Claim Statistics

Year-to-Date March 2020
Total No. of Claims Validations 29,075
 Ave. No. of Claims Per Month 9,692
Ave. No. of Claims Per Day 441
Ave. No. of Claims Per PO 410
Ave. No. of Claims Per PO Staff (per Month) 24
Ave. No. of Claims Per Claims Processor (per Month) 79
1-3-5 Day Target on Claims Settlement (Member) 98.23%
1-3-5 Day Target on Claims Settlement (Dependents) 98.17%
8-24 Hour Strategy Target on Claims Settlement (Member) 95.16%
8-24 Hour Strategy Target on Claims Settlement (Dependents) 95.10%


Top 10 Causes of Death

1 Heart Related 34.13%
2 Cancer 11.03%
3 Pneumonia 8.78%
4 Diabetes 5.79%
5 Accident 4.60%
6 Renal Failure/ Disease 4.49%
7 Pulmonary Disease 2.39%
8 Tuberculosis 2.24%
9 Respiratory Failure 2.02%
10 Fetal Death 0.96%