-1-

UNITED STATES DISTRICT COURT

DISTRICT OF MICHIGAN

SOUTHERN DIVISION

Case No: 

Erika Ren’’ee Hunter Judge: 

Plaintiff,

vs.

Retrieval-Masters Creditors Bureau, Inc.

aka American Medical Collection Agency

Defendant.

___________ _____________ _/

COMPLAINT AND JURY DEMAND

NOW COMES THE PLAINTIFF, Erika Ren’’ee Hunter, by and through her attorneys, James 

C. Warr & Associates, PLC, and for her Complaint states as follows:

1. Jurisdiction of this Court arises under 28 U.S.C. § 1331 and pursuant to 15 U.S.C. § 1692k(d).

2. This action arises out of Defendant’s violations of the Fair Debt Collection Practices Act, 15 

U.S.C. § 1692 et seq. (“FDCPA”).

3. Venue is proper in this District because the acts and transactions occurred here, Plaintiff resides

here, and Defendants transacts business here.

PARTIES

4. Plaintiff Erika Ren’’ee Hunter is a natural person who resides in Macomb County, Michigan, 

and is a “consumer” as that term is defined by 15 U.S.C. § 1692a(3).

5. Defendant Retrieval-Masters Creditors Bureau, Inc. (aka American Medical Collection Agency)

is a collection agency operating from an address of 4 Westchester Plaza, Suite 110, Elmhurst, 

NY 10523, and is a “debt collector” as that term is defined by 15 U.S.C. § 1692a(6).

FACTUAL ALLEGATIONS

6. On or around October 4, 2013, and October 16, 2013, the Plaintiff incurred financial obligations 

that were primarily for personal, family or household purposes and are therefore “debts” as that 

term is defined by 15 U.S.C. §1692a(5), namely, debts with Quest Diagnostics Incorporated.

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 1 of 25 Pg ID 1
-2-

7. Sometime thereafter, the aforementioned debts were cosigned, placed or otherwise transferred to 

the Defendant for collection from the Plaintiff. (See attached Exhibits A-J.)

8. On or about May 9, 2014, at approximately 3:21 p.m., the Defendant called the Plaintiff. (See 

attached Exhibit K.)

9. The Defendant asked if the Plaintiff was “Erika.”

10. The Plaintiff indicated that she was indeed “Erika.”

11. The Defendant thus knew that the Plaintiff was the consumer.

12. The Defendant asked Plaintiff to verify her address.

13. The Plaintiff refused to verify her address until the Defendant identified itself.

14. The Defendant stated that it needed to verify the Plaintiff’s personal information in order to 

route her to the correct department.

15. The Plaintiff refused to give her address unless the Defendant identified itself.

16. The Plaintiff then terminated the call.

17. At no time did the Defendant make any disclosure of his identity. (The caller sounded male). 

18. At no time did the Defendant indicated that it was a debt collector attempting to collect a debt 

and that all information obtained would be used for that purpose.

19. Upon information and belief, the communication was made in connection with the collection 

of a debt.

20. The Defendant did not reveal the purpose of its communication to the Plaintiff.

21. At 11:49 a.m. on May 9, 2014, the Plaintiff filed a Chapter 7 bankruptcy (In re Erika R. 

Hunter, Chapter 7 bankruptcy case no. 14-48109-tjt, (Bankr. E.D. Mich. 2014)).

22. The call from the Defendants occurred at 3:21 p.m. on May 9, 2014.

23. Therefore this claim is not part of the Plaintiff’s bankruptcy estate because it accrued after the 

filing of the bankruptcy petition.

VIOLATION OF THE FAIR DEBT COLLECTION PRACTICE ACT

24. Plaintiff incorporates by reference paragraphs 1 through 23.

25. The FDCPA, specifically 15 U.S.C. 1692(d)(6), prohibits the placement of telephone calls 

without meaningful disclosure of the caller’s identity.

26. The Defendant failed to make a meaningful disclosure of its identity when it called the 

Plaintiff on May 9, 2014.

27. The FDCPA, specifically 15 U.S.C. 1692e(11), prohibits the failure of a collection agency, in 

any communication with a consumer, to disclose that it is a collection agency attempting to 

collect a debt and that any information obtained will be used for that purpose.

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 2 of 25 Pg ID 2
-3-

28. The Defendant failed to make the disclosure required by 15 U.S.C. 1692e(11) when it called 

the Plaintiff on May 9, 2014.

29. As a result of Defendant’s violations of the FDCPA, Plaintiff is entitled to an award of 

statutory damages, costs, and attorney fees.

DEMAND FOR JURY TRIAL

30. The Plaintiff demands a trial by jury for this action.

WHEREFORE, the Plaintiff prays that this Honorable Court enter judgment in her favor and 

against the Defendant as follows:

a. Statutory damages of $1,000.00 pursuant to the Fair Debt Collection Practices Act;

b. an award for costs and reasonable attorney fees pursuant to 15 U.S.C. §1692k(a)(3); 

and

c. such other relief as might be just and proper.

Respectfully submitted,

 /s/ James C. Warr 

JAMES C. WARR (P47001)

James C. Warr & Associates, PLC

Attorney for Debtor(s)

24500 Northwestern Hwy., Suite 205

Southfield, MI 48075

(248) 357-5860 

attywarr@sbcglobal.net

Dated: 12/16/2014

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 3 of 25 Pg ID 3
UNITED STATES DIS'TzuCT COURT

DISTRICT OF MICHIGAN

SOUTHERN DIVISION

Erika Ren"ee Hunter

Case No:

Judge:

Plaintiff,

vs.

Retrieval-Master's Creditors Bureau. Inc.

aka American Medical Collection Agency

Defendant.

VERIFICATION OF COMPLAINT AND CERTIFICATION

PlaintiffErika Ren"ee Hunter, having first been duly sworn and upon oath, deposes and says as

follows:

l. I am the Plaintiffin this civil proceeding.

2. I have read the above-entitled civil Complaint prepared by *y attorneys and I believe that all of the

facts contained in it are true, to the best of my knowledge, information and belief formed after

reasonable inquiry.

3. I believe that this civil Complaint is well grounded in fact and warranted by existing law or by a

good faith argument for the extension, modification, or reversal of existing law.

4. I believe that this civil Complaint is not interposed for any improper purpose, such as to harass any

Defendant(s), cause unnecessary delay to any Defendant(s), or create a needless increase in the cost

of litigation to any Defbndant(s), named in the Complaint.

5, I have filed this civil Complaint in good faith and solely for the purposes set forth in it.

6. Each and every exhibit I have provided to my attorneys which has been attached to this Complaint is

a true and correct copy ofthe original.

7. Except for clearly indicated redactions made by my attorneys where appropriate, I have not altered,

changed, modified, or fabricated these exhibits, except that some of the attached exhibits may

contain some of my own handwritten notations.

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Erika Ren"ee Hunter

Dated:

Subscribed and sworn to me before

,2014

ry Public, County, Michigan,

Acting in the County of ._____ _

me

NoTA*ilil1'-?f'E5Bfi IGAN

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My Commission Expires:

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2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 4 of 25 Pg ID 4
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Elmsford, NY 10523

)5303 01 01

March 19.2014

Dear Erika Hunter:

We have been authorized to contact you regarding your past due account for laboratory tests ordered by your

physician. The amount due of $193.94 is for laboratory tests performed by Quest Diagnostics. These

services are separate from your physician's fees.

A claim has already been filed with your insurance company, and the balance due represents your copay, coinsurance or deductible. Your response may prevent further collection activity. You may pay us by phone, web

address or mail. We ask that if you are paying by check, make checks payable to American Medical Collection

Agency.

See the reverse side of this lefter for important information about your rights. lf you do not respond, you will be

subject to additional collection efforts, which will include your account being reported to a National Credit Bureau.

COLLECTION AGENCY

Pin Number: (J-4s1

1-800-365-3638

1-914-345-7125

6534130 (PC2)

Detach and return this portion with payment using enclosed envelope.

AccountPay Number: JJ}124S

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AMCA

PO BOX 1235

ELMSFORD, NY 10523-0935

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AMER'CAN TNED'CAL COLLECT'ON AGENCY

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ERIKA HUNTER

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WARREN, Mt48089-5113

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1 794-AMCA-1 38003-66780390-P; 2357 1 0- 1 € 4; 34317 242-1 : 1

SEE REVERSE SIDE FOR IMPORTANT INFORMATION.

Amount Due: $193.94

Service Provider:

Date of Service:

lnvoice Number:

Pin Number:

Name:

Street Address:

City, State Zip:

Quest Diag nostics Incorporated

October 04,2013

lFssas

-2451 Erika Hunter

21054 Gentner St

Warren, M|48089

Exhibit A

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 5 of 25 Pg ID 5
The disclosures below are required by state or federal law. This is not irrtended to be a complete statement of

all rights consumers may have under state and federal law.

"This is an attempt to collect a debt. Any information obtained will be used for that purpose." This communication

is from a debt collector.

Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or

any potlion thereof, this office will assume this debt is valld. lf you notify thls office in writing within 30 days after

receiving this notice, that the debt or any portion thereof is disputed, thii office will: obtain vlrification of the debt

or obtain.a 9opy1 of a judgment and mail you a copy of such judgment or verification. lf you request this office in

writing within 30 days after receiving this notice, this office will provide you with the n-ame and address of the

original creditor, if different from the current creditor.

For California: The state Rosenthal Fair Debt Collection Practices Act and the federal Fair Debt Collection Practices

Act require that, except under unusual circumstances, collectors may not contact you before 8 a.m. or after g

p.m. They may not harass you by using threats of violence or arrest, or by using obscene language. Collectors

may not use false or misleading statements or call you at work if they know or have reason to knowthat you may

not receive personal calls at work. For the most part, collectors may not tell another person, other than youi

attorney, or spouse, about your debt. Collectors may contact another person to confirm your location or enforce

a judgment. For more information about debt collection activities, you may contact the Federal Trade Commission

at 1-877-FTC-HELP or www.ftc.qov. As required by law, you are hereby notified that a negative credit report

reflecting on your credit score may be submitted to a credit reporting agency if you fail to fulfill the terms of your

credit obligations.

State of North Carolina Permit #2087.

New York City Department of Consumer Affairs License Number 0886914

As required by Utah law, you are hereby notified that a negative credit report reflecting on your credit score may

be submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations.

For Massachusetts: NOTICE OF IMPORTANT RIGHTS

YOU HAVE THE RIGHT TO MAKE A WRITTEN OR ORAL REQUEST THAT TELEPHONE CALLS REGARDING

YOUR DEBT NOT BE MADE TO YOU AT YOUR PLACE OF EMPLOYMENT. ANY SUCH ORAL REQUEST

WILL BE VALID FOR ONLY TEN DAYS UNLESS YOU PROVIDE WRITTEN CONFIRMATION OF THE REQUEST

POSTMARKED OR DELIVERED WITHIN SEVEN DAYS OF SUCH REQUEST. YOU MAY TERMINATE THIS

REQUEST BY WRITING TO THE DEBT COLLECTOR.

A Detach along this edge A

and return the bottom portion with your check or money order.

Include your account number, ngme and address on all correspondence.

Thank you for your attention to this matter.

For Colorado:

FOR INFORMATION ABOUT THE COLORADO FAIR DEBT COLLECTION

P RACT I C ES ACT. S E E WWW. CO LO RADOATTORN EYG E N E RAL. GOV/CA

A consumer has the right to request in writing that a debt collector or collection agency cease further

communication with the consumer. A written request to cease communication will not prohibit the debt collector

or collection agency from taking other action authorized by law to collect the debt.

Exhibit A

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 6 of 25 Pg ID 6
)0607 o1o] 01 LC1 452 172 0l

ERIKA HUNTER

21054 GENTNER ST

WARREN, MI4BO89-5113

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AMER'CAN MED'CAL COLLECT'ON AGENCY

4. Westchester Plaza, Building 4

Elmsford. NY 10523 HrrE\

GOLLEGTION AGENCY

Pin Number: lI)2469

1-800-365-3638

1-914-345-7125

6534130 tPC2)

Detach and return thls portion with payment using enclosed envelope.

LC1 A52 146

AMCA

PO BOX 1235

ELMSFORD, NY 10523-0935

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March 26,2014

Dear Erika Hunter:

We have been authorized to contact you regarding your past due account with our client, euest Diagnostics

Incorporated, for-laboratory tests ordered by your physician: These services are separate from your

physician's fees. Our records indicate that your payment has not been received for the following accounts:

Date of Service

10t04t2013

10t04t2013 $59.15

-I15586

-r7273 Your total balance due is $253.09.

The accounts listed above are eligible for credit reporting. Some of your accounts may have already been reported

to a National Credit Bureau.

Please call us to discuss your payment arrangements. lf you do not respond, you will be subject to additional

collection efforts.

tltffirltl

1 794-AMCA-1 38259-67071625-P; 2361 80-1-19: 34347947-1 1

SEE REVERSE SIDE FOR IMPORTANT INFORMATION.

Amount Due' $r53.oe

Service Provider:

Date of Service:

Invoice Number:

Pin Number:

Name:

Street Address:

City, State Zip:

Quest Diagnostics

lncorporated

SEE ABOVE

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Erika Hunter

21054 Gentner St

Warren, M|48089

Account Number

Exhibit B

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 7 of 25 Pg ID 7
The disclosures below are required by state or federal law. This is not intended to be a complete statemerrt of

all rights consumers may have under state and federal law.

"This is an attempt to collect a debt. Any information obtained will be used for that purpose." This communication

is from a debt collector.

Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or

any portion thereof, this office will assume this debt is valid. lf you notify thls office in writing within 30 days after

receiving this notice, that the debt or any portion thereof is disfuted, thib office will: obtain vlrification of the debt

or obtain,a copy of a judgment and mail you a copy of such judgment or verification. lf you request this office in

writing within 30 days after receiving this notice, this office will provide you with the n-ame and address of the

odginal creditor, if different from the current creditor.

For California: The state Rosenthal Fair Debt Collection Practices Act and'the federal Fair Debt Collection Practices

Act require that, except under unusual circumstances, collectors may not contact you before 8 a.m. or after 9

p.m. They may not harass you by using threats of violence or arrest, or by using obscene language. Collectors

may not use false or misleading statements or call you at work if they know or have reason to know that you may

not receive personal calls at work. For the most part, collectors may not tell another person, other tnan your

attorney, or spouse, about your debt. Collectors may contact another person to confirm your location or enforce

a judgment. For more information about debt collection activities, you may contact the Federal Trade Commission

at 1-877-FTC-HELP or www.ftc.gov. As required by law, you are hereby notified that a negative credit report

reflecting on your credit score may be submitted to a credit reporting agency if you fail to fulfill the terms of your

credit obligations.

State of North Carolina Permit #2087.

New York City Department of Consumer Affairs License Number 0886914

As required by Utah law, you are hereby notified that a negative credit report reflecting on your credit score may

be submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations.

For Massachusetts: NOTICE OF IMPORTANT RIGHTS

YOU HAVE THE RIGHT TO MAKE A WRITTEN OR ORAL REQUEST THAT TELEPHONE CALLS REGARDING

YOUR DEBT NOT BE MADE TO YOU AT YOUR PLACE OF EMPLOYMENT. ANY SUCH ORAL REQUEST

WILL BE VALID FOR ONLY TEN DAYS UNLESS YOU PROVIDE WRITTEN CONFIRMATION OF THE REQUEST

POSTMARKED OR DELIVERED WITHIN SEVEN DAYS OF SUCH REQUEST. YOU MAY TERMINATE THIS

REQUEST BY WRITING TO THE DEBT COLLECTOR.

A Detach along this edge A

and return the bottom portion with your check or money order.

InclUde 

'/our 

account mnrber, name and address on all correspondence.

Thank you for your attention to this matter.

For Colorado:

FOR INFORMATION ABOUT THE COLORADO FAIR DEBT COLLECTION

PRACT I CES ACT, S EE WWW. COLO RADOATTO RN EYG E N E RAL. GOV/CA

A consumer has the right to request in writing that a debt collector or collection agency cease further

communication with the consumer. A written request to cease communication will not prohibit the debt collector

or collection agency from taking other action authorized by law to collect the debt.

Exhibit B

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 8 of 25 Pg ID 8
ffi

02184 0101

AMER.TCAN MEDICAL COLLECT'ON AGENCY

4Westchester Plaza, Building 4

Elmsford, NY 10523

01 LC1 452 172 0007566

ERIKA HUNTER

21054 GENTNER ST

WARREN, Mt48089-5113

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1 794-AMCA-1 38891 -67863066-P; 23761 9-1 -1 8; 34402956-1 : 1

SEE REVERSE SIDE FOR IMPORTANT INFORMATION.

Amount Due' $s69.81

AME\

COLTECTION AGENCY

Prn Numoer: 1D2+69

1-800-365-3638

1-914-345-7125

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April 09, 2014

Dear Erika Hunter:

We have been authorized to contact you regarding your past due account with our client, Quest Diagnostics

Incorporated; for laboratory tests ordered by your physician. These services are separate from your

physician's fees. Our records indicate that your payment has not been received for the following accounts:

Date of Service

10t04t2013

10t04t2013

1011612013

Your total balance due is $369.81.

The accounts listed above are eligible for credit reporting. Some of your accounts may have already been reported

to a National Credit Bureau.

Please call us to discuss your payment arrangements. lf you do not respond, you will be subject to additional

collection efforts.

$59.15

$116.72

6534130 (PC2)

Detach and return this portion with payment using enclosed envelope.

LCI A52 148

AMCA

PO BOX 1235

ELMSFORD, NY 1 0523-0935

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Service Provider:

Date of Service:

Invoice Number:

Pin Nurnber:

Name:

Street Address:

City, State Zip:

Quest Diagnostics

Incorporated

SEE ABOVE

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Erika Hunter

21054 Gentner St

Warren, Ml480Bg

Account Number

A5e3h10I00075bb++++++++J

Exhibit C

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 9 of 25 Pg ID 9
The disclosures below are required by state or federal law. This is not intended to be a complefe statement of all rights consumers may have under state and federal law,

"This is an attempt to collect a debt. Any information obtained will be used for that purpose." This communication

is from a debt collector.

Unless you notify this office within 30 days after receiving this notice that you dispute the validity of this debt or

any portion thereof, this office will assume this debt is valid, lf you notify thls officd in writing within 30 days after receiving this notice, that the debt or any portion thereof is disputed, this office will: obtain vlrification of the debt

or o_btain a copy of a judgment and mail you a copy of such judgment or verification. lf you request this office in

writing within 30 days after receiving this notice, this office wiliprovide you with the n-ame and address of the original creditor, if different from the current creditor.

For California: The state Rosenthal Fair Debt Collection Practices Act and the federal Fair Debt Collection practices

Act require that, except under unusual circumstances, collectors may not contact you before 8 a.m. or after 9

p.m' They may not harass y.ou by using threats of violence or arrest, br by using obscene language. Collectors

may not use false or misleading statements or call you at work if they know or have reason to know-that you may

not receive personal calls at work. For the most part, collectors may not tell another person, other than your

attorney, or spouse, about your debt. Collectors may contact another person to confirm your location or enfbrce

a judgment. For more information about debt collection activities, you may contact the Federal Trade Commission

at 1-877-FTC-HELP or www.ftc.gov. As required by law, you are hereby notified that a negative credit report

reflecting on your credit score may be submitted to a credit reporting agehcy if you fail to fulf,rll the terms of your

credit obligations.

State of North Carolina Permit #2087.

New York city Department of consumer Affairs License Number 0886914

As required by Utah law, you are hereby notified that a negative credit report reflecting on your credit score may

be submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations.

For Massachusetts: NOTICE OF IMPORTANT RIGHTS

YOU HAVE THE RIGHT TO MAKE A WRITTEN OR ORAL REQUEST THAT TELEPHONE CALLS REGARDING

YOUR DEBT NOT BE MADE TO YOU AT YOUR PLACE OF EMPLOYMENT. ANY SUCH ORAL REQUEST

WILL BE VALID FOR ONLY TEN DAYS UNLESS YOU PROVIDE WRITTEN CONFIRMATION OF THE REQUEST

POSTMARKED OR DELIVERED WITHIN SEVEN DAYS OF SUCH REQUEST. YOU MAY TERMINATE THIS

REQUEST BY WRITING TO THE DEBT COLLECTOR.

A Detach along this edge A

and return the bottom portion with your check or money order.

Indude your account number, name and address on all correspondence.

Thank you for your attention to this matter.

For Colorado:

FOR INFORMATION ABOUT THE COLORADO FAIR DEBT COLLECTION

PRACT I CES ACT, SEE WWW. COLORADOATTO RN EYG E N E RAL. GOV/CA

A consumer has the right to request in writing that a debt collector or collection agency cease further

communication with the consumer. A written request to cease communication will not prohibit the debt collector

or collection agency from taking other action authorized by law to collect the debt.

Exhibit C

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 10 of 25 Pg ID 10
tal Qrrest Do nor use address bclow: )-r z Dfagrxlstics "o bx73o6

IIET w

! ror,srer. MvoqtrrJ@

-

Laboratory Invoice

For *rulcs not lncluded in your physlclan's bill

voice Number Lab Code

AUM

HUNTER ERIKA HUNTER ERIKA

October 16, 2013

E3S769SHAH.BHANU J

Page 1 of 1

AT 01 074830 404558247 A**3DGT

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AUn 22237671 oo2ooo4 JfO+SZ e

HUTITER ERIKA

21054 GENTNER ST

WARREN, I,II 4BOB9" 51 13

n452

Patient Name:

Responsible Party:

Date of Service:

Requested By:

$116.72

-750

For billing inquiries or to pay by phone:

Please have your invoice available for reference.

WEEKDAYS CLOSED 12:3U1:30PM 08:00 AM - 05:00 pM EST

1-80G.67&6754

Fax: 1-24A377-.2773

or visit our website at \tVWW. QU ESTD tAG NOSTT CS " COM/B I LL

Se Habla Espanol 0B:00AM-05:00PM _STR

lf you have Medicare, Railroad Medicare or Medicaid as your primary or secondary insurance, please send us the information - see reverse side

The CPT codes provided are based on AMA guidelines and without regard to specmc payor requirements.

A Please fold and tear along p€rfoElion and emit with payrent in the envelope pbvtded. A

@

Qrest

Diasnostics u

LOG ON NOW. Pay your bill ontine securely at

or call 1,80O-67&6754.

Quest Diagnostics also accepts:

Lab Code: AUM

$116-72

Due Date:Feb.20,2014 Invoice Number: 

-10452 Patient Name: HUNTER ERIKA

If you receivd an explanation of h€'nefits showing your rcsponsibility is less than t/|e

affnunt shown on thls biil, pbase pay the bsser amounL To fuffy resoue your irNobe,

pbase provide a copy of your explanation of funefits- vtsA ffi.@! DEc€vEr

Please make checks payable to euest Diagnostics"

Be surc to include invoice number on your check

f Cnecf here if address tras changed.

Please provide your new address information on the back

Qrest D,?grlos tcs B seves the ight to assign thls re@ivabte to anv ot fts an,ales

MAIL PAYMENTS ONLY TO:

OUEST DIAGNOSTICS

P.O. BOX 740020

CINCINNATI, OH 45274-AO2O

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THIRD NOTIGE

This invoice is for laboratory tests performed at the request of the referring physician- Two prior requests for

payment have been made and according to our records, payment has not been received. Please remit payment

for the amount due immediately. Please do not ignore this notice- Thank you for using our laboratory.

Patient Amount Due:

Tax lD #

$

0 llrrl I q 5 e [ 0 [ ], l, h ? a q 0 l, 3 U I rr I Il 0 u I D u 0 0 D 0 D CI u 0 0 D I

Exhibit D

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 11 of 25 Pg ID 11
I Utilize our Quest Diagnostics website to update your insurance

I information or make a payment at

I ua ryv-quEslprAcNosTtcs.coMrBt LL

I

I Please update your PRIMARY insurance information at

I WWW.OuESTDIAGNOSTICS.COM/BIL-L or comptete the form

I below with all requested information and return in the envelope

I provided. We will submil benefit claims to your Insurance company

I if all required information is provided. Please make sure that the

I Quest Diagnostics address appears in the envelope window.

I

I We participate with many insurance companies. lf you have a

I specific question about your coverage, please contact your

I insurance company representative. You are responsible for all

I deductibles, co-insurance, copays, and any items not paid by your

I

I Insurance.

I

I

I

I

Mail Correspondence / Insurance Information to:

QUEST DIAGNOSTICS

P.O. BOX 74cp.20

crNcrNNAT|. OH 45274{020

(ht6t qrcst D.gnostics, lhc .ssGiabd logo .nd .tt .seiabd (!16I lliaFcli€ h*s

.E bc badqnrrt. Df C[u6t Diagnosti6 and Ou6t DirgnGti6 hA

Fold herc to retum this portion to QIJEST DI,AGNOST|CS in the envelopc provided. Be sure that addrcss abovc is visible thrcugh the envelopo window.

of Seryice October 16,2013 :nittCoOe Otal

Palielt's ftain6:

-aiient's Pncns #:

Pa'irerri's Sociai Securr4r #

,\reCrc"r€ :D #: i'ncluCe aii letbr and r-:,l8ie.ic ilh3Ecterst

Medrr:aKi iD #: (include all le'rterand i'!ilinei,o L:har.lcleis)

lns,:rairce {)ompany oi Health Plar Narre,

iFA or l\,{edical Grcirp Na,-r:e

{I AtFlh,E)

Cla;ms ACdfess lnsijrance iD #

iinchde a{ LaF :d $;mb. *raclr$,}

i:tsutarrile Ph6ne #

Poi:cyhDlder Nerre

Group #

ir.*ie 3l| L3frr a:d ilurflbs ch*cks;

Po;icyncidef i E;ioJoyer.

l1'you have Medrcar*. Railroad

i.,4ed,ro|e cr MedrcaiC as youi pnmary

oi secondary iiisuience cowrage,

pi:ase dccul1ent this !nbrmation

ir the sDaces omvided.

Pat€nts ielationship to tne Pclicy4'')older C, ,C .{:)

3d! SFUso leendat

+

Fleas ,ldd

Entity: AUM Invoice # IOtsz

provideC. .l

If paying by credil card, please complste the following:

E visa [] MasterCard

D American Express E Discover

Car.dhoider authorlzes the paynrent of thi$ invoice by

the issuer identified belov,i and agrees tc co,.nply with

the obilgations set foi"th in ihe Cardhoider Aqreeinenr

with ihe issr.ier

Credit Card Niirnber:

Expiration Date -- Payment Anrount

Cardhclder Name:

cn and :eFIi wrtn

Pay your bill online securely at www.euEsrDtAcNoslcs.coM/BtLL

Address Correction {Please Frint)

CardholrJer S!gilaiure

Exhibit D

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 12 of 25 Pg ID 12
afl Quest Do nor use address bero\x: -.-JL-I r\. lQrr Uiagn<lstics ,'o Box 1306

U7 $ rJorrsrer. Mo65673-no6

AT 01 036391 52075813t C*r3DGT

ll,,lrllll,illtrl,t,l,,ll,t,tliltl,il,,tll,,ll,il,tltilt,,lillt,l

AUn 22237671 oo1 9866 lssao z

Laboratory Invoice

For *rulces not Included In your physlclan's blll

Page 1 of 1

Lab Code

AUM

HUNTFR ERI KA

21054 GENTNER ST

WARREN , I,II 48089.51 13

,tt\ Quest

lJg Diagnostics

170

LOG ON NOW. pay your bill online securety at

WWW OUESTDIAGNOSTICS.COM/B ILL

or cail 1 €{X}S784754.

Quest Diagnosfics also accepts:

1/ISA ffi.@ DFC€YER

I15586

Patient Name:

Responsible Party:

Date of Service:

Requested By:

HUNTER ERIKA HUNTER ERIKA

October 04.2013

E39769SHAH.BHANU J

FOURTH NOTIGE

FINAL PAST DUE NOTICE

This is the final no{irce you wilt+eceive from our office to inform you this invsice is seriously past due" Flease

make payment immediately to prevent your account from being fonrrrarded to a licensed cott"ection agency for

further collection action"

lf further action is necessary, you may also be liable for additional expenses and cosls, as permitted by law,

which can substantially increase the amount you owe.

Please contact us today and do not ignore this notice- Thank you for using our laboratory"

Patient Amount Due: $193"94

Tax lD # J27SA

For billing inquiries or to pay by phone:

Please have your invoice available for reference.

WEEKDAYS CLOSED 12:3G1:30pM 08:00 AM - 05:00 pM EST

1-80G67&6754

Fax: 1-24U377-2773

or visit our website at WWW_QUESTDTAGNOSTTCS.COM/BtLL

Se Habla Espanol 0B:00AM-05:00pM Hora Est6ndar det Este

lf you have Medicare, Railroad Medicare or Medicaid as your primary or secondary insurance, please send us the inlormation - see reverse side

The cPT codes provided are based on AMA guidelines and without regard to specific payor requirements.

Please fold and tear along perforatton and remd with p"y*nt ,n tt " .nuetop€ prcvtded 

Plo-ase make checks payable to euest Diagnostics.

Be sure lo include invoice number on your check.

f Chect< here if address has changed.

Please provide your new arldress information on the back.

O@sf Diagnostia reseNesthe ngh! to assignthis reeivabteto any of its atritiates

Due Date: Mar. 06. 2014

Patient Name: HUNTER ERTKA

MAIL PAYMENTS ONLYTO:

OUEST DIAGNOSI ICS

P.0. BOx 74A020

cINCINNAfI , OH 45274-OO20

lltl,ttt,l,lililt,lll,lt"tlllil't',l,iltl,,llttt,lllttil,lllllll

l-_I lf you received an expbnatbn of |n.nefits showing your responsibility is ress rha, fte

amoum shown on this biil, pbase pay the lesser anpunt- To fully resolve your invoice

please provide a copy of your explanatk;n of funefits,

Lab Code: AUM

$193.94

Invoice Number: 

-5586

u r-t 5 5 A t [ 0 0], II I q q D e l, 3 q q I n D D U 0 D D U 0 0 D 0 u D 0 0 3

Exhibit E

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 13 of 25 Pg ID 13
Utilize our Quest Diagnostics website to update your insurance

information or make a payment at

WWW. OU ESTDTA-GNOSTjGSGOUIBIT L

Please update your PRIUARY insurance information at

WWW.QUESTDIAGNOSTICS.COM/BtLL or complete the form

below with all requested information and return in the envelooe

provided. We will submit benefit claims to your insurance company

if all required information is provided. Please make sure that the

Quest Diagnostiqs address appears in the envelope window.

We participate with many insurance companies. lf you have a

specific question about your coverage, please contact your

insurance company representative. You are responsible for all

deductibles, co-insurance, copays, and any items not paid by your

insurance"

Mail Correspondence / Insurance Information to:

QUESI'DIAGNOSTICS

P.O. BOXT4m2o

ctNCtNNAtl, OH 45274{020

Qucst chrst U.go.fca be .$odaH logo .nd all essdaH encst t)a.S6tc. mfts

aE lhc h*m.rts of Chjc.t fIa$osdcs .nd Chr..t D.SGtica tncFold here to retum this portion to QUEST DlAGNosTlcs in the envelope provided. Be sure that address above is visibte thmugh the envelope window

Patrert's I\aire.

Patierrfs Phcae *

Date of Service October iBillCc-rde 01AA

Gendrri

Fetient's

Date Lli Sirih

\_r'-

Ln lloie feNia

Paiiari's Sociai Ssci:rity #

MeCtcere !L #: i!nciuCe all lsiiti and ri|Jme.:c ;haia,jtel:l

Medr4aid iD #: (:rrclude atl l"i-te.i en:J .t:lmirlc li]aiaclers)

Pieise ver;\ !f i\.4ed:t€rs rs Lr,j' Dnra-!.

insurai'lcE i'-.-'..-r i._\

Pl*ase verih, tnai,'i,,S Insuznce tian

ls J"oui pnmety rnslialce lnsilraace Ccmgany oi ileaiti Plan Name

iPA oi Medi.al Grclp Naile

{il AtF4i6:61

Cleinrs Address

r'_-,

Yes iirr

lnsurarrce Phone I

PciicvhDlder Nere

lnsumnce !D #

(rnclude all L€&f ir'C &ilF ci:raDBs)

Cicup #

lr*ie 311 Leftr aii ltumbe. *Gct6=j

li -voli flave fulildi.iale Rarlrcad

l.4gcjrtaE ci ltledrca.C as ,-oui pnmar.,r

oi secondary iirsuienqe cowmge,

please document this !t.tforn-ratron

in the sDaces pnyided.

Po iicyhcl der's Erll oy--.

PaCent's ielationsh,p to tne Fci;cyhclder r-'-__\ .J

SF{use l,a&endeii

Pay your bill online securely at WWW.eUESTD|AGNOST|GS.COM/B|LL

Entity: AUM Invoics # 2084635586

lf paying by credii card, pleasa compl$ta the following:

E Visa E MasterCard

E American Express fl Discover

Cardholder authorizes the payment of this inr,nice by

the issuer identified below and agrees to cor"nply rvith

the obiigations set fr:rth in ihe Cai"diroiCer Aqreernent

with ihe issuer.

Credit Card Number

Exciraiion Date __.__ __

Cardhclder Name.

Address Correction (Please Prinf)

Cardholder Stgna ir-rre

Paynrent Anrcunt

Exhibit E

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 14 of 25 Pg ID 14
^.{tl Qrlest Donotuseaddressberow: --iL-Z n. IIAJ Diaenostics ,o Box/306

AT 01 043658 56789E.147 Br*3DGT

ilr,trrlllltlltttll,lh,hl,lllltltlt,tttllt,t,llltlt,t,lttltil,,

AUn 22231671 oolsg/2 lDrztz t

HU}ITER ERIKA

21054 GENT}IER ST

WARREN, I1I 48083,5113

Page I of 1

Lab Code

AUM

HUNTER ERIKA HUNTER ERIKA

October 04,2013

E39769SHAH,BHANU J

FOURTH NOTIGE

FINAL PAST DUE NOTICE

This is the final notice you will receive from our office to inform you this invoice is seriously past due. please

make payment immediately to prevent your account from being forwarded to a licensed col"ection agency for

further collection acf ion"

lf further action is necessary, you may also be liable for additional expenses and costs, as permitted by law,

which can substantially increase the amount you owe.

Please contact us today and do not ignore this notice. Thank you for using our laboratory_

Patient Amount Due: $59.15

Tax lD # JZtSa

For billing inquides or to pay by phone:

Please have your invoice avaitable for reference.

WEEKDAYS CLOSED 12:3G1:30pM 08:00 AM - 05:00 pM EST

1-B0G-67&6754

Fax'.1-24U377 2773

or visit our website at WV/W.QUESTDIAGNOST|CS.COM/B|LL

Se Habla Espanol 0B:00AM-05:00PM Hora EstAndar del Este

lf you have Medicare, Railroad Medicare or Medicaid as your primary or secondary insurance, please send us the information - see reverse slde

The CPT codes provided are based on AMA guidelines and without regard to specific payor requirements.

A Please fold and lear atong perforalton and remit with payrnenl in the envetope pmvided. 

If you receivd an explanation of berrefits showirrg your respottsibility is bss than he

anount shown on this bill, pbase pay the bsser anount. To fully resoMe your invobe,

pbase provide a copy of your explandion of t*neftts.

MAIL PAYMENTS ONLYTO:

QUEST DIAGNOSTICS

P.0. BOx f40020

CINCINNATI , AH 45274_OO2O

,illl,t,,,rt,llt,ltIltttttt,,l,ttll,liltllllllllllllllltlll,,,l,

vrsA ffi.@ D,,csl{ER

Please make checks payable to Quest Diagnostics.

Be sure to include invoice number on your check"

fl Cfrect< here if address has changed.

Please provide your new address information on the back.

Orest D,1?gnostr'6 E seves the ilght to assign this re@ivabte to any of its affitiates

Due Date: Mar. 13.2O14 Invoice Number:lJz2z3

Patient Name: HUNTER ERIKA

_::l

Laboratory Invoice

For sryl6 not lnctuded In your physlclan,s bill

Feb.20,2O14 $59.15 Mar. 13, 2014

Invoice Number Jtztt

Patient Name:

Responsible Party:

Date of Service:

Requested By:

Lab Code: AUM ,{rl\ Qrest fE' Diagnostics rs7

LOG ON NOW" eay your bill ontine securely al

WV/W"OU ESTDIAGNOSTICS.COt\,VBlLL

or call 1-800$78-6754.

Quest Diagnostics also accepts:

7a ? I[0 u[55I5]0eail q q a [00u0B0[000u0 00u'{

Exhibit F

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 15 of 25 Pg ID 15
Utilize our Quest Diagnostics website to update your insurance

information or make a palment at

www.oUESTDIAGNQs'IteSeAM8!LL

Please update your PRIUARY insurance information at

\|WVW. Q UESTD |AGNOST|CS.CO M/B I LL or comptete the form

below with all requested information and retum in the envelope

provided. We will submit benefft claims to your insurance company

if all required information is provided. Please make sure that the

Quest Diagnostics address appears in the envelope windowWe participate with many insurance cc'mpanies. lf you have a

specific question about your coverage, please contact your

insurance company representative. You are responsible for all

deductibles, co-insurance, copays, and any items not paid by your

insuranceMail Conespondence / Insurance lnformation to:

QUFST DIAGNOSTICS

P_O. BOX 74m20

ctNctNNATt, OH 45274_0020

qr€t QrBl ftagnclica thc ascarH togo and .ll .3siahd Cb6t Daqn6o6 mrks .E hc hk*i ot Ctl6t lri.Fct€ rnd eud tX.gncti6 Inc

Fold here to retum this portion to QUEST Dl,AcNosncs in the envelope prodded. Be sure that address abovc is vistble thrcugh the envelope window.

e cf Service Octorber 2013 Bi

Gender

Fatrent's

Date of Sirtlr

OlAA

Patieit's Narne

Palent's Phcne #

f,ll Las{

NO

Paiiei'lt's Soc|a; Security 4

Mtvt/trc,,YY)Y

MeCicare iL #r iincluCe all letier end nirmeir charaltelsj

Medrcard ill #. (:ncl'ide ail leiter and nrmeti. chard.iersi

Please verify if Medicare is lour grimery

Insurance

lnsurairce Comgar:v or Health Plan Name

iPA or lr4edrcal Grcup Naine

It AFJi*r)

Cl"inls Address _ ,

lnsuErrc€ Phone #

PclrcyhDlder Nariie

Folicynoldef s E;r-:oloyer

Paf€nt's ielat:onsh:p to the P.licyholder /-)

S*! S0o6a

i)

l6r4ndet

Pl--ase venf.y'thal tris insu."nce Dlgn

rs youi pnrnafy insuran3€ /"_) \'J

bs lin

lrsurance lD #

iaicLde a! L.lb ad Mn*. d!&rcFs)

Group #

.lrrludo rt L3F and )tur$q-.ig*bs,

lf )rclr have Medicare. Railrcad

fuledlcare, or lylediceiC as youi piirnary

oi secondafy insurgnte coverage

piease documenl this inioamation

an tne sDeces on:viried

Pay your bill online securely at WWW.eUESTDIAGNOST|CS.GOM/B|LL

Pleae rclo aldns-F.-rror;-tc"-J"n i"in-'iiiii p;;;;;r h iff ;ffirpI;iii;r"i. - - - "I - - - -

lf paying by credit card, please c,omplete the following:

I visa E MasterCard

I entity: IUU _ 

lnvoice# Z0B72TTTB I

Address Correc.tion {Please Frint)

E American Express E Discover

CanJholder authorizes the payment of thls invoice by

the issuer identifiel below and agrees lo comply with

the obiigations set forth in the CarChoider Agreement

with the issr:er.

Credit Card Number:

Expimtion Date *__-._

Cardhclder Name:

Car<lholder Signatule

Payment Amounl

Exhibit F

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 16 of 25 Pg ID 16
AB 01 001776 62857 B 7 A

,llllllrl,l,llt,lt,lilll,,lt,,ttt,il,,tlilil,tltiltllllt,iltlt,tl

Avn 22211671 oo1s866 

-5s86 

s

ERIKA HUNTER

21054 GENTNER SI

WARREN. IiII 4BOB9 5113

P RE-COLLECTI ONS DEPARTMENT

February 28,2014

Attention: ERIKA HUNTER

lnvoice Number: ltrs86

The total unpaid balance is $193.94. As explained on previous bills this balance represents your co-payment

and/or deductible for clinical laboratory testing that was ordered by your physician and performed by qUEST

DIAGNOSTICS.

Please remit payment in full immediately or your account will be released to an extemal collection agency_

lf you have any questions or concems about this letter, please call us at 1-B0O67&6254.

Please rctum hc bottom trrrtion of this letter along with your full payment in the enclosed envelope" To ensure

that your account gets credited properly, please write the invoice number in the memo section of lour check and

mail payment promptly to the address listed below- OR you may access our web site

WWW.OUESTDIAGNOSTICS.COM/BILL and pay the biil ontine_

A Please lold and tear along perfoftillon and rcmn wnh payrnent in the envetope prDvided. 

Lab Code. AUM

$193.94

DueDate:oct04,2013 Invoice Number: lIlSSS6

Patient Name: ERIKA HUNfER

V|SA @.@ D6cs{ER

Please make checks payable to euest Diagnostics.

Be sure to include invoice number on your check.

f] Ctrect< here if adrlress has changed.

Please provide your new address information on the back.

Oresf Dragsosfi-d reseryos tte /ttrt lo a ssign this rereivablo to anv of ns afrtiates

- 

5 -__-_l

If you rerDivd an explarratbn of t''rreffts ahowittg your respons,'birfiy is less tian fle afipwt shown on thb biil, pbase pay the lesser amourrt- To fuily (esolve your jnvoice,

pbase provlde a copy of you explanatbn of bercttrsMAIL PAYMENTS ONLYTO:

QUEST DIAGNOSTICS

P.0. Box 740020

CINCINNATI, OH 45274-OO2O

l,l,ltlllllltlllll,,ltltll,l,l,llltlilt,,tl,,t,tlttttilt,ttltt,l

.G Quest

Ig Diagnostics

v

LOG ON NOW. Pay your bill online securely at

\AAMry. O U ESTD IAG N OSTI GS.

or call 1 800-67e6754,

Quest Diagnoslics also accepts:

Ir,l-1558h0u0],1tl tr q 0ee0 q qB0n[000u0u0 DDuD00h

Exhibit G

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 17 of 25 Pg ID 17
Pay your bill online securety at www.euESTDtAGNosflcs.coM/BtLL

I Emity: r)!y lr."io * 

-siso 

--l

Addres-s Correc.tion {Please Print}

lf paying by crodt card, pleaso compleie the follorring:

D visa E MasterCard

E American Express D Discover

Cardholder authorizes the payment of this invoice by

the issuer itJentifi€d below and agrees to comply with

the obligations set f<rrth in the CardhoUerAgreement

with the issuer:

Credit Card Number

Expiratbn Date: _--.--_-_ Falment Amount

Cardholder Name,

CardhoHer Signature

Exhibit G

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 18 of 25 Pg ID 18
r{!l Quest Donoruseaddressb€row:

d Hoilister, Mo 6567?.7306

- AB 01 000681 66921 B 3 A

tll,lliltnmt,tillt,ltt,til,,t,,lt,lililltilill,l,tll,tlliltl,l

Auti 2223t611 oo2ooo4 

'Ilf'tsz 

t

Laboratory Invoice

For serylc6 not lnctuded In your physlclan's bill

Number

Page 1 of I

HUNTER ERIKA

21054 GENTNER ST

WARREN, I,II 4BOB9 5113

lf||,o4sz

Patient Name:

Responsible Partv:

Datr! of Service. '

Requested By:

AUM

HUNTER ERIKA HUNTER ERIKA

October 16, 20'13

E3S769SHAH.BHANU J

@ __ $116.721

pue pare: Mar.26,2014 Invoice Number: l-O452

$ - :_-_-_l

lf you rrceivd an expranation of |t'nefits s!tuwing your respnsibility is bss than the affnun shown on this biil, plgase pay ||le lgsser arnunt- To fulty resotre your invoice.

please provide a copy of your expbnation of benefts.

Patient Name: HUNTER

MAIL PAYTTENTS ONLY TO:

OUESI' DIAGNOSTICS

P.0. Box 740020

CINCINNATI , OH 45274-OO2O

llrtlrlll,,ll,l,ltt,ttlt,tliltltltltl,l,t,ttl,lil,il,lttl,tllilt,

V|SA ffi.@ DFcevER

Please make checks payable to euest Diagnostics.

Be sure to include invoice number on your check

[f Cnect here it addre.ss has changed.

Please provide your new address information on ttre back

Qrest Diagnosf cs /e soves the ight to assign this re@jvabb ta any of tts afrit ates.

FOURTH NOTICE

FINAL PAST DUE NOTICE

This is the final notice you will receive from our office to inform you this invoice is seriously past due. please

make payment immediately to preVBnt youi account from bding forwardedto a fcensed col'ection agency for

further colledion action.

lf further action is necessary, you may also be liable for additional expenses and costs, as permitted by law,

which can substantially increase the amount you owe.

Please contact us today and do not ignore this notice. Thank you for using our laboratory.

Patient Amount Due: $'116.72

Tax lD # eZtSO

For billing inquiries or to pay by phone:

Please have youl invoice available for reference"

WEEKDAYS CLOSED 12.3U1:30PM 08:00 AM - 05:00 pM EST

1-80G67&6754

Fax: 1-24A377.2773

or visit our website at WWW.eUESTDTAGNOSTTCS_COM/B|LL

Se Habla Espanol 0B:00AM-05:00PM Hora Est6ndar del Este

lf you have Medicare, Railroad Medicare or Medicaid as your primary or secondary insurance, please send us the informalion - see reverse side.

The CPT codes provided are based on AMA guidelines and without regard to specilic payor requirementsA Plsse fold and ter atong perfoElion and Emit with payrenl in lhe envebpe prcvded. A

Lab Code: AUM .{t\ Qrest

W Diagnostics

T7

LOG ON NOW. Pay your bill online securelv al ulry-@or call 1-80O-67&6754.

Quest Diagnostics also accepts:

01EIt0q5P00t]],],h?e{0]05liq80[000t]0000DD0D00h

Exhibit H

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 19 of 25 Pg ID 19
Utilize our Quest Diagnostics website to update your insurance information or make a palrment at

www- ou ESTD LLGXO$IGS.eOiUBlLlPlease update your PRIMARy insurance information at

WWW. QTJESTD IAGNOST| CS "COM/B I LL or comptete the form

below with all requested information and return in the envelope

provided. We will submit benefit claims to your insurance company

if all required information is provided. please make sure that the

Quest Diagnostics address appears in the envelope window.

We participate with many insurance companies. lf you have a

specific question about your coverage, please contact your

insurance company representative. you are responsible for all

deductibles, co-insurance, copays, and any items not paid by your

insurance"

Mail Correspondence / lnsurance lnformation to:

QUEST DIAGNOSTICS

P.O. BOX 74AO20

CINCIN NAn, OH45274{o20

QoGt QuFr taagr6t€, Ora ..3odalnd logo .nd r[ rs$ciabd ec6t tIrfd6 m]k .E hc hdqrrr*s of (b6l [I.gnG6€ ild Ouclt tX.Sd6 t;c

Fold herc to retum this ponion to QUEsr DlAcilosncs in the envelope povided" Be sure that address above is visible thmugh the envelop€ window.

Patrert's Narx€l

Faient's Phone f

Service October 1 BillCode 01AA

Genrl+r C) t:

i"tate FeNie

Fstbnfs

Paiiert's Sociai Securrty d Date oi Birtil

Medicare iD * i'nclude all letier and nlrrerr DhaE.tersi

Medicaid :D #: (:ncl'jde ail leitet and nilmerlc chara.ters)

Please verify if Medicare is )our primeiv

InsDrance i----; a-)

]ts No

Insurance Ccmpany oi He"lth Plan Name Please venf, that tilis insu€nce Dlen

ts youa pnmary ins:Jrance

/*l

)bs tid

iFA, or L4sdical Grcuo Nane

Clai615 4X6t"*" Insuranee iD #

(iiclucn an LrlEr ird iqr$. ddail#\

Group' #

ihdd. 3{ Lelbr anC lrb'fu chGctds)

lf you have Medrcam. .Railload

Medicare. or MedicaiC as youi pdmary

oi secondary insur€n4e co\€rage,

piease docuinent this iltiorn-r€ton

In the sDaces cr::vided.

Pclicvholder Nene

Foi;cyholder'5 Einployer

Patents ielationshlp +o tne Policytcloer

Entity: AUM Invoice # 21276304s2

Address Correction {Please Print}

a----\ j-1\J

sdf +@ l6Fndet

If paying by cradit card" please complede the following:

E visa I MasterCard

Q American Express E Dismver

Cardholder authorizes the payment of this invoioe by

the issuer identified below and agrees to comply with

the obligations set forth in the Cardholder Aqreernenr

with ihe issuer:

Credit Card Number.

Expiration Date 

-.- Fayment Amount:

Cardholder Name:

Pay your bill online securety at uyww.ouESTDtAGNosIcs.coM/BILL

Cardholder Srgnature:

Exhibit H

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 20 of 25 Pg ID 20
/tl Qrrest Donoruseaddressberow

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ERIKA HUNTER

21054 GENTNER SI

WARREN. I{I 48089 5113

PRE.COLLECTIONS DEPARTMENT

March 06,20'14

Attention. ERIKA HUNTER

Invoice Number: Jtzll

The total unpaid balance is $59.15. As explained on previous bills this balance represents your co-payment

and/or deductible for clinical laboratory testing that was ordered by your physician and perfbrmed by eUEST DIAGNOSTICS"

Please remit payment in full immediately or your account will be released to an extemal mllection agency,

lf you have any questions or concems abor-rt this letter, please call us at 1-80G67&67S4.

Please,rclur[he bottom portion of this lettet along with your full payment in the enclosed envelope. To ensure

that your account gets credited propedy, please write the invoice number in the memo section of your check and

mail payment promptly to the address listed below. OR you may access our web site

WWW.zuESIDIAGNOSTICS.COM/BILL and pay the biil ontine.

Please fold and lear along perforation and remil wilh payrnent in the envelop€ Dmvided. 

,{t\ Quest tn{ Diacnostics lE7 ')

LOG ON NOW. Pay your bilt ontine securely al

or call 1-8OG67&€754-

Quest Diagnostics also accepts:

Lab Code: AUM

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Please make checks payable to euest Diagnostics,

Be sure to irrclude invoice number on your clreck

E Cnect here il address has changed.

Pbase provde your new address information on he back

Q6sf Dr.agrr"strs .ps eves the right to assign this rereivabk n any af its alfiliatesDue Date: Oct 04.2013 fnvoice Number: 

-lTzT3 Patient Name: ERIKA HUNTER

annunt s/pwn on this biil, please pay the bsser anount. To ful\r resolve your invoice,

pbase provide a copy of your explanatbn of tetr,.rtftsI'AIL PAYMENTS ONLYTO:

OUFST DIAGNOSTICS

P"0. BOx 740020

CINCINNATI , OH 45274_OO2O

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Exhibit I

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 21 of 25 Pg ID 21
Entity: AUM Invoice # 1Jt2t3

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lf paying by credrt cand, Seasa comple*ethe following:

E Visa I MasterCard

I American Express I Discover

Cardholder authorizes the payment of this invoice by

the issuer identified below and agrees to oomply with

the obligations set fiorth in the CardholderAgreement

with the issuer.

Credit Card Number:

Expimtircn Date: *_-=.--

Cardholder Narne;

Pay your bill online securety at www.euESTDtAGNosilcs.coM/BtLL

Address Correction (Pbase Print)

Cardholder Srgnature:

Exhibit I

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 22 of 25 Pg ID 22
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AUH 2223t671 0020004 

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ERIKA HUN'I'FR

21 054 GENTNER SI

WARREN , I,II 4BOB9- 51 1 3

P RE.COLLECTI ONS DE PARTM ENT

March 19.2014

Attention: ERIKA HUNTER

Invoice Number: llMS2

The total unpaid balance is $1 16-72. As explained on previous bills this balance represents your co-payment

and/or deductible for clinical laboratory testing that was ordered by your physician and performed by eUeSf

DIAGNOSTICS.

Please remit payment in full immediately or your account will be released to an extemal collection agency.

lf you have any questions or concems about this letter, please call us at 1-80G67&67S4.

Please retum l!rc-bottom Dortion of this leftet along with your full payment in the enclosed envelope. To ensure

that your account gets credited properly, please write the invoice number in the memo section of your check and

mail payment promptly to the address listed below. OR you may access our web site

WWW.QUESID-IAGNOSTICS.COM/B|LL and pay the biil ontine.

a Please fold and te€r along perontion and remit wilh payrnenl in the envelope provided. l

Due Date: ocl 16, 2013 InvOiCe NUmber:

Patient Name: ERIKA HUNTER

YISA ffi.@ DF.€YER

Please make checks payable to euest Diagnostics.

Be sure to lndude invoice number on your check

E CnecX here faddress has changed.

Please provide your new address informa[on on firc back

Quest Diagnastics resevesthe ight to ass4ln this receivabte to any af its afrliates.

el c

lf you received an explanatbn of bnefits showing your respnsibility rs rsss fhan t/,e

amount shown on this biil, please pay Ihe lesser amount- To fuily resoMe your invoice,

pbase Novide a copy of your explanation of benefrts.

MAIL PAYMENTS ONLY TO:

QUEST DIAGNOSTICS

P.0. BOx 740020

CINCINNATI, OH 45274-OA2O

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LOG ON NOW. nay your bilt ontine securely at v\L!l^IAUESM

or call 1-8O0-67&$754_

Quest Diagnostics also accepts:

Lab Code: AUM

$116.72

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Exhibit J

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 23 of 25 Pg ID 23
PerfoEtiof, ard lmA wth

Entity: AUM Invoice # l-04s2

lf payiqg by cmdit card, please compldo the followirqg:

Ll Visa E MasterCarcJ

Ll American Express D Discover

Cardholder authorizes the payment of this invoice by

the issuer identified below and agrees to comply with

the obligations set forth in the Cardholder Agreernent

with the issuer.

Credit Carci NumberExpiration Date: 

-- 

Payrnent Amount

Cardholder Narne:

Pay your bill online securety at www,euESTDtAGNosflcs.coM/BtLL

Address Correction (Please Print)

Cardhokier Signature

Exhibit J

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 24 of 25 Pg ID 24
i800) 804-0057

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'. 3$

{8So} 804-0057

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Exhibit K

2:14-cv-14754-AC-MJH Doc # 1 Filed 12/16/14 Pg 25 of 25 Pg ID 25