Claim Statistics

Year-to-Date May 2020
Total No. of Claims Validations 42,894
 Ave. No. of Claims Per Month 8,579
Ave. No. of Claims Per Day 390
Ave. No. of Claims Per PO 604
Ave. No. of Claims Per PO Staff (per Month) 22
Ave. No. of Claims Per Claims Processor (per Month) 70
1-3-5 Day Target on Claims Settlement (Member) 97.88%
1-3-5 Day Target on Claims Settlement (Dependents) 97.87%
8-24 Hour Strategy Target on Claims Settlement (Member) 95.30%
8-24 Hour Strategy Target on Claims Settlement (Dependents) 95.28%


Top 10 Causes of Death

1 Heart Related 33.78%
2 Cancer 10.96%
3 Pneumonia 9.74%
4 Diabetes 6.21%
5 Accident 3.65%
6 Renal Failure/ Disease 4.65%
7 Fetal Death 2.67%
8 Pulmonary Disease 2.37%
9 Respiratory Failure 2.42%
10 Tuberculosis 2.27%