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HMA Client Intent & TPA Exhibit A – City of Everett 020188 Page 4 of 8 <br />020188 City of Everett 2025.01 Client Intent Exhibit A_Single Year 5.14.2024 <br />30% of savings Medical bill audit, out-of-network claim re-pricing services, claims negotiation and <br />medication steerage program. <br />30% of savings Electronic review of claims for code edits prior to payment. <br />27% of recovered <br />funds <br />Subrogation services <br />The plan will receive 73% of recovered funds. Of the remaining, 22% is retained by The <br />Phia Group, and 5% is retained by HMA.* <br />* In the event of litigation to enforce the Plan’s right of recovery, The Phia Group fee will increase to <br />33.3% and HMA shall not retain any compensation. <br />15%-30% of recovered <br />funds <br />Data Mining and overpayment recovery <br />15%-17% recovery fee retained by Cotivitii <br />o 15% current claims <br />o 17% aged claims <br />On post-payment COB and Code Edit recoveries identified by Cotiviti, additional 13- <br />15% retained by HMA. <br />9.5% of recovered <br />funds <br />Credit balance premier health services partner on site with providers across the country. <br />30% of savings <br />Fraud, waste, and abuse <br />o 17.5% of savings retained by Optum <br />o 12.5% administrative allowance retained by HMA <br /> <br /> <br /> <br /> Current Products and Services <br /> <br />What you currently have: These are the products and services you are currently providing to members. Please <br />check the box in the Continue or Remove columns to indicate your selected action for the upcoming plan year. <br />Products and services offered through partners on our contract may experience price/fee changes or terminate during <br />the Plan Year. Plan Sponsor acknowledges and agrees that the fees quoted below for such services are not <br />guaranteed. In the event of a pricing change during the term, HMA will make every effort to notify you at least 30 days <br />in advance of such changes. <br /> Continue Remove Current Fee Renewal Fee Product <br />☒ ☐ $2.50 $2.50 Dental Plan Administration PEPM <br />☒ ☐ $1.50 $1.50 HMA National Dental Network Access PEPM <br />☒ ☐ $0.65 $0.65 Vision Hardware Administration PEPM <br /> <br /> <br />Additional Products and Services <br /> <br />Additional Buy Up Options: Please review the additional buy-up product options below. Check the box in the Add <br />column if you would like to include these services in the upcoming plan year. <br />Docusign Envelope ID: CC50B3B8-52FD-4DD0-8AA5-5843B00BE3B8