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BLUE CROSS AND BLUE SHIELD OF FLORIDA. INC . EXHIBIT 1 Administrator shall release confidential information to Consultant and/or Reinsurer for cases which meet the following criteria : Consultant- Any claims information needed for the purposes of data aggregation , payment activities , financial reporting , or standard transactions and other data interchanges Reinsurer- FOR ON-GOING FINANCIAL MANAGEMENT & COST/PRICING EVALUATION • Monthly Detailed claim reports (which include the data described below) for any claimant in excess of 30% of the specific stop loss deductible FOR CLAIM ADJUDICATION System report ran on the same basis as the excess loss policy coverage which includes: • Claimant Name or Identifier (ie : Soc. Sec . No. and Spouse - but not dependent #2) • Diagnosis Code(s) (ICD9) • Inclusive Dates : Incurred (from as to) and Paid (from — to) • Procedure Codes (CPT4) • Provider Identification (name and/or tax id no. ) • Payment Calculation : Charges, Allowable, Deductible, Co-pay, Discount, Ineligible Amounts, Payment • Check Number and Paid Additional reports as needed if claim costs dictate an audit ELIGIBILITY Screen Print for the claimant which shows the following as applicable : • Effective Date • Termination Date • Work Status: Active, FMLA, Medical Leave of Absence, etc. • Last date worked • Date leave began • Return to work date • Dates of FMLA • COBRA: effective dates — reason as # of months eligible — premium paid through date • Medicare eligible : effective date — reason • Copy of the enrollment card if available • Date and Details of Accident • Other Insurance Information NOTE: Reports for the reinsurer, unless otherwise dictated , are to be sent to the consultant for delivery to reinsurer. ASA Conf .doc 8-26-04 1