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IV. V. 2.3.3.1 Technical component of MRI (Magnetic Resonance Imaging), MRA (Magnetic Resonance Angiography) and CT (Computed Tomography) 2.3.3.2 PET (Positron Emission Tomography) Scans 2.3.3.3 Durable medical equipment, medical supplies, orthotics and prosthetics 2.3.3.4 Physical and Occupational Therapy, Speech Therapy and Audiology 2.3.3.5 Acupuncture and Chiropractic Services 2.3.3.6 Technical component of Sleep Study Medicine 2.3.3.7 Vision Exam 2.3.3.8 Those CPT codes identified as Policy Codes by the Company 2.3.4 The Maximum Allowable for drugs and medications, including but not limited to biologicals, immune globulins, vaccines and immunizations, shall be the Company's medication fee schedule in effect on the date of service. 2.4 For services for which no RVU has been established by CMS, the Maximum Allowable for Covered Services shall be determined using Ingenix RVUs. 2.5 For services for which no RVU has been established by CMS or by Ingenix the Maximum Allowable for Covered Services shall be the Company's participating fee schedule in effect on the date of service. 2.6 The Maximum Allowable for Covered Services rendered by behavioral health providers shall be the Company's participating fee schedule in effect on the date of service. 2.7 For services rendered by other licensed practitioners not specifically identified in Section 2.3 above, the Maximum Allowable for Covered Services shall be the Company's fee schedule specific to the practitioner type in effect on the date of service. 2.8 Conversion factor(s), fee schedules showing common Covered Services or any other reimbursement factor referenced herein will be provided to the Medical Group. The Maximum Allowable for Covered Services not set forth on a fee schedule shall be provided upon request. The Company has no obligation to provide fees, conversion factors or other reimbursement rates to Medical Group for Covered Services not typically performed by the Medical Group. COPAYMENT, COINSURANCE, DEDUCTIBLE 3.1 Where the Subscriber Agreement provides for payment of copayment, coinsurance or deductibles by the Patient, payment by Company for Covered Services shall be less the applicable copayment, coinsurance or deductible. NOTICE OF UPDATES 4.1 The Company shall provide Medical Group ninety (90) days prior notice of changes to the Company's reimbursement methodology, RVU conversion factor, CMS or Ingenix RVU year, the percentage referenced in 2.3.2., or Company fee schedules, excluding changes to fees tied to CMS fee schedules. NON -DISCLOSURE 5.1 Medical Group agrees that unless required by law or otherwise allowed by the Agreement, Medical Group shall not disclose the reimbursement rates established by the Company without prior written consent of Company. Medical Group further agrees not to disclose the reimbursement rates to individual health care practitioners, other than those health care practitioners on its Board, if applicable, in any format. Medical Group acknowledges that the unauthorized disclosure of this information may cause irreparable damage to the Company, and Medical Group agrees that the Company may seek relief for breach of this provision. Asuris Medical Standard MGA Exhibit C A18816854AA Page 2 of 2