Claim Statistics

Year-to-Date September 2019
Total No. of Claims Validations 85,205
 Ave. No. of Claims Per Month 9,467
Ave. No. of Claims Per Day 430
Ave. No. of Claims Per PO 1,272
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) 97.95%
1-3-5 Day Target on Claims Settlement (Dependents) 97.70%
8-24 Hour Strategy Target on Claims Settlement (Member) 95.32%
8-24 Hour Strategy Target on Claims Settlement (Dependents) 95.22%


Top 10 Causes of Death

1 Heart Related 38.33%
2 Cancer 11.48%
3 Pneumonia 8.74%
4 Accident 6.62%
5 Diabetes 5.04%
6 Renal Failure/ Disease 4.67%
7 Fetal Death 3.11%
8 Respiratory Failure 2.68%
9 Pulmonary Disease 2.48%
10 Tuberculosis 1.93%