Total Healthcare Database myHealth™ Total Healthcare Database INSURANCE COMPANIES DOCTORS/ PROVIDERS PATIENTS PHARMACISTS Contact Career About Us Privacy Statement Terms of Use

CURRENT USER Secure Login myHealth™ Help LOG OUT INSURANCE COMPANIES DOCTORS/ PROVIDERS PATIENTS PHARMACISTS These “buttons” will be replaced by “tabbed” upper menu bar. The Highlighted Tab will indicate the active user mode. Forgot your username Forgot your password CURRENT USER Secure Login ENTER USERNAME ENTER PASSWORD NEW USER REGISTRATION CREATE USERNAME CREATE PASSWORD Patients News H1N1 Contact Career About Us Privacy Statement Terms of Use

CURRENT USER Secure Login myHealth™ Help LOG OUT INSURANCE COMPANIES DOCTORS/ PROVIDERS PATIENTS PHARMACISTS These “buttons” will be replaced by “tabbed” upper menu bar. The Highlighted Tab will indicate the active user mode. Forgot your username Forgot your password CURRENT USER Secure Login ENTER USERNAME ENTER PASSWORD NEW USER REGISTRATION CREATE USERNAME CREATE PASSWORD Contact Career About Us Privacy Statement Terms of Use

CURRENT USER Secure Login myHealth™ Help LOG OUT INSURANCE COMPANIES DOCTORS/ PROVIDERS PATIENTS PHARMACISTS These “buttons” will be replaced by “tabbed” upper menu bar. The Highlighted Tab will indicate the active user mode. Forgot your username Forgot your password CURRENT USER Secure Login ENTER USERNAME ENTER PASSWORD NEW USER REGISTRATION CREATE USERNAME CREATE PASSWORD Contact Career About Us Privacy Statement Terms of Use

CURRENT USER Secure Login myHealth™ Help LOG OUT INSURANCE COMPANIES DOCTORS/ PROVIDERS PATIENTS PHARMACISTS These “buttons” will be replaced by “tabbed” upper menu bar. The Highlighted Tab will indicate the active user mode. Forgot your username Forgot your password CURRENT USER Secure Login ENTER USERNAME ENTER PASSWORD NEW USER REGISTRATION CREATE USERNAME CREATE PASSWORD Contact Career About Us Privacy Statement Terms of Use

myHealth™ myHealth™ PERSONAL PROFILE Help LOG OUT Contact Career NAME: DAVID MUNIC SSN: 555-55-5555 TELEPHONE: 333-333-3333 ADDRESS: 65 RAILROAD AVE RIDGEFIELD NJ 07657 DOB: 02/29/1967 GENDER: M MARITAL STATUS: MARRIED LANGUAGE: ENGLISH ETHNICITY: EMERGENCY CONTACT: 222-222-2222 RELATIONSHIP TO CONTACT: BROTHER Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Most Recent Visits & Follow Up Reminders Occupation: Email: david@gmail.com Mobile #: 917-555-1212 Policy: ACTIVE effective 10/1/09 PPO Name of Plan: My Id #: 5551313 Policy Type: Family Coverage Group #: 5551212 Deductible: Group Name: ABC Corp Primary Insurance Secondary Insurance PPO Name of Plan: My Id #: 5551313 Policy Type: Family Coverage Group #: 5551212 Deductible: Group Name: XYZ Corp These “buttons” will be replaced by an Expandable/collapsible menu with “+”/”-” signs To indicate expansion. The sub-page that is displayed will be highlighted in the menu. CONTINUE Contact Career About Us Privacy Statement Terms of Use myHealth™

PERSONAL PROFILE – MEDICAL HISTORY myHealth™ Help LOG OUT PERSONAL PROFILE – MEDICAL HISTORY Check all that apply Have you ever had or do you currently have: Heart Disease Diabetes High Blood Pressure Stroke Peripheral Artery Disease Kidney Disease Hepatitis A Hepatitis B Hepatitis C Mononucleosis Stomach Ulcers Acid Reflux Asthma COPD Sleep Apnea STD’s Coronary Artery Disease Ulcerative Colitis Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Most Recent Visits & Follow Up Reminders Occupation: Email: david@gmail.com Mobile #: 917-555-1212 These “buttons” will be replaced by an Expandable/collapsible menu with “+”/”-” signs To indicate expansion. The sub-page that is displayed will be highlighted in the menu. CONTINUE Contact Career About Us Privacy Statement Terms of Use myHealth™

myHealth™ myHealth™ ADVANCE SORT / SEARCH Help LOG OUT Contact Career Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Most Recent Visits & Follow Up Reminders These “buttons” will be replaced by an Expandable/collapsible menu with “+”/”-” signs To indicate expansion. The sub-page that is displayed will be highlighted in the menu. CONTINUE Contact Career About Us Privacy Statement Terms of Use myHealth™

SAMPLE OUTPUT - RESULTS WHEN SORTED BY DATE myHealth™ Help LOG OUT SAMPLE OUTPUT - RESULTS WHEN SORTED BY DATE DATE DOCTORS CHARGES AMT. PAID BY INS BALANCE DUE 1/10/2010 Judeith William 200.00 180.00 20.00 1/3/2010 Sheral Parker 300.00 260.00 40.00 1/25/2010 880.00 800.00 80.00 FOR EXAMPLE: SORT ALL VISIT IN 2010 DATE DOCTORS CHARGES AMT. PAID BY INS BALANCE DUE 3/6/2007 William Cole 200.00 180.00 20.00 2/12/2007 Sheral Parker 500.00 400.00 100.00 5/8/2006 Judeith William 700.00 - 4/10/2006 Neil Bacchus 380.00 12/15/2006 George Kazal 375.00 25.00 FOR EXAMPLE: SORT ALL VISIT IN 2006 & 2007 BACK CONTINUE Contact Career About Us Privacy Statement Terms of Use myHealth™

SAMPLE OUTPUT - RESULTS WHEN SORTED BY DOCTOR myHealth™ Help LOG OUT SAMPLE OUTPUT - RESULTS WHEN SORTED BY DOCTOR DATE DOCTORS CHARGES AMT. PAID BY INS BALANCE DUE 5/5/2009 Adam Smith 700.00 - 10/10/2008 600.00 550.00 50.00 SORT ALL VISITS BY ADAM SMITH DATE DOCTORS CHARGES AMT. PAID BY INS BALANCE DUE 5/5/2009 Adam Smith 700.00 - 10/10/2008 600.00 550.00 50.00 2/3/2009 George Kazal 1,200.00 12/15/2006 400.00 375.00 25.00 SORT ALL VISITS BY ADAM SMITH & GEORGE KAZAL BACK CONTINUE Contact Career About Us Privacy Statement Terms of Use myHealth™

SAMPLE OUTPUT - RESULTS WHEN SORTED BY DATE & DOCTOR myHealth™ Help LOG OUT SAMPLE OUTPUT - RESULTS WHEN SORTED BY DATE & DOCTOR DATE DOCTORS CHARGES AMT. PAID BY INS BALANCE DUE 5/5/2009 Adam Smith 700 - 2/3/2009 George Kazal 1,200.00 SORT ALL RECORDS FOR ADAM SMITH & GEORGE KAZAL FOR 2009 BACK CONTINUE Contact Career About Us Privacy Statement Terms of Use myHealth™

MEDICAL RECORD SUMMARY myHealth™ Help LOG OUT MEDICAL RECORD SUMMARY Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Most Recent Visits & Follow Up Reminders View Detailed Record Download Summary Select For Detailed Record Date of Visit Doctor or Hospital Reason for Visit Patient Cost Total Cost Insurance Claim # These “buttons” will be replaced by an Expandable/collapsible menu with “+”/”-” signs To indicate expansion. The sub-page that is displayed will be highlighted in the menu. CONTINUE Contact Career About Us Privacy Statement Terms of Use myHealth™

DETAILED MEDICAL RECORDS myHealth™ Help LOG OUT DETAILED MEDICAL RECORDS Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Most Recent Visits & Follow Up Reminders Print Displayed Table Date of Visit Doctor or Hospital Reason for Visit Doctor’s Notes (PDF) Prescriptions (PDF) Lab Test (PDF) Image Data (X-Ray, etc.) (TIF) Follow-up Visit (Date) Sample Output Screen for common fields – Detailed Medical Records These “buttons” will be replaced by an Expandable/collapsible menu with “+”/”-” signs To indicate expansion. The sub-page that is displayed will be highlighted in the menu. CONTINUE Contact Career About Us Privacy Statement Terms of Use myHealth™

Request an appointment Request a refill on current prescription myHealth™ Help LOG OUT This illustrates “expandable” menu concept. PPO EMPIRE BC/BS Profile Picture Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments DESCRIBE YOUR SYMPTOMS Pictures: Upload & Edit Description: (500 words limit) Save File Request an appointment Choose file to share Choose a linked doctor Request referral Request a refill on current prescription These “buttons” will be replaced by an Expandable/collapsible menu with “+”/”-” signs To indicate expansion. The sub-page that is displayed will be highlighted in the menu. Most Recent Visits & Follow Up Reminders CONTINUE Contact Career About Us Privacy Statement Terms of Use myHealth™

Request an appointment Request a refill on current prescription myHealth™ Help LOG OUT This illustrates “expandable” menu concept. SELECT A DATE Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Most Recent Visits & Follow Up Reminders Request an appointment Choose file to share Choose a linked doctor Request referral Request a refill on current prescription These “buttons” will be replaced by an Expandable/collapsible menu with “+”/”-” signs To indicate expansion. The sub-page that is displayed will be highlighted in the menu. CONTINUE Contact Career About Us Privacy Statement Terms of Use

Request an appointment Request a refill on current prescription myHealth™ Help LOG OUT This illustrates “expandable” menu concept. Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Most Recent Visits & Follow Up Reminders Request an appointment Choose file to share Choose a linked doctor Request referral Request a refill on current prescription Choose file to share Doctor Dates Results These “buttons” will Launch a pull-down menu to select Both doctors and medical history files To “upload’ to the other doctor. These “buttons” will be replaced by an Expandable/collapsible menu with “+”/”-” signs To indicate expansion. The sub-page that is displayed will be highlighted in the menu. CONTINUE Contact Career About Us Privacy Statement Terms of Use

myHealth™ Contact Name: ID # Email: Tel #: Comments: Help LOG OUT Contact Name: ID # Email: Tel #: Comments: Thank You for your inquiry. A representative will contact you within 24 hours. Contact Career About Us Privacy Statement Terms of Use