1. e4e Healthcare Services © e4e – Confidential and Proprietary Comprehensive Solutions for the Healthcare Ecosystem

2. © e4e – Confidential and Proprietary About e4e Our Service Offerings Why e4e?

3. 3 e4e Healthcare Business 3 IT Enabled Services & BPM Offices in 3 Countries 2750 + Employees Globally Work with over 54 Healthcare Clients & 7 Payer Clients Headquartered in Towson, MD, e4e Inc. is a growing, profitable, zero debt and a financially strong company. Our global delivery platform leverages a “right-shore” business model executed from 4 operational centers located in the US, India and Philippines. With over 21 of rich experience, e4e carries a strong heritage of providing end to end Healthcare Services – through our Technology Platforms and Software IP. A cross-border Healthcare Company with proprietary Software Platforms for Revenue Cycle Management, Claims Processing, Audit and Process Automation. Technology agnostic solutions – experience in working with over 30 Provider and multiple Payer Platforms. Expertise in System and Platform Integration – System Interface, Electronic Data Inter-change and Workflow Efficiency. We process over 135 million transactions annually and code/ audit over 30 million charts. HIPAA Compliant systems and processes, e4e is also ISO 9001:2008 Certified, SOC – II and SSAE 16 Type II Compliant Company. © e4e – Confidential and Proprietary

4. Our Vision, Mission & Values e4e Vision e4e Mission e4e Values To be the best-in-class Business Process Management Company in the US Healthcare domain. To build, nurture, and strengthen bridges between our Clients and their Customers, by using legacy and new technologies and to deliver innovative, value-added performance outcomes that directly and positively impact our Client's businesses All about empowered people and a 'can do' attitude. For and because of our Clients. Powered by purposeful innovation, guided by unquestionable integrity. Committed to supporting the communities where we live and work. Driven by our core values of respect, trust, passion and commitment. 4 © e4e – Confidential and Proprietary

5. 5 Geographic Presence Towson MD, USA Chennai India Noida India Bangalore India Manila, Philippines

6. About e4e Our Service Offerings Why e4e? © e4e – Confidential and Proprietary

7. 7 e4e Service Landscape Revenue Cycle Management Patient Access Management Charge Capture including clinical documentation improvement Claims, Remittance & Denial Management Hospital, Physician & Remote Coding HEDIS & DRG Coding Revenue Recovery & A/R Services Charge Integrity & Compliance Solutions Successful EMR driven billing service Dental RCM Payor Services Front End Claims Processing and Management Claims Adjudication and Error Suspense Resolution HCC Coding Services Enrollment Membership and Billing Services Customer Service Mailroom Service Grievance, Appeal & Refund Posting Reports Management Value Added Services Customer Support centers Business Rules Configuration Fraud, Waste & Audit Solutions RAC Response Management Solution for Providers Process Improvement Consulting for Physicians Ancillary Services for Payers Business consulting Analytics Technology Solutions Claims Administration Platform Scheduler Workflow Solutions including OCR ICD 10 Transition Support Document Management System Client Service Portal Member Portal Managed Services - Network & Desktop management

8. Payer Service Offerings © e4e – Confidential and Proprietary 8

9. Value Added Services Consulting Services for Operational Process Improvements Provider & Member Support Call Centers Medical Policy Edits National Correct Coding Initiative Global Surgery Procedure-Gender Add On Codes Diagnosis-Gender Diagnosis-Age Multiple Surgery /Multiple Endoscopy Plan Benefit Configuration Provider Additions Provider Contract Uploading Fee Schedule Maintenance Rule Upload & Validation Pre-Emptive Audit Solutions Front End Edits CMS Audit Support HEDIS, RAPS Chart Audit MRA Chart Review DRG Validation RAC Response Management including Trackers Customer Support Centers RAC Response Management Process Improvement Consulting Ancillary Services Business Rules Configuration 9 © e4e – Confidential and Proprietary

10. Year on year HCC reports ICD-9 codes from claims which have not been submitted to CMS Members with no HCCs Provider HCC analysis RAPS Return file analysis - Error Codes, Rejected records, Duplicate diagnostic clusters, Date of service breakdowns Calculate administrative & hybrid HEDIS® measure calculations Report summary level measure rates by plan & by user defined groups Identify member level gaps in care using detailed reports Create Medicare patient-level detail report Identify trends & potential issues that can affect CMS-HCC assignment & capitated reimbursement. Service highlights include: Review of plans historical utilization data, enrollment data & Medicare benchmark data from CMS & other sources Analysis to identify potential errors or missing diagnoses on medical records Analysis of records review findings for an individual provider Analysis to provide important information to plans regarding potential areas of risk in CMS-HCC assignment Medical Record Review is done to identify those diagnoses that can be reported for risk adjustment. Service highlights includes: Chart reviews to capture substantiated codes not billed by the providers & handled remotely through EMR or Scanned Images Audits conducted by certified coders Review of medical records from all settings Adherence to all official coding rules & CMS guidelines for risk adjustment reporting Compliance reviews of reported HCCs Medical Record Review Services Risk Adjustment Services Medical Risk Adjustment Reports HEDIS Audit 10 Claims Audit Services © e4e – Confidential and Proprietary

11. Velocity CPS- Claims Administration Platform HoCAS – Claims Audit Platform PriceFast – CMS Pricer OCRAss – Claims OCR and Audit Platform Medicare Pricing Module Identify correct allowed amount as per Medicare for all claim types Interface available for loading contracts based on a percentage of Medicare allowed amount Interface capabilities for bulk updating of allowed amount Claims Processing platform used for adjudicating claims Velocity has separate modules for enrollment, OCR, Call management & UM. Modules not priced separately Velocity has in-built CMS pricer, NCCI and LCD edits Velocity has provider and backend interface Canned reports and easy to customize reports provide full view of the business Reduce / eliminate manual entry by using OCR A platform for verification of the output Allow users to generate output in HIPAA complaint 837 Format Built in edits removes errors In-built Audit workflow Customizable queue creation process Self-indexing of images DRG based Coding Audit Platform In-built workflow Web based application Host of system validations, ability to accept custom validations Prompts on possible DRG codes to aid auditors during audit Identifying Dx codes with CC and MCC conditions to locate documentation adequacy for these codes In-built Medicare pricer to identify financial impact on changing the submitted codes Third Party Platforms - EZCap, Power MHS, Diamond, Health Trio, Qiclink Multi Specialty - HMO Plans (include Medicare, Medicaid and self funded plans), Accident Insurance Our Proprietary Software Platforms & IP 11 © e4e – Confidential and Proprietary

12. Technology Agnostic Solutions © e4e – Confidential and Proprietary Epic Cerner Systems IDX Paragon McKesson Meditech Medicare DDE TMHP (Medicaid of Texas) Next Gen Hospital System HMS Hospital System MS4 Hospital System Epic Cerner Systems IDX Paragon McKesson Meditech Medicare DDE TMHP (Medicaid of Texas) Next Gen Hospital System HMS Hospital System MS4 Hospital System 3 M Allscripts and Misys Meditech Cerner Systems Siemens Signature Image Flow/ Image Star e ClinicalWorks GE systems Amicas McKesson QMS Kareo NextGen 3 M Allscripts and Misys Meditech Cerner Systems Siemens Signature Image Flow/ Image Star e ClinicalWorks GE systems Amicas McKesson QMS Kareo NextGen EZCap Power MHS Diamond Health trio EZCap Power MHS Diamond Health trio Hospitals Providers Payers & TPAs Multi - PlatformMulti - Specialty 12 Neurology Gastroenterology Rheumatology Radiology Neurosurgery Emergency Cardiology Birthcare Healthcare Radiology Obstetrics Oncology Physical Therapy Ophthalmology Pain management Rehab therapies Acute Internal Medicines Orthopedics Urgent Care Dentistry Neurology Gastroenterology Rheumatology Radiology Neurosurgery Emergency Cardiology Birthcare Healthcare Radiology Obstetrics Oncology Physical Therapy Ophthalmology Pain management Rehab therapies Acute Internal Medicines Orthopedics Urgent Care Dentistry Acute Care Women’s Health Dialysis Centers Cardio Surgery General Surgery Emergency Department Ambulatory Services Pathology Orthopedics Anesthesiology Nephrology Hospitals Radiology Urgent Care Dentists Acute Care Women’s Health Dialysis Centers Cardio Surgery General Surgery Emergency Department Ambulatory Services Pathology Orthopedics Anesthesiology Nephrology Hospitals Radiology Urgent Care Dentists HMO Plans (include Medicare, Medicaid and self funded plans) Hospitals Providers Payers & TPAs

13. Our Operational Scale 13 © e4e – Confidential and Proprietary $1.3 Billion Paid on Claims $1.3 Billion Paid on Claims 6.4 Million Claims adjudicated 6.4 Million Claims adjudicated $4 Million In Recoveries on Wrong Bills $4 Million In Recoveries on Wrong Bills 2.9 Million Processed Claims entered per annum 2.9 Million Processed Claims entered per annum 0.8+ Million Charts on HCC & HEDIS Abstraction 0.8+ Million Charts on HCC & HEDIS Abstraction 0.5+ Million Members Managed 0.5+ Million Members Managed

14. About e4e Our Service Offerings Why e4e? © e4e – Confidential and Proprietary

15. Our USP 15 © e4e – Confidential and Proprietary

16. Our USP 16 © e4e – Confidential and Proprietary

17. Foundation for Success Data Analytics Optimal Staffing Weekly, Monthly and Quarterly calls Exclusive focus on TAT and revenue collection Tight quality assurance measures HIPAA Compliance Resource Capabilities Transitions Business Excellence Delivery Excellence Governance Infrastructure & Automation Hiring the right people Employee longevity Product and Process Level understanding Contextual Training Periodic Refresher Training opportunities Project Scoping and opportunity identification Analysis on key drivers affecting the Process Cost effective solutions to improve the system Structured approach to execution and delivery Robust Infrastructure for uninterrupted business State of the art delivery solutions In house application development team to customize your solution Powerful Knowledge Management tools Fact based decision making approach Provides transparency & build controls on operations Ensures highest level of Data Integrity, Security & Compliance US relationship Management Managing by Business Goals 17 © e4e – Confidential and Proprietary

18. Why Partner With Us? Our values and commitments of Adaptability, Excellence and Integrity is what will drive the success of this engagement © e4e – Confidential and Proprietary 18 Reduced costs by 40 - 50 % and improve revenues by 15% by outsourcing to e4e. 60%+ Improvement in coding turnaround and reduction in backlogs. Consistent superior service delivery against client SLAs and KPIs. We are flexible and nimble supported by a transitions framework to enable accelerated ramp-up. Scalability & operational flexibility with 20% buffer to enable ramp-ups in short notice. Software platforms and skilled staff to deliver significantly better economies of scale for you. Continuous Process Innovation leveraging Technology. Process Re-engineering with customized automation tools. Complementary Service Offerings

19. Contact Us e4e Healthcare Business Services 502 Washington Avenue, Suite 200, Towson, MD 21204 Tel: +1 (443) 275 1632 e4e Healthcare Business Services Private Limited Unit 1-5-2, Fifth floor, Block A (the Eastern Front Wing), TECCI Park no.285, Old Mahabalipuram Road, Sholinganallur, Chennai 600 119 Tel: +91 44 2268 1240 Fax: +91 44 2268 1244 Toll Free: +1 (877) 559 8176 e4e Healthcare Business Services H33 Sector 63 NOIDA Uttar Pradesh – 201301 Tel : +91120 6746666 Fax :+91120 6746688 e4e Healthcare Business Services Unit No.1303-1304, 13th Floor Prestige Meridian - II #30, M.G. Road Bangalore 560 001 Tel: +91 80 4170 5258 e4e Global Services Philippines Inc. 15th Floor, Fort Legend Building, Bonifacio Global City, Taguig City 1634 © e4e – Confidential and Proprietary 19 Mihir Bhuta Vice President - CRM Mobile : +1 646 431 4540 mihir.bhuta@e4e.com Teresa Crawford Vice President - CRM Mobile: 214-289-9822 teresa.crawford@e4e.com Prakash SJ Sr. Manager – CRM prakash.sj@e4e.com Jason E Quandt AVP – Sales Mobile: 260-414-3373 jason.quandt@e4e.com Marvin Jones GM– Sales marvin.jones@e4e.com Charles Hatfield GM– Sales Mobile: 502-819-9909 (M) Charles.hatfield@e4e.com