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RENEWAL _ ADDENDUMI WEEKLY INVOICING WITH WIRE TRANSFER This Addendum to the Agreement between The City of North Olmsted #621634 (the "Plan Sponsor") and Medical Mutual Services, L. L. C. ("Medical Mutual Services") is an amendment to the Agreement and supersedes any prior invoicing Addendum and has been adopted pursuant to the section of the Agreement entitled "Amendments". Section 1: Definitions A. Aqreement Period: The period beginning January 1, 2003 through December 31, 2003. B. Incurred Claim: A claim for Covered Services, as defined in the applicable Benefit Book(s), that has beginning service dates on or after the effective date of the Agreement and prior to the Termination Effective Date of the Agreement. C. Adiudicated Claim: An Incurred Claim which has been processed and approved for payment but has not been paid by the Plan Sponsor. D. Paid Claim: An Adjudicated Claim for which the Claims Administrator has reimbursed the Provider or Participant on behalf of the Plan Sponsor. A claim is considered a Paid Claim as of the date shown on the check written by the Claims Administrator. E. Paid Claim Amount: The amount Medical Mutual Services has paid to the Provider or the Participant for the individual claim, after the claim has been adjudicated and released for payment. (i) For claims at hospitals and other institutions, the Paid Claim Amount shall not include adjustments or settlements due to maximum charge increase limitation violations, prompt payment discounts, or any settlement, incentive, allowance or adjustment that does not accrue to a specific claim at the time of adjudication. (ii) For claims involving physicians or other professional providers, the Paid Claim Amount is not reduced by performance withholds. (iii) For claims invotving prescription drugs dispensed for use, the Paid Claim Amount does not include any formulary reimbursement savings, volume- based credits or refunds or discount guarantees. (iv) In certain circumstances, Medical Mutuaf Services, through an affiliated company, may have an agreement or arrangement with a vendor which purchases services, supplies or products from Providers instead of Medical Mutual Services contracting directly with Providers themselves. Page 1 Rev. 090102 03eCityofNorthOlmstedDRub