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

DocuSign Envelope ID:06CEAA47-F11 F-421 A-B8CE-390F42C61208 Allocated Expense Fees Le.al Services Description Pricing Subrogation 25%of Recoveries Legal Bill Auditing 2.5%of gross legal charges reviewed Indexing and OFAC Compliance-Per Index $16.47 'Fees will never exceed the savings generated Bill Review Services Description Pricing Bill Review: Includes Standard Fee Schedule and UCR-Per Bill ',2 $9.88 +Network Solutions Includes: 2 27%of Savings Clinical Review,Implant Analysis,Line Item Bill Review, Negotiations,PPO Network Access, Substantive Denials,Technical Evaluation Minimum Transaction Fee 2 $7.28 State EDI, Scanning/OCR, Initial 1099 Provider Notification Letter Included 'Includes bill intake,document imaging,file upload,state EDI's,and initial 1099 provider notification letters. 2 Minimum transaction fee(MTF)per bill transaction.Applied per transaction if all other applicable fees do not meet the minimum transaction fee.Applies to all transactions,including but not limited to,Specialty Bills,Duplicate Bills and bills sent for Re-consideration or Re-evaluation.There is a maximum bill review transaction fee of$15,000. Patient Mana'ement Description Pricing Telephonic Case Management, Field Case Management $127.40 and Return to Work Coordinator-Per Hour' 2 Vocational Rehabilitation -Per Hour 2 $181.22 Specialty Services(Catastrophic, Life Care Plan,Medicare $239.43 Conditional Payments, Medicare Set Asides, Bilingual)-Per Hour Nurse Utilization Review-Per Review $157.06 Physician Utilization Review-Per Review $275.00 Care Advocate-Per Claim $52.40 PeerWell App Access-Per Claim(One-Time Fee) $500 Fee applies to all States with the exception of premium states(CA,HI,AK,and NY). 2 Statutory rates supersede if applicable. Prevailing IRS Mileage Rate applies. Each invoice for Case Management Services shall have an additional professional service fee of$39.00 billed to Customer. City of Everett,WA—CorVel EC Amendment 3 7-25-2022