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Docusign Envelope ID: 92lF7A24-D5CE-4BCC-9F3C-5E7844661266 5. Claim Coverage. 5.1 Except as otherwise provided in subsection 5.2 of this Addendum and NRS 43913.754, Administrator shall approve or deny a Claim relating to health insurance coverage within thirty (30) days after Administrator receives the Claim. If the Claim is approved, Administrator shall pay the Claim within thirty (30) days after it is approved. Except as otherwise provided in this section, if the approved Claim is not paid within that period, Administrator, in accordance with the terms and conditions of the Agreement, shall pay interest on the Claim at the rate of interest equal to the prime rate at the largest bank in Nevada, as ascertained by the Commissioner of Financial Institutions, on January 1 or July 1, as the case may be, immediately preceding the date on which the payment was due, plus six (6) percent. The interest must be calculated from thirty (30) days after the date on which the Claim is approved until the date on which the Claim is paid. Nevada Rev. Stat. § 683A.0879(1). 5.2 If Administrator requires additional information to determine whether to approve or deny the Claim, Administrator shall notify the claimant of Administrator's request for the additional information within twenty (20) days after receiving the Claim. Administrator shall notify the provider of health care of all the specific reasons for the delay in approving or denying the Claim. Administrator shall approve or deny the Claim within thirty (30) days after receiving the additional information. If the Claim is approved, Administrator shall pay the Claim within thirty (30) days after receiving the additional information. If the approved Claim in not paid within that period, Administrator shall pay interest on the Claim in the manner prescribed in subsection V(A) of this Addendum and in accordance with the terms and conditions of the Agreement. Nevada Rev. Stat. § 683A.0879(2). 5.3 Administrator shall not request a claimant to resubmit information that the claimant has already provided to Administrator, unless Administrator provides a legitimate reason for the request and the purpose of the request is not to delay the payment of the Claim, harass the claimant or discourage the filing of Claims. Nevada Rev. Stat. § 683A.0879(3). 5.4 Administrator shall not pay only part of a Claim that has been approved and is fully paya- ble. Nevada Rev. Stat. § 683A.0879(4). 5.5 A court shall award costs and reasonable attorney's fees to the prevailing party in an action brought pursuant to Nevada Revised Statutes § 683A.0879. Nevada Rev. Stat. § 683A.0879(5). 6. Claims Payment. To the extent Administrator pays a Claim from money collected for or on behalf of Insurer, such Claim shall be paid by a check or draft upon and as authorized by Insurer. Nevada Rev. Stat. § 683A.088. 7. Compensation. The compensation paid to Administrator for its services may be based upon charges collected, on number of Claims paid or processed or on any other basis agreed upon by Adminis- trator and Insurer, but may not be based upon or contingent upon: (i) the Claim experience of the policies that Administrator handles; or (ii) the savings realized by Administrator by adjusting, settling or paying the losses covered by Insurer. Nevada Rev. Stat. § 683A.0883. 8. Fiduciary Accounts: Deposits; Records; Withdrawals. The Parties agree that Administrator will not collect insurance charges or premiums on behalf of Insurer. Return premiums received from In- surer, if any, are held by Administrator in a fiduciary capacity. Money must be remitted within 15 days to 135 This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc.