Claim Statistics

Year-to-Date October 2017
  Total No. of Claims Validations 54,847
  Ave. No. of Claims Per Month 5,485
Ave. No. of Claims Per Day 249
Ave. No. of Claims Per PO 1,035
Ave. No. of Claims Per PO Staff (per Month) 24
Ave. No. of Claims Per Claims Processor (per Month) 73
1-3-5 Day Target on Claims Settlement (Member) 98.33%
1-3-5 Day Target on Claims Settlement (Dependents) 97.93%
8-24 Hour Strategy Target on Claims Settlement (Member) 94.47%
8-24 Hour Strategy Target on Claims Settlement (Dependents) 92.32%


Top 10 Causes of Death

1 Heart Related 32.73%
2 Cancer 10.06%
3 Pneumonia 7.68%
4 Diabetes 4.45%
5 Accident 4.42%
6 Renal Failure/Disease 3.88%
7 Fetal Death 2.81%
8 Pulmonary Disease 2.31%
9 Tuberculosis 1.98%
10 Respiratory Failure 1.79%
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