4-Exhibit B.pdf

This document is a cost estimate letter from Page, Wolfberg & Wirth, LLC (PWW), an attorneys and consultants firm, addressed to George Speaks, Deputy Director of Public Safety for the City of Columbus, dated August 4, 2025. The letter proposes an annual "Claim Compliance Audit" service for ambulance claims billed on behalf of the city by a third-party revenue cycle management (RCM) company. The audit will cover 50 claims annually, with PWW proposing to bill the third-party RCM company directly while providing audit findings to the City of Columbus.

The proposed cost for this annual audit service is $10,000 for each 50-claim audit, with the price potentially subject to increases across the term of the agreement. PWW indicates that they will bill the third-party RCM company directly for the audit services and will provide a copy of their findings to the City. The letter requests confirmation of the understanding of the arrangement and invites the recipient to request additional information if needed. The document is signed by Daniel J. Pedersen, who is listed as having a direct dial number of 717-620-2683 and an email address of pedersen@pwwemslaw.com.