Common use of Billing and Collection Clause in Contracts

Billing and Collection. EMR will provide billing and accounts receivable collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaid, and other third-party payers. The Ambulance appoints EMR for the term hereof to be their true and lawful agent, for the following purposes: (i) To bill patients in the name and provider number of The Ambulance and on its behalf; (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iii) To collect and receive payments from insurance companies, Medicare, Medicaid, all other third-party payers and patients; (iv) To either work with the Ambulance’s financial institution that receives payments and correspondence from insurance carriers, or to actually take possession of and endorse in the name of The Ambulance, such payment intended for purpose of payment of an ambulance bill, any notes, checks, money orders, insurance payments, and other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide On behalf of and for the account of PC, Business Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall timely bill and collect all professional and other fees for all Dental Serv▇▇▇▇ provided by PC, or Dentists employed or otherwise retained by PC. Business Manager shall advise and consult with PC regarding the fees for Dental Services provided by PC; it being understood, however, that PC shall establish the fees to be charged for Dental Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term, PC hereby grants to Business Manager a special power of attorney and appoints EMR for the term hereof to be their Business Manager as PC's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients PC's patients, in the PC's name and provider number of The Ambulance on PC's behalf, for all Dental ▇▇▇▇ices provided by PC to patients. (b) To bill, in PC's name and on its PC's behalf;, all claims for reimbursement ▇▇ ▇ndem nification from Blue Shield/Blue Cross, insurance companies and all other third party payors or fiscal intermediaries for all covered billable Dental Services provided by PC to patients. (c) To administer such accounts including, but not limited to, (i) extending the time of payment of any such accounts for cash, credit or otherwise; (ii) To collect accounts receivable resulting from discharging or releasing the obligors of any such billing in the name of The Ambulance; accounts; (iii) To collect and receive payments from insurance companiessuing, Medicare, Medicaid, all other third-party payers and patients; assigning or selling at a discount such accounts to collection agencies; or (iv) taking other measures to require the payment of any such accounts. (d) To either work with deposit all amounts collected under clause (c) above into PC Account which shall be and at all times remain in PC's name. PC covenants to transfer and deliver to Business Manager for deposit into PC Account all funds received by PC from patients or third party payors for Dental Services. Upon receipt by Business Manager of any funds from patients or third party payors or from PC pursuant hereto for Dental Services, Business Manager shall immediately deposit those that relate to accounts receivable into the Ambulance’s financial institution that receives payments and correspondence from insurance carriers, or to actually PC Account. (e) To take possession of and of, endorse in the name of The AmbulancePC, such payment intended for purpose of payment of an ambulance bill, and deposit into the PC Account any notes, checks, money orders, insurance payments, and any other instruments received in payment for Dental Services that relate to accounts receivable. Upon request of accounts receivable Business Manager, PC shall execute and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures deliver to the patient other than written follow up notices financial institution wherein the PC Account is maintained, such additional documents or direct phone calls, unless both Parties otherwise agree in a separate written agreementinstruments as may be neces sary to evidence the nature of Business Manager's relationship with PC as described herein. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide On behalf of and for the account of PC, Business Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall timely ▇▇▇▇ and collect all professional and other fees for all Dental Services provided by PC, or Practice Providers employed or otherwise retained by PC. Business Manager shall advise and consult with PC regarding the fees for Dental Services provided by PC; it being understood, however, that PC shall establish the fees to be charged for Dental Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 6.3), PC hereby grants to Business Manager a special power of attorney and appoints EMR for the term hereof to be their Business Manager as PC's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients ▇▇▇▇ PC's patients, in the PC's name and provider number of The Ambulance on PC's behalf, for all Dental Services provided by PC to patients. (b) To ▇▇▇▇, in PC's name and on its PC's behalf;, all claims for reimbursement or indemnification from Blue Shield/Blue Cross, insurance companies and all other third party payors or fiscal intermediaries for all covered billable Dental Services provided by PC to patients. (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iiic) To collect and receive payments from insurance companiesin Business Manager's name and for Business Manager's account all accounts receivable of PC purchased by Business Manager, Medicareand to deposit such collections in an account selected by Business Manager and maintained in Business Manager's name. (d) To collect and receive, Medicaidin PC's name and on PC's behalf, all other third-party payers accounts receivable generated by such ▇▇▇▇▇▇▇▇ and patients; claims for reimbursement that have not been purchased by Business Manager, to administer such accounts including, but not limited to, (i) extending the time of payment of any such accounts for cash, credit or otherwise; (ii) discharging or releasing the obligors of any such accounts; (iii) suing, assigning or selling at a discount such accounts to collection agencies; or (iv) taking other measures to require the payment of any such accounts. (e) To either work deposit all amounts collected under clause (d) above into PC Account which shall be and at all times remain in PC's name. PC covenants to transfer and deliver to Business Manager for deposit into PC Account (or, with the Ambulance’s financial institution respect to accounts receivable purchased by Business Manager, Business Manager's account) all funds received by PC from patients or third party payors for Dental Services. Upon receipt by Business Manager of any funds from patients or third party payors or from PC pursuant hereto for Dental Services, Business Manager shall immediately deposit those that receives payments relate to accounts receivable covered by clause (d) above into PC Account. Business Manager shall disburse such deposited funds to creditors and correspondence from insurance carriersother persons on behalf of PC, or to actually maintaining records of such receipt and disbursement of funds in accordance with Section 3.9(b). (f) To take possession of and of, endorse in the name of The AmbulancePC, such payment intended for purpose of payment of an ambulance bill, and deposit into the PC Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of for Dental Services that relate to accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account;covered by clause (d) above. (vg) To assist legal Counsel retained by The Ambulancesign checks, only upon prior written authorization from The Ambulancedrafts, with the institution bank notes or other instruments on behalf of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicePC, and to contest adjustments make withdrawals from the PC Account for payments specified in this Management Services Agreement. Upon request of Business Manager, PC shall execute and denials deliver to the financial institution wherein the PC Account is maintained, such additional documents or instruments as may be necessary to evidence or effect the special and limited power of attorney granted to Business Manager by governmental agencies (PC pursuant to this Section 3.8 or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable pursuant to Section 3.9 of this Management Services Agreement. The special and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee limited power of attorney granted herein shall be done coupled with an interest and shall be irrevocable except with Business Manager's written consent. The irrevocable power of attorney shall expire on the later of when this Management Services Agreement has been terminated, when all accounts receivable purchased by Business Manager have been collected, or when all Management Fees due to Business Manager have been paid. If Business Manager assigns this Management Services Agreement in accordance with the direction its terms, then PC shall execute a power of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree attorney in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days favor of the last business day of each month, EMR will provide to The Ambulance a complete written report for assignee including substantially the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monthsame terms set forth in this Section 3.8.

Billing and Collection. EMR will provide On behalf of and for the account of PC, Business Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall timely bill and collect all professional and other fees for all Dental Serv▇▇▇▇ provided by PC, or Dentists employed or otherwise retained by PC. Business Manager shall advise and consult with PC regarding the fees for Dental Services provided by PC; it being understood, however, that PC shall establish the fees to be charged for Dental Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 7.3), PC hereby grants to Business Manager a special power of attorney and appoints EMR for the term hereof to be their Business Manager as PC's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients PC's patients, in the PC's name and provider number of The Ambulance on PC's behalf, for all Dental ▇▇▇▇ices provided by PC to patients. (b) To bill, in PC's name and on its PC's behalf;, all claims for reimbursement ▇▇ ▇ndem nification from Blue Shield/Blue Cross, insurance companies and all other third party payors or fiscal intermediaries for all covered billable Dental Services provided by PC to patients. (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iiic) To collect and receive payments from insurance companiesin Business Manager's name and for Business Manager's account all accounts receivable of PC purchased by Business Manager, Medicareand to deposit such collections in an account selected by Business Manager and maintained in Business Manager's name. (d) To collect and receive, Medicaidin PC's name and on PC's behalf, all other third-party payers accounts receivable generated by such billings and patients; claims for reimbursement that have not been purchased b▇ ▇▇▇▇▇▇ss Manager, to administer such accounts including, but not limited to, (i) extending the time of payment of any such accounts for cash, credit or otherwise; (ii) discharging or releasing the obligors of any such accounts; (iii) suing, assigning or selling at a discount such accounts to collection agencies; or (iv) taking other measures to require the payment of any such accounts. (e) To either work deposit all amounts collected under clause (d) above into PC Account which shall be and at all times remain in PC's name. PC covenants to transfer and deliver to Business Manager for deposit into PC Account (or, with respect to accounts receivable purchased by Business Manager, Business Manager's account) all funds received by PC from patients or third party payors for Dental Services. Upon receipt by Business Manager of any funds from patients or third party payors or from PC pursuant hereto for Dental Services, Business Manager shall immediately deposit those that relate to accounts receivable covered by clause (d) above into the Ambulance’s financial institution that receives payments PC Account. Business Manager shall disburse such deposited funds to creditors and correspondence from insurance carriersother persons on behalf of PC, or to actually maintaining records of such receipt and disbursement of funds in accordance with Section 4.9(b). (f) To take possession of and of, endorse in the name of The AmbulancePC, such payment intended for purpose of payment of an ambulance bill, and deposit into the PC Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of for Dental Services that relate to accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account;covered by clause (d) above. (vg) To assist legal Counsel retained by The Ambulancesign checks, only upon prior written authorization from The Ambulancedrafts, with the institution bank notes or other instruments on behalf of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicePC, and to contest adjustments make withdrawals from the PC Account for payments specified in this Management Services Agreement. Upon request of Business Manager, PC shall execute and denials deliver to the financial institution wherein the PC Account is maintained, such additional documents or instruments as may be neces sary to evidence or effect the special and limited power of attorney granted to Business Manager by governmental agencies (PC pursuant to this Section 4.8 or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable pursuant to Section 4.9 of this Management Services Agreement. The special and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee limited power of attorney granted herein shall be done coupled with an interest and shall be irrevocable except with Business Manager's written consent. The irrevocable power of attorney shall expire on the later of when this Management Services Agreement has been terminated, when all accounts receivable purchased by Business Manager have been collected, or when all Management Fees due to Business Manager have been paid. If Business Manager assigns this Management Services Agreement in accordance with the direction its terms, then PC shall execute a power of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree attorney in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days favor of the last business day of each month, EMR will provide to The Ambulance a complete written report for assignee including substantially the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monthsame terms set forth in this Section 4.8.

Billing and Collection. EMR will provide On behalf of and for the account of Physician, Manager shall 5 establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall be responsible for the billing and collection of all professional and other fees for billable Healthcare Services provided by Physician. Manager shall advise and consult with Physician regarding the fees for Healthcare Services provided by Physician. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term, Physician hereby grants Manager an irrevocable special power of attorney and appoints EMR for the term hereof to be their Manager as Physician's true and lawful agentagent and attorney-in-fact, and Manager hereby accepts such special power of attorney and appointment, for the following purposes: (i) 3.9.1 To bill patients ▇▇▇sician's patients, in the Physician's name and provider number of The Ambulance on Physician's behalf, for all billable Healthcare Services provided by Physician. 3.9.2 To bill, ▇▇ Physician's name and on its Physician's behalf; (ii) To collect accounts receivable resulting , all claims for reimbursement or indemnification from such billing in the name of The Ambulance; (iii) To collect and receive payments from Blue Shield/Blue Cross, insurance companies, Medicare, Medicaid, and all other third-party payers and patientspayors for all covered billable Healthcare Services provided by Physician; (iv) 3.9.3 To either work with collect and receive, in Physician's name and on Physician's behalf, all accounts receivable generated by such bill▇▇▇▇ ▇▇▇ claims for reimbursement or indemnification, and to deposit all amounts collected into the Ambulance’s financial institution that receives payments Manager/Physician Account, which account shall be maintained at Manager's Expense and correspondence shall be and at all times remain in Manager's name. Physician covenants to transfer and deliver to Manager all funds received by Physician from insurance carrierspatients or third-party payors for Healthcare services. Upon receipt by Manager of any funds from patients or third-party payors or from Physician pursuant hereto for Healthcare Services, or to actually Manager shall immediately deposit same into the Manager/Physician Account; and 3.9.4 To take possession of and of, endorse in the name of The AmbulancePhysician, such payment intended for purpose of payment of an ambulance bill, and deposit into the Manager/Physician Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicefor Healthcare Services, and to contest adjustments and denials by governmental agencies (make withdrawals from the Manager/Physician Account for payments of those items designated as Manager or its fiscal intermediaries) as third-party payersPhysician Expense. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR On behalf of DOCTOR and for the purpose depositing all receipts arising from DOCTOR's patient activities, COMPANY shall maintain the DOCTOR'S account. Such account will provide Such DOCTOR'S account will be under the COMPANY FEIN. COMPANY shall establish and maintain credit and billing and accounts receivable collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidpolicies and procedures, and shall use COMPANY's best efforts to timely bill ▇▇▇ collect all professional and other third-party payersfees for all billable Professional Services provided by DOCTOR; it being understood, however that DOCTOR, in his sole discretion, shall establish the fees for all billable Professional Services provided by DOCTOR. The Ambulance DOCTOR shall timely advise COMPANY of any changes in DOCTOR'S fee schedule to permit COMPANY to implement such changes. In connection with this Section 3.12 and throughout the Term, DOCTOR hereby grants a special power of attorney to and appoints EMR for the term hereof to be their COMPANY as DOCTOR's true and lawful agentagent and attorney-in-fact, and COMPANY hereby accepts such special power of attorney and appointment, for the following purposes: (i) 3.12.1 To bill patients ▇▇▇TOR'S patients, in the DOCTOR'S name and provider number of The Ambulance on DOCTOR'S behalf, for billable Professional Services provided by DOCTOR. 3.12.2 To bill, ▇▇ DOCTOR'S name and on its DOCTOR'S behalf;, all claims for reimbursement or indemnification from Blue Shield/Blue Cross, Medicare, Medicaid and all other third party payors for covered billable Professional Services provided by DOCTOR. (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iii) 3.12.3 To collect and receive payments from insurance companiesreceive, Medicare, Medicaidin DOCTOR'S name and on DOCTOR'S behalf, all other third-accounts receivable generated by such bill▇▇▇▇ ▇▇▇ claims for reimbursement or indemnification, and to deposit all amounts collected in the DOCTOR'S Account, which account shall be and remain in COMPANY'S name. In connection herewith, DOCTOR covenants to transfer and deliver to COMPANY all funds received by DOCTOR from patients or third party payers and patients;payors for Professional Services. Upon receipt by COMPANY of any funds from patients or third party payors or from DOCTOR pursuant hereto for Professional Services, COMPANY shall deposit same into the DOCTOR'S Account. (iv) 3.12.4 To either work with the Ambulance’s financial institution that receives payments and correspondence from insurance carrierstake custody of, or to actually take possession of and endorse in the name of The AmbulanceDOCTOR, such payment intended for purpose of payment of an ambulance bill, and deposit into the DOCTOR'S Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of the accounts receivable for Professional Services. Upon request of COMPANY, DOCTOR shall execute and deposit all monies resulting from deliver to COMPANY or the operation financial institution wherein the DOCTOR'S Account is maintained, such additional documents or instruments as may be reasonably necessary to evidence or effect the special power of attorney granted to COMPANY by DOCTOR and the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access conditions pursuant to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal Section 3.11 or administrative proceedings in the name of The Ambulance pursuant to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payersSection 3.12 hereof. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide On behalf of and for the account of New PA, Business Manager shall assist New PA in New PA's establishment and maintenance of credit and billing and accounts receivable collection policies and procedures, and shall coordinate and supervise New PA personnel to ensure the timely billing and collection of all professional and other fees for all billable Medical Services provided by New PA or Physicians. Business Manager shall advise and consult with New PA regarding the fees for Medical Services provided by New PA; it being understood, however, that New PA shall establish the fees to be charged for Medical Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 7.3), New PA hereby grants to Business Manager an exclusive special power of attorney and appoints EMR for the term hereof to be their Business Manager as New PA's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients in supervise and coordinate the name and provider number billing of The Ambulance and on its behalf; (ii) To collect accounts receivable resulting from such billing New PA's patients, in the name of The Ambulance;Global P and on behalf of New PA or Global P, as applicable, for all billable Medical Services provided by New PA to patients. (iiib) To collect supervise and receive payments coordinate the billing in Global P's name and on New PA's or Global P's behalf, as applicable, all claims for reimbursement or indemnification from Blue Shield/Blue Cross, insurance companies, Medicare, Medicaid, and all other third-third party payers payors or fiscal intermediaries for all covered billable Medical Services provided by New PA to patients. (c) To ensure the collection and patients;receipt in Business Manager's name and for Business Manager's account all accounts receivable of New PA purchased by Business Manager, and to deposit such collections in an account selected by Business Manager and maintained in Business Manager's name. (d) To ensure the collection and receipt in Global P's name and on New PA's or Global P's behalf, as applicable, all accounts receivable generated by such ▇▇▇▇▇▇▇▇ and claims for ▇▇▇▇ bursement that have not been purchased by Business Manager, to administer such accounts including, but not limited to, (i) extending the time of payment of any such accounts for cash, credit or otherwise; (ii) discharging or releasing the obligors of any such accounts; (iii) with the consent of the Policy Board, suing, assigning or selling at a discount such accounts to collection agencies; or (iv) To either work with the Ambulance’s financial institution that receives payments consent of the Policy Board, taking other measures to require the payment of any such ac counts. (e) To deposit all amounts collected in Global P's name and correspondence on behalf of New PA or Global P, as applicable, into New PA Account which shall be and at all times remain in New PA's name. New PA covenants to transfer and deliver to Business Manager for deposit into New PA Account or itself to make such deposit of all funds received by New PA from insurance carrierspatients or third party payors for Medical Services. Upon receipt by Business Manager of any funds from patients or third party payors or from New PA pursuant hereto for Medical Services, or Business Manager shall immedi ately deposit same into the New PA Account. Business Manager shall disburse such deposited funds to actually creditors and other persons on behalf of New PA, maintaining records of such receipt and disbursement of funds as directed by New PA. (f) To take possession of and of, endorse in the name of The AmbulanceNew PA or Global P, such payment intended for purpose of payment of an ambulance billas appropriate, and deposit into the New PA Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account;for Medical Services. (vg) To assist legal Counsel retained by The Ambulancesign checks, only upon prior written authorization from The Ambulancedrafts, with the institution bank notes or other instruments on behalf of legal New PA or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The AmbulanceGlobal P, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any serviceappropriate, and to contest adjustments make withdrawals from the New PA Account for payments specified in this Management Services Agreement and denials as requested from time to time by governmental agencies (New PA. Upon request of Business Manager, New PA shall execute and deliver to the financial institution wherein the New PA Account is maintained, such additional documents or its fiscal intermediaries) instruments as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable may be necessary to evidence or effect the special and consistent manner as approved limited power of attorney granted to Business Manager by New PA pursuant to this Section 4.8 or pursuant to Section 4.9 of this Management Services Agreement. The Ambulance. All adjustments made for professional courtesies special and other activities that do not generate a collectible fee limited power of attorney granted herein shall be done coupled with an interest and shall be irrevocable except with Business Manager's written consent. The irrevocable power of attorney shall expire on the later of when this Management Services Agreement has been terminated, when all accounts receivable purchased by Business Manager have been collected or when all Management Fees due to Business Manager have been paid. If Business Manager assigns this Management Services Agreement in accordance with the direction its terms, then New PA shall execute a power of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree attorney in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days favor of the last business day assignee and in the form of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monthExhibit 4.8 attached hereto.

Billing and Collection. EMR will provide On behalf of and for the account of Physician, Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall be 5 responsible for the billing and collection of all professional and other fees for billable Healthcare Services provided by Physician. Manager shall advise and consult with Physician regarding the fees for Healthcare Services provided by Physician. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term, Physician hereby grants Manager an irrevocable special power of attorney and appoints EMR for the term hereof to be their Manager as Physician's true and lawful agentagent and attorney-in-fact, and Manager hereby accepts such special power of attorney and appointment, for the following purposes: (i) 3.9.1 To bill patients ▇▇▇sician's patients, in the Physician's name and provider number of The Ambulance on Physician's behalf, for all billable Healthcare Services provided by Physician. 3.9.2 To bill, ▇▇ Physician's name and on its Physician's behalf; (ii) To collect accounts receivable resulting , all claims for reimbursement or indemnification from such billing in the name of The Ambulance; (iii) To collect and receive payments from Blue Shield/Blue Cross, insurance companies, Medicare, Medicaid, and all other third-party payers and patientspayors for all covered billable Healthcare Services provided by Physician; (iv) 3.9.3 To either work with collect and receive, in Physician's name and on Physician's behalf, all accounts receivable generated by such bill▇▇▇▇ ▇▇▇ claims for reimbursement or indemnification, and to deposit all amounts collected into the Ambulance’s financial institution that receives payments Manager/Physician Account, which account shall be maintained at Manager's Expense and correspondence shall be and at all times remain in Manager's name. Physician covenants to transfer and deliver to Manager all funds received by Physician from insurance carrierspatients or third-party payors for Healthcare services. Upon receipt by Manager of any funds from patients or third-party payors or from Physician pursuant hereto for Healthcare Services, or to actually Manager shall immediately deposit same into the Manager/Physician Account; and 3.9.4 To take possession of and of, endorse in the name of The AmbulancePhysician, such payment intended for purpose of payment of an ambulance bill, and deposit into the Manager/Physician Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicefor Healthcare Services, and to contest adjustments and denials by governmental agencies (make withdrawals from the Manager/Physician Account for payments of those items designated as Manager or its fiscal intermediaries) as third-party payersPhysician Expense. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR On behalf of DOCTOR and for the purpose depositing all receipts arising from DOCTOR's patient activities, COMPANY shall maintain the DOCTOR'S current lockbox account at Southwest Bank of Texas. Such account will provide require two (2) signatures, one (1) COMPANY and one (1) DOCTOR for all disbursements in excess of two thousand dollars ($ 2,000) . Such DOCTOR'S account will be under the COMPANY FEIN . COMPANY shall establish and maintain credit and billing and accounts receivable collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidpolicies and procedures, and shall use COMPANY's best efforts to timely bill ▇▇▇ collect all professional and other third-party payersfees for all billable Professional Services provided by DOCTOR; it being understood, however that DOCTOR, in his sole discretion, shall establish the fees for all billable Professional Services provided by DOCTOR. The Ambulance DOCTOR shall timely advise COMPANY of any changes in DOCTOR'S fee schedule to permit COMPANY to implement such changes. In connection with this Section 3.12 and throughout the Term, DOCTOR hereby grants a special power of attorney to and appoints EMR for the term hereof to be their COMPANY as DOCTOR's true and lawful agentagent and attorney-in-fact, and COMPANY hereby accepts such special power of attorney and appointment, for the following purposes: (i) 3.12.1 To bill patients ▇▇▇TOR'S patients, in the DOCTOR'S name and provider number of The Ambulance on DOCTOR'S behalf, for billable Professional Services provided by DOCTOR. 3.12.2 To bill, ▇▇ DOCTOR'S name and on its DOCTOR'S behalf;, all claims for reimbursement or indemnification from Blue Shield/Blue Cross, Medicare, Medicaid and all other third party payors for covered billable Professional Services provided by DOCTOR. (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iii) 3.12.3 To collect and receive payments from insurance companiesreceive, Medicare, Medicaidin DOCTOR'S name and on DOCTOR'S behalf, all other third-accounts receivable generated by such bill▇▇▇▇ ▇▇▇ claims for reimbursement or indemnification, and to deposit all amounts collected in the DOCTOR'S Account, which account shall be and remain in COMPANY'S name. In connection herewith, DOCTOR covenants to transfer and deliver to COMPANY all funds received by DOCTOR from patients or third party payers and patients;payors for Professional Services. Upon receipt by COMPANY of any funds from patients or third party payors or from DOCTOR pursuant hereto for Professional Services, COMPANY shall deposit same into the DOCTOR'S Account. (iv) 3.12.4 To either work with the Ambulance’s financial institution that receives payments and correspondence from insurance carrierstake custody of, or to actually take possession of and endorse in the name of The AmbulanceDOCTOR, such payment intended for purpose of payment of an ambulance bill, and deposit into the DOCTOR'S Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of the accounts receivable for Professional Services. Upon request of COMPANY, DOCTOR shall execute and deposit all monies resulting from deliver to COMPANY or the operation financial institution wherein the DOCTOR'S Account is maintained, such additional documents or instruments as may be reasonably necessary to evidence or effect the special power of attorney granted to COMPANY by DOCTOR and the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access conditions pursuant to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal Section 3. 11 or administrative proceedings in the name of The Ambulance pursuant to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payersSection 3.12 hereof. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide On behalf of and for the account of PC, Business Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall timely bill and collect all professional and other fees for all Dental Serv▇▇▇▇ provided by PC, or Dentists retained by PC. Business Manager shall advise and consult with PC regarding the fees for Dental Services provided by PC; it being understood, however, that PC shall establish the fees to be charged for Dental Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 7.3), PC hereby grants to Business Manager a special power of attorney and appoints EMR for the term hereof to be their Business Manager as PC's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients PC's patients, in the PC's name and provider number of The Ambulance on PC's behalf, for all Dental ▇▇▇▇ices provided by PC to patients. (b) To bill, in PC's name and on its PC's behalf;, all claims for reimbursement ▇▇ ▇ndem nification from Blue Shield/Blue Cross, insurance companies and all other third party payors or fiscal intermediaries for all covered billable Dental Services provided by PC to patients. (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iiic) To collect and receive payments from insurance companiesin Business Manager's name and for Business Manager's account all accounts receivable of PC purchased by Business Manager, Medicareand to deposit such collections in an account selected by Business Manager and maintained in Business Manager's name. (d) To collect and receive, Medicaidin PC's name and on PC's behalf, all other third-party payers accounts receivable generated by such billings and patients; claims for reimbursement that have not been purchased b▇ ▇▇▇▇▇▇ss Manager, to administer such accounts including, but not limited to, (i) extending the time of payment of any such accounts for cash, credit or otherwise; (ii) discharging or releasing the obligors of any such accounts; (iii) suing, assigning or selling at a discount such accounts to collection agencies; or (iv) taking other measures to require the payment of any such accounts. (e) To either work deposit all amounts collected under clause (d) above into PC Account which shall be and at all times remain in PC's name. PC covenants to transfer and deliver to Business Manager for deposit into PC Account (or, with respect to accounts receivable purchased by Business Manager, Business Manager's account) all funds received by PC from patients or third party payors for Dental Services. Upon receipt by Business Manager of any funds from patients or third party payors or from PC pursuant hereto for Dental Services, Business Manager shall immediately deposit those that relate to accounts receivable covered by clause (d) above into the Ambulance’s financial institution that receives payments PC Account. Business Manager shall disburse such deposited funds to creditors and correspondence from insurance carriersother persons on behalf of PC, or to actually maintaining records of such receipt and disbursement of funds in accordance with Section 4.9(b). (f) To take possession of and of, endorse in the name of The AmbulancePC, such payment intended for purpose of payment of an ambulance bill, and deposit into the PC Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of for Dental Services that relate to accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account;covered by clause (d) above. (vg) To assist legal Counsel retained by The Ambulancesign checks, only upon prior written authorization from The Ambulancedrafts, with the institution bank notes or other instruments on behalf of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicePC, and to contest adjustments make withdrawals from the PC Account for payments specified in this Management Services Agreement. Upon request of Business Manager, PC shall execute and denials deliver to the financial institution wherein the PC Account is maintained, such additional documents or instruments as may be neces sary to evidence or effect the special and limited power of attorney granted to Business Manager by governmental agencies (PC pursuant to this Section 4.8 or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable pursuant to Section 4.9 of this Management Services Agreement. The special and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee limited power of attorney granted herein shall be done coupled with an interest and shall be irrevocable except with Business Manager's written consent. The irrevocable power of attorney shall expire on the later of when this Management Services Agreement has been terminated, when all accounts receivable purchased by Business Manager have been collected, or when all Management Fees due to Business Manager have been paid. If Business Manager assigns this Management Services Agreement in accordance with the direction its terms, then PC shall execute a power of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree attorney in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days favor of the last business day of each month, EMR will provide to The Ambulance a complete written report for assignee including substantially the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monthsame terms set forth in this Section 4.8.

Billing and Collection. EMR On behalf of FACILITY and for the purpose depositing all receipts arising from FACILITY's patient activities, COMPANY shall maintain the FACILITY'S account.. Such account will provide Such FACILITY'S account will be under the COMPANY FEIN . COMPANY shall establish and maintain credit and billing and accounts receivable collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidpolicies and procedures, and shall use COMPANY's best efforts to timely bill ▇▇▇ collect all professional and other third-party payersfees for all billable Professional Technical Services provided by FACILITY; it being understood, however that FACILITY, in his sole discretion, shall establish the fees for all billable Professional Technical Services provided by FACILITY. The Ambulance FACILITY shall timely advise COMPANY of any changes in FACILITY'S fee schedule to permit COMPANY to implement such changes. In connection with this Section 3.12 and throughout the Term, FACILITY hereby grants a special power of attorney to and appoints EMR for the term hereof to be their COMPANY as FACILITY's true and lawful agentagent and attorney-in-fact, and COMPANY hereby accepts such special power of attorney and appointment, for the following purposes: (i) 3.12.1 To bill patients ▇▇▇ILITY'S clients, in the FACILITY'S name and provider number of The Ambulance on FACILITY'S behalf, for billable Professional Technical Services provided by FACILITY. 3.12.2 To bill, ▇▇ FACILITY'S name and on its FACILITY'S behalf;, all claims for reimbursement or indemnification from Blue Shield/Blue Cross, Medicare, Medicaid and all other third party payors for covered billable Professional Technical Services provided by FACILITY. (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iii) 3.12.3 To collect and receive payments from insurance companiesreceive, Medicare, Medicaidin FACILITY'S name and on FACILITY'S behalf, all other third-accounts receivable generated by such bill▇▇▇▇ ▇▇▇ claims for reimbursement or indemnification, and to deposit all amounts collected in the FACILITY'S Account, which account shall be and remain in COMPANY'S name. In connection herewith, FACILITY covenants to transfer and deliver to COMPANY all funds received by FACILITY from clients or third party payers and patients;payors for Professional Technical Services. Upon receipt by COMPANY of any funds from clients or third party payors or from FACILITY pursuant hereto for Professional Technical Services, COMPANY shall deposit same into the FACILITY'S Account. (iv) 3.12.4 To either work with the Ambulance’s financial institution that receives payments and correspondence from insurance carrierstake custody of, or to actually take possession of and endorse in the name of The AmbulanceFACILITY, such payment intended for purpose of payment of an ambulance bill, and deposit into the FACILITY'S Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of the accounts receivable for Professional Technical Services. Upon request of COMPANY, FACILITY shall execute and deposit all monies resulting from deliver to COMPANY or the operation financial institution wherein the FACILITY'S Account is maintained, such additional documents or instruments as may be reasonably necessary to evidence or effect the special power of attorney granted to COMPANY by FACILITY and the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access conditions pursuant to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal Section 3. 11 or administrative proceedings in the name of The Ambulance pursuant to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payersSection 3.12 hereof. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide On behalf of and for the account of Vista, Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall be responsible for the billing and collection of all professional and other fees for billable Healthcare 5 Services provided by Vista. Manager shall advise and consult with Vista regarding the fees for Healthcare Services provided by Vista. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term, Vista hereby grants Manager an irrevocable special power of attorney and appoints EMR for the term hereof to be their Manager as Vista's true and lawful agentagent and attorney-in-fact, and Manager hereby accepts such special power of attorney and appointment, for the following purposes: (i) 3.9.1 To bill patients ▇▇▇ta's patients, in the Vista's name and provider number of The Ambulance on Vista's behalf, for all billable Healthcare Services provided by Vista. 3.9.2 To bill, ▇▇ Vista's name and on its Vista's behalf; (ii) To collect accounts receivable resulting , all claims for reimbursement or indemnification from such billing in the name of The Ambulance; (iii) To collect and receive payments from Blue Shield/Blue Cross, insurance companies, Medicare, Medicaid, and all other third-party payers and patientspayors for all covered billable Healthcare Services provided by Vista; (iv) 3.9.3 To either work with collect and receive, in Vista's name and on Vista's behalf, all accounts receivable generated by such bill▇▇▇▇ ▇▇▇ claims for reimbursement or indemnification, and to deposit all amounts collected into the Ambulance’s financial institution that receives payments Manager/Vista Account, which account shall be maintained at Manager's Expense and correspondence shall be and at all times remain in Manager's name. Vista covenants to transfer and deliver to Manager all funds received by Vista from insurance carrierspatients or third-party payors for Healthcare services. Upon receipt by Manager of any funds from patients or third-party payors or from Vista pursuant hereto for Healthcare Services, or to actually Manager shall immediately deposit same into the Manager/Vista Account; and 3.9.4 To take possession of and of, endorse in the name of The AmbulanceVista, such payment intended for purpose of payment of an ambulance bill, and deposit into the Manager/Vista Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicefor Healthcare Services, and to contest adjustments and denials by governmental agencies (make withdrawals from the Manager/Vista Account for payments of those items designated as Manager or its fiscal intermediaries) as third-party payersVista Expense. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide On behalf of the Facilities, ER shall establish and maintain credit and billing and accounts receivable collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidpolicies and procedures, and shall use ER's commercially reasonable best efforts to timely ▇▇▇▇ and collect all . facility and other third-party payersfees for all reimbursable emergency health care services provided at the Facilities; it being understood, that ER, in ER's sole discretion, shall establish the fees for all reimbursable emergency health care services provided at the Facilities. The Ambulance All billing and collections will be made under Hospital's hospital license and/or provider number. In connection with this Section 3.11 and throughout the Term, Hospital hereby grants a. special power of attorney to and appoints EMR for the term hereof to be their ER as Hospital's true and lawful agentagent and attorney-infact, and ER hereby accepts such special. power of attorney and appointment, for the following purposes: (i) To bill 3.11.1 Subject to the limitations of this section or as otherwise limited by applicable law, to ▇▇▇▇ Hospital's patients at the Facilities in the Hospital's name and provider number of The Ambulance on Hospital's behalf, for reimbursable emergency health care services provided at the Facilities. 3.11.2 To ▇▇▇▇, in Hospital's name and on its Hospital's behalf; , all claims for reimbursement or indemnification from Blue Shield/Blue Cross, Aetna, and all other private insurance providers and third party payors (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iii) To collect and receive payments from insurance companies, excluding Medicare, Medicaid, Tricare and other government payors or their agents) or fiscal intermediaries for covered reimbursable emergency health care services and treatment provided at the Facilities. 3.11.3 To collect and receive, in Hospital's name and on Hospital's behalf, to the extent remitted to ER, all accounts receivable generated by ▇▇▇▇▇▇▇▇ permitted under Section 3.11.2 and claims for reimbursement or indemnification, to take other measures to require the payment of any such accounts and to deposit all amounts collected in the Hospital Account, which account shall be and remain in Hospital's name. Notwithstanding the foregoing, it is contemplated that Hospital shall directly receive payment for reimbursement or indemnification from Blue Shield/Blue Cross, Aetna, and all other third-private insurance providers and third party payers payors (excluding Medicare, Medicaid, Tricare and other government payors or their agents) or fiscal intermediaries for covered reimbursable emergency health care services and treatment provided at the Facilities. In connection herewith, Hospital covenants to promptly deposit in the Hospital Account within two (2) days of receipt, all funds received by Hospital from patients;, insurance providers and other third party payors for emergency health care services and treatment provided at the Facilities. Upon receipt by ER of any funds from patients or third party payors or from Hospital pursuant hereto for emergency health care services and treatment, ER shall deposit same into the Hospital Account; provided, however, that ER shall retain any funds received by patients or third party payors made in over the counter transactions at the Facilities. (iv) 3.11.4 To either work with the Ambulance’s financial institution that receives payments and correspondence from insurance carrierstake custody of, or to actually take possession of and endorse in the name of The AmbulanceHospital, such payment intended for purpose of payment of an ambulance bill, and deposit into the Hospital Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of the accounts receivable for emergency health care services and deposit all monies resulting from treatment provided at the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.Facilities,

Billing and Collection. EMR will provide On behalf of and for the account of PC, Business Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall timely bill and collect all professional and other fees for all Dental Servi▇▇▇ provided by PC, or Dentists employed or otherwise retained by PC. Business Manager shall advise and consult with PC regarding the fees for Dental Services provided by PC; it being understood, however, that PC shall establish the fees to be charged for Dental Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 7.3), PC hereby grants to Business Manager a special power of attorney and appoints EMR for the term hereof to be their Business Manager as PC's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients PC's patients, in the PC's name and provider number of The Ambulance on PC's behalf, for all Dental S▇▇▇▇ces provided by PC to patients. (b) To bill, in PC's name and on its PC's behalf;, all claims for reimbursement o▇ ▇▇demnification from Blue Shield/Blue Cross, insurance companies and all other third party payors or fiscal intermediaries for all covered billable Dental Services provided by PC to patients. (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iiic) To collect and receive payments from insurance companiesin Business Manager's name and for Business Manager's account all accounts receivable of PC purchased by Business Manager, Medicareand to deposit such collections in an account selected by Business Manager and maintained in Business Manager's name. (d) To collect and receive, Medicaidin PC's name and on PC's behalf, all other third-party payers accounts receivable generated by such billings and patients; claims for reimbursement that have not been purchased by ▇▇▇▇▇▇▇s Manager, to administer such accounts including, but not limited to, (i) extending the time of payment of any such accounts for cash, credit or otherwise; (ii) discharging or releasing the obligors of any such accounts; (iii) suing, assigning or selling at a discount such accounts to collection agencies; or (iv) taking other measures to require the payment of any such accounts. (e) To either work deposit all amounts collected under clause (d) above into PC Account which shall be and at all times remain in PC's name. PC covenants to transfer and deliver to Business Manager for deposit into PC Account (or, with respect to accounts receivable purchased by Business Manager, Business Manager's account) all funds received by PC from patients or third party payors for Dental Services. Upon receipt by Business Manager of any funds from patients or third party payors or from PC pursuant hereto for Dental Services, Business Manager shall immediately deposit those that relate to accounts receivable covered by clause (d) above into the Ambulance’s financial institution that receives payments PC Account. Business Manager shall disburse such deposited funds to creditors and correspondence from insurance carriersother persons on behalf of PC, or to actually maintaining records of such receipt and disbursement of funds in accordance with Section 4.9(b). (f) To take possession of and of, endorse in the name of The AmbulancePC, such payment intended for purpose of payment of an ambulance bill, and deposit into the PC Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of for Dental Services that relate to accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account;covered by clause (d) above. (vg) To assist legal Counsel retained by The Ambulancesign checks, only upon prior written authorization from The Ambulancedrafts, with the institution bank notes or other instruments on behalf of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicePC, and to contest adjustments make withdrawals from the PC Account for payments specified in this Management Services Agreement. Upon request of Business Manager, PC shall execute and denials deliver to the financial institution wherein the PC Account is maintained, such additional documents or instruments as may be necessary to evidence or effect the special and limited power of attorney granted to Business Manager by governmental agencies (PC pursuant to this Section 4.8 or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable pursuant to Section 4.9 of this Management Services Agreement. The special and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee limited power of attorney granted herein shall be done coupled with an interest and shall be irrevocable except with Business Manager's written consent. The irrevocable power of attorney shall expire on the later of when this Management Services Agreement has been terminated, when all accounts receivable purchased by Business Manager have been collected, or when all Management Fees due to Business Manager have been paid. If Business Manager assigns this Management Services Agreement in accordance with the direction its terms, then PC shall execute a power of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree attorney in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days favor of the last business day of each month, EMR will provide to The Ambulance a complete written report for assignee including substantially the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monthsame terms set forth in this Section 4.8.

Billing and Collection. EMR will provide On behalf of the Facilities, ER shall establish and maintain credit and billing and accounts receivable collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidpolicies and procedures, and shall use ER's commercially reasonable best efforts to timely b▇▇▇ and collect all .facility and other third-party payersfees for all reimbursable emergency health care services provided at the Facilities; it being understood, that ER, in ER's sole discretion, shall establish the fees for all reimbursable emergency health care services provided at the Facilities. The Ambulance All billing and collections will be made under Hospital's hospital license and/or provider number. In connection with this Section 3.11 and throughout the Term, Hospital hereby grants a. special power of attorney to and appoints EMR for the term hereof to be their ER as Hospital's true and lawful agentagent and attorney-infact, and ER hereby accepts such special. power of attorney and appointment, for the following purposes: (i) To bill 3.11.1 Subject to the limitations of this section or as otherwise limited by applicable law, to b▇▇▇ Hospital's patients at the Facilities in the Hospital's name and provider number of The Ambulance on Hospital's behalf, for reimbursable emergency health care services provided at the Facilities. 3.11.2 To b▇▇▇, in Hospital's name and on its Hospital's behalf; , all claims for reimbursement or indemnification from Blue Shield/Blue Cross, Aetna, and all other private insurance providers and third party payors (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iii) To collect and receive payments from insurance companies, excluding Medicare, Medicaid, Tricare and other government payors or their agents) or fiscal intermediaries for covered reimbursable emergency health care services and treatment provided at the Facilities. 3.11.3 To collect and receive, in Hospital's name and on Hospital's behalf, to the extent remitted to ER, all accounts receivable generated by b▇▇▇▇▇▇▇ permitted under Section 3.11.2 and claims for reimbursement or indemnification, to take other measures to require the payment of any such accounts and to deposit all amounts collected in the Hospital Account, which account shall be and remain in Hospital's name. Notwithstanding the foregoing, it is contemplated that Hospital shall directly receive payment for reimbursement or indemnification from Blue Shield/Blue Cross, Aetna, and all other third-private insurance providers and third party payers payors (excluding Medicare, Medicaid, Tricare and other government payors or their agents) or fiscal intermediaries for covered reimbursable emergency health care services and treatment provided at the Facilities. In connection herewith, Hospital covenants to promptly deposit in the Hospital Account within two (2) days of receipt, all funds received by Hospital from patients;, insurance providers and other third party payors for emergency health care services and treatment provided at the Facilities. Upon receipt by ER of any funds from patients or third party payors or from Hospital pursuant hereto for emergency health care services and treatment, ER shall deposit same into the Hospital Account; provided, however, that ER shall retain any funds received by patients or third party payors made in over the counter transactions at the Facilities. (iv) 3.11.4 To either work with the Ambulance’s financial institution that receives payments and correspondence from insurance carrierstake custody of, or to actually take possession of and endorse in the name of The AmbulanceHospital, such payment intended for purpose of payment of an ambulance bill, and deposit into the Hospital Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of the accounts receivable for emergency health care services and deposit all monies resulting from treatment provided at the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.Facilities,

Billing and Collection. EMR will 3.06-1 Employer shall bill and collect for all professional services rendered by Physician during the term of this Agreement. Physician shall provide billing information required to enable Employer to submit prompt and accounts receivable collection services includingaccurate ▇▇▇▇▇▇▇▇, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaid, and other including all chart documentation required by third-party payerspayors. The Ambulance appoints EMR Physician designates Employer as his/her agent for billing and collection for all professional services (including medical and ancillary service performed by or on his/her behalf) and agrees to execute all powers of attorney, agreements or other instruments which may be required from time to time to give Employer the term hereof fullest authority available to bill and collect on Physician’s behalf from insurers, third-party payors, health maintenance organizations, individual patients, governmental bodies and other payors for professional services. Whenever possible, fees for professional services shall be their true and lawful agentpayable to Employer alone. Notwithstanding the foregoing, for the following purposes: (i) To bill patients in the name and provider number of The Ambulance and on its behalf; (ii) To collect accounts receivable resulting from such billing may pay fees directly to Physician, but any amounts collected in the name of The Ambulance; (iii) To collect and receive payments from insurance companies, Medicare, Medicaid, all other third-party payers and patients; (iv) To either work with the Ambulance’s financial institution that receives payments and correspondence from insurance carriers, Physician or to actually take possession of and endorse in the joint names of Physician and Employer shall be promptly endorsed by Physician to deposit in bank accounts in the sole name of The AmbulanceEmployer. Employer shall develop and implement policies with respect to charity care, minimization of bad debts and referral of accounts for collection and Physician agrees to abide by such payment intended for purpose of payment of an ambulance billpolicies to the extent they comport with applicable law. All fees, any notescompensation, checks, money orders, insurance payments, monies and other instruments things of value received or realized as fees for professional services of Physician under this Agreement, including all revenue generated by Physician through consultations, shall be collected under this section. Physician shall not be entitled to and shall not attempt to encumber the accounts receivables from Medical Services in payment any way, except in favor of Employer or its designee. 3.06-2 Employer shall not be liable to Physician for (i) any decisions made in good faith by Employer relating to the submission of bills, including but not limited to decisions regarding whether a party shall be billed, the identity of the party billed, the amount billed and the degree to which collection will be pursued against a party for failing to remit part or all of the amount billed; or (ii) for any violation of the law by Physician with respect to billing. Physician shall not be liable to Employer for any negligent acts or omissions of Employer’s other employees relating to the submission of bills. Employer shall be responsible for pursuing the collection of accounts receivable in compliance with applicable laws relating thereto. 3.06-3 Fees for professional services shall be established by Employer in accordance with community standards and deposit at a rate which will take into account the ability to pay all monies resulting from costs and expenses related to the operation of the billing program into a bank account registered to The AmbulanceMedical Offices. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with Physician grants Employer the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any serviceexclusive right, and appoints Employer as his/her agent to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payers. (vi) Make adjustments negotiate on Physician’s behalf to provide services for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies health maintenance organizations, preferred provider organizations, other alternative delivery systems, insurers, employers and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreementpayors. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide As an agent on behalf of and for the account of the Practice, Professional Business Manager shall establish and maintain credit and billing and accounts receivable collection services, policies and procedures, and shall use reasonable efforts to timely ▇▇▇▇ and collect all fees for all billable Professional Eye Care Services provided by the Practice, the Professionals or other personnel employed or otherwise retained by the Practice at the Practice Locations. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 6.3), the Practice hereby grants to Professional Business Manager an exclusive special power of attorney and appoints EMR for Professional Business Manager as the term hereof to be their Practice’s exclusive true and lawful agentagent and attorney-in-fact (which shall be deemed revoked in the event of termination for cause by the Practice), and Professional Business Manager hereby accepts such special power of attorney and appointment, for the following purposespurposes to the extent relating to the Practice Locations: (ia) To bill patients ▇▇▇▇ the Practice’s patients, in the Practice’s name and provider using the Practice’s tax identification number of The Ambulance and on its the Practice’s behalf, for all billable Professional Eye Care Services provided by the Practice to patients at the Practice Locations; (iib) To collect accounts receivable resulting from such billing ▇▇▇▇, in the Practice’s name of The Ambulance; (iii) To collect using the Practice’s tax identification number and receive payments on the Practice’s behalf, all claims for reimbursement or indemnification from health maintenance organizations, self-insured employers, insurance companies, Medicare, Medicaid, and all other third-party payers and patientspayors or fiscal intermediaries for all covered billable Professional Eye Care Services provided by the Practice to patients at the Practice Locations; (ivc) To either work with collect and receive, in the AmbulancePractice’s financial institution name and on the Practice’s behalf, all accounts receivable generated by such ▇▇▇▇▇▇▇▇ and claims for reimbursement, to administer such accounts including, but not limited to, extending the time of payment of any such accounts; suing, assigning or selling at a discount such accounts to collection agencies; or taking other measures to require the payment of any such accounts; provided, however, that receives payments the Practice shall review and correspondence from insurance carriersapprove any decision by Professional Business Manager to undertake extraordinary collection measures, such as filing lawsuits, discharging or releasing obligors, or assigning or selling accounts at a discount to actually collection agencies. Professional Business Manager shall act in a professional manner and in compliance with all federal and state fair debt collection practices laws in rendering billing and collection services; (d) To deposit all amounts collected on behalf of the Practice into the Professional Practice Account which shall be and at all times remain in the Practice’s name. The Practice covenants to transfer and deliver to the Professional Practice Account all funds received by the Practice from patients or third-party payors for billable Professional Eye Care Services rendered at the Practice Locations. Upon receipt by Professional Business Manager of any funds from patients or third-party payors or from the Practice pursuant hereto for billable Professional Eye Care Services rendered at the Practice Locations, Professional Business Manager shall immediately deposit the same into the Professional Practice Account. Professional Business Manager shall administer, be responsible for, and be obligated to pay for all Office Expenses; provided, however, that Professional Business Manager shall only be liable for Office Expenses to the extent of funds in the Professional Practice Account. Professional Business Manager shall disburse funds from the Professional Practice Account to creditors and other persons on behalf of the Practice, maintaining records of such receipt and disbursement of funds; (e) To take possession of and of, endorse in the name of The Ambulancethe Practice, such payment intended for purpose of payment of an ambulance bill, and deposit into the Professional Practice Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered Practice relating to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulancethe Practice Locations; EMR will have no access to this bank account;and (vf) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with sign checks on behalf of the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicePractice, and to contest adjustments make withdrawals from the Professional Practice Account, for payments specified in this Agreement. Upon request of Professional Business Manager, the Practice shall execute and denials deliver to the financial institution wherein the Professional Practice Account is maintained, such additional documents or instruments as may be necessary to evidence or effect the special power of attorney granted to Professional Business Manager by governmental agencies (or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by the Practice pursuant to this Section 3.9. The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee special power of attorney granted herein shall be done coupled with an interest and shall be irrevocable except with Professional Business Manager’s written consent, which shall be provided immediately in the event the Professional Business Manager is terminated for cause pursuant to Section 6.2(a) below. The irrevocable power of attorney shall expire when this Agreement has been terminated, all accounts receivable payable to Professional Business Manager pursuant to this Agreement have been collected, and all Management Fees due to Professional Business Manager have been paid. If Professional Business Manager assigns this Agreement in accordance with its terms, the direction Practice shall execute a power of The Ambulance. EMR will not be responsible for initiating any collection procedures to attorney in favor of the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree assignee in a separate written agreementform acceptable to Professional Business Manager. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide On behalf of and for the account of PC, Business Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures approved by PC, and shall timely bill and collect all professional and other fees for all Dental Serv▇▇▇▇ provided by PC, or Dentists employed or otherwise retained by PC. Business Manager shall advise and consult with PC regarding the fees for Dental Services provided by PC; it being understood, however, that PC shall establish the fees to be charged for Dental Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 7.3), PC hereby grants to Business Manager a special power of attorney and appoints EMR for the term hereof to be their Business Manager as PC's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients PC's patients, in the PC's name and provider number of The Ambulance on PC's behalf, for all Dental ▇▇▇▇ices provided by PC to patients. (b) To bill, in PC's name and on its PC's behalf;, all claims for reimbursement ▇▇ ▇ndem nification from Blue Shield/Blue Cross, insurance companies and all other third party payors or fiscal intermediaries for all covered billable Dental Services provided by PC to patients. (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iiic) To collect and receive payments from insurance companiesin Business Manager's name and for Business Manager's account all accounts receivable of PC purchased by Business Manager, Medicareand to deposit such collections in an account selected by Business Manager and maintained in Business Manager's name. (d) To collect and receive, Medicaidin PC's name and on PC's behalf, all other third-party payers accounts receivable generated by such billings and patients; claims for reimbursement that have not been purchased b▇ ▇▇▇▇▇▇ss Manager, to administer such accounts including, but not limited to, (i) extending the time of payment of any such accounts for cash, credit or otherwise; (ii) discharging or releasing the obligors of any such accounts; (iii) suing, assigning or selling at a discount such accounts to collection agencies; or (iv) taking other measures to require the payment of any such accounts. (e) To either work deposit all amounts collected under clause (d) above into PC Account which shall be and at all times remain in PC's name. PC covenants to transfer and deliver to Business Manager for deposit into PC Account (or, with respect to accounts receivable purchased by Business Manager, Business Manager's account) all funds received by PC from patients or third party payors for Dental Services. Upon receipt by Business Manager of any funds from patients or third party payors or from PC pursuant hereto for Dental Services, Business Manager shall immediately deposit those that relate to accounts receivable covered by clause (d) above into the Ambulance’s financial institution that receives payments PC Account. Business Manager shall disburse such deposited funds to creditors and correspondence from insurance carriersother persons on behalf of PC, or to actually maintaining records of such receipt and disbursement of funds in accordance with Section 4.9(b). (f) To take possession of and of, endorse in the name of The AmbulancePC, such payment intended for purpose of payment of an ambulance bill, and deposit into the PC Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of for Dental Services that relate to accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account;covered by clause (d) above. (vg) To assist legal Counsel retained by The Ambulancesign checks, only upon prior written authorization from The Ambulancedrafts, with the institution bank notes or other instruments on behalf of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicePC, and to contest adjustments make withdrawals from the PC Account for payments specified in this Management Services Agreement. Upon request of Business Manager, PC shall execute and denials deliver to the financial institution wherein the PC Account is maintained, such additional documents or instruments as may be neces sary to evidence or effect the special and limited power of attorney granted to Business Manager by governmental agencies (PC pursuant to this Section 4.8 or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable pursuant to Section 4.9 of this Management Services Agreement. The special and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee limited power of attorney granted herein shall be done coupled with an interest and shall be irrevocable except with Business Manager's written consent. The irrevocable power of attorney shall expire on the later of when this Management Services Agreement has been terminated, when all accounts receivable purchased by Business Manager have been collected, or when all Management Fees due to Business Manager have been paid. If Business Manager assigns this Management Services Agreement in accordance with the direction its terms, then PC shall execute a power of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree attorney in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days favor of the last business day of each month, EMR will provide to The Ambulance a complete written report for assignee including substantially the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monthsame terms set forth in this Section 4.8.

Billing and Collection. EMR will provide On behalf of and for the account of ---------------------- PA, Business Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures approved by PA, and shall timely ▇▇▇▇ and collect all professional and other fees for all Dental Services provided by PA, or Dentists employed or otherwise retained by PA. Business Manager shall advise and consult with PA regarding the fees for Dental Services provided by PA; it being understood, however, that PA shall establish the fees to be charged for Dental Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 7.3), PA hereby grants to Business Manager a special power of attorney and appoints EMR for the term hereof to be their Business Manager as PA's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients ▇▇▇▇ PA's patients, in the PA's name and provider number of The Ambulance on PA's behalf, for all Dental Services provided by PA to patients. (b) To ▇▇▇▇, in PA's name and on its PA's behalf;, all claims for reimbursement or indemnification from Blue Shield/Blue Cross, insurance companies and all other third party payors or fiscal intermediaries for all covered billable Dental Services provided by PA to patients. (ii) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iiic) To collect and receive payments from insurance companiesin Business Manager's name and for Business Manager's account all accounts receivable of PA purchased by Business Manager, Medicareand to deposit such collections in an account selected by Business Manager and maintained in Business Manager's name. (d) To collect and receive, Medicaidin PA's name and on PA's behalf, all other third-party payers accounts receivable generated by such ▇▇▇▇▇▇▇▇ and patients; claims for reimbursement that have not been purchased by Business Manager, to administer such accounts including, but not limited to, (i) extending the time of payment of any such accounts for cash, credit or otherwise; (ii) discharging or releasing the obligors of any such accounts; (iii) suing, assigning or selling at a discount such accounts to collection agencies; or (iv) taking other measures to require the payment of any such accounts. (e) To either work deposit all amounts collected under clause (d) above into PA Account which shall be and at all times remain in PA's name. PA covenants to transfer and deliver to Business Manager for deposit into PA Account (or, with respect to accounts receivable purchased by Business Manager, Business Manager's account) all funds received by PA from patients or third party payors for Dental Services. Upon receipt by Business Manager of any funds from patients or third party payors or from PA pursuant hereto for Dental Services, Business Manager shall immediately deposit those that relate to accounts receivable covered by clause (d) above into the Ambulance’s financial institution that receives payments PA Account. Business Manager shall disburse such deposited funds to creditors and correspondence from insurance carriersother persons on behalf of PA, or to actually maintaining records of such receipt and disbursement of funds in accordance with Section 4.9(b). (f) To take possession of and of, endorse in the name of The AmbulancePA, such payment intended for purpose of payment of an ambulance bill, and deposit into the PA Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of for Dental Services that relate to accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account;covered by clause (d) above. (vg) To assist legal Counsel retained by The Ambulancesign checks, only upon prior written authorization from The Ambulancedrafts, with the institution bank notes or other instruments on behalf of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicePA, and to contest adjustments make withdrawals from the PA Account for payments specified in this Management Services Agreement. Upon request of Business Manager, PA shall execute and denials deliver to the financial institution wherein the PA Account is maintained, such additional documents or instruments as may be necessary to evidence or effect the special and limited power of attorney granted to Business Manager by governmental agencies (PA pursuant to this Section 4.8 or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable pursuant to Section 4.9 of this Management Services Agreement. The special and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee limited power of attorney granted herein shall be done coupled with an interest and shall be irrevocable except with Business Manager's written consent. The irrevocable power of attorney shall expire on the later of when this Management Services Agreement has been terminated, when all accounts receivable purchased by Business Manager have been collected, or when all Management Fees due to Business Manager have been paid. If Business Manager assigns this Management Services Agreement in accordance with the direction its terms, then PA shall execute a power of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree attorney in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days favor of the last business day of each month, EMR will provide to The Ambulance a complete written report for assignee including substantially the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monthsame terms set forth in this Section 4.8.

Billing and Collection. EMR will provide billing (a) Administrator shall, on behalf of the PC, assist the PC in establishing collection policies and accounts receivable collection services includingprocedures and shall b▇▇▇ patients, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaid, insurance companies (if any) and other third-party payerspayors (if any) in the name of the PC and collect the professional fees for services rendered by the PC. The Ambulance PC hereby appoints EMR Administrator for the term hereof of this Agreement to be their its true and lawful agentattorney-in-fact, and Administrator accepts such appointment, for the following limited purposes: (i) To bill to b▇▇▇ patients and third party payors in the PC’s name and provider number of The Ambulance and on its behalf; (ii) To to collect accounts receivable resulting from such billing in the PC’s name and to deposit all amounts collected in the PC’s name and on behalf of the PC into the PC Account (as defined in Section 6.3), which shall be and at all times remain in the PC’s name and control. The Ambulance;PC covenants to deposit into, or to transfer and deliver to the Administrator for immediate deposit into, the PC Account all cash received, including patient co-payments, co-insurance and deductibles and accounts receivable. (iii) To collect to contest and receive payments from insurance companiesdefend, Medicareusing legal counsel selected by the PC and reimbursed directly by the PC, Medicaidin any forum, all other third-party payers and patients;any allegation of improper billing practices by the PC or its employees arising out of billing for services provided by Administrator; and (iv) To either work with the Ambulance’s financial institution that receives payments and correspondence from insurance carriers, or to actually take possession of of, and endorse in the name of The Ambulance, such payment intended for purpose of payment the PC (and/or in the name of an ambulance bill, individual Provider) any notes, checks, money orders, insurance payments, orders and other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account;receivable. (vb) To assist The Administrator may not institute legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance the PC to collect any accounts and monies owed to The Ambulancethe PC, to enforce the rights of The Ambulance the PC as a creditor under any contract or in connection with the rendering of any service, . These decisions shall be made by the PC after consultation with the Administrator. The PC shall execute any and all documents required to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payerseffectuate the limited power of attorney granted herein. (vic) Make adjustments for uncollectible accounts in a reasonable Upon request of the Administrator, the PC shall execute and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures deliver to the patient other than written follow up notices financial institution wherein the PC Account (as defined in Section 6.3) is maintained, such additional documents or direct phone calls, unless both Parties otherwise agree in a separate written agreementinstruments as may be necessary to evidence or effect the special and limited power of attorney granted to the Administrator by the PC pursuant to this Section 3.7. (viid) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days power of attorney shall expire on the latest of the last business day date that (i) this Agreement is terminated, (ii) all loan payments due under loans between the Administrator and the PC have been satisfied, or (iii) all Administrative Services Fees as defined in Paragraph 6.1 due to the Administrator have been paid. Notwithstanding anything to the contrary herein, the PC shall have the right to revoke the power of each monthattorney in the event of a termination of this Agreement, EMR will provide but in the event that it does so prior to The Ambulance a complete written report for the preceding calendar month which summarizes all billing producedsatisfaction of the circumstances in subsections (ii) and (iii) of this Paragraph 3.7(d), number then it shall be in default of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monththis Agreement.

Billing and Collection. EMR will provide As an agent on behalf of and for the account of the Practice, Professional Business Manager shall establish and maintain credit and billing and accounts receivable collection services, policies and procedures, and shall use reasonable efforts to timely ▇▇▇▇ and collect all fees for all billable Professional Eye Care Services provided by the Practice, the Professionals or other personnel employed or otherwise retained by the Practice at the EyeMasters Practice Locations. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 6.3), the Practice hereby grants to Professional Business Manager an exclusive special power of attorney and appoints EMR for Professional Business Manager as the term hereof to be their Practice’s exclusive true and lawful agentagent and attorney-in-fact (which shall be deemed revoked in the event of termination for cause by the Practice), and Professional Business Manager hereby accepts such special power of attorney and appointment, for the following purposespurposes to the extent relating to the EyeMasters Practice Locations: (ia) To bill patients ▇▇▇▇ the Practice’s patients, in the Practice’s name and provider using the Practice’s tax identification number of The Ambulance and on its the Practice’s behalf, for all billable Professional Eye Care Services provided by the Practice to patients at the EyeMasters Practice Locations; (iib) To collect accounts receivable resulting from such billing ▇▇▇▇, in the Practice’s name of The Ambulance; (iii) To collect using the Practice’s tax identification number and receive payments on the Practice’s behalf, all claims for reimbursement or indemnification from health maintenance organizations, self-insured employers, insurance companies, Medicare, Medicaid, Medicaid and all other third-party payers and patientspayors or fiscal intermediaries for all covered billable Professional Eye Care Services provided by the Practice to patients at the EyeMasters Practice Locations; (ivc) To either work with collect and receive, in the AmbulancePractice’s financial institution name and on the Practice’s behalf, all accounts receivable generated by such ▇▇▇▇▇▇▇▇ and claims for reimbursement, to administer such accounts including, but not limited to: (i) extending the time of payment of any such accounts; (ii) suing, assigning or selling at a discount such accounts to collection agencies; or (iii) taking other measures to require the payment of any such accounts; provided, however, that receives payments the Practice shall review and correspondence from insurance carriersapprove (which approval shall not be unreasonably withheld) any decision by Professional Business Manager to undertake extraordinary collection measures, such as filing lawsuits, discharging or releasing obligors, or assigning or selling accounts at a discount to actually collection agencies. Professional Business Manager shall act in a professional manner and in compliance with all federal and state fair debt collection practices laws in rendering billing and collection services; (d) To deposit all amounts collected on behalf of the Practice into the Professional Practice Account which shall be and at all times remain in the Practice’s name. The Practice covenants to transfer and deliver to the Professional Practice Account all funds received by the Practice from patients or third-party payors for billable Professional Eye Care Services rendered at the EyeMasters Practice Locations. Upon receipt by Professional Business Manager of any funds from patients or third-party payors or from the Practice pursuant hereto for billable Professional Eye Care Services rendered at the EyeMasters Practice Locations, Professional Business Manager shall immediately deposit the same into the Professional Practice Account. Professional Business Manager shall administer, be responsible for, and be obligated to pay for all Office Expenses; provided, however, that Professional Business Manager shall only be liable for Office Expenses to the extent of funds in the Professional Practice Account. Professional Business Manager shall disburse funds from the Professional Practice Account to creditors and other persons on behalf of the Practice, maintaining records of such receipt and disbursement of funds; (e) To take possession of and of, endorse in the name of The Ambulancethe Practice, such payment intended for purpose of payment of an ambulance bill, and deposit into the Professional Practice Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered Practice relating to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulancethe Practice Locations; EMR will have no access to this bank account;and (vf) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with sign checks on behalf of the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicePractice, and to contest adjustments make withdrawals from the Professional Practice Account, for payments specified in this Agreement. Upon request of Professional Business Manager, the Practice shall execute and denials deliver to the financial institution wherein the Professional Practice Account is maintained, such additional documents or instruments as may be necessary to evidence or effect the special power of attorney granted to Professional Business Manager by governmental agencies (or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by the Practice pursuant to this Section 3.9. The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee special power of attorney granted herein shall be done coupled with an interest and shall be irrevocable except with Professional Business Manager’s written consent. The irrevocable power of attorney shall expire when this Agreement has been terminated, all accounts receivable payable to Professional Business Manager pursuant to this Agreement have been collected, and all Management Fees due to Professional Business Manager have been paid. If Professional Business Manager assigns this Agreement in accordance with its terms, the direction Practice shall execute a power of The Ambulance. EMR will not be responsible for initiating any collection procedures to attorney in favor of the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree assignee in a separate written agreementform acceptable to Professional Business Manager. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide On behalf of and for the account of Vista, Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall be responsible for the billing and collection of all professional and other fees for billable Healthcare Services provided by Vista. Manager shall advise and consult with Vista regarding the fees for Healthcare Services provided by Vista in connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term, Vista hereby grants Manager an irrevocable special power of attorney and appoints EMR for the term hereof to be their Manager as Vista's true and lawful agentagent and attorney-in-fact, and Manager hereby accepts such special power of attorney and appointment, for the following purposes: (i) 3.7.1 To bill patients ▇▇▇ta's patients, in the Vista's name and provider number of The Ambulance on Vista's behalf, for all billable Healthcare Services provided by Vista. 3.7.2 To bill, ▇▇ Vista's name and on its Vista's behalf; (ii) To collect accounts receivable resulting , all claims for reimbursement or indemnification from such billing in the name of The Ambulance; (iii) To collect and receive payments from Blue Shield/Blue Cross, insurance companies, Medicare, Medicaid, and all other third-party payers and patientspayors for all covered billable Healthcare Services provided by Vista; (iv) 3.7.3 To either work with collect and receive, in Vista's name and on Vista's behalf, all accounts receivable generated by such bill▇▇▇▇ ▇▇▇ claims for reimbursement or indemnification, and to deposit all amounts collected into the Ambulance’s financial institution that receives payments Manager/Vista Account, which account shall be maintained at Manager's Expense and correspondence shall be and at all times remain in Manager's name. Vista covenants to transfer and deliver to Manager all funds received by Vista from insurance carrierspatients or third-party payors for Healthcare services. Upon receipt by Manager of any funds from patients or third-party payors or from Vista pursuant hereto for Healthcare Services, or to actually Manager shall immediately deposit same into the Manager/Vista Account; and 3.7.4 To take possession of and of, endorse in the name of The AmbulanceVista, such payment intended for purpose of payment of an ambulance bill, and deposit into the Manager/Vista Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicefor Healthcare Services, and to contest adjustments and denials by governmental agencies (make withdrawals from the Manager/Vista Account for payments of those items designated as Manager or its fiscal intermediaries) as third-party payersVista Expense. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.

Billing and Collection. EMR will provide On behalf of and for the account of Physician Group, Business Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall use Business Manager's reasonable best efforts to timely bill ▇▇▇ collect all professional and other fees for all billable Medical Services provided by Physician Group. Business Manager shall advise and consult with Physician Group regarding the fees for Medical Services provided by Physician Group; it being understood, however, that Physician Group shall establish the fees to be charged for Medical Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in Section 6.3), Physician Group hereby grants to Business Manager an exclusive special power of attorney and appoints EMR for the term hereof to be their Business Manager as Physician Group's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients ▇▇▇sician Group's patients, in the Physician Group's name and provider number of The Ambulance on Physician Group's behalf, for all billable Medical Services provided by Physician Group to patients. (b) To bill, ▇▇ Physician Group's name and on its Physician Group's behalf; (ii) To collect accounts receivable resulting , all claims for reimbursement or from such billing in the name of The Ambulance; (iii) To collect and receive payments from Blue Shield/Blue Cross, insurance companies, Medicare, Medicaid, and all other third-third party payers and payors or fiscal intermediaries for all covered billable Medical Services provided by Physician Group to patients;. (ivc) To either work with collect and receive, in Physician Group's name and on Physician Group's behalf, all accounts receivable generated by such bill▇▇▇▇ ▇▇▇ claims for reimbursement, to administer such accounts including, but not limited to, extending the Ambulance’s financial institution that receives payments and correspondence from insurance carriers, or to actually take possession of and endorse in the name of The Ambulance, such payment intended for purpose time of payment of an ambulance billany such accounts for cash, credit or otherwise; discharging or releasing the obligors of any notessuch accounts; suing, checks, money orders, insurance payments, and assigning or selling at a discount such accounts to collection agencies; or taking other instruments received in measures to require the payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payerssuch accounts. (vid) Make adjustments for uncollectible To deposit into one or more accounts in with a reasonable financial institution selected by Manager and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with Physician Group (the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreement. (vii"Physician Group Account") For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.revenues,

Billing and Collection. EMR will provide billing (i) To the extent permitted by law and accounts receivable collection services includingat PIP’s sole discretion, without limitationPIP shall directly ▇▇▇▇ and collect all patients, billing patients of The Ambulance for services renderedinsurance companies, making claims for reimbursement from Medicare, Medicaid, Managed Care Payors and other third-party payerspayors for all professional interpretation and technical fee charges incurred in connection with services rendered at the PIP Facilities (the “Facility Charges”), but excluding the billing and collection of professional services rendered to the patients of Hill, which will be Group’s sole responsibility. The Ambulance PIP will deposit all collections from Facility Charges directly into the PIP Account. (ii) To the extent required by law or if PIP does not directly ▇▇▇▇ and collect pursuant to Section 3.2(b)(i) above, PIP shall ▇▇▇▇ and collect, in the name of and on behalf of Group, any patients, insurance companies, Managed Care Payors, or other third-party payors for any Facility Charges, except for professional services rendered to the Hill patients, which will be Group’s sole responsibility. PIP will deposit all collections from Facility Charges directly into the Deposit Account. Group hereby appoints EMR PIP for the term hereof of this Agreement to be their its true and lawful agentattorney-in-fact, for the following purposes: (iA) To bill patients to ▇▇▇▇ patients, insurance companies, Managed Care Payors and other third-party payors for all Facility Charges in the Group’s name and provider number of The Ambulance and on its behalf; (iiB) To collect accounts receivable resulting from such billing in the name of The Ambulance; (iii) To collect and to receive payments for Facility Charges on behalf of Group from patients, insurance companies, Medicare, Medicaid, all Managed Care Payors and other third-party payers payors, and patients;to deposit such collections into the Deposit Account; and (ivC) To either work with upon the Ambulance’s financial institution that receives payments and correspondence from insurance carriersprior consent of Group, which consent shall not be unreasonably withheld or delayed, to actually take possession of and endorse in the name of The Ambulance, such payment intended for purpose of payment of an ambulance bill, any notes, checks, money orders, insurance payments, and other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with initiate the institution of legal or administrative proceedings in the name of The Ambulance Group or a Physician Employee to collect any accounts and monies owed to The AmbulanceGroup or the Physician Employee, to enforce the rights of The Ambulance Group or the Physician Employee, as a the case may be, as creditor under any contract or in connection with the rendering of any serviceFacility Charges, and to contest adjustments and denials by governmental agencies (or its their fiscal intermediaries) as third-party payerspayors. (viiii) Make adjustments for uncollectible accounts in a reasonable Group hereby appoints PIP as its true and consistent manner as approved lawful attorney-in-fact to deposit into the Deposit Account all amounts collected by The AmbulancePIP pursuant to this Agreement. All adjustments made Group covenants, and shall cause all Physician Employees and Physician Extender Employees to forward any payments received with respect to any revenues generated from professional supervision and interpretation services and related technical imaging services rendered by Group or any of its Physician Employees and Physician Extender Employees at the PIP Facilities, except for professional courtesies services rendered to the Hill patients, which will be Group’s sole responsibility, to PIP for deposit into the Deposit Account. PIP shall have the right to withdraw funds from the Deposit Account and other activities all owners of the Deposit Account shall execute a revocable standing transfer order (the “Transfer Order”) under which the bank maintaining the Deposit Account shall, on a daily basis, transfer the entire balance of the Deposit Account into the PIP Account; provided, however, that do Group, to the extent PIP is not generate a collectible fee satisfying its payment obligations to Group pursuant to Sections 6.1 and 6.2 below, shall have the right to prevent the transfer from the Deposit Account to the PIP Account of any unpaid Contract Fee owing to Group. In connection with this Agreement, Group hereby assigns and transfers to PIP all rights and interest Group may have to the funds transferred from the Deposit Account into the PIP Account. Group and PIP hereby agree to execute from time to time such documents and instructions as shall be done in accordance required by the bank maintaining the Deposit Account to effectuate the foregoing provisions and to extend or amend such documents and instructions. Any action by Group or its Physician Employees that materially interferes with the direction operation of The Ambulance. EMR this Section 3.2, including, without limitation, any failure to deposit or to have PIP deposit any revenues into the Deposit Account, any withdrawal of any funds from the Deposit Account not authorized by the express terms of this Agreement, or any revocation of or attempt to revoke the Transfer Order (otherwise than upon expiration or termination of this Agreement), will constitute a breach of this Agreement and will entitle PIP, in addition to any other remedies it may have at law or in equity, to seek a court ordered assignment of the rights provided to PIP pursuant to Section 3.2(b)(ii) above; provided, however, that the foregoing is not be responsible for initiating any collection procedures intended to prevent Group, to the patient other than written follow up notices or direct phone callsextent PIP is not satisfying its payment obligations to Group pursuant to Sections 6.1 and 6.2 below, unless both Parties otherwise agree in a separate written agreementfrom preventing the transfer from the Deposit Account to the PIP Account of any unpaid Contract Fee owing to Group. (viiiv) For delinquent accountsGroup shall execute such documents in form and substance as are reasonably necessary to permit PIP to exercise the rights and powers granted to PIP pursuant to this Section 3.2(b). Group shall cooperate with, and only upon The Ambulance's prior written directionat the request of PIP shall provide reasonable assistance to, refer claims to collection agencies and instituting legal proceedings in connection PIP with any bill or claim (viii) Within fifteen (15) days the functions set forth herein. In the performance of the last business day of each monthservices described in this Section 3.2(b), EMR will provide PIP shall use commercially reasonable best efforts to The Ambulance a complete written report for the preceding calendar month which summarizes collect such Facility Charges, and shall comply with all billing producedapplicable Managed Care Contracts and all applicable laws, number of accounts rules and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monthregulations.

Billing and Collection. EMR will i. Manager shall provide all billing and collection services that Manager determines to be necessary or appropriate in connection with the charges resulting from the performance of services by Physician and the Licensed Health Professionals. Specifically, Manager shall prepare patient invoices; input billing information; prepare computerized billing statements and submit bills and claims to patients and third party payors; respond to telephone inquiries from patients and payors concerning their bills; diligently pursue collection of unpaid bills for up to 180 days from the initial billing, and, thereafter; refer such unpaid bills to collection agencies or attorneys for collection, the cost and expense of which shall be borne solely by Physician. Manager shall deposit all payments into the “Operational Account” described in Section 3 below. Manager shall provide monthly and year-to-date reports showing all ▇▇▇▇▇▇▇▇, collections, and accounts receivable collection services including, without limitation, billing patients and the aging of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaid, and other third-party payerssame. ii. The Ambulance Physician hereby appoints EMR Manager for the term hereof to be their of this Agreement as his true and lawful agent, attorney-in-fact for the following purposes: (i) 1. To bill patients ▇▇▇▇ in the Physician’s name and provider number of The Ambulance on his behalf: (a) patients; (b) third party payors and on its behalf;(c) any other persons or entities who are obligated to pay for services performed by Physician and the Licensed Health Professionals. (ii) 2. To collect accounts receivable resulting from such billing in the name of The Ambulance;Physician and on his behalf all charges, fees or other amounts resulting from or related to the professional and ancillary services performed by Physician and the Licensed Health Professionals. (iii) 3. To collect receive all payments arising from the professional and receive payments from insurance companies, Medicare, Medicaid, all other third-party payers ancillary services performed by Physician and patients; (iv) To either work with the Ambulance’s financial institution that receives payments and correspondence from insurance carriers, or to actually Licensed Health Professionals; take possession of and endorse in the name of The AmbulancePhysician all cash, such payment intended for purpose of payment of an ambulance bill, any notes, checks, money orders, insurance payments, payments and any other instruments received in payment as payments of accounts receivable of Physician, however arising. Physician shall immediately forward to Manager any such payments that may come into the possession of Physician or the Licensed Health Professionals. Physician hereby expressly authorizes and grants Manager the right to open any mail or messengered envelopes or packages sent by any Practice patient or third party payor which lists Physician or any Licensed Health Professional as the addressee. Physician agrees that he shall not attempt to stop, hinder, interfere with, re-direct or divert any claims, payments or explanation of benefits, whether submitted or paid in a written form, by facsimile or electronically, during the term of this Agreement or after its expiration. 4. To deposit all monies resulting from “Gross Revenues,” as such term is defined in Section 3.a. below, directly into the operation of the billing program into a bank account registered to The Ambulance. In either caseOperational Account, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account; (v) To assist legal Counsel retained by The Ambulance, only upon prior written authorization from The Ambulance, with the institution of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any service, and to contest adjustments and denials by governmental agencies (or its fiscal intermediaries) as third-party payers. (vi) Make adjustments for uncollectible accounts in a reasonable and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures to the patient other than written follow up notices or direct phone calls, unless both Parties otherwise agree in a separate written agreementSection 3 below. (vii) For delinquent accountsiii. Physician acknowledges and agrees that Manager shall have discretion to compromise, and only upon The Ambulance's prior written directionsettle or write off any amount due from a patient or third party payor, refer claims or determine not to collection agencies and instituting legal proceedings in connection with appeal a denial by any bill third party payor of any claim for payment, for any particular professional service rendered by or claim (viii) Within fifteen (15) days on behalf of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that monthPhysician.

Billing and Collection. EMR will provide On behalf of and for the account of Physician Group, Business Manager shall establish and maintain credit and billing and accounts receivable collection policies and procedures, and shall use Business Manager's reasonable best efforts to timely bill ▇▇▇ collect all professional and other fees for all billable Emergency Department Services provided by Physician Group. Business Manager shall advise and consult with Physician Group regarding the fees for Emergency Department Services provided by Physician Group; it being understood, however, that Physician Group shall establish the fees to be charged for Emergency Department Services and that Business Manager shall have no authority whatsoever with respect to the establishment of such fees. In connection with the billing and collection services including, without limitation, billing patients of The Ambulance for services rendered, making claims for reimbursement from Medicare, Medicaidto be provided hereunder, and other third-party payers. The Ambulance throughout the Term (and thereafter as provided in SECTION 6.3.), Physician Group hereby grants to Business Manager an exclusive special power of attorney and appoints EMR for the term hereof to be their Business Manager as Physician Group's exclusive true and lawful agentagent and attorney-in-fact, and Business Manager hereby accepts such special power of attorney and appointment, for the following purposes: (ia) To bill patients ▇▇▇sician Group's patients, in the Physician Group's name and provider number of The Ambulance on Physician Group's behalf, for all billable Emergency Department Services provided by Physician Group to patients. (b) To bill, ▇▇ Physician Group's name and on its Physician Group's behalf; (ii) To collect accounts receivable resulting , all claims for reimbursement or from such billing in the name of The Ambulance; (iii) To collect and receive payments from Blue Shield/Blue Cross, insurance companies, Medicare, Medicaid, and all other third-third party payers and payors or fiscal intermediaries for all covered billable Emergency Department Services provided by Physician Group to patients;. (ivc) To either work collect and receive, in Physician Group's name and on Physician Group's behalf, all accounts receivable generated by such bill▇▇▇▇ ▇▇▇ claims for reimbursement, to administer such accounts including, but not limited to, extending the time of payment of any such accounts for cash, credit or otherwise; discharging or releasing the obligors of any such accounts; suing, assigning or selling at a discount such accounts to collection agencies; or taking other measures to require the payment of any such accounts. (d) To deposit into one or more accounts with the Ambulance’s a financial institution that receives payments selected by Business Manager (the "Physician Group Account") all revenues, receipts and correspondence accounts receivable collected by Business Manager on behalf of Physician Group. Physician Group covenants to transfer and deliver to Business Manager all funds received by Physician Group from insurance carrierspatients or third party payors for Emergency Department Services. Upon receipt by Business Manager of any funds from patients or third party payors or from Physician Group for Emergency Department Services, or to actually Business Manager shall immediately deposit same into the Physician Group Account. (e) To take possession of and of, endorse in the name of The AmbulancePhysician Group, such payment intended for purpose of payment of an ambulance bill, and deposit into the Physician Group Account any notes, checks, money orders, insurance payments, and any other instruments received in payment of accounts receivable and deposit all monies resulting from the operation of the billing program into a bank account registered to The Ambulance. In either case, Authorized signers of this account are members, officers, or employees of The Ambulance; EMR will have no access to this bank account;for Emergency Department Services. (vf) To assist legal Counsel retained by The Ambulancesign checks, only upon prior written authorization from The Ambulancedrafts, with the institution bank notes or other instruments on behalf of legal or administrative proceedings in the name of The Ambulance to collect any accounts and monies owed to The Ambulance, to enforce the rights of The Ambulance as a creditor under any contract or in connection with the rendering of any servicePhysician Group, and to contest adjustments make withdrawals from the Physician Group Account for the payment of Office Expenses or other costs and denials by governmental agencies (or its fiscal intermediaries) expenses as third-party payers. (vi) Make adjustments for uncollectible accounts specified in a reasonable this Agreement. Upon request of Business Manager, Physician Group shall execute and consistent manner as approved by The Ambulance. All adjustments made for professional courtesies and other activities that do not generate a collectible fee shall be done in accordance with the direction of The Ambulance. EMR will not be responsible for initiating any collection procedures deliver to the patient other than written follow up notices financial institution wherein the Physician Group Account is maintained, such additional instruments as may be necessary to evidence or direct phone calls, unless both Parties otherwise agree in a separate written agreementeffect the special power of attorney granted to Business Manager by Physician Group pursuant to this SECTION 3.7. and SECTION 3.8. of this Agreement. (vii) For delinquent accounts, and only upon The Ambulance's prior written direction, refer claims to collection agencies and instituting legal proceedings in connection with any bill or claim (viii) Within fifteen (15) days of the last business day of each month, EMR will provide to The Ambulance a complete written report for the preceding calendar month which summarizes all billing produced, number of accounts and dollar amounts of accounts collected, number of accounts and dollar amounts outstanding and number of accounts and dollar amounts closed for that month.