Claim Statistics

Year-to-Date November 2020
Total No. of Claims Validations 105,883
 Ave. No. of Claims Per Month 9,626
Ave. No. of Claims Per Day 438
Ave. No. of Claims Per PO 1,431
Ave. No. of Claims Per PO Staff (per Month) 25
Ave. No. of Claims Per Claims Processor (per Month) 79
1-3-5 Day Target on Claims Settlement (Member) 98.27%
1-3-5 Day Target on Claims Settlement (Dependents) 98.26%
8-24 Hour Strategy Target on Claims Settlement (Member) 95.49%
8-24 Hour Strategy Target on Claims Settlement (Dependents) 95.74%


Top 10 Causes of Death

1 Heart Related 35.33%
2 Cancer 11.19%
3 Pneumonia 7.95%
4 Diabetes 6.81%
5 Renal Failure/ Disease 5.68%
6 Accident 3.52%
7 Respiratory Failure 2.41%
8 Pulmonary Disease 2.22%
9 Fetal Death 2.16%
10 Tuberculosis 2.03%