URGENTIQ REVENUE CYCLE MANAGEMENT ADDENDUM

Last Updated: November 4, 2026

This Revenue Cycle Management Addendum (“Addendum”) governs UrgentIQ’s provision of revenue cycle management services to Customer as referenced in an Order Form executed between UrgentIQ Inc. (“UrgentIQ”) and Customer. THIS ADDENDUM IS EFFECTIVE AS OF THE EFFECTIVE DATE OF THE URGENTIQ TERMS OF SERVICE (THE “TERMS OF SERVICE”) OR, IF THE RCM SERVICES ARE ADDED AFTER THAT EFFECTIVE DATE BY AN ORDER FORM, THE EFFECTIVE DATE OF THAT ORDER FORM (IN EITHER CASE, THE “EFFECTIVE DATE”). CAPITALIZED TERMS USED BUT NOT DEFINED HEREIN SHALL HAVE THE MEANINGS GIVEN TO THEM IN THE ORDER FORM OR IN THE TERMS OF SERVICE.

BY EXECUTING AN ORDER FORM THAT INCORPORATES THESE TERMS BY REFERENCE AND/OR OTHERWISE USING THE RCM SERVICES, THE INDIVIDUAL OR ENTITY OBTAINING THE RIGHT TO ACCESS SUCH RCM SERVICES (“CUSTOMER” OR “YOU”) IS AGREEING TO BE BOUND BY AND IS A PARTY TO THIS ADDENDUM. IF THE INDIVIDUAL SIGNING THE ORDER FORM FOR CUSTOMER IS SIGNING ON BEHALF OF A COMPANY OR OTHER LEGAL ENTITY, SUCH INDIVIDUAL REPRESENTS THAT HE OR SHE HAS THE AUTHORITY TO BIND THAT COMPANY OR OTHER LEGAL ENTITY. IF YOU DO NOT AGREE TO BE BOUND BY THESE TERMS, YOU MAY NOT ACCESS OR USE THE RCM SERVICES.

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1. DEFINITIONS.

As used herein, the following terms have the following meanings:

“Billing Information” means all billing and encounter information and documentation for all patients of Customer, including, but not limited to the name of the patient, patient demographics, insurance information (including a copy or scanned copy of insurance cards along with any required referral or authorization information), the date of service, the nature and extent of services provided, the applicable Current Procedural Terminology (CPT) or International Classification of Diseases (ICD) procedure codes and diagnosis codes (including associated modifiers, if applicable), and any supporting medical information that is necessary to obtain payment or reimbursement for services.

“Final Charge Submission Date” means the last day of the third full calendar month following the month in which notice of termination is received. For example, if notice of termination is received on September 30, the Final Charge Submission Date is December 31.

“First Charge Entry Date” means the first date on which UrgentIQ or its subcontractor enters charges on behalf of Customer, as mutually agreed by the parties in writing. The First Charge Entry Date may precede the date on which the RCM Services go live, including where the parties agree that UrgentIQ will enter charges for patient visits that occurred before such go-live date. If the parties do not agree on a First Charge Entry Date, the First Charge Entry Date shall be the date that is 30 days following the Effective Date.

“Law” means any federal or state statute or regulation, subregulatory guidance and binding guidance issued by the Centers for Medicare & Medicaid Services (CMS), a state Medicaid program or any other government health care benefit program, or other policy enforced by a government entity.

“Payor” means any governmental payor (including Medicare, Medicaid, TRICARE, and other federal or state health care programs), commercial health insurer, managed care organization, health maintenance organization, workers’ compensation carrier, or other third party responsible for payment or reimbursement for health care services.

“RCM Services” means the following services:

a. Standard implementation and the establishment of electronic data interchange agreements between Customer and applicable carriers;

b. Customer access to and use of certain UrgentIQ applications hosted by UrgentIQ or a subcontractor;

c. Claims submission, which means the submission of claims (in either electronic or paper format) to Payors and resubmission or processing of any partially or fully denied claims;

d. Accounts receivable management and follow-up for claims aged 30 days or more, including status inquiries with Payors, denial management (research, correction, and resubmission), Payor correspondence and issue resolution, and appeals processing;

e. Payment posting and remittance processing, including posting of payments and adjustments from explanations of benefits (EOBs), electronic remittance advices (ERAs), and 835 transaction files received from Payors, as well as patient payments and cost-sharing amounts provided by Customer;

f. Provision of the following standard month-end reports: accounts receivable summaries, productivity reports for procedures and providers, month-end close report (i.e., charges, payments, adjustments, and standing accounts receivable) and management summary;

g. Periodic updating of the master files of CPT codes and ICD codes within the relevant programs; and

h. Refund processing, which means processing Customer’s refund to the relevant Payor, either by check or claims reopening or adjudication request, or as otherwise required by the applicable Payor.

“Termination Date” means the last day of the second month following the month in which the Final Charge Submission Date occurs. For example, if the Final Charge Submission Date is December 31, the Termination Date will be February 28.

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2. SERVICES.

Customer hereby appoints and authorizes UrgentIQ as Customer’s non-exclusive billing agent for the limited purpose of preparing, submitting, correcting, and resubmitting claims for services furnished by Customer; communicating with Payors regarding claims, eligibility, coverage, and payment matters; receiving remittance advice and other claims-related communications; and, to the extent permitted by applicable Law and authorized by Customer, processing payment on Customer’s behalf. Customer retains sole responsibility for all clinical services, medical necessity determinations, coding decisions, and compliance with applicable billing requirements. Nothing herein shall be construed as granting UrgentIQ authority to practice medicine or exercise clinical judgment on Customer’s behalf.

Subject to Customer’s payment of the Fees, UrgentIQ will provide Customer with RCM Services.

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3. CUSTOMER OBLIGATIONS REGARDING RCM SERVICES.

a. Customer is solely responsible for the accuracy and completeness of any and all Billing Information, whether input by Customer into the applicable software application(s), or provided to UrgentIQ hereunder. Customer represents and warrants that each Billing Information record and other data made available to UrgentIQ is accurate, truthful, and complete.

b. Customer shall only submit, and shall only cause UrgentIQ to submit, claims for reimbursement that Customer believes are true, accurate and complete and for services provided and documented in a manner in accordance with applicable Law and health plan coverage requirements. Customer shall not submit to UrgentIQ or any Payor any data where Customer has knowledge that information on a claim is not supported by the applicable encounter record due to concerns regarding fraud, waste, or abuse.

c. Customer shall comply with applicable Law and official diagnosis and procedure code manuals when assigning CPT and ICD codes to items and services provided to Customer’s patients. Customer retains sole and final authority over all diagnosis and procedure codes listed on any claim and is solely responsible for validating, approving, and submitting such codes. UrgentIQ is not responsible for validating, verifying, or determining the accuracy of Customer’s data or any claim submitted for payment or for detecting or correcting prior errors with regard to Customer’s data or claims data.

d. Customer represents and warrants that it is, and shall remain, in compliance with applicable Law relating to medical coding, billing, and claims submission. Customer agrees to promptly correct and resubmit any Billing Information and claims which UrgentIQ returns due to a compliance-related error.

e. Customer shall promptly notify UrgentIQ in writing if Customer becomes aware that Billing Information submitted to UrgentIQ contained inaccurate or incomplete information.

f. From and after the First Charge Entry Date, Customer shall promptly provide to UrgentIQ: (i) such Billing Information or access to Billing Information as may be requested by UrgentIQ in order to perform the RCM Services hereunder; (ii) such information as may be necessary for UrgentIQ to assist Customer in properly completing electronic data interchange agreements, provided that Customer shall execute all such agreements and UrgentIQ shall not execute any document or agreement on Customer’s behalf; (iii) such information as may be necessary for UrgentIQ to obtain from Payors information regarding claims submitted to such Payors; (iv) access to Payor websites for which Customer has already created logins to check claim statuses and retrieve EOBs, or such information as UrgentIQ may need to create such logins; and (v) reasonable cooperation and assistance in creating logins for Payor websites for which Customer does not have access. Customer shall not take any action that could reasonably be expected to interfere with UrgentIQ’s performance of the RCM Services.

g. Customer shall procure and maintain current National Provider Identifiers and other necessary provider numbers for all Customer’s physicians, nurse practitioners, physician assistants and other professional employees and contractors providing medical or other professional services as necessary to permit billing and enable UrgentIQ to obtain payment or reimbursement from Payors, and Customer will provide UrgentIQ with all such information, and any updates or modifications to such information, within the timeframe reasonably requested by UrgentIQ. Customer will update UrgentIQ periodically on credentialing status of each physician or nurse practitioner with Payors.

h. Customer understands and acknowledges that timely and complete responses by Customer and its providers to requests for information, documentation, signatures, or other action from UrgentIQ or any Payor are required for UrgentIQ to perform credentialing, enrollment, and Payor contracting services. UrgentIQ shall not be responsible or liable for any delay, denial, lapse in participation, loss of reimbursement, or other adverse result to the extent arising from the failure of Customer or any of its providers to respond to any such request in a timely, complete, and accurate manner.

i. Customer shall periodically, and no less frequently than quarterly, perform audits of its providers’ documentation to ensure the accuracy and completeness of the documentation being provided to UrgentIQ for purposes of the RCM Services. Customer shall promptly report to UrgentIQ any findings of noncompliance identified in such audits, and in no event later than five (5) business days after discovery of any finding that may require a claims correction, resubmission, or refund.

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4. PAYMENTS FROM PAYORS AND PATIENTS.

All reimbursements from Payors and patient payments shall be received directly by Customer. Customer shall send all insurance correspondence, EOBs and bank deposit logs (or complete copies of these documents) to UrgentIQ (or its designee) within three (3) days from the receipt of such documents. Customer understands that failure to forward EOBs timely may result in delayed processing of any denials received, failure to submit claims to secondary insurance due to absence of primary EOB, delayed posting of payments, posting and reconciliation errors, and crossing of timely filing limits for primary or secondary insurance. Customer agrees to follow any control procedures implemented by UrgentIQ that are designed to ensure the proper transmission and receipt of such information. Customer shall provide UrgentIQ with audit control figures reflecting all patient visits and payments collected to enable UrgentIQ to reconcile charges and payments posted by UrgentIQ against Customer’s records. If Customer utilizes a lockbox service to receive Payor or patient payments, Customer shall provide UrgentIQ with access to such lockbox to retrieve remittance documents and images. Customer shall forward deposit logs and bank statements to UrgentIQ to facilitate reconciliation of posted payments. If Customer fails to provide such information, UrgentIQ shall have no obligation to reconcile payments beyond the current month and the immediately preceding month.

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5. INDEMNIFICATION.

Customer shall defend, indemnify, and hold harmless UrgentIQ and its affiliates, and its and their respective officers, directors, employees, representatives, contractors, subcontractors, licensors, and assigns (collectively, the “UrgentIQ Indemnitees”) from and against any and all claims, demands, actions, suits, investigations, or proceedings brought by any third party, and any resulting losses, liabilities, damages, judgments, settlements, penalties, fines, costs, and expenses (including reasonable attorneys’ fees and costs of investigation) (collectively, “Losses”), arising out of or relating to:

a. Customer’s failure to pay any fees due hereunder;

b. any negligence, misconduct, act or omission of Customer or its employees, contractors, agents, or representatives that causes or results in UrgentIQ submitting or transmitting any false, inaccurate, or fraudulent claim or information to any Payor or other third party;

c. Customer’s breach of this Addendum or violation of any applicable Law;

d. Customer’s use of the RCM Services in a manner inconsistent with the Documentation, applicable Law, or the terms of this Addendum; or

e. any data, information, records, instructions, or materials provided by or on behalf of Customer, including without limitation any allegation that such materials are inaccurate, incomplete, misleading, or violate applicable Law or the rights of any third party.

Customer shall not settle, compromise, or consent to the entry of any judgment with respect to any claim for which indemnification is sought hereunder without UrgentIQ’s prior written consent, which consent shall not be unreasonably withheld, conditioned, or delayed; provided that UrgentIQ may withhold consent in its sole discretion if any proposed settlement (i) imposes any liability, obligation, or restriction on any UrgentIQ Indemnitee, (ii) requires any admission of fault, wrongdoing, or liability by any UrgentIQ Indemnitee, (iii) does not include a full and unconditional release of all UrgentIQ Indemnitees from all liability arising out of the claim, or (iv) involves any relief other than monetary damages payable in full by Customer.

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6. POST-TERMINATION SUPPORT.

a. Termination. Except as set forth in Section 7(j) (Regulatory and Industry Changes), this Addendum may only be terminated in accordance with the termination provisions set forth in the Terms of Service. Upon any termination or expiration of this Addendum, the provisions of this Section 6 shall govern the parties’ rights and obligations with respect to transition and post-termination of the RCM Services. The Terms of Service shall remain in effect as necessary to support the parties’ rights and obligations in connection with post-termination support through the Termination Date.

b. Termination Window Access. During any termination notice period or transition period agreed between the parties, Customer shall provide UrgentIQ with reasonable access to all documentation, clarifying information, and other materials necessary for UrgentIQ to successfully complete billing or related work. UrgentIQ shall use commercially reasonable efforts to complete all pending claims submissions and follow-up activities during such period.

c. Post-Termination Claims Handling. Following the Termination Date: (i) if Customer is no longer an UrgentIQ customer, UrgentIQ will continue to process claims for services rendered up to ninety (90) days following each patient’s last visit date; (ii) if Customer remains an UrgentIQ customer but no longer uses UrgentIQ for revenue cycle management, UrgentIQ will continue to process claims for services rendered up to ninety (90) days following the last visit date established at the time RCM Services are discontinued. In either case, UrgentIQ will continue to work any appeals or denials received during such period that relate to claims submitted by UrgentIQ, and will submit secondary claims for any primary claims processed by UrgentIQ that receive a primary EOB during such period.

d. Limitations on Support; Post-Termination Cooperation. Except as provided in Section 6(c) above, UrgentIQ shall have no obligation to undertake any requests for additional help, documentation, or data related to any activities performed under this Addendum following the Termination Date; provided, however, that UrgentIQ shall cooperate with Customer in responding to (i) any valid judicial, regulatory, or governmental request from a competent authority, and (ii) any audit, investigation, or inquiry by any Payor or governmental agency relating to claims submitted by UrgentIQ on behalf of Customer during the term of this Addendum. Customer shall reimburse UrgentIQ for its reasonable costs incurred in providing such cooperation, including staff time at UrgentIQ’s then-current hourly rates.

e. Survival. The following provisions shall survive any termination or expiration of this Addendum: Section 3(a), Section 5 (Indemnification), Section 6 (Post-Termination Support), Section 7(f) (Limitation of Liability), and any other provisions that by their nature are intended to survive termination.

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7. MISCELLANEOUS.

a. Compliance with Anti-Assignment Laws. The parties understand, acknowledge and agree that, notwithstanding anything herein to the contrary, neither UrgentIQ, nor any affiliate or agent of UrgentIQ, has the ability to either (i) receive payments of Medicare reimbursement directly from CMS, or (ii) convert any payment of benefits assigned to Customer to UrgentIQ’s, such affiliate’s or such agent’s own use and control without the payment first passing through the control of Customer.

b. Standards, Accreditation, Licensure. Customer shall ensure that it and its licensed professionals meet all licensure, credentialing, enrollment and participation requirements that are a condition to billing any Payor. Without limiting the foregoing, Customer shall ensure that each licensed professional providing services on behalf of Customer maintains an unrestricted license to practice medicine or his or her other profession in the state(s) in which they practice and is not excluded, sanctioned or debarred by any Payor; Customer will inform UrgentIQ immediately of any change in the foregoing.

c. Inspection and Audit Rights. UrgentIQ and its subcontractors shall have the right to audit or inspect and copy the books and records of Customer to ensure compliance with Customer’s obligations under this Addendum. In the event of any investigation, proceeding or litigation involving any governmental entity, Customer shall make available to UrgentIQ for inspection and copying any clinical documentation reasonably necessary for UrgentIQ to respond to, participate in or defend itself in any such investigation, proceeding or litigation.

d. No Referrals; Fair Market Value. The parties agree that no payment or other remuneration that is offered, paid, solicited, or received hereunder is intended to improperly induce any person to (i) make referrals for items or services for which payment may be made in whole or in part under Medicare or other Federal Health Care Programs (as defined in 42 U.S.C. § 1320a-7b(f)); or (ii) purchase, lease, order, or arrange for or recommend purchasing, leasing, or ordering any items or services that may be covered by Federal Health Care Programs. The parties expressly agree and acknowledge that the compensation payable under this Addendum is the result of an arm’s-length negotiation and reflects fair market value for the RCM Services, determined without regard to the value or volume of any referrals or other business between the parties.

e. Call and Conference Recordings. Customer acknowledges and agrees that, in the course of performing the RCM Services, UrgentIQ and its subcontractors may communicate with Customer and its personnel regarding billing, clinical data, and other matters material to the services provided hereunder via telephone, video conference, or other electronic communication methods. UrgentIQ and its subcontractors reserve the right to record any such inbound or outbound communications for purposes of quality assurance, training, dispute resolution, and maintenance of an audit trail documenting instructions, agreements, and information exchanged between the parties. Customer hereby consents, and shall obtain the consent of its employees, agents, and representatives, to the recording of all such communications by UrgentIQ and its subcontractors in connection with the RCM Services.

f. Limitation of Liability. UrgentIQ’s liability under this Addendum is subject to, and counts toward, the limitations and exclusions of liability set forth in the Terms of Service, which shall govern in the event of any conflict. Without limiting the Terms of Service limitations and exclusions, in no event shall UrgentIQ be liable or responsible to Customer (i) for a difference of coding opinion or interpretation between UrgentIQ and any other party, including any Payor, auditor, or consultant; or (ii) for any liability, loss, cost, damages, or expenses incurred by Customer due to its submission of a claim for payment in reliance on UrgentIQ’s RCM Services or its submission of any data based on information provided by or on behalf of Customer.

g. No Guarantee of Credentialing or Contracting Outcomes. Customer acknowledges that the timing and outcome of credentialing, enrollment, recredentialing, and Payor contracting services depend on the policies, decisions, and actions of Payors, which UrgentIQ does not control. UrgentIQ makes no guarantee or warranty that (i) any credentialing, enrollment, or recredentialing application will be approved or completed within any particular timeframe; (ii) any Payor will agree to contract with Customer or add any provider to Customer’s Payor agreements; or (iii) any negotiation or renegotiation of Payor contract terms or rates will be successful or result in any particular terms. UrgentIQ shall have no liability to Customer for any delay, denial, termination, lapse in participation, loss of reimbursement, or other adverse result arising from any Payor’s acts, omissions, policies, or decisions. Fees for such services are earned upon UrgentIQ’s performance and are not contingent on the outcome of any Payor determination.

h. Additional Fees. In addition to the fees set forth in the Order Form, Customer shall pay the following additional fees for the services described below:

• Credit card processing fees - 3% plus $0.30 per transaction
• Paper statement printing and mailing fees - $0.25 per statement + postage
• $75 per provider per month for ongoing credentialing maintenance: includes CAQH maintenance, quarterly attestations, license/DEA/malpractice tracking, Payor roster tracking, recredentialing calendar management, demographic updates, and basic Payor follow-up
• $200 per provider/Payor for recredentialing events (i.e., updates required by a Payor to the information on file for an existing provider who is already in-network with that Payor, including re-credentialing of a provider who has been removed from the Payor’s rolls)
• $300 per provider/Payor for (i) new enrollment or new provider adds, meaning the credentialing of a new provider and association of such provider with Customer’s existing in-network Payor agreement(s), or the first-time in-network enrollment of a new organization; or (ii) new Payor adds, meaning first-time contracting and credentialing with a Payor with which Customer is not currently in-network
• Self-pay at the point of service is not included in the RCM fees set forth in the applicable Order Form; however, patient balances resulting in payment reminders or statements will be included in the calculation of such RCM fees, which are calculated as a percentage of collections as defined in such Order Form.

i. Customer Notification Requirements. Customer shall notify UrgentIQ promptly in writing if any of the following occurs: (i) Customer enters into a Corporate Integrity Agreement with the Office of Inspector General of the Department of Health and Human Services; (ii) Customer’s participation in Medicare, Medicaid, or other federal or state health care programs is threatened or revoked; or (iii) Customer receives any claim, demand, subpoena, civil investigative demand, or inquiry from any governmental agency relating to potential or actual allegations that Customer is in violation of a health care fraud or abuse law that relates to Customer’s documentation, coding, or billing practices.

j. Regulatory and Industry Changes. If, during the term of this Addendum, either UrgentIQ or Customer determines that it is advisable to change UrgentIQ’s RCM Services (i) as a result of changes to applicable Law; (ii) as a result of changes in interpretations or understandings of applicable Law, including regulations, guidance, or opinions issued by CMS (as determined by UrgentIQ or Customer in good faith, based on the advice of its legal counsel); or (iii) as a result of industry developments or changes in industry standards or practices (as determined in good faith by UrgentIQ or Customer), UrgentIQ or Customer shall, to the extent permitted under applicable Law, provide the other party with thirty (30) days’ notice of such changes, and the parties shall negotiate in good faith to amend this Addendum to address the changes, including any fees associated with the performance of RCM Services. Notwithstanding Section 6(a) or any other provision of this Addendum to the contrary, if the parties are unable to agree on such an amendment within a period of ninety (90) days (or such shorter period as may be necessary to comply with the change in Law), either party may terminate this Addendum upon written notice to the other party.