAN         BENJAMIN   18   22701088305          01/19/2023           1       $39.31       $0.83
       FRED                  127519792001 231849910  SULLIVAN         BENJAMIN   18   22701088305          01/19/2023           1       $51.00       $0.83
       FRED                  127519792001 231849910  SULLIVAN         BENJAMIN   18   22701088305          01/19/2023           1       $37.80       $0.83
    FRED Total                                                                                                                         $471.80     $191.31
    GFPLT
      GFPLT                  115152115001 419191981  HUTCHINS-SAMUELS LAKEYSHA   18   22400989034          01/12/2023           1      $245.00       $6.18
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1       $69.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1       $17.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1       $56.00       $0.45
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1       $70.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1       $51.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22100985354          01/12/2023           1       $30.00      $23.58
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22100985354          01/12/2023           1       $48.00      $24.99
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22100985354          01/12/2023           1      $349.00     $113.46
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1      $168.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1      $175.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1       $90.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101345085          01/12/2023           1       $53.00       $6.18
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1       $71.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1      $157.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1      $623.00       $0.45
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1       $86.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1      $142.00       $0.44
      GFPLT                  107784451001 419965477  SIMMONS          LOUIS      18   22101079733          01/12/2023           1      $101.00       $0.44
      GFPLT                  127804315001 422965860  GARDNER          SURRUNNI   18   22401264451          01/23/2023           1    $4,198.00   $1,133.12
    GFPLT Total                                                                                                                      $6,799.00   $1,313.69
    HAN1
       HAN1                  102981919001 181667076  KLINE            TERRY      18   22400831335          01/11/2023           1      $135.00      $85.81

                                                                                                                                              PAGE:53 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    HAN1 Total                                                                                                                         $135.00      $85.81
    HAN4
       HAN4                  110342768001 162484134  RINEER           JEFFREY    18   22501150552          01/18/2023           1      $164.00      $39.30
    HAN4 Total                                                                                                                         $164.00      $39.30
    HCOMP
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800984688          01/03/2023           2      $615.00     $134.56
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800984968          01/03/2023           1    $1,477.00     $164.17
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22800984968          01/03/2023           1      $831.00     $415.06
      HCOMP                  133079696001 349645002  SHEA             KEVIN      01   22801174390          01/05/2023           1       $57.00      $19.76
      HCOMP                  133079696001 349645002  SHEA             LIAM       19   22801085414          01/18/2023           1      $200.00       $4.00
      HCOMP                  134387638001 610644106  LODH             KRITI      19   22701085059          01/20/2023           1      $155.00       $4.00
      HCOMP                  134387638001 610644106  LODH             KRITI      19   22701268831          01/24/2023           1      $155.00       $4.00
    HCOMP Total                                                                                                                      $3,490.00     $745.55
    INVIN
      INVIN                  127912533001 304923292  SHAW             CHANLEY    19   22601081537          01/16/2023           1      $378.00       $3.09
      INVIN                  127912533001 304923292  SHAW             CHANLEY    19   22601081537          01/16/2023           1    $1,006.00       $3.09
      INVIN                  127930871001 312680323  PETTY            CATHRYN    01   22200983137          01/11/2023           1      $110.00      $59.57
    INVIN Total                                                                                                                      $1,494.00      $65.75
    LROCK
      LROCK                  127520155001 429214680  HOWELL           GARY       18   22101263078          01/06/2023           1      $175.00      $48.84
    LROCK Total                                                                                                                        $175.00      $48.84
    MOBL
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800984003          01/18/2023           1        $6.50       $3.09
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800986020          01/08/2023           1      $680.00       $6.18
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22800984003          01/18/2023           1      $205.00      $38.49
       MOBL                  127519919001 261886050  BRAYER           CRAIG      18   22801177253          01/16/2023           1        $5.00       $6.18
       MOBL                  107759117001 418027403  KIRKSEY          TINA       01   22201169941          12/07/2022           1      $150.00      $69.59
       MOBL                  107759117001 418027403  KIRKSEY          TINA       01   22201169941          12/07/2022           1       $75.00      $51.40
    MOBL Total                                                                                                                       $1,121.50     $174.93
    NASH
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22801173395          01/13/2023           1        $0.00     ($0.01)
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22801263851          01/20/2023           1      $834.97      $20.25

                                                                                                                                              PAGE:54 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       NASH                  121950008001 411020733  SPEARS           MICHAEL    18   22801173395          01/13/2023           1      $168.00     $111.41
    NASH Total                                                                                                                       $1,002.97     $131.65
    NEAS
       NEAS                  128178074001 025546393  BELLIVEAU        JON        18   22201176387          01/23/2023           1      $140.00      $31.86
       NEAS                  128178074001 025546393  BELLIVEAU        JON        18   22201176387          01/23/2023           1      $550.00     $252.14
    NEAS Total                                                                                                                         $690.00     $284.00
    PARK
       PARK                  127519799001 233929218  MAYO             MELISSA    01   22501343752          01/17/2023           1      $314.64     $105.49
    PARK Total                                                                                                                         $314.64     $105.49
    PLT1
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019050878          01/13/2023           1      $698.00     $187.69
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019050878          01/13/2023           1      $948.00     $254.83
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019050878          01/13/2023           3       $84.05      $22.59
       PLT1                  127519146001 120158020  AVILES           EMMAMUEL   19   22019309645          01/14/2023           1       $85.00       $0.00
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019309808          01/13/2023           1    $5,107.00   $2,147.40
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019100822          01/12/2023           1       $84.00      $33.99
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019050878          01/13/2023           4      $274.00      $73.65
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019050878          01/13/2023           2      $102.00      $27.42
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019050878          01/13/2023           3   $12,126.00   $3,259.66
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019403135          01/13/2023           1      $235.00      $71.64
       PLT1                  127519146001 120158020  AVILES           EMMAMUEL   19   22018996301          01/18/2023           1      $190.00     $124.40
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019100821          01/05/2023           1       $84.00      $33.99
       PLT1                  127519146001 120158020  AVILES           EMMAMUEL   19   22019309645          01/13/2023           1      $193.00       $0.00
       PLT1                  127519146001 120158020  AVILES           EMMAMUEL   19   22019309645          01/15/2023           1      $161.00       $0.00
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019050878          01/13/2023           2    $5,824.00   $1,565.58
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019050878          01/13/2023           1       $33.00       $8.86
       PLT1                  127519146001 120158020  AVILES           EMMAMUEL   19   22018996301          01/18/2023           1       $20.00       $2.83
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019050878          01/13/2023           2      $289.00      $77.68
       PLT1                  127519146001 120158020  MALDONADO PEDROZAOLIVIA     01   22019081755          01/09/2023           1      $161.00       $0.00
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22101341640          01/03/2023           1      $450.00       $6.18
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22101172448          01/11/2023           1      $295.00      $96.38
       PLT1                  117427753001 215705984  MARTIN           MICHAEL    18   22101172448          01/11/2023           1       $77.00       $3.09

                                                                                                                                              PAGE:55 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    PLT1 Total                                                                                                                      $27,520.05   $7,997.86
    PLT18
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22401265369          01/09/2023           1      $161.00      $46.48
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22401349811          01/09/2023           1       $24.00       $1.54
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22401349811          01/09/2023           1       $24.00       $1.54
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22401349811          01/09/2023           4       $24.00       $1.55
      PLT18                  131159920001 418113602  MANSEL           LAURA      18   22401349811          01/09/2023           1       $13.00       $1.55
    PLT18 Total                                                                                                                        $246.00      $52.66
    PLT2
       PLT2                  102126863001 171427789  CALER            DANIEL     18   22200832794          01/13/2023           1       $51.00       $0.00
       PLT2                  102126863001 171427789  CALER            DANIEL     18   22200832794          01/13/2023           1       $12.00       $0.00
       PLT2                  102403917001 174647663  SNYDER           SUSAN      18   22018997687          01/09/2023           1       $69.00       $0.00
       PLT2                  102498257001 175801787  DIAL             PASCUAL    18   22201055213          01/20/2023           1      $251.00      $85.81
       PLT2                  110081713001 179549663  LITTLE           DONALD     18   22401048454          01/16/2023           1       $53.00       $0.00
       PLT2                  103620702001 189560373  ALONSO           JULIE      18   22301055418          01/06/2023           1      $211.00     $101.05
       PLT2                  103620702001 189560373  ALONSO           JULIE      18   22301055418          01/06/2023           1        $8.00       $4.01
       PLT2                  103967108001 193561407  DEAVEN           LOGAN      19   22800921255          11/13/2022           1       $35.00      $30.00
       PLT2                  103967108001 193561407  DEAVEN           BRIAN      18   22800947993          01/10/2023           1       $22.00       $0.00
       PLT2                  103967108001 193561407  DEAVEN           LOGAN      19   22800921255          11/13/2022           1      $100.00      $51.33
       PLT2                  103967108001 193561407  DEAVEN           BRIAN      18   22801058328          01/10/2023           1       $39.00       $0.00
       PLT2                  103967108001 193561407  DEAVEN           BRIAN      18   22800947993          01/10/2023           1       $16.00       $0.00
       PLT2                  103967108001 193561407  DEAVEN           BRIAN      18   22800947993          01/10/2023           1       $40.00       $0.00
       PLT2                  103967108001 193561407  DEAVEN           LOGAN      19   22800921255          11/13/2022           1       $96.00      $72.85
       PLT2                  103967108001 193561407  DEAVEN           LOGAN      19   22800921255          11/13/2022           2      $108.00      $21.00
       PLT2                  127519459001 193580895  SCHWARTZ         DANIEL     18   21798927905          01/01/2023          (1)    ($24.00)       $0.00
       PLT2                  127519534001 205543691  PABON            LUIS       01   22100808225          07/25/2022           1      $396.00     $309.75
       PLT2                  127519538001 206649692  BRUBACHER        LEAH       01   22501197804          01/20/2023           1      $366.00      $67.12
       PLT2                  127519538001 206649692  BRUBACHER        LEAH       01   22501197804          01/20/2023           1      $450.00       $0.00
       PLT2                  127519538001 206649692  BRUBACHER        LEAH       01   22501197804          01/20/2023           1    $1,025.00       $0.00
       PLT2                  110043133001 208560746  MORENO           JEANNE     18   22701149980          01/19/2023           1      $563.00       $0.00
       PLT2                  105317927001 209585807  WOLF             KATHLEEN   01   22800923845          01/19/2023           1      $140.00       $0.00
       PLT2                  105317927001 209585807  WOLF             CHRIS      18   22018158908          12/23/2022           1       $85.00      $35.00

                                                                                                                                              PAGE:56 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT2                  105317927001 209585807  WOLF             KATHLEEN   01   22018158907          12/23/2022           1       $85.00      $85.00
    PLT2 Total                                                                                                                       $4,197.00     $862.92
    PLT3
       PLT3                  101821520001 167544845  MASIMORE         ANGIE      18   22201149847          01/23/2023           1      $133.00      $50.70
       PLT3                  101911905001 168587693  MALZI            BONNIE     01   22019081665          01/19/2023           1      $178.00      $22.85
       PLT3                  101911905001 168587693  MALZI            BONNIE     01   22011719722          10/05/2022          57      $119.15       $0.00
       PLT3                  101911905001 168587693  MALZI            BONNIE     01   22011719722          10/05/2022           1    $3,870.00     $929.64
       PLT3                  101911905001 168587693  MALZI            BONNIE     01   22011719722          10/05/2022         (57)   ($119.15)       $0.00
       PLT3                  101924046001 168669964  STROUSE          JAMIE      18   22019007028          12/22/2022           1      $150.00      $88.01
       PLT3                  101924046001 168669964  STROUSE          JAMIE      18   22019007030          01/05/2023           1      $150.00       $0.00
       PLT3                  101984539001 169580481  RORRER           MICHAEL    18   22401059111          01/20/2023           1      $251.00      $91.85
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22201249112          01/23/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22201047807          01/20/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200922362          01/13/2023           1       $75.00       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22201249112          01/23/2023           1      $130.66       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22201047807          01/20/2023           1       $98.03       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22201047807          01/20/2023           1      $130.66       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200922362          01/13/2023           1        $4.00       $0.00
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22200922362          01/13/2023           1      $251.00      $85.81
       PLT3                  109996040001 175560842  GINTER           WINDY      18   22201249112          01/23/2023           1       $98.03       $0.00
       PLT3                  111053636001 179609589  GRIFFITH         BRYON      18   22800355207          01/10/2023           1      $135.00      $85.81
       PLT3                  111053636001 179609589  GRIFFITH         MOLLY      19   22801153435          01/18/2023           1      $119.00      $22.85
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1      $164.00     $211.46
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           2      $142.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $25.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1      $164.00   $1,081.02
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1      $371.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $36.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1        $7.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $41.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $59.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $52.75       $0.00

                                                                                                                                              PAGE:57 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $46.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $15.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1    $2,946.00   $2,759.14
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $86.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1      $980.00     $850.12
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1        $9.50       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $52.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $20.25       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           2      $950.00     $422.92
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $44.50       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1      $105.00       $0.00
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1      $272.00     $427.42
       PLT3                  104326880001 197723754  STRAUSBAUGH      JESSICA    18   22500038273          05/22/2022           1       $52.00       $0.00
       PLT3                  105300375001 209483752  PEREZ            ALFREDO    18   22601151031          12/21/2022           1    $1,037.00     $178.17
       PLT3                  105300375001 209483752  PEREZ            ALFREDO    18   22601151031          12/21/2022          20      $295.50     $171.63
       PLT3                  135727150001 220653990  BARE             ROBERT     18   22401226926          01/19/2023           1      $120.00       $0.00
       PLT3                  135727150001 220653990  BARE             ROBERT     18   22401145174          01/19/2023           1      $446.00       $0.00
       PLT3                  135727150001 220653990  BARE             ROBERT     18   22401145174          01/19/2023           1      $247.00      $55.99
       PLT3                  133505109001 323613638  RIVERA ACOSTA    EVELIN     18   22019205777          01/17/2023         150      $135.00      $82.50
       PLT3                  133505109001 323613638  RIVERA ACOSTA    EVELIN     18   22019205777          01/17/2023           1       $46.00      $15.18
       PLT3                  133505109001 323613638  RIVERA ACOSTA    EVELIN     18   22019205777          01/17/2023           1       $14.00       $0.00
       PLT3                  129925718001 574508518  EOGNUK           LENA       18   22800555577          01/07/2023           1       $50.00      $56.30
       PLT3                  129925718001 574508518  EOGNUK           LENA       18   22800555577          01/07/2023           1      $185.00     $168.90
    PLT3 Total                                                                                                                      $15,184.94   $7,858.27
    PLT4
       PLT4                  128097148001 116674587  HELD             RALPH      01   22400817790          01/18/2023           1       $90.00       $0.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22401023297          01/17/2023           4      $240.00     $192.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22401023294          01/09/2023           5      $300.00     $182.97
       PLT4                  128097148001 116674587  HELD             RALPH      01   22401226934          01/23/2023           5      $300.00     $240.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22401023296          01/16/2023           5      $300.00     $240.00
       PLT4                  128097148001 116674587  HELD             RALPH      01   22401023295          01/10/2023           3      $180.00     $144.00
       PLT4                  136052121001 167541228  SANDERS          SCOTT      18   22300828790          01/05/2023           1      $135.00      $85.81

                                                                                                                                              PAGE:58 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           1       $10.00       $0.00
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398730630          01/01/2023           1      $347.00      $80.57
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           1      $275.00     $511.79
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398730629          01/01/2023           1       $35.00      $10.04
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           1       $31.00       $0.00
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           1       $56.00       $0.00
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           1       $98.00       $0.00
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023         100       $54.45       $0.00
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           1      $283.00       $0.00
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398797634          01/01/2023           1      $319.00     $122.68
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           2      $662.00       $0.00
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           1      $268.00     $229.15
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           1    $2,299.00     $855.46
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           1    $2,031.00     $506.09
       PLT4                  103128753001 183602318  SPANGLER         JAMES      01   21398787807          01/01/2023           2      $180.00       $0.00
       PLT4                  127519387001 183844805  DE GRACIA MENDOZATERESA     18   22700941875          01/08/2023           1      $119.00      $72.85
       PLT4                  127519387001 183844805  DE GRACIA MENDOZATERESA     18   22700941875          01/08/2023           1       $49.00      $30.00
       PLT4                  127519387001 183844805  DE GRACIA MENDOZATERESA     18   22700941874          01/08/2023           1      $222.00     $123.00
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22701057747          01/19/2023           1       $75.00       $0.00
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700804962          01/11/2023           1      $546.00       $0.00
       PLT4                  122785144001 189862244  CARDENAS         JOSE       18   22700804962          01/11/2023           1      $186.14       $0.00
       PLT4                  127519600001 213154524  ROBERTS          COOPER     19   22400831103          01/16/2023           1      $165.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22400764449          01/16/2023           1      $197.00      $85.81
       PLT4                  127519600001 213154524  ROBERTS          COOPER     19   22401112146          01/23/2023           1      $165.00       $0.00
       PLT4                  127519600001 213154524  ROBERTS          SCOTT      18   22401048215          01/16/2023           1      $120.00      $37.02
       PLT4                  127520006001 306048954  SECHRIST         ANDREW     18   22501042353          01/18/2023           1    $3,870.00   $1,555.10
       PLT4                  127520006001 306048954  SECHRIST         ANDREW     18   22501346810          01/23/2023           1       $30.00      $15.28
       PLT4                  127520006001 306048954  SECHRIST         ANDREW     18   22501042353          01/18/2023           1      $141.00       $0.00
       PLT4                  127520006001 306048954  SECHRIST         ANDREW     18   22501042353          01/18/2023           1      $616.00       $0.00
       PLT4                  127520006001 306048954  SECHRIST         ANDREW     18   22501042353          01/18/2023           1    $1,443.00       $0.00
       PLT4                  127520006001 306048954  SECHRIST         ANDREW     18   22500766412          01/18/2023           1      $135.00       $0.00
       PLT4                  127520006001 306048954  SECHRIST         ANDREW     18   22501348202          01/23/2023           1      $445.00     $179.99

                                                                                                                                              PAGE:59 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
    PLT4 Total                                                                                                                      $17,017.59   $5,499.61
    PLT5
       PLT5                  120643615001 166625475  FARLOW           SHERRY     01   22101131788          01/20/2023           1       $37.00       $0.00
       PLT5                  120643615001 166625475  FARLOW           SHERRY     01   22101058012          01/19/2023           1      $247.00       $0.00
       PLT5                  120643615001 166625475  FARLOW           SHERRY     01   22101058012          01/19/2023           1      $141.00       $0.00
       PLT5                  120643615001 166625475  FARLOW           SHERRY     01   22101131788          01/20/2023           1       $10.00       $0.00
       PLT5                  120643615001 166625475  FARLOW           SHERRY     01   22101058012          01/19/2023           1       $15.00       $0.00
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500774308          10/12/2022           1       $50.00      $54.06
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500774308          10/12/2022           1      $185.00     $162.20
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500774309          10/17/2022           1      $185.00     $162.20
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500937160          01/16/2023           1      $382.00      $98.62
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500774309          10/17/2022           1       $50.00      $54.06
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500774309          10/17/2022           1       $37.00       $0.00
       PLT5                  135274541001 178641976  RIFE             JOSEPH     18   22500774309          10/17/2022           1      $340.00     $453.20
       PLT5                  128128180001 184709079  ARNOLD           HAYLEIGH   19   22400924667          01/17/2023           2      $102.00      $40.40
       PLT5                  128128180001 184709079  ARNOLD           HAYLEIGH   19   22400924667          01/17/2023           1       $38.00      $36.54
       PLT5                  128128180001 184709079  ARNOLD           HAYLEIGH   19   22400924667          01/17/2023           1      $247.00     $105.40
       PLT5                  128128180001 184709079  ARNOLD           HAYLEIGH   19   22400924667          01/17/2023           1      $358.00     $334.59
       PLT5                  103291219001 185589780  KOONTZ           SHANNON    01   22101148261          01/23/2023           1      $133.00      $37.85
       PLT5                  112312900001 215803660  HARRIGAN         FRANCINE   01   22101079576          01/13/2023           1       $55.00       $6.18
       PLT5                  124222324001 218214300  PAULEY           TOBY       18   22400846668          01/12/2023           1      $197.00      $67.69
    PLT5 Total                                                                                                                       $2,809.00   $1,612.99
    PLT7
       PLT7                  113225097001 142849332  MUHAMMAD         KARIM      18   22300828513          01/06/2023           1       $75.00      $33.10
       PLT7                  113225097001 142849332  MUHAMMAD         KARIM      18   22300828513          01/06/2023           1      $110.00      $53.48
       PLT7                  110600788001 156748709  APPLEGATE        CHRISTIN   01   22401042093          01/17/2023           1       $27.00       $0.00
       PLT7                  110600788001 156748709  APPLEGATE        CHRISTIN   01   22401042093          01/17/2023           1      $250.00       $0.00
       PLT7                  110600788001 156748709  APPLEGATE        CHRISTIN   01   22401042093          01/17/2023           1      $203.00       $0.00
       PLT7                  110600788001 156748709  APPLEGATE        CHRISTIN   01   22401042093          01/17/2023           1      $247.00       $0.00
       PLT7                  111424146001 173666220  NORRIS           CHARLES    18   22601147820          01/12/2023           1      $120.00       $0.00
       PLT7                  111424146001 173666220  NORRIS           CHARLES    18   22601147820          01/12/2023           1      $100.00       $0.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22501040857          01/17/2023           1      $292.00       $0.00

                                                                                                                                              PAGE:60 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       PLT7                  127520258001 460253601  WIGGINS          DONALD     18   22501138998          01/20/2023           1      $460.00     $139.00
       PLT7                  127520258001 460253601  WIGGINS          DONALD     18   22501133330          01/20/2023           1      $240.00       $0.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22501040857          01/17/2023           1      $247.00       $0.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22501040857          01/17/2023           1      $250.00       $0.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22501040857          01/17/2023           1       $27.00       $0.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22501040857          01/17/2023           1      $984.00       $0.00
       PLT7                  127520258001 460253601  WIGGINS          MICHELLE   01   22501040857          01/17/2023           1      $373.00       $0.00
    PLT7 Total                                                                                                                       $4,005.00     $225.58
    PLT9
       PLT9                  127519085001 029660246  BARBIN           RYAN       18   22201172159          01/23/2023           1      $398.00       $2.65
       PLT9                  127519085001 029660246  BARBIN           RYAN       18   22201172159          01/23/2023           1      $152.00       $2.84
    PLT9 Total                                                                                                                         $550.00       $5.49
    PLTAD
      PLTAD                  101119148001 156761398  KISSANE          MOLLY      19   22800914688          01/11/2023           2       $74.00       $0.00
      PLTAD                  104978871001 205609182  BENDER           NICOLE     01   22018533589          01/03/2023           1       $50.00       $0.00
      PLTAD                  134647658001 310906130  KACEDAN          CHRISTIN   01   22801349734          01/26/2023           1       $65.00       $4.00
      PLTAD                  128068240001 617329158  MILLS-SADOQ      SALMA      19   22400017314          11/13/2022           1      $170.00       $1.54
      PLTAD                  128068240001 617329158  MILLS-SADOQ      SALMA      19   22400017314          11/13/2022           1       $40.00       $1.54
      PLTAD                  128068240001 617329158  MILLS-SADOQ      SALMA      19   22400017314          11/13/2022           1        $2.52       $1.55
      PLTAD                  128068240001 617329158  MILLS-SADOQ      SALMA      19   22400017314          11/13/2022           1       $20.00       $1.55
    PLTAD Total                                                                                                                        $421.52      $10.18
    PROV
       PROV                  100568043001 109507287  LANSING          KENDRA     19   22019339280          01/19/2023           1      $268.00       $1.29
       PROV                  100568043001 109507287  LANSING          KENDRA     19   22019339280          01/19/2023           1    $2,214.00   $1,562.96
       PROV                  100568043001 109507287  LANSING          KENDRA     19   22019339280          01/19/2023           1       $25.00       $2.02
    PROV Total                                                                                                                       $2,507.00   $1,566.27
    PTOHD
      PTOHD                  101827091001 167581418  SANDERS          SUE        01   22200461311          01/06/2023           1       $37.00     $144.14
      PTOHD                  101827091001 167581418  SANDERS          SUE        01   22200461311          01/06/2023           1       $50.00      $56.30
      PTOHD                  101827091001 167581418  SANDERS          SUE        01   22200461311          01/06/2023           1      $185.00     $168.90
    PTOHD Total                                                                                                                        $272.00     $369.34
    RALE

                                                                                                                                              PAGE:61 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22201084512          01/17/2023           1      $291.00     $136.20
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22201342161          01/23/2023           1      $433.00       $3.09
       RALE                  127519130001 091546399  WHITAKER         TIFFANY    01   22201342161          01/23/2023           1      $439.00       $3.09
    RALE Total                                                                                                                       $1,163.00     $142.38
    RETAI
      RETAI                  129774120001 182706334  WATSON           COURTNEY   18   22600843977          01/17/2023           1       $73.00       $0.00
      RETAI                  129774120001 182706334  WATSON           COURTNEY   18   22600843978          01/17/2023           1       $49.00       $0.00
      RETAI                  129774120001 182706334  WATSON           COURTNEY   18   22600843978          01/17/2023           1      $119.00      $37.85
      RETAI                  129774120001 182706334  WATSON           ANNA       19   22600676724          01/13/2023           1       $49.00       $0.00
      RETAI                  129774120001 182706334  WATSON           ANNA       19   22600676724          01/13/2023           1      $119.00      $22.85
    RETAI Total                                                                                                                        $409.00      $60.70
    RICH
       RICH                  127519743001 227060202  THOMAS           JOHN       18   22301082908          01/20/2023           1      $120.00      $28.22
       RICH                  127519743001 227060202  THOMAS           KIMBERLY   01   22301170784          01/22/2023           1      $120.00      $28.22
       RICH                  127519743001 227060202  THOMAS           JOHN       18   22300777117          01/16/2023           1       $39.00      $26.70
       RICH                  127519743001 227060202  THOMAS           KIMBERLY   01   22301170784          01/22/2023           1       $39.00      $23.78
       RICH                  127519743001 227060202  THOMAS           JOHN       18   22300864934          01/16/2023           1      $205.80     $116.19
       RICH                  127519743001 227060202  THOMAS           JOHN       18   22301082908          01/20/2023           1       $39.00      $23.78
    RICH Total                                                                                                                         $562.80     $246.89
    ROAN
       ROAN                  127519780001 230237151  PAXTON           DARRYL     18   22401346953          12/09/2022           1      $450.00     $230.83
       ROAN                  127519780001 230237151  PAXTON           DARRYL     18   22401352198          12/09/2022           1      $445.00     $230.83
       ROAN                  127519780001 230237151  PAXTON           DARRYL     18   22400292400          01/02/2023           1      $120.00      $86.90
    ROAN Total                                                                                                                       $1,015.00     $548.56
    RWPLT
      RWPLT                  134035501001 481645926  HOGUE            DIANE      18   22401089549          01/16/2023           1       $38.85       $0.88
      RWPLT                  134035501001 481645926  HOGUE            DIANE      18   22401089549          01/16/2023           1       $38.85       $0.89
      RWPLT                  134035501001 481645926  HOGUE            DIANE      18   22401089549          01/16/2023           1       $38.85       $0.89
      RWPLT                  134035501001 481645926  HOGUE            DIANE      18   22401089549          01/16/2023           1       $32.55       $0.88
      RWPLT                  134035501001 481645926  HOGUE            DIANE      18   22401089549          01/16/2023           1      $102.90       $0.88
      RWPLT                  134035501001 481645926  HOGUE            DIANE      18   22401089549          01/16/2023           1       $48.30       $0.88
      RWPLT                  134035501001 481645926  HOGUE            DIANE      18   22401089549          01/16/2023           1      $243.60       $0.88

                                                                                                                                              PAGE:62 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      RWPLT                  134457273001 606645218  GAVIA            BERTHA     18   22019345840          12/16/2022           1      $230.00     $126.99
      RWPLT                  134457273001 606645218  GAVIA            BERTHA     18   22019345840          12/16/2022           1      $173.00      $55.82
    RWPLT Total                                                                                                                        $946.90     $188.99
    SALES
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22019527555          01/25/2023           1       $75.00      $44.98
      SALES                  100083042001 010541503  VILLAR           NATALIE    18   22019343786          01/23/2023           1       $75.00      $44.98
    SALES Total                                                                                                                        $150.00      $89.96
    SBPLT
      SBPLT                  130492394001 234196076  MCDONALD         JULIE      18   22800995635          11/11/2022           1       $31.88      $25.46
      SBPLT                  130492394001 234196076  MCDONALD         JULIE      18   22800995635          11/11/2022           1       $78.00      $55.26
    SBPLT Total                                                                                                                        $109.88      $80.72
    SBSLS
      SBSLS                  130351277001 178447251  FAULKNER         JEFFREY    18   22200986099          12/13/2022           1       $75.00      $32.80
      SBSLS                  130492401001 279624159  HYRNE            RANDALL    18   22601086210          01/13/2023           1      $177.00      $72.54
      SBSLS                  130492401001 279624159  HYRNE            JACOB      19   22600987551          12/21/2022           1       $21.00       $4.44
    SBSLS Total                                                                                                                        $273.00     $109.78
    SBUNB
      SBUNB                  102738994001 178646979  CANE             JODY       18   22700573686          12/13/2021           1      $103.00      $20.78
      SBUNB                  102738994001 178646979  CANE             JODY       18   22700573686          12/13/2021           1       $42.00      $12.73
      SBUNB                  102738994001 178646979  CANE             JODY       18   22700573686          12/13/2021           1       $22.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1        $6.60       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1        $6.50       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1    $9,389.00   $4,059.62
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1       $15.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           2        $6.40       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1      $104.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           2        $6.50       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1    $1,146.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023          40      $288.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1      $153.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1      $122.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1      $122.00       $0.00

                                                                                                                                              PAGE:63 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1      $156.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023          50       $14.50       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1      $218.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22701240748          01/19/2023           1       $45.00       $0.00
      SBUNB                  103796971001 191549716  FOY              MELISSA    18   22700907240          01/19/2023           1    $1,032.50       $0.00
    SBUNB Total                                                                                                                     $12,998.00   $4,093.13
    SBUNM
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/28/2021           1      $116.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/25/2021          21      $235.69       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/24/2021           1        $0.01       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/24/2021           1       $21.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/25/2021           1       $15.00      $16.56
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/23/2021           1       $21.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/26/2021          17      $233.69       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/27/2021          20      $237.69       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/26/2021           1       $21.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/23/2021           1       $15.00      $16.56
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   22300772824          01/14/2023           1      $421.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   22301136981          01/14/2023           1      $124.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/23/2021          33    $2,354.96       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/24/2021          23      $242.74       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/25/2021           1      $116.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/27/2021           1      $116.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/28/2021          16      $105.05       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/22/2021           1       $15.00      $16.56
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   22301199214          01/20/2023           1      $165.66      $70.78
      SBUNM                  104051820001 194527382  BOLDEN           EDGAR      18   22300772824          01/14/2023           1      $290.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/24/2021           1      $116.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/26/2021           1      $116.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/27/2021           1       $21.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/24/2021           1       $15.00      $16.56
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/27/2021           1       $15.00      $16.56

                                                                                                                                              PAGE:64 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/26/2021           1       $15.00      $16.56
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/25/2021           1       $21.00       $0.00
      SBUNM                  104051820001 194527382  BOLDEN           BRENDA     01   21900540997          10/28/2021           1       $15.00      $16.56
    SBUNM Total                                                                                                                      $5,200.49     $186.70
    SLSUP
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701349437          01/20/2023           1      $640.00      $82.44
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701262084          01/10/2023           1       $51.43       $0.77
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701262084          01/10/2023           1      $264.06       $0.78
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701262084          01/10/2023           1       $74.25       $0.77
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701262084          01/10/2023           1       $38.04       $0.77
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701349437          01/20/2023           1      $180.00       $2.06
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22700989887          01/07/2023           1      $520.80       $6.18
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701262084          01/10/2023           1      $241.84       $0.77
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701262084          01/10/2023           1      $146.23       $0.77
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701349437          01/20/2023           1      $330.00       $2.06
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701262084          01/10/2023           1      $112.49       $0.77
      SLSUP                  136052116001 135843429  MASCARELLI       ERIN       18   22701262084          01/10/2023           1      $148.10      $13.43
      SLSUP                  101425374001 162464543  BIGELOW          ELLEN      18   22019505890          01/25/2023           1      $100.00       $0.00
      SLSUP                  101425374001 162464543  BIGELOW          ELLEN      18   22019505890          01/25/2023           1      $172.00      $67.12
      SLSUP                  127519518001 203640623  ILGEN            JASON      18   22301076857          01/11/2023           2      $270.00       $0.00
      SLSUP                  105368371001 210361501  HOFFMAN          FRANKLIN   18   22700806072          01/16/2023           1      $160.00      $85.81
      SLSUP                  129151206001 437022962  LAICHE           NORRIS     01   22018834236          01/02/2023           1    $2,027.00      $40.13
      SLSUP                  127520220001 437677987  MARTIN           TRICIA     18   22301081255          01/13/2023           1      $490.00       $9.66
      SLSUP                  127520220001 437677987  MARTIN           TRICIA     18   22301081255          01/13/2023           1       $77.00       $4.37
      SLSUP                  127520220001 437677987  MARTIN           TRICIA     18   22301081255          01/13/2023           1      $418.00       $9.32
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800071220          01/03/2023           1       $76.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800827822          01/16/2023           1       $42.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800071220          01/03/2023           1      $125.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800071220          01/03/2023           1      $103.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800827822          01/16/2023           1       $42.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22801320753          01/23/2023           2       $73.50       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22801320753          01/23/2023           1       $42.00       $0.00

                                                                                                                                              PAGE:65 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800071220          01/03/2023           1       $10.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800827822          01/16/2023           2       $73.50       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22801233281          01/20/2023           1       $42.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22800071220          01/03/2023           1       $78.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22801233281          01/20/2023           3      $110.25       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22801320753          01/23/2023           1       $42.00       $0.00
      SLSUP                  127520261001 462990631  CRAMER           ALYSON     18   22801233281          01/20/2023           1       $42.00       $0.00
    SLSUP Total                                                                                                                      $7,362.49     $327.98
    TMPLT
      TMPLT                  130351395001 537685374  VINING           VICTORIA   18   22301346055          01/23/2023           1       $34.00       $6.18
    TMPLT Total                                                                                                                         $34.00       $6.18
    TMSLS
      TMSLS                  130492432001 537720912  CARLSON          CHERI      01   22100987549          01/17/2023           1       $80.00       $3.09
      TMSLS                  130492432001 537720912  CARLSON          CHERI      01   22100987549          01/17/2023           1       $50.00       $3.09
    TMSLS Total                                                                                                                        $130.00       $6.18
    WALD
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $60.00       $0.37
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $90.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $90.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $50.00       $0.37
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $90.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $70.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $70.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $90.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $60.00       $0.37
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $60.00       $0.37
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $70.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $70.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $90.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $90.00       $0.36
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $60.00       $0.37
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $90.00       $0.36

                                                                                                                                              PAGE:66 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
       WALD                  105531097001 212648733  GRAY             WILLIAM    18   22401087956          01/06/2023           1       $20.00       $0.37
       WALD                  105763542001 219722904  KEYSER           BILLY      18   22601264953          01/20/2023           1      $288.00     $153.24
    WALD Total                                                                                                                       $1,508.00     $159.42
    WILSO
      WILSO                  134685340001 246432411  TEBO             ELIZABET   19   22700688210          12/23/2022           1       $75.00      $36.17
      WILSO                  134685340001 246432411  TEBO             ELIZABET   19   22700688210          12/23/2022           1      $127.00      $70.80
    WILSO Total                                                                                                                        $202.00     $106.97
    WORC
       WORC                  127519138001 105624710  MACKINNON        KEITH      18   22101170443          01/17/2023           1      $155.00      $41.18
       WORC                  127519138001 105624710  MACKINNON        KEITH      18   22101170443          01/17/2023           1      $205.00       $3.01
    WORC Total                                                                                                                         $360.00      $44.19
    ZALA
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800994166          01/18/2023           1       $61.00       $1.92
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800994166          01/18/2023           1      $135.00      $48.42
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22800994166          01/18/2023           2       $38.00       $1.82
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22801177203          01/18/2023           1       $54.00      $23.27
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22801177203          01/18/2023           3      $174.00       $2.42
       ZALA                  132409592001 587081790  MCINTYRE         JOE        18   22801177203          01/18/2023           1       $35.00      $18.42
    ZALA Total                                                                                                                         $497.00      $96.27
  025620-02 Total                                                                                                                  $168,288.85  $47,775.22
  025620-71
    ADM
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22201175883          12/13/2022           1       $35.00       $7.15
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22201175883          12/13/2022           1      $120.00      $40.01
        ADM                  134363459001 086507827  FIGUEROA         OSCAR      18   22201175883          12/13/2022           1      $550.00     $371.17
    ADM Total                                                                                                                          $705.00     $418.33
    COBRA
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22401346104          01/24/2023           1      $115.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400988036          01/19/2023           1      $120.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22401346104          01/24/2023           1      $120.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400988036          01/19/2023           1      $115.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400988036          01/19/2023           1      $105.00       $1.00

                                                                                                                                              PAGE:67 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22401269784          01/23/2023           1      $390.00       $4.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22401346104          01/24/2023           1      $105.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22400988036          01/19/2023           2      $250.00       $1.00
      COBRA                  132459781001 353583992  BUTTA            DEBRA      18   22401346104          01/24/2023           2      $250.00       $1.00
      COBRA                  132938866001 382841554  CURTISS          KYLE       18   22101171724          01/13/2023           1      $200.00     $164.71
      COBRA                  132938866001 382841554  CURTISS          COBY       19   22101173880          01/20/2023           1      $200.00     $167.38
      COBRA                  132938866001 382841554  CURTISS          KYLE       18   22101171724          01/13/2023           1       $34.00       $1.32
      COBRA                  132938866001 382841554  CURTISS          KYLE       18   22101171724          01/13/2023           1       $60.00       $1.31
      COBRA                  127520137001 423965774  HAGOOD           JERRY      18   22100989654          01/16/2023           1    $1,341.50       $3.09
      COBRA                  127520137001 423965774  HAGOOD           JERRY      18   22100915597          12/30/2022           1    $3,800.00      $58.70
      COBRA                  127520137001 423965774  HAGOOD           JERRY      18   22100989654          01/16/2023           1    $2,711.50       $3.09
      COBRA                  134035513001 560431234  CHETCUTI         GENELLE    18   22700985386          01/13/2023           1      $115.00       $1.00
      COBRA                  134035513001 560431234  CHETCUTI         GENELLE    18   22700985386          01/13/2023           1      $171.00       $1.00
      COBRA                  134035513001 560431234  CHETCUTI         GENELLE    18   22700985386          01/13/2023           1      $114.00       $1.00
      COBRA                  134035513001 560431234  CHETCUTI         GENELLE    18   22700989850          01/13/2023           1      $106.00       $2.00
      COBRA                  134035513001 560431234  CHETCUTI         GENELLE    18   22700985386          01/13/2023           1      $149.00       $1.00
      COBRA                  134035513001 560431234  CHETCUTI         GENELLE    18   22700989850          01/13/2023           1       $14.00       $2.00
      COBRA                  132900480001 592077149  STODDARD         MARK       18   22019339844          01/20/2023           1      $262.00     $193.85
    COBRA Total                                                                                                                     $10,848.00     $613.45
    HCSLS
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22018158728          12/21/2022           1       $60.00      $26.66
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22018158728          12/21/2022           1       $50.00      $19.66
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22018158728          12/30/2022           1       $50.00      $19.66
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22018158728          12/26/2022           1       $50.00      $19.66
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22018158728          12/26/2022           1       $60.00      $26.66
      HCSLS                  127519435001 189507083  BURDA            EDWARD     18   22018158728          12/30/2022           1       $60.00      $26.66
    HCSLS Total                                                                                                                        $330.00     $138.96
  025620-71 Total                                                                                                                   $11,883.00   $1,170.74
  025620-72
    COBRA
      COBRA                  102058180001 170528032  TOTH             STEPHEN    18   22700819796          01/12/2023           1       $69.00       $0.00
      COBRA                  102058180001 170528032  TOTH             STEPHEN    18   22700819796          01/12/2023           2      $141.00       $0.00

                                                                                                                                              PAGE:68 of 68
                                                                                                                                                            
            Group                UMI      Agreement        Patient Name         Rel          Claim          Incurred     #Days/    Submitted      Paid    
                                            Number   Last                First  Code           ID             Date       #Units     Charges      Claims   
_____________________________________________________________________________________________________________________________________________________________
                                                                                                                                                            
      COBRA                  102058180001 170528032  TOTH             STEPHEN    18   22700819796          01/12/2023           1       $69.00       $0.00
      COBRA                  102058180001 170528032  TOTH             STEPHEN    18   22700819796          01/12/2023           1       $58.50       $0.00
      COBRA                  130351368001 529539237  MYLER            KELLIE     18   22301081413          01/04/2023           2      $628.00       $6.18
      COBRA                  130351368001 529539237  MYLER            KELLIE     18   22301259379          01/04/2023           1      $222.00       $6.18
    COBRA Total                                                                                                                      $1,187.50      $12.36
  025620-72 Total                                                                                                                    $1,187.50      $12.36
PPO Total                                                                                                                          $769,827.66 $380,143.23
Paid Claims Detail Total                                                                                                                       $465,073.98