UNITED STATES
                 SECURITIES AND EXCHANGE COMMISSION
                        WASHINGTON, D.C. 20549

                              Form 10-Q

[X]QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2010

[  ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
For the transition period from ________________ to _________________

                  Commission File Number:  000-52712

              PEER REVIEW MEDIATION AND ARBITRATION, INC.
          (Exact name of registrant as specified in its charter)

           Florida                                65-1126951
(State or other jurisdiction         (IRS Employer Identification No.)
of incorporation or organization)

                    1450 S. Dixie Highway, Ste. 201
                       Boca Raton, Florida 33432
                (Address of principal executive offices)
                            (561) 347-1178
            (Registrant's telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange
Act of 1934 during the preceding 12 months (or for such shorter period
that the registrant was required to file such reports), and (2) has
been subject to such filing requirements for the past 90 days.
Yes  [X]   No  [ ]

Indicate by check mark whether the registrant has submitted
electronically and posted on its corporate Web site, if any, every
Interactive Data File required to be submitted and posted pursuant to
Rule 405 of Regulation S-T (section 232.405 of this chapter) during the
preceding 12 months (or for such shorter period that the registrant was
required to submit and post such files).
Yes [ ]   No [ ]

Indicate by check mark whether the registrant is a large accelerated
filer, an accelerated filer, a non-accelerated filer, or a smaller
reporting company.

Large accelerated filer [ ]            Accelerated filer [ ]
Non-accelerated filer [ ]              Smaller reporting company [x]



<PAGE>2

Indicate by check mark whether the registrant is a shell company (as
defined in Rule 12b-2 of the Exchange Act). Yes  [ ]   No  [x]

As of November 22, 2010, there were 8,452,909 shares of Peer Review
Mediation and Arbitration, Inc. Common Stock, $0.001 par value per
share, issued and outstanding.



<PAGE>3
                              PART I                             Page
                         FINANCIAL INFORMATION

Item 1. Financial Statements                                        4

Consolidated Balance Sheets as of September 30, 2010
 (unaudited) and December 31, 2009
Consolidated Statements of Operations for the Nine
  Months Ended September 30, 2010
   and 2009 (unaudited)
Consolidated Statements of Cash Flows for the Nine
  Month Periods Ended September 30, 2010 and 2009
  (unaudited)
 Notes to Consolidated Financial Statements
  (unaudited)

Item 2. Management's Discussion and Analysis of
  Financial Condition and Results of Operations.                    11

Item 3. Quantitative and Qualitative Disclosures About
  Market Risk.                                                      13

Item 4. Controls and Procedures.                                    13

                               PART II
                        OTHER INFORMATION

Item 1. Legal Proceedings.                                          14

Item 2. Unregistered Sales of Equity Securities and Use
  of Proceeds.                                                      14

Item 3. Defaults Upon Senior Securities.                            14

Item 4. (Reserved and Removed)                                      14

Item 5. Other Information.                                          14

Item 6. Exhibits.                                                   14

Signatures                                                          15








<PAGE>4
                     PART I - FINANCIAL INFORMATION

             PEER REVIEW MEDIATION AND ARBITRATION, INC.

                 Consolidated Financial Statements
                              (Unaudited)


FINANCIAL STATEMENTS

  Consolidated balance sheet
  Consolidated statements of operation
  Consolidated statements of cash flows
  Notes to consolidated financial statements



<PAGE>5
               PEER REVIEW MEDIATION AND ARBITRATION, INC.
                      CONSOLIDATED BALANCE SHEETS

                                       December 31,  September 30, 2010
                                           2009          (Unaudited)
                                       -----------   ------------------
                                ASSETS
Current assets
   Cash                               $     27,392      $     37,722
   Accounts receivable                       6,960            36,055
   Inventory                                     -            22,294
   Marketable securities                       162                97
                                      ------------      ------------
      Total current assets                  34,514            96,168
                                      ------------      ------------
   Fixed assets                             74,079           328,522
   Less accumulated depreciation           (61,582)          (85,908)
   Intangible Assets                             -           275,000
    Other assets                               500             2,190
                                      ------------      ------------
                                            12,997           519,804
                                      ------------      ------------
Total Assets                          $     47,511      $    615,972
                                      ============      ============

                    LIABILITIES AND STOCKHOLDERS' EQUITY

Current liabilities
   Accrued payables                   $    177,583       $   446,873
   Related party payables                2,362,657         2,719,679
   Notes payable related party
    - current portion                       53,020           145,089
   Related party loans                       2,336            16,187
                                      ------------      ------------
      Total current liabilities          2,595,596         3,327,828
                                      ------------      ------------
Total Liabilities                        2,595,596         3,327,828
                                      ------------      ------------
Stockholders' Equity
   Preferred stock, Series II, $.001
    par value; 1.000,000 shares
    Authorized; convertible; 1,000,000
    issued and outstanding                   1,000             1,000
   Common stock, $.001 par value;
    45,000,000 shares authorized;
    8,386,317 (2009) & 8,403,287 (2010)      8,386             8,449
   Additional paid in capital            9,054,356        10,243,134
   Accumulated deficit                 (11,598,237)      (12,950,784)
   Accumulated other comprehensive
    income (loss)                          (13,590)          (13,655)
                                      ------------      ------------



<PAGE>6

Total Stockholders' Equity              (3,214,731)       (2,711,856)
                                      ------------      ------------
Total Liabilities and Stockholders'
  Equity                               $    47,511      $    615,972
                                      ============      ============

                The accompanying notes are an integral
             part of the consolidated financial statements.



<PAGE>7

                PEER REVIEW MEDIATION AND ARBITRATION, INC.
          CONSOLIDATED STATEMENTS OF INCOME AND COMPREHENSIVE INCOME
                                (Unaudited)
<TABLE>
                             Three Months    Three Months    Nine Months    Nine Months
                                 Ended           Ended           Ended         Ended
                           Sept. 30, 2009  Sept. 30, 2010  Sept. 30, 2009  Sept. 30, 2010
                           --------------  --------------  --------------  --------------

                             <c>             <c>             <c>             <c>
Revenue                      $    12,160      $    56,944     $    41,631    $   139,480
Cost of sales                      3,499           33,651          14,799         59,071
                             -----------      -----------     -----------    -----------
                                   8,661           23,293          26,832         80,409
Expenses:
  Depreciation                     1,127           13,716           6,279         24,327
  Selling, general and
   administrative                335,471          431,098         993,017      1,223,117
                             -----------      -----------     -----------    -----------
                                 336,598          444,814         999,296      1,247,444
                             -----------      -----------     -----------    -----------
Loss from operations            (327,937)        (421,521)       (972,464)    (1,167,035)
                             -----------      -----------     -----------    -----------
Other income (expense)
Interest income                       18                5             152              5
Interest (expense)               (34,189)         (62,933)       (107,136)      (185,517)
                             -----------      -----------     -----------    -----------
                                 (34,171)         (62,928)       (106,984)      (185,512)
                             -----------      -----------     -----------    -----------
Income (loss) before provision
 for income taxes               (362,108)        (484,449)    (1,079,448)     (1,352,547)
Provision for income tax               -                -               -              -
                             -----------      -----------     -----------    -----------
Net income (loss)            $  (362,108)     $  (484,449)    $(1,079,448)   $(1,352,547)
Other comprehensive income (Loss)
    - net of tax
Unrealized gain (loss) on
 securities                           84              (13)           148             (65)
                             -----------      -----------    -----------     -----------
Comprehensive income (loss)  $  (362,024)     $  (484,462)   $(1,079,300)    $(1,352,612)
                             ===========      ===========    ===========     ===========



<PAGE>8

(Basic and fully diluted)    $     (0.04)     $     (0.06)   $     (0.13)    $     (0.16)
                             ===========      ===========    ===========     ===========
Weighted average number of
common shares outstanding      8,345,090        8,443,924      8,299,814       8,420,573
                             ===========      ===========    ===========     ===========
</TABLE>
                    The accompanying notes are an integral
                 part of the consolidated financial statements.



<PAGE>9

                  PEER REVIEW MEDIATION AND ARBITRATION
                  CONSOLIDATED STATEMENT OF CASH FLOWS
                               (Unaudited)

                                           Nine Months    Nine Months
                                              Ended          Ended
                                           September 30,  September 30,
                                               2009           2010
                                           ------------   ------------
Cash Flows From Operating Activities:
  Net income (loss)                        $(1,079,448)   $(1,352,547)

  Adjustments to reconcile net income
   to net cash provided by (used for)
   operating activities:
      Depreciation                               6,279         24,326
      Accounts receivable                        1,110        (29,095)
      Other assets                                   -         (1,690)
      Accrued payables                          79,354        269,290
      Related party payables                   381,272        357,022
      Compensatory stock issuances              25,275              -
                                           -----------    -----------
        Net cash provided by (used for)
         operating activities                 (686,158)      (732,694)
                                           -----------    -----------
Cash Flows From Investing Activities:

  Securities purchases                             (26)             -
  Fixed asset purchases                         (5,444)        (1,212)
                                           -----------    -----------
        Net cash provided by (used for)
         investing activities                   (5,470)        (1,212)
                                           -----------    -----------
 (Continued on Following Page)

               The accompanying notes are an integral
           part of the consolidated financial statements.



<PAGE>10

                  PEER REVIEW MEDIATION AND ARBITRATION
                  CONSOLIDATED STATEMENT OF CASH FLOWS
                                (Unaudited)

                      (Continued From Previous Page)

                                           Nine Months    Nine Months
                                              Ended          Ended
                                           September 30,  September 30,
                                               2009           2010
                                           ------------   ------------

Cash Flows From Financing Activities:
  Notes payable - borrowings                   40,000                -
  Notes payable - payments                    (50,953)         (97,931)
  Related party loans - net                  (255,712)          13,851
  Option and warrant exercises                948,873          828,316
                                          -----------      -----------
      Net cash provided by (used for)
       financing activities                   682,208          744,236
                                          -----------      -----------
Net Increase (Decrease) In Cash                (9,420)          10,330
Cash At The Beginning Of The Period            53,995           27,392
                                          -----------      -----------
Cash At The End Of The Period             $    44,575      $    37,722
                                          ===========      ===========

Schedule of Non-Cash Investing and Financing Activities

None

Supplemental Disclosure

Cash paid for interest                    $     1,106      $     8,647
Cash paid for income taxes                $         -      $         -


               The accompanying notes are an integral
            part of the consolidated financial statements.





<PAGE>11

            PEER REVIEW MEDIATION AND ARBITRATION, INC.
            NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                              (Unaudited)

NOTE 1. ORGANIZATION, OPERATIONS AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES:

Peer Review Mediation And Arbitration, Inc. ("PRMA", the "Company"),
was incorporated in the State of Florida on April 16, 2001. The Company
provides peer review services and expertise to law firms, medical
practitioners, insurance companies, hospitals and other organizations
in regard to personal injury, professional liability and quality
review.

Basis of Presentation

The accompanying unaudited financial statements have been prepared in
accordance with the instructions to Form 10-Q and do not include all of
the information and disclosures required by generally accepted
accounting principles for complete financial statements. All
adjustments which are, in the opinion of management, necessary for a
fair presentation of the results of operations for the interim periods
have been made and are of a recurring nature unless otherwise disclosed
herein. The results of operations for such interim periods are not
necessarily indicative of operations for a full year.

Principles of Consolidation

The accompanying consolidated financial statements include the accounts
of Peer Review Mediation and Arbitration, Inc. and its wholly owned
subsidiary. All intercompany accounts and transactions have been
eliminated in consolidation.

Cash and Cash Equivalents

The Company considers all highly liquid investments with an original
maturity of three months or less as cash equivalents.

Use of Estimates

The preparation of financial statements in conformity with generally
accepted accounting principles requires management to make estimates
and assumptions that affect reported amounts of assets and liabilities
and disclosure of contingent assets and liabilities at the date of the
financial statements and the reported amounts of revenues and expenses
during the reporting period. Actual results could differ from those
estimates.

Income tax

The Company accounts for income taxes pursuant to ASC 740. Under ASC
740 deferred taxes are provided on a liability method whereby deferred
tax assets are recognized for deductible temporary differences and
operating loss carryforwards and deferred tax liabilities are
recognized for taxable temporary differences. Temporary differences are

<PAGE>12
               PEER REVIEW MEDIATION AND ARBITRATION, INC.
                NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                               (Unaudited)

NOTE 1. ORGANIZATION, OPERATIONS AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES: (Continued)

the differences between the reported amounts of assets and liabilities
and their tax bases. Deferred tax assets are reduced by a valuation
allowance when, in the opinion of management, it is more likely than
not that some portion or all of the deferred tax assets will not be
realized. Deferred tax assets and liabilities are adjusted for the
effects of changes in tax laws and rates on the date of enactment.

Net income (loss) per share

The net income (loss) per share is computed by dividing the net income
(loss) by the weighted average number of shares of common outstanding.
Warrants, stock options, and common stock issuable upon the conversion
of the Company's preferred stock (if any), are not included in the
computation if the effect would be anti-dilutive and would increase the
earnings or decrease loss per share.

Revenue recognition

Revenue is recognized on an accrual basis after services have been
performed under contract terms, the service price to the client is
fixed or determinable, and collectability is reasonably assured. The
Company's revenues to date have been earned primarily from consulting
fees for arranging medical expert insurance case review.

Property and equipment

Property and equipment are recorded at cost and depreciated under the
straight line method over each item's estimated useful life.

Financial Instruments

The carrying value of the Company's financial instruments, as reported
in the accompanying balance sheet, approximates fair value.

Marketable Securities

The Company's marketable securities are classified as available-for-
sale, are presented in the balance sheets at fair market value, and
consist entirely of equity securities. Gains and losses are determined
using the specific identification method.

The Company accounts for comprehensive income (loss) under ASC 220,
which establishes standards for reporting and display of comprehensive
income and its components. Unrealized gains (losses) from marketable



<PAGE>13
               PEER REVIEW MEDIATION AND ARBITRATION, INC.
                NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                               (Unaudited)

NOTE 1. ORGANIZATION, OPERATIONS AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES: (Continued)

securities are reported as other comprehensive income (loss) in the
consolidated statements of income and comprehensive income and as
accumulated other comprehensive income (loss) in stockholders' equity.

Stock based compensation

The Company accounts for employee and non-employee stock awards under
ASC 718, whereby equity instruments issued to employees for services
are recorded based on the fair value of the instrument issued and those
issued to non-employees are recorded based on the fair value of the
consideration received or the fair value of the equity instrument,
whichever is more reliably measurable.

NOTE  2.  SUBSEQUENT EVENTS

The Company has evaluated subsequent events through the date that the
financial statements were issued.



<PAGE>14

ITEM 2.	MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
AND RESULTS OF OPERATIONS

This report contains forward-looking statements within the meaning of
Section 27A of the Securities Act of 1933 and Section 21E of the
Securities Act of 1934. The statements regarding Peer Review Mediation
and Arbitration, Inc. and its subsidiaries contained in this Report
that are not historical in nature, particularly those that utilize
terminology such as "may," "will," "should," "likely," "expects,"
"anticipates," "estimates," "believes" or "plans," or comparable
terminology, are forward-looking statements based on current
expectations and assumptions, and entail various risks and
uncertainties that could cause actual results to differ materially from
those expressed in such forward-looking statements.

Overview
We were incorporated under the laws of the State of Florida on April
16, 2001. We have been conducting business operations ever since,
primarily focused on the creation and continual development of our
proprietary Private Network Application which allows direct access to
our Peer Review Data Archival resource via our PeerReviewboard.com
Internet web site. Our wholly owned subsidiary, Independent Review,
Inc., is engaged in providing medical case reviews to the Texas
Insurance Commission pursuant to a license from the state of Texas.

Our service enables subscribers, attorneys, insurance claims agents,
healthcare providers and consumers the ability to efficiently search
and engage medical experts for a variety of medical consulting
projects. PRMA maintains a network of independent physicians as members
of its Peer Review Board, available to assist in areas such as: expert
medical opinions and testimony, legal case evaluation and strategy,
assessment of damages, case valuation, medical peer review and chart
review, independent medical review, quality and utilization review,
medical case management, and medical second opinion.  In addition, we
offer a diverse program of technology and innovation services as member
benefits to our member physicians through Pro-Med Alliance, our wholly-
owned subsidiary.  Our Document Management Division has begun to
generate revenue, and is the first initiative under the Pro-Med
Alliance subsidiary to show revenue.

Results Of Operations
Comparison of Results of Operations for the Three Months Ended
September 30, 2010 and 2009

Sales were $56,944 for the three months ended September 30, 2010, as
compared to sales of $12,160 for the three months ended September 30,
2009, an increase of $44,784, or 368.3%.  This increase in revenue for
the three months ending September 30, 2010 is due to the transition the
Company has made from developmental to operational, and due to the
additional revenue provided by our Document Management Division.



<PAGE>15

Cost of sales was $33,651 for the three months ended September 30,
2010, as compared to cost of sales of $3,499 for the comparable period
in 2009, an increase of $30,152, or 861.7%. Cost of sales increased due
to the corresponding increase in revenues.

For the three months ended September 30, 2010, we incurred operating
expenses of $444,814, which included selling, general and
administrative expenses of $431,098, compared to operating expense of
$336,598 during the three months ended September 30, 2009, which
included selling, general and administrative expenses of $335,471 for
the same period last year, or a 28.5% increase in selling, general and
administrative expense.  This increase is due an increase in business
activity as the Company continues to execute its business plan.
Selling, general and administrative expenses during the three months
ended September 30, 2010, consisted of $57,184 in physician
recruitment, 38,123 in administrative expense, 31,769 in operational
expense, $18,374 in IT maintenance, $65,384 in rent, $76,422 in
officers and directors compensation, $21,300 in consulting fees, $9,266
in telephone, $22,800 in legal and & professional fees, $2,064  in
utilities and maintenance, $8,961 in office supplies, $2,628 in
promotion and advertising, and $62,933 in interest expense.
Depreciation and amortization expense increased to $13,716 during the
three months ended September 30, 2010, compared with that of $1,127 for
the same period in 2009. The increase in depreciation and amortization
expense was primarily due to an increase in fixed assets, associated
primarily with asset acquisitions.

As a result, we incurred a loss of ($484,449) during three months ended
September 30, 2010, or ($0.06) per share, compared with a loss of
($362,108) during the three months ended September 30, 2009, or ($0.04)
per share.

Comparison of Results of Operations for the Nine Months Ended September
30, 2010 and 2009

Sales were $139,480 for the nine months ended September 30, 2010, as
compared to sales of $41,631 for the nine months ended September 30,
2009, an increase of $97,849, or 235%. Our increase in revenues during
the nine months ended September 30, 2010 is due to the transition the
Company has made from developmental to operational, and due to the
additional revenue provided our Document Management Division.

Cost of sales was $59,071 for the nine months ended September 30, 2010,
as compared to cost of sales of $14,799 for the comparable period in
2009, an increase of $44,272, or 299.2%. Cost of sales increased due to
the corresponding increase in revenues.

For the nine months ended September 30, 2010, we incurred operating
expenses of $1,247,444, which included selling, general and
administrative expenses of $1,223,117, compared to operating expense of
$999,296 during the nine months ended September 30, 2009, which
included selling, general and administrative expenses of $993,017 for
the same period last year, or a 23.2% increase in selling, general and
administrative expense. This increase is due an increase in business
activity as the Company continues to execute its business plan.

<PAGE>16

Selling, general and administrative expenses during the nine months
ended September 30, 2010, consisted of $153,725 in physician
recruitment, $102,483 in administrative expense, $85,403 in operational
expense, $72,328 in IT maintenance, $188,406 in rent, $228,136 in
officers and directors compensation, $60,000 in consulting fees,
$19,689 in telephone, $60,375 in legal and & professional fees, $10,788
in utilities and maintenance, $20,671 in office supplies, $219 in
licenses/permits, $10,076 in promotion and advertising, $975 in
miscellaneous fees, and $185,517 in interest expense. Depreciation and
amortization expense increased to $24,327 during the nine months ended
September 30, 2010, compared with that of $6,279 for the same period in
2009. The increase in depreciation and amortization expense was
primarily due to an increase in fixed assets, associated primarily with
asset acquisitions.

As a result, we incurred a loss of ($1,352,547) during nine months
ended September 30, 2010, or ($0.16) per share, compared with a loss of
($1,079,448) during the nine months ended September 30, 2009, or
($0.13) per share.

Liquidity And Capital Resources
At September 30, 2010, we had $37,819 in cash and marketable
securities.

During the quarter ending September 30, 2010, operations were funded
through the exercise of our outstanding common stock purchase options.
On April 2, 2009 our registration statement was deemed effective by the
SEC wherein we registered 323,940 shares of our common stock that
underlie previously issued purchase options.  As of the date of this
report we have received an aggregate of $2,870,333 from the exercise of
the Purchase Option and issued 164,019 shares of our common stock as a
result.  It is management's intent to use the funds generated by the
exercising of these options to execute the business plan.

The net cash used in operating activities for the nine months ended
September 30, 2010 was $732,694. The net cash provided from financing
activities for the nine months ended September 30, 2010 was $744,236.
We had $37,819 in cash and cash equivalents as of September 30, 2010,
compared to $44,831 in cash and cash equivalents as of September 30,
2009. We had $36,055 account receivables as of September 30, 2010, as
compared to $3,900 at September 30, 2009.

Off-Balance Sheet Arrangements
We have not entered into any off-balance sheet arrangements that have
or are reasonably likely to have a current or future effect on our
financial condition, changes in financial condition, revenues or
expenses, results of operations, liquidity, capital expenditures or
capital resources and would be considered material to investors.






<PAGE>17

ITEM 3.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK.

Not applicable.

ITEM 4. Controls and Procedures

During the three months ended September 30, 2010, there were no changes
in our internal controls over financial reporting (as defined in Rule
13a-15(f) and 15d-15(f) under the Exchange Act) that have materially
affected, or are reasonably likely to materially affect, our internal
control over financial reporting,

Evaluation of Disclosure Controls and Procedures
Under the supervision and with the participation of our management,
including our chief executive officer and chief financial officer, we
conducted an evaluation of our disclosure controls and procedures, as
such term is defined under Rule 13a-15(e) and Rule 15d-15(e)
promulgated under the Securities Exchange Act of 1934, as amended, as
of September 30, 2010.  Based on this evaluation, our chief executive
officer and chief financial officer have concluded such controls and
procedures to be effective as of September 30, 2010 to ensure that
information required to be disclosed by the issuer in the reports that
it files or submits under the Act is recorded, processed, summarized
and reported, within the time periods specified in the Commission's
rules and forms and to ensure that information required to be disclosed
by an issuer in the reports that it files or submits under the Act is
accumulated and communicated to the issuer's management, including its
principal executive and principal financial officers, or persons
performing similar functions, as appropriate to allow timely decisions
regarding required disclosure.



<PAGE>18

PART II. OTHER INFORMATION

ITEM 1.  LEGAL PROCEEDINGS
         None

ITEM 2.  UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
         None

ITEM 3.  DEFAULTS UPON SENIOR SECURITIES
         None

ITEM 4.  RESERVED AND REMOVED

ITEM 5.  OTHER INFORMATION

ITEM 6.  EXHIBITS

Exhibit No.    Description

31.1           Certification of Chief Executive Officer Pursuant to
               Section 302 of the Sarbanes-Oxley Act of 2002

31.2           Certification of Chief Financial Officer Pursuant to
               Section 302 of the Sarbanes-Oxley Act of 2002

32             Certification of Chief Executive Officer and Chief
               Financial Officer Pursuant to Section 906 of the
               Sarbanes-Oxley Act of 2002



<PAGE>19

                             SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934,
the Registrant has duly caused this Report to be signed on its behalf
by the undersigned, thereunto duly authorized.

PEER REVIEW MEDIATION AND ARBITRATION, INC.


Dated:  November 22, 2010

By:     /s/Willis Hale
        ---------------------
        Willis Hale, Chief Executive Officer


By:     /s/Marc E. Combs
        ----------------------
        Marc E. Combs, Chief Financial Officer