Claim Statistics

Year-to-Date December 2019
Total No. of Claims Validations 113,033
 Ave. No. of Claims Per Month 9,419
Ave. No. of Claims Per Day 428
Ave. No. of Claims Per PO 1,592
Ave. No. of Claims Per PO Staff (per Month) 24
Ave. No. of Claims Per Claims Processor (per Month) 77
1-3-5 Day Target on Claims Settlement (Member) 97.79%
1-3-5 Day Target on Claims Settlement (Dependents) 97.53%
8-24 Hour Strategy Target on Claims Settlement (Member) 95.09%
8-24 Hour Strategy Target on Claims Settlement (Dependents) 95.19%


Top 10 Causes of Death

1 Heart Related 34.01%
2 Cancer 9.94%
3 Pneumonia 7.93%
4 Accident 5.61%
5 Diabetes 4.48%
6 Renal Failure/ Disease 4.06%
7 Fetal Death 2.99%
8 Respiratory Failure 2.29%
9 Pulmonary Disease 2.19%
10 Tuberculosis 1.73%