STEM,JOYCE M
joyce.stem@highmark.com	

Admiral Peary                            
Mike Revesz
948 Ben Franklin HWY
Ebensburg, PA 15931
	REGULAR
INVOICE SUMMARY	

INVOICE NUMBER:      250729587807                             PAID CLAIMS MONTH:  July 2025      
BILL ACCOUNT NUMBER: CN02401002                               CLAIMS PAID THRU:   07/25/2025     
BILL ACCOUNT NAME:   Admiral Peary                            BILL CYCLE:         4 of 4         
CLIENT NUMBER:       0240                                     PREPARED DATE:      07/29/2025     
CLIENT NAME:         Admiral Peary                            PAYMENT DUE DATE:   07/30/2025     	

Prior Billing Information
  Last Bill Amount                                $      255,325.95 
  Payments Received Through 07/28/2025            $     (255,325.95)
Balance Forward                                                       $            0.00 
                                                                                
Current Charges
  Paid Claims/Expenses                            $      358,094.90 
  Other Claim Related Fees                        $        8,514.77 
  Administrative Expenses                         $        6,723.00 
  Additional Items                                $       35,300.02 
Total Current Charges                                                 $      408,632.69 
                                                                    ______________________
TOTAL DUE                                                             $      408,632.69 

                                                                                

                                                                                

                                                                                

For your billing convenience, this invoice may contain charges for items that are not products of our company.

Note:	

                                                                                

Please notify your client manager or billing analyst if your address or contact information has changed.

PLEASE TRANSMIT WIRE PAYMENT TO:                                                                 
BNY Mellon                                                    PAYMENT DUE DATE:   07/30/2025     
ABA# 043000261                                                TOTAL AMOUNT DUE:   $408,632.69                        
Account Name: Highmark, Inc                                   Please Reference                   
Account Number: 129-1882                                      Bill Account Number:CN02401002