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described in the applicable addenda or the Administrative Manual 4.4 MAINTENANCE AND RETENTION OF RECORDS — Medical Group will maintain medical, financial and administrative records concerning services provided to Members in accordance with Company's requirements, applicable federal and state laws and generally accepted business and professional practices. Medical Group will ensure that a medical record is established and maintained for each Member who receives services from Medical Group in accordance with Company's standards. This record will be opened at the time of a Member's first visit and shall include contemporaneous, written documentation of the Member's condition, the treatment and services provided, the date on which the services were provided, and the identity of the provider rendering the services. Alterations or amendments to records must include the date and time of the alteration or amendment and the signature of the person making the alteration or amendment. Company may deny claims in those cases where, in the Company's sole discretion, there is inadequate documentation of the services rendered, in which case the Medical Group shall not bill the Member. Medical Group will maintain such records for a period of at least ten (10) years from the date of service or from the date a Member attains the age of majority, whichever is later. The obligations of Medical Group under this section will survive the termination of this Agreement, regardless of the cause giving rise to such termination. 4.5 ACCESS TO BOOKS AND RECORDS 4.5.1 Company, its authorized representatives and government agencies, will have the right to audit and make or obtain copies of medical, financial and administrative records, directly related to services rendered to Members for purposes that may include, but not be limited to: accuracy of claims, coverage for services, medical necessity, proper utilization, appropriateness of services, Credentialing and Recredentialing, and quality improvement and appropriateness of billing, upon reasonable notice, during regular business hours of Company. The Company also may conduct desk audits of the Medical Group's facility(ies) and Member's records. Company shall provide Medical Group with at least three (3) business days advance notice of such audit unless Company determines there is a significant quality of care issue or risk that documents may be altered, created or destroyed. In such case, Company may conduct an audit upon twenty-four (24) hours advance notice. Notice of the audit shall apprise the Medical Group of the period of time for which records are to be audited. The provider agrees to have all records for that period available at the time of the audit. Records not produced at the time of the audit will be deemed non-existent. Audits shall be conducted in a manner that, to the greatest extent possible, avoids disruption of the provider's business affairs and minimizes the burden on the Medical Group. Audits will comply with all laws, statutes and regulations pertaining to the confidentiality of medical and financial records. Copies of records requested by the Company or its representative will be furnished to the Company upon request and without charge to the Company or Members, except for records related to utilization management review, which shall be°reimbursed at the rates set forth in the Administrative Manual. Insofar as Members are required to execute an authorization for the release of their medical records to Company upon becoming Members, Medical Group agrees to accept from Company, as a legally sufficient release of Members' medical records, Members' participation in Health Plans of Company and Company will not be required to obtain an additional medical release form from Members in order to inspect, review, or make copies of Members' medical records. This provision will survive the termination of this Agreement, regardless of the cause giving rise to such termination. 4.5.2 Company's remedies for the Medical Group's failure to cooperate with an audit or for insufficient documentation, inappropriate billing, or substandard quality of care Asuris MGA Agreement (Rev. 0512017) Al8816854AA Page 10 of 20