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Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 Optional Program consultation Included in Administrative Fee Standard Coordination of Benefits Included in Administrative Fee Customized Eligible Person communications (Client's logo or other customizations outside of standard) To be quoted based on customization RIGHTWAY directed transition notification mailings Included in Administrative Fee if required data is provided in accordance with project implementation plan Client directed transition notification mailings To be quoted Email activation campaign Included in Administrative Fee if required data is provided in accordance with project implementation plan RI(;1-ITWAY directed telephonic outreach Included in Administrative Fee if required data is provided in accordance with project implementation plan Client directed telephonic outreach To be quoted Eligible Person fulfillment Communication (Eligible Person and physician) Digital included; hard copy printing costs plus postage Benefit design/coverage change notification Digital included; hard copy printing costs plus postage Pharmacy ID card — digital Included in Administrative Fee in RIGHTWAY's standard format; custom format to be quoted Pharmacy ID card — physical $5.00 plus postage in RIGHTWAY's standard format per ID card set; custom format to be quoted Pharmacy ID card replacement $5.00 plus postage in RIGHTWAY's standard format per ID card set; custom format to be quoted Claims management Point of service Claims processing Included in Administrative Fee Direct Reimbursement Claims processing (Eligible Person submitted paper Claims) $3.00 per Direct Reimbursement Claim processed plus postage 39 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.