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AMENDMENT NUMBER 1AMENDMENT NUMBER 1 This Amendment Number 1 dated November 2, 2017 by and between CorVel Healthcare Corporation ("CorVel") and City of Clearwater FL ("Customer"). WHEREAS, CorVel and Customer entered into the Managed Care Services Agreement for Managed Care Services with an effective date of January 1, 2017 ("Services Agreement") pursuant to which CorVel agreed to provide Customer certain managed care services; and WHEREAS, CorVel and Customer each desire to amend the Services Agreement to revise the parties' contractual arrangement; and NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties agree to: Amend Section 8A ("Term") of the Agreement whereby The subsequent renewal term(s) shall not exceed a total of four (4) annual extensions, thus establishing a contract end date of December 31, 2021. All other termination terms remain unchanged. • Amend Exhibit B ("Fees") to the Agreement changing only the Bill Review fee effective January 1.2018 as follows: Bill Review Pricing Per Bill (re -price to FS; EDI to State $6.70 per bill PPO Network and all savings additional to FS Professional Review: Complex Bill Review Nurse Bill Review Enhanced Bill Review (CERiS) 28% of savings 28% of savings 28% of savings 28% of savings • Amend Exhibit B ("Fees") adding the following language for Case Management Billing as follows: Billing and Payments for Case Management. CorVel will invoice Customer monthly for all fees related to the Case Management Services. Billing for Case Management is based on allocated time per activity. Activity is based on ten (10) minute intervals and billed at the next tenth (.10) of an hour. Invoices for the Case Management Services shall be paid through the claims file to CorVel. Invoices will reasonably detail the computation of the fees owed. City of Clearwater Amendment 1 to Managed Care Services Agreement (Bill Review Pricing) 10-16-17 All other terms and conditions of the Services Agreement shall remain in full force and effect. IN WITNESS WHEREOF, CorVel and Customer have caused this Amendment to be executed by the persons authorized to act in their respective names. CITY OF CLEARWATER FL By: By: Print Name: Print Name: Title: Title: CORVELIUTHCr CORPORATION Date Signed: Cts 13.-Ci3 Countersigned: —C(2iOMtM fCr2YtitOl George N. Cretekos Mayor Approved as to form: Assistant City Attorney Date Signed: 1601 CITY OF CLEARWATER, FLORIDA By: W � g. �a- William B. Horne II City Manager City of Clearwater Amendment 1 to Managed Care Services Agreement (Bill Review Pricing) 10-16-17