myHealth ™ Total Healthcare Database

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

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

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

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

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

6. Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Most Recent Visits & Follow Up Reminders myHealth™ Help LOG OUT PERSONAL PROFILE 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 Occupation: Email: david@gmail.com Mobile #: 917-555-1212 Secondary Insurance PPO Name of Plan: My Id #: 5551313 Policy Type: Family Coverage Group #: 5551212 Deductible: Group Name: XYZ Corp Policy:ACTIVE effective 10/1/09 Primary Insurance PPO Name of Plan: My Id #: 5551313 Policy Type: Family Coverage Group #: 5551212 Deductible: Group Name: ABC 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. About Us Career Contact Privacy Statement Terms of Use CONTINUE myHealth™

7. Reminders Schedules & Appointments Medical History/Retrieval Billing & Insurance Claims Personal Profile Most Recent Visits & Follow Up 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 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. About Us Career Contact Privacy Statement Terms of Use CONTINUE myHealth™

8. Reminders Schedules & Appointments Medical History/Retrieval Most Recent Visits & Follow Up Billing & Insurance Claims Personal Profile myHealth™ Help LOG OUT ADVANCE SORT / SEARCH 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. About Us Career Contact Privacy Statement Terms of Use CONTINUE myHealth™

9. myHealth™ Help LOG OUT SAMPLE OUTPUT - RESULTS WHEN SORTED BY DATE FOR EXAMPLE: SORT ALL VISIT IN 2010 FOR EXAMPLE: SORT ALL VISIT IN 2006 & 2007 BACK CONTINUE About Us Career Contact Privacy Statement Terms of Use myHealth™

10. myHealth™ Help LOG OUT SAMPLE OUTPUT - RESULTS WHEN SORTED BY DOCTOR SORT ALL VISITS BY ADAM SMITH SORT ALL VISITS BY ADAM SMITH & GEORGE KAZAL BACK CONTINUE About Us Career Contact Privacy Statement Terms of Use myHealth™

11. myHealth™ Help LOG OUT SAMPLE OUTPUT - RESULTS WHEN SORTED BY DATE & DOCTOR SORT ALL RECORDS FOR ADAM SMITH & GEORGE KAZAL FOR 2009 BACK CONTINUE About Us Career Contact Privacy Statement Terms of Use myHealth™

12. View Detailed Record Download Summary Schedules & Appointments Medical History/Retrieval Billing & Insurance Claims Personal Profile Most Recent Visits & Follow Up Reminders myHealth™ Help LOG OUT MEDICAL RECORD SUMMARY 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 About Us Career Contact Privacy Statement Terms of Use myHealth™

13. Print Displayed Table Sample Output Screen for common fields – Detailed Medical Records Schedules & Appointments Medical History/Retrieval Billing & Insurance Claims Personal Profile Most Recent Visits & Follow Up Reminders myHealth™ Help LOG OUT 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 About Us Career Contact Privacy Statement Terms of Use myHealth™

14. DESCRIBE YOUR SYMPTOMS myHealth™ Pictures: Upload & Edit Description: (500 words limit) Save File Reminders Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Profile Picture Most Recent Visits & Follow Up Help LOG OUT This illustrates “expandable” menu concept. Request an appointment PPO EMPIRE BC/BS 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 About Us Career Contact Privacy Statement Terms of Use myHealth™

15. Personal Profile Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Reminders Most Recent Visits & Follow Up myHealth™ Help LOG OUT This illustrates “expandable” menu concept. SELECT A DATE 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 About Us Career Contact Privacy Statement Terms of Use

16. myHealth™ Billing & Insurance Claims Medical History/Retrieval Schedules & Appointments Reminders Personal Profile Most Recent Visits & Follow Up Help LOG OUT This illustrates “expandable” menu concept. Choose file to share Doctor Dates Request an appointment Choose file to share Choose a linked doctor Results Request referral Request a refill on current prescription 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 About Us Career Contact Privacy Statement Terms of Use

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