CPC Data Processing Medical Billing Services 954 Montgomery Avenue Narberth, PA 19072 Tel (484) 270-8768 * Fax (215) 689-4660 http://www.cpcdata.com INVOICE #:  1556   Sold to: CPC - Internal use Jack Nicholis 242 West 36th Street New York, NY 10018  Invoice Date:        01/01/2010  Client ID:              1a-1a47  Job Number: 1911  Terms:                    Net Cash  Send Type: Email   Contact:  Jane Smith      Tel: 212.213.0877 * Fax: 999-999-0999 * Email: accounting@cpcdata.com

Quantity Description Price Net Amount   Invoice Month of : 01/2010     56.00    EPSDT Claims 0.5000  28.00  7,778.00    GROSS Collections 0.0600  466.68  1.00    Processing Fee 0.5000  0.50  6.00    Certifications 55.0000  330.00  22.00    Postage 0.4400  9.68  1.00    Late Fee 0.5000  0.50  10.00    Patient Statements 0.5000  5.00  1.00    Test Other Line 750.0000  750.00  Total Invoice: $ 1,590.36                                               *** NOTE:

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