Patient Accounts Receivable for Sale

Sale of Patient Accounts Receivable of Confirmatrix Laboratory, Inc., include all of Seller's records for the Accounts which may include one or more of the following for each Account:

• Name of the Patient;
• Patient contact and location information (e.g., the most current home and work addresses and phone numbers available to Seller and/or its Collecting Agents);
• Social Security number of the Patient or all other responsible parties;
• Collector notes from Seller's system;
• The date of delinquency;
• The exact rate of interest permitted or otherwise authorized by the applicable admissions documents to be assessed or charged;
• The date(s) of service;
• The Current Balance;
• Payment history or records including last pay dates;
• Any repayment terms (promise to pay) or other settlement arrangements that Seller agreed to accept for Accounts including, without limitation, the amounts paid, amounts owed, and due dates;
• The status codes and legend defining such codes, which show or otherwise identify or explain the claim;
• Whether the Account is: (i) currently placed with a Collecting Agent (including their identity); or (ii) otherwise subject to Collection Contracts;
• The name and address of the facility where the services or goods were provided;
• Date of birth of Patient and insured;
• Name of Guarantor;
• Address and phone of each Guarantor;
• Financial class of account;
• Type of service;
• Discharge status;
• Primary, secondary, tertiary insurance name, address and phone;
• Payor (Insurance) code;
• UB92, UB04 or HCFA 1500, as needed;
• Diagnosis Codes;
• Procedure Codes and Dates; and
• DRG (if applicable).