Corvel Enterprise Comp, Inc. 9/6/2022 Amendment 3

DocuSign Envelope ID:06CEAA47-F11 F-421A-B8CE-390F42C61208 (i) for states having a Standard Fee Schedule: (A) the medical provider's original bill amount; less (B) the billed amount resulting from the allowance based on specified conversion factor(s)multiplied by referenced value(s). (ii) for states not having a state mandated Fee Schedule: (A) the medical provider's original bill amount; less(B)the bill amount resulting from UCR. (d) Scanning Services (i) CorVel will provide Scanning Services and, when appropriate, Optical Character Recognition("OCR")Services. CorVel will timely and within industry standards,scan all bills and attached medical notes delivered to CorVel necessary for providing Bill Review services. Subject to applicable law and obtaining any required authorizations, CorVel also shall provide Scanning Services for additional claim-related documentation. (ii) All material scanned by CorVel hereunder shall be accessible to Customer through CareMC. SCHEDULE 3-A Clinical and Technical Assessment Services Terms and Conditions 1. DESCRIPTION OF SERVICES (a) Clinical and Technical Assessment Services. CorVel provides this service to evaluate state specific complex rules and verify coding by providers when appropriate and supported by documentation. This can include clinical review to validate coding is correct for all applicable Provider bills,Ambulatory Surgical Center bills,and all Hospital bills(inpatient and outpatient)including: (i) review and analysis of codes, charges, and billing structure for incorrect coding, incorrect billing, bundling, and up-coding of procedures which affect Standard Fee Schedule values; (ii) review of bills,records, and documentation by a nurse and/or by a coder; (iii)separation of charges not related to the compensable injury; (iv)review and apply complex state specific rules; (v) application of utilization review determinations and clinical edits; (vi)diagnostic related group validation (i.e., verification that the diagnostic related group billed is appropriate for the services rendered); and (vii) cost shifting of revenue and CPT codes. 2.DELIVERY OF SERVICES (a) CorVel will timely and within industry standards,complete Review Services and return the reviewed Bills to Customer,with any adjustments to identified overcharges. (b) Savings for the Review Services shall be: (i) for states having a state mandated Standard Fee Schedule: (A) the bill amount in the Fee Schedule; less(B)the bill amount resulting from the nurse review services. City of Everett,WA—CorVel EC Amendment 3 7-25-2022