Copyright 2013 Renua Medical TM, A Health First Technologies, Inc. Company. All rights reserved.

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Myra Norton
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2 Copyright 2013 Renua Medical TM, A Health First Technologies, Inc. Company. All rights reserved. This document may not be reproduced in whole, or in part, stored in a retrieval system, or transmitted in any form or by any means, whether electronic, mechanical, or other means, without written permission from the copyright holder in advance, except by a reviewer, who may quote brief passages. For general information on our products and services, or to obtain technical support, or to request written permission regarding copyright protection, please contact our office at (888) or us at support@renuamedical.com.

3 I. RM-S Analysis Module... 1 II. Historical & Current E.O.B. s... 7 III. RM 3-D Educational Module i

4 NOTES:

5 Renua Medical TM The RM-S TM is a combination of different technologies simultaneously assessing:» Arterial Stiffness» Autonomic Nervous System» Sudomotor Function» Body Composition 1

RM-S TM Technology Integration: 1 - Photoelectric Plethysmography 2

Pressure Analysis» Non-invasive & easy to use» Less than 10-minutes

Medical device cleared by FDA» Insurance and Medicare reimbursable

It provides key physiological indicators to assist the Healthcare

6 RM-S TM Technology Integration: 1 - Photoelectric Plethysmography 2 - Heart Rate Variability 3 - Galvanic Skin Response 4 - Blood Pressure Analysis» Non-invasive & easy to use» Less than 10-minutes to complete» Valsalva & Orthostatic tests» Operator independent» Medical device cleared by FDA» Insurance and Medicare reimbursable The RM-S TM Analysis System is Fast, Precise, and FDA Cleared. It provides key physiological indicators to assist the Healthcare Professional in the evaluation of their patients risk factors for multiple health conditions. It also saves time in consultation and is a perfect tool for continuous and affordable monitoring of their patients treatment plans.

RM-S TM ANALYSIS RESULTS: All indicators are color coded, and

Sudomotor Function Testing» Heart Rate Variability & Ewing Test»

Damage of the nerve 2 3 4 Nitric Oxide (NO) is reduced which

7 RM-S TM ANALYSIS RESULTS: All indicators are color coded, and can be monitored visit after visit. Sudomotor Function Testing» Heart Rate Variability & Ewing Test» Pulse Wave Analysis Reduce Conductivity / Sweat response: 1 Damage of the nerve Nitric Oxide (NO) is reduced which enduces microcirculation vasoconstriction Sweat gland dysfunction Possible side effects of medication 3

The Future of Healthcare in Your Office! This whole body physiology analyzer allows quick, non-invasive access to the overall health quotient of body systems in a few minutes.

8 The Future of Healthcare in Your Office! This whole body physiology analyzer allows quick, non-invasive access to the overall health quotient of body systems in a few minutes. How using pulse wave analysis, heart rate variability, Ewing test and sudomotor function can benefit your patients... RM-S TM Suggested CPT CODES ANS CPT Codes Early detection allows the doctor to more effectively manage their patients treatment plans, thereby decreasing the risk of disease complications. SpO2% Evaluation CPT Codes Sudomotor CPT Code Why should a Healthcare Professional perform Arterial Stiffness assessments? The pathological state known as endothelial dysfunction is the earliest clinically detectable stage of cardiovascular disease (which includes heart attacks, stroke, and peripheral arterial disease). Arterial Stiffness assessments are strongly recommended by the American Heart Association. Why should a Healthcare Professional perform Autonomic Nervous System assessments? Autonomic Nervous System (ANS) diseases, can sometimes cause autonomic neuropathy which may result in damage to autonomic nerves. ANS damage may disrupt signals between the brain and portions of the autonomic nervous system, such as the heart, blood vessels and sweat glands, resulting in decreased or abnormal performance of one or more involuntary body functions. The Future of Healthcare in Your Office! Why should Healthcare Professionals perform Sudomotor Function assessments? Sympathetic skin response is part of the Autonomic Nervous System (ANS) assessment. It has been proven that long term damage to the Sympathetic C-fiber may cause complications such as peripheral neuropathy, diabetic foot neuropathy or otherwise. Early detection of sudomotor dysfunction is recommended by the American Diabetes Association. 4

CPT/HCPCS Codes Suggested ICD-9 ANS CPT Codes 95921 95924 95943 95921 95924 Testing of Autonomic Nervous System Function; Cardiovagal Innervation (Parasympathetic Function), including 2 or more of

9 CPT/HCPCS Codes Suggested ICD-9 ANS CPT Codes Testing of Autonomic Nervous System Function; Cardiovagal Innervation (Parasympathetic Function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval, valsalva ratio, and 30:15 ratio Testing of Autonomic Nervous System function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt Sudomotor CPT Code Simultaneous, independent, quantitative measures of both parasympathetic function and sympathetic function, based on time-frequency analysis of heart rate variability concurrent with time-frequency analysis of continuous respiratory activity, with mean heart rate and blood pressure measures, during test, paced (deep) breathing, valsalva maneuvers, and head-up postural change Testing of Autonomic Nervous System Function; Sudomotor, including 1 or more of the following: Quantitative Sudomotor Axon Reflex Test (QSART), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potential ICD-9 Codes that support Medical Necessity : : : : : : : 333.0: : : : : : Diabetes with neurological manifestations, Type II or unspecified type, not stated as uncontrolled Diabetes with neurological manifestations, Type I [jeuvenile type], not stated as controlled Diabetes with neurological manifestations, Type II or unspecified type, uncontrolled Diabetes with neurological manifestations, Type I [juvenile type], uncontrolled Amyloidosis, unspecified Familial Mediterranean fever Other amyloidosis Other degenerative diseases of the basal ganglia Idiopathic Peripheral Autonomic Neuropathy, unspecified Other Idiopathic Peripheral Autonomic Neuropathy Reflex Sympathetic Dystrophy unspecified Reflex Sympathetic Dystrophy of the upper limb Reflex Sympathetic Dystrophy of the lower limb : 356.4: 356.8: 356.9: 458.0: 780.2: 780.8: 785.0: Reflex Sympathetic Dystrophy of other specified site Idiopathic progressive polyneuropathy Other specified Idiopathic Peripheral Neuropathy Unspecified Idiopathic Peripheral Neuropathy Orthostatic Hypotension Syncope and collapse Generalized Hyperhidrosis Tachycardia unspecified SpO2% Evaluation CPT Codes Suggested ICD : Hypoxemia 5

10 NOTES: 6

11 Renua Medical TM Historical and Current E.O.B. s 7

12 Medicare Part B Utilization Data for 95921* ANS Parasympathetic 100,000 Annual Procedures / Tests Performed / Denied 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10, Total National Services (all modifiers) Submitted 2011: 96,731 Total Services Denied 2011: 9,962 (10.3%) National Charges Submitted 2011: $14,563, National Average (No Modifier) Fee Submitted 2011: $ National Average (26) Fee Submitted 2011: $ National Average (TC) Fee Submitted 2011: $92.10 National Charges Allowed 2011: $6,773, National Average (No Modifier) Fee Allowed 2011: $81.52 National Average (26) Fee Allowed 2011: $44.16 National Average (TC) Fee Allowed 2011: $33.10 Medicare Part B Utilization Data for 93922* Arterial Stiffness Assessment 800,000 Annual Procedures / Tests Performed / Denied 700, , , , , , , Total National Services (all modifiers) Submitted 2011: 773,945 Total Services Denied 2011: 102,310 (13.2%) National Charges Submitted 2011: $142,780, National Charges Allowed 2011: $55,740, National Average (No Modifier) Fee Submitted 2011: National Average (No Modifier) Fee Allowed 2011: $ $ National Average (26) Fee Submitted 2011: $80.79 National Average (26) Fee Allowed 2011: $12.20 National Average QW) Fee Submitted 2011: $ National Average (TC) Fee Allowed 2011: $0.00 National Average (TC) Fee Submitted 2011: $ National Average (TC) Fee Allowed 2011: $

13 Medicare Part B Utilization Data for 95922* ANS Sympathetic 90,000 Annual Procedures / Tests Performed / Denied 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10, Total National Services (all modifiers) Submitted 2011: 84,895 National Charges Submitted 2011: $13,988, National Average (No Modifier) Fee Submitted 2011: $ National Average (26) Fee Submitted 2011: $ Total Services Denied 2011: 6,880 (8.1%) National Charges Allowed 2011: $7,486, National Average (No Modifier) Fee Allowed 2011: $ National Average (26) Fee Allowed 2011: $47.06 National Average (TC) Fee Submitted 2011: $ National Average (TC) Fee Allowed 2011: $47.86 Medicare Part B Utilization Data for 95923* ANS Sudomotor 8,000 Annual Procedures / Tests Performed / Denied 7,000 6,000 5,000 4,000 3,000 2,000 1, Total National Services (all modifiers) Submitted 2011: 7,712 National Charges Submitted 2011: $1,582, National Average (No Modifier) Fee Submitted 2011: $ National Average (26) Fee Submitted 2011: $ Total Services Denied 2011: 742 (9.6%) National Charges Allowed 2011: $816, National Average (No Modifier) Fee Allowed 2011: $ National Average (26) Fee Allowed 2011: $45.45 National Average (TC) Fee Submitted 2011: $ National Average (TC) Fee Allowed 2011: $

14 NATIONAL GOVERNMENT SERVICE, INC. PO BOX 7111 INDIANAPOLIS, IN. 462O1711 MEDICARE REMITTANCE ADVICE NPI #: O DATE: O1/28/2O13 PAGE: 1 CHECK/EFT #: 8858O4161 REND PROV SERV DATE POS NOS PROC MODS BILLED ALLOWED DEDUCT COINS GRP/RC AMT PROV PD NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO1 MAO O111 O ,59 1OOO.OO OO CO O111 O ,59 5OO.OO 127.O2 O.OO 25.4O CO O O111 O ,59 5OO.OO O.OO 22.6O CO O1 9O O111 O OO.OO 1O5.O9 O.OO 21.O2 CO O7 PT RESP CLAIM TOTALS 25OO.OO OO 1O O.75 4O9.8O ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET 4O9.8O CLAIM INFORMATION FORWARDED TO: NYS DEPARTMENT OF HEALTH NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO1 MA O925 O OO.OO OO CO O O925 O OO.OO O.OO 122.8O CO O O925 O OO.OO O.OO 9.97 CO45 75O O O925 O OO.OO O.19 O.OO O.O4 CO O.15 PT RESP CLAIM TOTALS 26OO.OO 186.6O O.OO O ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET CLAIM INFORMATION FORWARDED TO: EMPIRE BLUE CROSS BLUE SHIELD I NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO1 MAO O111 O ,59 1OOO.OO OO CO O111 O ,59 5OO.OO 127.O2 O.OO 25.4O CO O O111 O ,59 5OO.OO O.OO 22.6O CO O1 9O O111 O OO.OO 1O5.O9 O.OO 21.O2 CO O7 PT RESP CLAIM TOTALS 25OO.OO OO 1O O.75 4O9.8O ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET 4O9.8O CLAIM INFORMATION FORWARDED TO: NYS DEPARTMENT OF HEALTH NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO1 MA O111 O OO.OO O.OO CO O.OO O111 O OO.OO O.91 CO O O111 O OO.OO O.OO CO O111 O OO.OO O.15 O.OO O.O3 CO O.12 PT RESP CLAIM TOTALS 26OO.OO 2O OO ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET CLAIM INFORMATION FORWARDED TO: GHI PPO NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO O1O5 O1O OOO.OO OO 9.69 CO45 18O PT RESP CLAIM TOTALS 2OOO.OO OO O ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO O1O8 O1O OO.OO O.OO CO O.34 PT RESP CLAIM TOTALS 25OO.OO O.OO O.75 11O.34 ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET 11O.34 NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO O1O5 O1O OO.OO 15O OO O.71 CO O1O8 O1O OO.OO O.OO CO PT RESP O1O8 CLAIM TOTALS 5OO.OO OO ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET TOTALS: # OF BILLED ALLOWED DEDUCT COINS TOTAL PROV PD PROV CHECK CLAIMS AMT AMT AMT AMT RC AMT AMT ADJ AMT AMT 7 152OO.OO 2275.O4 735.OO 3O8.OO O4 O.OO 1232.O4

Texas Children s Health Plan PO Box 301011 Houston, TX 77230-1011 Address Service Requeseted 14317 0 5486 AT 0 371 ITHRIVE 2437 BAY AREA BLVD 135 HOUSTON, TX 77058-1514 61 Questions?

15 Texas Children s Health Plan PO Box Houston, TX Address Service Requeseted AT ITHRIVE 2437 BAY AREA BLVD 135 HOUSTON, TX Questions? Please contact Customer Service at Monday - Friday 8:00am - 5:00pm Tax Identification Number: Product: Texas Children s Health Plan-STAR Payment Date: 02/23/2012 Payment Amount: Check Number: Epedite cash flow with e-payments. Sign up today! Texas Children s Health Plan (TCHP) has contracted with Emdeon, a leading provider of revenue and payment cycle solutions to deliver Electronic Funds Transfer (EFT) services! Visit or call and select Option 1 to sign up today. Enrollment for these services is available to you at no additional cost! Explanation of Payment Member Name: NYARKO, AKUA Provider: CHEN, YONGFANG Claim #: 12034E10892 Member #: Provider #: Pat Acct #: NYAAK000 Service Code Modifiers Dates of Service Charged Amount Allowed Amount Non-Covered Amount CoPay Other Insurance Paid /12/ /12/ /12/ /12/ /12/ /12/ /12/ /12/ /12/ /12/ Claim Total Patient Portion: Interest: Refund: Total paid for this claim: Code CC1083 CC903 PRIOR TRANSACTIONS AMOUNT: PAYMENT TO:!"#$%& AMOUNT: '()*+, Code-Description CC1083 Current procedure is incidental to procedure on claim 12024E08313 in history and should not have been billed separately. CC903 Current procedure is incidental to procedure on this claim and should not have been billed separately. Highlighted items are the CPT Codes for the RM-S Module Analysis Payment. 11

16 UNITEDHEALTHCARE SERVICES INC AND ITS AFFILIATES 9900 BREN ROAD MINNETONKA, MN 55343OOOO MEDICARE REMITTANCE ADVICE PROVIDER #: PAGE: CHECK/EFT #: O3/21/2O13 O1/17/2O O4161 REND PROV SERV DATE POS NOS PROC MODS BILLED ALLOWED DEDUCT COINS GRP/RC AMT PROV PD NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN ASG Y MOA MAO1 MA ,59 1OOO.OO O.OO O.OO PR CO O227 O ,59 5OO.OO O.OO O.OO PR3 CO O O227 O ,59 5OO.OO 97.5O O.OO O.OO PR3 CO O227 O OO.OO O.OO O.OO PR3 CO O 4O2.5O OO 6O.66 PT RESP ADJ TO TOTALS: PREV PD CLAIM TOTALS INTEREST 25OO.OO O.OO O.OO O 331.9O LATE FILING CHARGE O.OO NET 331.9O TOTALS: # OF BILLED ALLOWED DEDUCT COINS TOTAL PROV PD PROV CHECK CLAIMS AMT AMT AMT AMT RC AMT AMT ADJ AMT AMT 1 25OO.OO O.OO O.OO O 331.9O O.OO 331.9O 1199SEIU NATIONAL BENEFIT FUND 33O WEST 42ND STRE NEW YORK, NY MEDICARE REMITTANCE ADVICE PROVIDER #: PAGE: CHECK/EFT #: O3/21/2O13 O1/04/2O O4161 REND PROV SERV DATE POS NOS PROC MODS BILLED ALLOWED DEDUCT COINS GRP/RC AMT PROV PD NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN ASG Y MOA MAO1 MA ,59 1OOO.OO O.OO O.OO CO OO 173.OO O ,59 5OO.OO O.OO O.OO CO OO 76.OO O ,59 5OO.OO 97.5O O.OO O.OO CO OO 105.OO O OO.OO O.OO O.OO CO OO 71.OO PT RESP O.OO CLAIM TOTALS 25OO.OO O.OO O.OO 2O75.OO 425.OO ADJ TO TOTALS: PREV PD INTEREST LATE FILING CHARGE O.OO NET 425.OO NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN ASG Y MOA MAO1 MA ,59 1OOO.OO 272.OO O.OO O.OO CO OO 272.OO PT RESP O.OO CLAIM TOTALS 1OOO.OO 272.OO O.OO O.OO 728.OO 272.OO ADJ TO TOTALS: PREV PD INTEREST LATE FILING CHARGE O.OO NET 272.OO TOTALS: # OF BILLED ALLOWED DEDUCT COINS TOTAL PROV PD PROV CHECK CLAIMS AMT AMT AMT AMT RC AMT AMT ADJ AMT AMT 2 35OO.OO 697.OO O.OO O.OO 28O3.OO 697.OO O.OO 697.OO Highlighted items are the CPT Codes for the RM-S Module Analysis Payment. 12

17 PALMETTO GMA POBOX 1416 AUGUSTA, GA 3O9O31416 MEDICARE REMITTANCE ADVICE NPI #: DATE: PAGE: CHECK/EFT #: O O3/O8/2O REND PROV SERV DATE POS NOS PROC MODS BILLED ALLOWED DEDUCT COINS GRP/RC AMT PROV PD NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN ASG Y MOA MAO1 MA O2O8 O2O AQ25 9O.OO 75.7O O.OO CO O 6O O2O8 O2O O O.OO O.OO O.OO 3.OO CO5O 25O.OO O.OO SUB NOS: 1 REM: M25 N O2O8 O2O O.OO 25O.OO O.OO 5O.OO 2OO.OO PT RESP CLAIM TOTALS 59O.OO 325.7O O.OO O 26O.56 ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET 26O.56 CLAIM INFORMATION FORWARDED TO: BLUE SHIELD OF CALIFORNIA NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO1 MAO O215 O AQ25 9O.OO 75.7O 75.7O O.OO CO O O.OO O215 O O O.OO O.OO O.OO O.OO CO45 25O.OO O.OO SUB NOS: 1 REM: M15 N O215 O O.OO 25O.OO 71.3O PT RESP CLAIM TOTALS 39O.OO 325.7O 147.OO O ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET CLAIM INFORMATION FORWARDED TO: CALIFORNIA-MEDICAID NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO1 MAO O2O6 O2O AQ25 9O.OO 75.7O O.OO CO O 6O O2O6 O2O O.OO 25O.OO O.OO 5O.OO 2OO.OO O2O6 O2O O O.OO O.OO O.OO O.OO CO5O 25O.OO O.OO SUB NOS: 1 REM: M15 N115 PT RESP CLAIM TOTALS 59O.OO 325.7O O.OO O 26O.56 ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET 26O.56 CLAIM INFORMATION FORWARDED TO: CALIFORNIA-MEDICAID NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN MOA MAO1 MAO O213 O AQ25 9O.OO 75.7O 71.3O O.88 CO O O213 O O.OO 25O.OO O.OO 5O.OO 2OO.OO PT RESP CLAIM TOTALS 34O.OO 325.7O 71.3O 5O O 2O3.52 ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET 2O3.52 Highlighted items are the CPT Codes for the RM-S Module Analysis Payment. 13

18 PALMETTO GMA POBOX 1416 AUGUSTA, GA 3O9O31416 MEDICARE REMITTANCE ADVICE NPI #: DATE: PAGE: CHECK/EFT #: O O3/21/2O O4161 REND PROV SERV DATE POS NOS PROC MODS BILLED ALLOWED DEDUCT COINS GRP/RC AMT PROV PD NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN ASG Y MOA MAO1 MA O227 O AQ25 12O.OO 11O.97 O.OO CO45 9.O O227 O Q O.OO O.OO O.OO O.OO CO5O 25O.OO O.OO SUB NOS: 1 REM: M25 N O227 O O.OO 25O.OO O.OO 5O.OO 14.3O 2OO.OO O227 O O 93OOO 4O.OO O.OO O.OO O.OO COB15 4O.OO O.OO SUB NOS: 1 REM: M8O O227 O O1 55.OO O.OO 5.43 CO O O227 O O 3641O 2O.OO O.OO O.OO O.OO COB15 2O.OO O.OO SUB NOS: 1 REM: M8O PT RESP CLAIM TOTALS 735.OO 388.1O O.OO O 31O.48 ADJ TO TOTALS: PREV PD INTEREST LATE FILING CHARGE O.OO NET 31O.48 CLAIM INFORMATION FORWARDED TO: CALIFORNIA-MEDICAID NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN ASG Y MOA MAO1 MA O22O O22O AQ25 12O.OO 11O.97 O.OO CO45 9.O O22O O22O QW 15.OO 5.39 O.OO O.OO CO O22O O22O O.OO 25O.OO O.OO 5O.OO 2OO.OO O22O O22O13 11 O O.OO O.OO O.OO O.OO CO5O 25O.OO O.OO SUB NOS: 1 REM: N O22O O22O G5553 O.OO O.OO 3.84 CO45 O.OO O22O O22O G5553 O.OO 2O2.OO O.OO 4O.4O CO45 O.OO O22O O22O G5553 O.OO 2O.35 O.OO 4.O7 CO45 O.OO (937O1) CO O.OO PT RESP 12O.5O CLAIM TOTALS 118O.OO 6O7.93 O.OO 12O.5O ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET CLAIM INFORMATION FORWARDED TO: CALIFORNIA-MEDICAID NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN ASG Y MOA MAO1 MA O218 O AQ25 9O.OO 75.7O 75.7O O.OO CO O O.OO O218 O O.OO 25O.OO 71.3O O218 O O.OO O.OO O.OO O.OO CO5O 25O.OO O.OO SUB NOS: 1 REM: M25 N115 PT RESP CLAIM TOTALS 59O.OO 325.7O 147.OO O ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET CLAIM INFORMATION FORWARDED TO: BLUE CROSS OF CALIFORNIA NAME CSKSIFN, AHKFEKIA HIC RM ACNT ICN ASG Y MOA MAO1 MA O221 O AQ25 12O.OO 11O.97 O.OO CO45 9.O O221 O QW 15.OO 5.39 O.OO O.OO CO O221 O O.OO 25O.OO O.OO 5O.OO 2OO.OO O221 O O O.OO O.OO O.OO O.OO CO5O 25O.OO O.OO SUB NOS: 1 REM: N365 PT RESP CLAIM TOTALS 635.OO O.OO ADJ TO TOTALS: PREV PD INTEREST O.OO LATE FILING CHARGE O.OO NET CLAIM INFORMATION FORWARDED TO: CALIFORNIA-MEDICAID Highlighted items are the CPT Codes for the RM-S Module Analysis Payment. 14

19 Provider Explanation of Benefits PROVIDER NAME PROVIDER NUMBER STATEMENT DATE TAX ID KAISER PERMANENTE /26/ SITE NUMBER CHECK NUMBER 01/26/2013 Detail of Claims PATIENT NAME PATIENT ACCOUNT NUMBER MEMBER ID CONTRACT TYPE LANDON CAGUICLA DDS COMPREHENSIVE Submitted ID Number No Change CLAIM NUMBER 0738DDS 0738DDS Charges Charges Not Allowed Allowed Amount Service Information Procedure Code Service Type/Place 6/OFC Date(s) 01/17/13-01/17/13 No. of Units 1 $ $ $78.32 Submitted Charge $0.00 Payment Calculation Allowed Amount Copayment $ Plan Payment for this Service $63.32 Service Information Procedure Code Service Type/Place 8/OFC Submitted Procedure Code No Change Date(s) 01/17/13-01/17/13 No. of Units 1 Submitted Date(s) No Change $ $ $78.76 Submitted Charge No Change Payment Calculation Allowed Amount Copayment $ Plan Payment for this Service $63.76 Service Information Procedure Code Service Type/Place 8/OFC Submitted Procedure Code No Change Date(s) 01/17/13-01/17/13 No. of Units 1 Submitted Date(s) No Change $ $ $95.67 Submitted Charge No Change Payment Calculation Allowed Amount $95.67 Plan Payment for this Service $95.67 Service Information Procedure Code Service Type/Place 6/OFC Submitted Procedure Code No Change Date(s) 01/17/13-01/17/13 No. of Units 1 Submitted Date(s) No Change $ $ $ Submitted Charge No Change NON-NEGOTIABLE Highlighted items are the CPT Codes for the RM-S Module Analysis Payment. 15

20 Provider Explanation of Benefits Page 4 of 4 PROVIDER NAME PROVIDER NUMBER STATEMENT DATE TAX ID KAISER PERMANENTE /26/ SITE NUMBER CHECK NUMBER 01/26/2013 CLAIM NUMBER CLAIM NUMBER Payment Calculation Allowed Amount $ Plan Payment for this Service $ Service Information Procedure Code Service Type/Place 8/OFC Submitted Procedure Code No Change Date(s) 01/17/13-01/17/13 No. of Units 1 Submitted Date(s) No Change Charges Allowed Charges Not Allowed Amount $1, $ $ Submitted Charge No Change Payment Calculation Allowed Amount $ Plan Payment for this Service Total Patient Responsibility Total Payment for this Claim $ $30.00 $ Empire HealthChoice Assurance, Inc. provides administrive claims payment services only, with no financial risk or obligation with respect to claims. Highlighted items are the CPT Codes for the RM-S Module Analysis Payment. 16

21 Renua Medical TM The RM 3-D TM is a statistical and educational software. Specially designed to help physicians to understand the RM-S TM data and educate patients on their health issues.» Software provides educational 3D modeling features» Statistical off label risk analysis for several diseases» Diet and micro-nutrition advice 17

22 Risks and imbalances are displayed in virtual 3-D modeling. No structural assessments are performed. 18

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27 Statistical risk reduction can be monitored during treatment plan, improving patient compliance. 23

28 A unique and unprecedented integration of multiple technologies in a single medical device. Renua Medical (888) E. William Street, Suite 210 Carson City, Nevada

ANS1 : Sudopath & TM Oxi

ANS1 : Sudopath & TM Oxi Assessment of: Autonomic Nervous System Cardiovascular System Sudomotor Function Endothelial (arterial) Function Clinical Applications: Early Detection of risk for Peripheral Small