Claim Statistics

Year-to-Date August 2020
Total No. of Claims Validations 74,676
 Ave. No. of Claims Per Month 9,335
Ave. No. of Claims Per Day 424
Ave. No. of Claims Per PO 1,052
Ave. No. of Claims Per PO Staff (per Month) 23
Ave. No. of Claims Per Claims Processor (per Month) 77
1-3-5 Day Target on Claims Settlement (Member) 97.91%
1-3-5 Day Target on Claims Settlement (Dependents) 97.96%
8-24 Hour Strategy Target on Claims Settlement (Member) 95.31%
8-24 Hour Strategy Target on Claims Settlement (Dependents) 95.68%


Top 10 Causes of Death

1 Heart Related 34.29%
2 Cancer 11.27%
3 Pneumonia 7.91%
4 Diabetes 6.66%
5 Accident 5.14%
6 Renal Failure/ Disease 3.45%
7 Respiratory Failure 2.37%
8 Fetal Death 2.28%
9 Tuberculosis 2.05%
10 Pulmonary Disease 1.94%