Original Bill from Oncology Provider

Copy of Relevant Healthcare Invoice Showing Savings Results

Total Reimbursement after Negotiation:

$56,411.00

Savings Percentage = 40%

Total Savings = $37,607.33

This savings rate will now be achieved on a go forward basis until

treatment is no longer needed.

Original bill from the provider for one date

of service = $94,018.33

Oncology Claims Settlement Program

Relevant Healthcare Cost Containment

Steps towards Implementing the Program

1. Secure interest through a Letter of Intent and a mutual Non-DisclosureAgreement

2. At no cost, perform a review of the Summary Plan Document (SPD) and ananalysis of whether it supports Oncology claims settlement for In-Networkclaims, Out-of-Network claims or both. (48 hour average turnaround timeon review)

3. Discuss results of SPD review with the client

4. Recommend any addendums or alterations to SPD language (legallanguage from Phia Group supplied at no cost) to meet the needs of theclient and choose the method of review: UCR Settlement or Negotiationwith Sign-Off.

5. Finalize the SPD and create workflows with the administrator to receiveclaims and return savings results

6. Client executes a Relevant Healthcare Payer Agreement and webegin accepting/reviewing claims per the program as designed

7. Appeals Process:

a. Appeals do happen, but Relevant Healthcare is here to support theclient and manage appeals

b. Relevant Healthcare will supply the client with a detailed letter to use toforward to the provider upon receipt of an appeal. In the case of abalance bill, Relevant Healthcare can supply a letter in support of themember as well

i. For Dialysis, balance billing to members does not occur –Medicare becomes secondary and as long as reimbursement isabove Medicare, a facility cannot balance bill

c. Although only occurring less than .25% of the time, should legalcounsel be needed, Relevant Healthcare will supply the resources