2/16 to 06/13/15 07/28/14 services provided byt CANNAVO' Clean Number: 047012e110e01 • THIS CLAM WAS PROCESSED ON 05/12/15. • THIS PHYSICIAN OR HEALTH CARE PROVIDER'S OUT-OF-NETWORK. BASED ON AN AGREEMENT WITH MULTIPLAN, THE PROVIDER HAS ACCEPTED A DISCOUNT FOR THISSEME. THE DISCOUNT SHOWN IS YOUR SAVINGS AND IS N