Claim Statistics

Year-to-Date March 2021
Total No. of Claims Validations 32,606
 Ave. No. of Claims Per Month 10,869
Ave. No. of Claims Per Day 494
Ave. No. of Claims Per PO 441
Ave. No. of Claims Per PO Staff (per Month) 28
Ave. No. of Claims Per Claims Processor (per Month) 89
1-3-5 Day Target on Claims Settlement (Member) 98.05%
1-3-5 Day Target on Claims Settlement (Dependents) 98.57%
8-24 Hour Strategy Target on Claims Settlement (Member) 95.71%
8-24 Hour Strategy Target on Claims Settlement (Dependents) 96.23%


Top 10 Causes of Death

1 Heart Related 36.37%
2 Cancer 12.73%
3 Diabetes 9.39%
4 Pneumonia 8.04%
5 Renal Failure/ Disease 7.00%
6 Accident 3.55%
7 Pulmonary Disease 3.00%
8 Respiratory Failure 2.80%
9 Tuberculosis 2.00%
10 Fetal Death 1.79%