ENROLLMENT : Line of Business Summary

Transcription

1 ENROLLMENT : Line of Business Summary Date Range : JAN 2017 through DEC 2017 COMPREHENSIVE MAJOR MEDICAL Print Date : 1/19/2018 9:43:49AM Page 1 of 1 Month Year Single 2 Person : Emp/Spouse 2 Person : Emp/Child Family Employee /Children 3 Person : Emp/Sp/Child Medifil Contracts Members January , , ,998 10,594 February , , ,007 10,599 March , , ,001 10,591 April , , ,490 11,405 May , , ,472 11,319 June , , ,457 11,293 July , , ,407 11,183 August , , ,396 11,153 September , , ,459 11,258 October , , ,451 11,219 November , , ,456 11,195 December , , ,447 11,137 18, , , ,946 : 0 0 Average : 1, , ,337 11,079 RTOR0403

2 Print Date : 1/19/2018 9:45:38AM Page 1 of 11 ****5139 ****0300 ****8928 ****4924 ****9433 ****7027 ****7771 Condition $485,386 $485,386 OTHER SEPSIS (BLOOD INFECTIOUS AND INFECTIONS) PARASITIC M CANCEL YES $480,167 $480,167 CANCER: MULTIPLE MYELOMA AND PLASMA CELL $459,173 $459,173 OTHER PULMONARY HEART DISEASES F CANCEL YES $405,661 $405,661 CARDIAC ARREST M CANCEL YES $398,206 $398,206 MYOCARDIAL INFARCTION (HEART ATTACK) $396,159 $396,159 MYOCARDIAL INFARCTION (HEART ATTACK) F CANCEL YES $360,221 $360,221 HERNIA: UNSPECIFIED ABDOMINAL DIGESTIVE ****9429 ****8032 $330,986 $330,986 NONTRAUMATIC SUBARACHNOID HEMORRHAGE (BLEEDING IN THE AREAS SURROUNDING THE BRAIN) M ACTIVE $309,239 $309,239 CANCER: RECTOSIGMOID ****9993 ****2096 ****3357 $300,246 $300,246 CANCER: CONNECTIVE AND SOFT M ACTIVE $273,086 $273,086 ENCOUNTER FOR OTHER FACTORS AFTERCARE INFLUENCING HEALTH $247,866 $247,866 EPILEPSY AND RECURRENT NERVOUS SEIZURES *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

3 Print Date : 1/19/2018 9:45:38AM Page 2 of 11 ****3883 Condition $233,743 $233,743 CANCER: BREAST ****7407 ****7127 $229,515 $229,515 ATHEROSCLEROSIS (PLAQUE BUILD UP IN BLOOD VESSELS AKA HARDENING OF THE ARTERIES) M ACTIVE $221,908 $221,908 CANCER: PANCREAS ****6450 $213,923 $213,923 CANCER: ESOPHAGUS ****6526 ****3677 ****0714 ****0780 ****5385 ****1401 ****6306 ****2836 $205,157 $205,157 RENAL FAILURE: CHRONIC F ACTIVE $201,016 $201,016 ACUTE AND SUBACUTE ENDOCARDITIS (INFLAMMATION OF THE INNER LAYER OF THE M ACTIVE $196,273 $196,273 CANCER: FOLLICULAR (CLUSTERED INTO NODULES AND FOLLICLES) F ACTIVE $180,366 $180,366 ENCOUNTER FOR OTHER FACTORS AFTERCARE INFLUENCING HEALTH M ACTIVE $178,630 $178,630 COMPLICATIONS OF CARDIAC AND INJURY, POISONING VASCULAR PROSTHETIC DEVICES, IMPLANTS AND GRAFTS $176,040 $176,040 DERMATOPOLYMYOSITIS (INFLAMMATORY DISEASE OF MUSCLE AND SKIN) F CANCEL YES $171,959 $171,959 IC LUPUS ERYTHEMATOSUS (CHRONIC CONNECTIVE DISEASE) F ACTIVE $170,608 $170,608 RHEUMATIC MITRAL VALVE DISEASES *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

4 Print Date : 1/19/2018 9:45:38AM Page 3 of 11 ****3037 ****3163 ****8872 ****1301 Condition F ACTIVE $167,285 $167,285 PARALYTIC ILEUS AND INTESTINAL DIGESTIVE OBSTRUCTION WITHOUT HERNIA $166,112 $166,112 CANCER: TONGUE, OTHER AND UNSPECIFIED M CANCEL YES $162,822 $162,822 ENCOUNTER FOR OTHER FACTORS AFTERCARE INFLUENCING HEALTH F ACTIVE $158,965 $158,965 CANCER: BREAST ****1455 ****2236 ****5379 ****0634 $157,938 $157,938 CANCER: PAROTID SALIVARY GLAND $157,443 $157,443 RENAL FAILURE: CHRONIC F ACTIVE $155,602 $155,602 IMMUNODEFICIENCY: BLOOD AND CERTAIN SARCOIDOSIS (FORMATION OF IMMUNE DISORDERS LESIONS) F ACTIVE $150,906 $150,906 ULCERATIVE COLITIS DIGESTIVE ****2742 ****4784 ****6610 ****5819 F ACTIVE $150,766 $150,766 OTHER NECROTIZING VASCULOPATHIES (BLOOD VESSEL INFLAMMATION) M ACTIVE $139,864 $139,864 OTHER SPONDYLOPATHIES (VERTEBRAE DISORDERS) $139,494 $139,494 NEWBORN RESPIRATORY PERINATAL DISTRESS CONDITIONS M CANCEL YES $139,338 $139,338 HYPERTENSIVE HEART AND CHRONIC KIDNEY DISEASE *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

5 Print Date : 1/19/2018 9:45:38AM Page 4 of 11 ****5785 Condition $138,497 $138,497 CANCER: COLON ****9889 ****8588 ****7867 ****9789 M CANCEL YES $138,119 $138,119 OTHER SEPSIS (BLOOD INFECTIONS) INFECTIOUS AND PARASITIC $137,218 $137,218 DIVERTICULAR DISEASE OF THE DIGESTIVE INTESTINE $134,994 $134,994 LIVEBORN INFANTS ACCORDING FACTORS TO PLACE OR BIRTH AND TYPE OF INFLUENCING HEALTH DELIVERY M ACTIVE $134,090 $134,090 CANCER: COLON ****8888 M ACTIVE $127,969 $127,969 MULTIPLE SCLEROSIS NERVOUS ****8728 ****7147 ****9693 ****4864 ****7951 $122,901 $122,901 OTHER BACTERIAL INTESTINAL INFECTIONS INFECTIOUS AND PARASITIC F CANCEL YES $122,216 $122,216 RENAL FAILURE: CHRONIC F CANCEL YES $118,281 $118,281 OTHER SEPSIS (BLOOD INFECTIOUS AND INFECTIONS) PARASITIC M ACTIVE $118,119 $118,119 OTHER VENOUS EMBOLISM AND THROMBOSIS (BLOOD CLOT) $118,111 $118,111 OTHER DISORDERS OF THE BRAIN NERVOUS ****1075 M ACTIVE $117,263 $117,263 OSTEOARTHRITIS: HIP *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

6 Print Date : 1/19/2018 9:45:38AM Page 5 of 11 ****4818 ****2736 ****7847 ****0234 ****0360 ****8008 ****3143 ****0720 ****2162 Condition $115,726 $115,726 DISEASES OF THE SOFT DIGESTIVE STRUCTURES OF THE MOUTH M ACTIVE $113,444 $113,444 OTHER SEPSIS (BLOOD INFECTIOUS AND INFECTIONS) PARASITIC M ACTIVE $112,374 $112,374 RENAL FAILURE: CHRONIC M ACTIVE $110,079 $110,079 ENCOUNTER FOR OTHER FACTORS AFTERCARE INFLUENCING HEALTH M ACTIVE $106,386 $106,386 OTHER SPONDYLOPATHIES (VERTEBRAE DISORDERS) M ACTIVE $105,855 $105,855 BURN AND CORROSION OF ANKLE INJURY, POISONING AND FOOT F ACTIVE $104,009 $104,009 PERSONAL HISTORY OF FACTORS MALIGNANT NEOPLASM (CANCER) INFLUENCING HEALTH M CANCEL YES $100,928 $100,928 CANCER: OROPHARYNX, BACK OF MOUTH F ACTIVE $99,406 $99,406 MULTIPLE SCLEROSIS NERVOUS ****6566 ****5965 ****6190 M ACTIVE $97,454 $97,454 COMPLICATIONS AND ILL DEFINED DESCRIPTIONS OF HEART DISEASE M ACTIVE $97,036 $97,036 LIVEBORN INFANTS ACCORDING TO PLACE OR BIRTH AND TYPE OF DELIVERY FACTORS INFLUENCING HEALTH F ACTIVE $95,580 $95,580 DORSALGIA (BACK PAIN) *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

7 Print Date : 1/19/2018 9:45:38AM Page 6 of 11 ****5139 ****4258 ****5079 ****8552 ****7371 ****6130 ****6610 ****1615 ****5939 ****4104 ****6166 ****8988 Condition F ACTIVE $93,554 $93,554 CROHN'S DISEASE (REGIONAL DIGESTIVE ENTERITIS) $92,358 $92,358 RESPIRATORY FAILURE NOT RESPIRATORY ELSEWHERE CLASSIFIED M ACTIVE $91,538 $91,538 FRACTURE OF FEMUR INJURY, POISONING M ACTIVE $91,513 $91,513 MYOCARDIAL INFARCTION (HEART ATTACK) F CANCEL $91,399 $91,399 RENAL FAILURE: ACUTE F ACTIVE $91,037 $91,037 NONRHEUMATIC AORTIC VALVE DISORDERS $89,790 $89,790 LIVEBORN INFANTS ACCORDING TO PLACE OR BIRTH AND TYPE OF DELIVERY FACTORS INFLUENCING HEALTH M ACTIVE $89,462 $89,462 OTHER SPONDYLOPATHIES (VERTEBRAE DISORDERS) M CANCEL $89,314 $89,314 FRACTURE OF LOWER LEG INJURY, POISONING INCLUDING ANKLE M ACTIVE $88,421 $88,421 MYOCARDIAL INFARCTION (HEART ATTACK) $87,990 $87,990 CARDIOMYOPATHY (HEART MUSCLE DISEASE) $87,373 $87,373 FRACTURE OF LUMBAR SPINE AND INJURY, POISONING PELVIS *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

8 Print Date : 1/19/2018 9:45:38AM Page 7 of 11 ****2082 ****4278 ****1761 ****1541 ****9389 Condition F ACTIVE $84,152 $84,152 CROHN'S DISEASE (REGIONAL DIGESTIVE ENTERITIS) M CANCEL $83,279 $83,279 OTHER DEFORMING DORSOPATHIES (BACK AND SPINE DISEASES) F ACTIVE $83,101 $83,101 ENCOUNTER FOR ATTENTION TO FACTORS ARTIFICIAL OPENINGS INFLUENCING HEALTH M ACTIVE $82,846 $82,846 RENAL FAILURE: CHRONIC $82,744 $82,744 CANCER: LUNG AND BRONCHUS ****4844 ****5725 ****0234 ****8692 ****7987 ****9369 M ACTIVE $78,994 $78,994 OSTEOARTHRITIS: KNEE F ACTIVE $78,092 $78,092 BENIGN : MENINGES (BRAIN AND SPINAL CORD CONNECTIVE ) $74,138 $74,138 OTHER NECROTIZING VASCULOPATHIES (BLOOD VESSEL INFLAMMATION) F ACTIVE $73,884 $73,884 MYOCARDIAL INFARCTION (HEART ATTACK) M ACTIVE $73,854 $73,854 DIVERTICULAR DISEASE OF THE DIGESTIVE INTESTINE F ACTIVE $72,308 $72,308 CANCER: LUNG AND BRONCHUS ****1175 M ACTIVE $72,250 $72,250 CROHN'S DISEASE (REGIONAL DIGESTIVE ENTERITIS) *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

9 Print Date : 1/19/2018 9:45:38AM Page 8 of 11 ****1201 ****8952 ****4964 ****2596 ****6166 ****0054 ****6586 ****3483 ****6326 ****7727 ****9289 ****1375 Condition F ACTIVE $71,607 $71,607 OSTEOARTHRITIS: HIP F ACTIVE $71,596 $71,596 PAIN IN THROAT AND CHEST SYMPTOMS, SIGNS, AND ABNORMAL FINDINGS F ACTIVE $71,459 $71,459 ATRIAL FIBRILLATION AND FLUTTER (IRREGULAR AND RAPID HEART RHYTHM) F ACTIVE $70,882 $70,882 RHEUMATOID ARTHRITIS WITH RHEUMATOID FACTOR $70,309 $70,309 RENAL FAILURE: CHRONIC M CANCEL $70,016 $70,016 INTRACRANIAL INJURY INJURY, POISONING F ACTIVE $69,160 $69,160 OTHER SPONDYLOPATHIES (VERTEBRAE DISORDERS) F ACTIVE $68,916 $68,916 COMPLICATIONS OF INTERNAL INJURY, POISONING ORTHOPEDIC PROSTHETIC DEVICES, IMPLANTS AND GRAFTS F CANCEL $68,495 $68,495 OSTEOARTHRITIS: KNEE M ACTIVE $68,375 $68,375 CARDIOMYOPATHY (HEART MUSCLE DISEASE) M ACTIVE $68,298 $68,298 MYOCARDIAL INFARCTION (HEART ATTACK) $67,875 $67,875 MAJOR DEPRESSIVE DISORDER, MENTAL AND SINGLE EPISODE BEHAVIORAL DISORDERS *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

10 Print Date : 1/19/2018 9:45:38AM Page 9 of 11 ****4504 ****2642 ****9789 ****9313 ****4078 Condition M ACTIVE $67,142 $67,142 FRACTURE OF FEMUR INJURY, POISONING F ACTIVE $67,048 $67,048 PAROXYSMAL TACHYCARDIA (RAPID HEART BEAT) F ACTIVE $66,651 $66,651 BENIGN : MENINGES (BRAIN AND SPINAL CORD CONNECTIVE ) M ACTIVE $66,239 $66,239 OTHER CHRONIC OBSTRUCTIVE RESPIRATORY PULMONARY DISEASE (COPD) M ACTIVE $65,766 $65,766 CANCER: LIVER AND BILE DUCTS ****0920 ****3017 ****3583 ****9209 ****8728 ****3823 ****6966 F ACTIVE $63,860 $63,860 OVERWEIGHT AND OBESITY ENDOCRINE, NUTRITIONAL AND METABOLIC $63,690 $63,690 ABNORMALITIES OF HEART BEAT SYMPTOMS, SIGNS, AND ABNORMAL FINDINGS F ACTIVE $63,427 $63,427 COMPLICATIONS OF INTERNAL INJURY, POISONING ORTHOPEDIC PROSTHETIC DEVICES, IMPLANTS AND GRAFTS M ACTIVE $62,676 $62,676 INTRACRANIAL INJURY INJURY, POISONING $61,693 $61,693 ATRIAL FIBRILLATION AND FLUTTER (IRREGULAR AND RAPID HEART RHYTHM) M ACTIVE $61,310 $61,310 ALCOHOL RELATED DISORDERS MENTAL AND BEHAVIORAL DISORDERS F ACTIVE $61,004 $61,004 RENAL FAILURE: ACUTE *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

11 Print Date : 1/19/2018 9:45:38AM Page 10 of 11 ****2656 ****0580 ****6230 ****0314 ****6066 Condition M ACTIVE $60,447 $60,447 OTHER DISEASES OF THE DIGESTIVE GALLBLADDER $59,809 $59,809 CYSTITIS (INFLAMMATION/INFECTION OF THE URINARY TRACT) M ACTIVE $59,723 $59,723 OSTEOARTHRITIS: HIP M ACTIVE $59,616 $59,616 OSTEONECROSIS (DESTRUCTION OF BONE ) M ACTIVE $59,102 $59,102 CANCER: PROSTATE ****8408 F CANCEL $59,077 $59,077 MULTIPLE SCLEROSIS NERVOUS ****4164 ****9693 ****1541 ****9049 ****1481 ****5359 M ACTIVE $58,547 $58,547 DIVERTICULAR DISEASE OF THE INTESTINE DIGESTIVE F ACTIVE $58,131 $58,131 OTHER SPONDYLOPATHIES (VERTEBRAE DISORDERS) M ACTIVE $57,455 $57,455 COMPLICATIONS OF BARIATRIC DIGESTIVE PROCEDURES M ACTIVE $56,860 $56,860 MYOCARDIAL INFARCTION (HEART ATTACK) M CANCEL $56,232 $56,232 RENAL FAILURE: ACUTE M ACTIVE $53,520 $53,520 CHRONIC SINUSITIS RESPIRATORY *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

12 Print Date : 1/19/2018 9:45:38AM Page 11 of 11 ****4798 ****8868 Condition M ACTIVE $52,968 $52,968 PARALYTIC ILEUS AND INTESTINAL DIGESTIVE OBSTRUCTION WITHOUT HERNIA M ACTIVE $52,913 $52,913 CANCER: KIDNEY ****4838 ****1235 ****6766 ****0054 ****9929 ****9133 M ACTIVE $52,702 $52,702 OSTEOARTHRITIS: KNEE $52,566 $52,566 RESPIRATORY FAILURE NOT RESPIRATORY ELSEWHERE CLASSIFIED F ACTIVE $52,554 $52,554 DISLOCATION AND SPRAIN OF JOINTS AND LIGAMENTS OF KNEE INJURY, POISONING M CANCEL $52,542 $52,542 NONTRAUMATIC INTRACEREBRAL HEMORRHAGE ( BLEEDING IN THE BRAIN) F ACTIVE $52,517 $52,517 IMMUNODEFICIENCY: COMMON BLOOD AND CERTAIN VARIABLE IMMUNE DISORDERS M ACTIVE $52,104 $52,104 CANCER: PROSTATE ****8248 ****2742 F ACTIVE $51,650 $51,650 ESSENTIAL (PRIMARY) HYPERTENSION M ACTIVE $51,288 $51,288 CANCER: PROSTATE ****1495 ****3003 M ACTIVE $51,203 $51,203 EPILEPSY AND RECURRENT SEIZURES NERVOUS M ACTIVE $50,269 $50,269 OTHER DISORDERS OF VEINS Grand : $16,412,798 $16,412,798 *A "YES" in the " Case Mgmt" column may not indicate enrollment in a Case Management program.

13 CLAIMS SUMMARY : LAG Print Date : 1/19/2018 9:42:45AM Page 1 of 4 ALL LINES OF BUSINESS PAID INCURRED Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar ,470 6, Apr , , ,558 May , ,779 Jun , ,581 24,972 Jul , ,451 Aug , ,866 Sep , ,476 Oct , , ,821 Nov , , ,715 Dec , ,403 2, ,335 Jan ,119 19,217 3, ,884 Feb ,475 7,276 3,092 2,648 1, ,154-1, ,993 Mar ,144-5,416 19,930 25, ,202 2,766-8, ,773 Apr ,605 11,141 14,392 7, ,739 45,505 May ,753 3,220 44,425 21,695 20, , , ,133 Jun ,317 17,807 38,149 66,807 67,376-14,059 1,405 5,625-34,488 1, ,384 Jul ,286 10,529 14,404 4,941 10,929 4,429 2,050 2,325-5, ,318 Aug ,252 21,046 99,132 9,148 28,002 11,252 3, ,706-1, , ,701 Sep , ,710 28,227 27,660-4,710 3,911 14,744 13,371 1,144-1,227 1,629 3, ,383 Oct ,571 53,052 76,992 37, ,081 20,955 5,234 2,597-1,226 1, , ,046 Nov , ,017 35,232 24,399 45,913-41,680 4,180 2,811 5,812 79,998 3,199 1, ,964 HMO payment information includes fee-for-service claims only. No deductible referrals or priced encounters are included. RTOR0301

14 CLAIMS SUMMARY : LAG Print Date : 1/19/2018 9:42:45AM Page 2 of 4 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Dec ,788, ,208 49,893 62,834 48,465 29,468 18,744 2,108 4,639 13,285 14,554 1,277 2,266,350 Jan ,647 1,959, , ,357 49,654 21,292 49,468 40,477 1,426 4,270 18,165 20,075 3,940,096 Feb ,332 2,209, ,512 93,744 68,789 29,982 19,604 5,593 6,545 11,973 9,906 3,792,397 Mar ,256,274 1,766, , ,640 22,233 10,905 20,337 16,713 15,910 25,485 4,048,877 Apr ,003 1,839, , ,766 17, ,996 25,166 22,454 21,630 3,981,838 May ,625 2,042, , , ,865 13,695 43,012 87,850 3,898,000 Jun ,380 2,032, ,200 90,226 58,446 58,466 60,103 3,771,654 Jul ,130 1,820, , ,549 29,442 40,995 3,425,014 Aug ,225 2,236, , ,358 41,636 3,737,483 Sep ,188 1,992, , ,755 3,710,444 Oct ,651 1,705, ,920 3,001,400 Nov ,044,082 1,634,052 2,678,135 Dec , ,409 : 3,245,728 3,558,618 4,809,395 3,511,142 4,081,238 3,767,494 3,963,240 3,522,254 4,111,647 3,731,654 3,772,675 3,338,372 45,413,456 HMO payment information includes fee-for-service claims only. No deductible referrals or priced encounters are included. RTOR0301

15 CLAIMS SUMMARY : LAG Print Date : 1/19/2018 9:42:45AM Page 3 of 4 COMPREHENSIVE MAJOR MEDICAL PAID INCURRED Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar ,470 6, Apr , , ,558 May , ,779 Jun , ,581 24,972 Jul , ,451 Aug , ,866 Sep , ,476 Oct , , ,821 Nov , , ,715 Dec , ,403 2, ,335 Jan ,119 19,217 3, ,884 Feb ,475 7,276 3,092 2,648 1, ,154-1, ,993 Mar ,144-5,416 19,930 25, ,202 2,766-8, ,773 Apr ,605 11,141 14,392 7, ,739 45,505 May ,753 3,220 44,425 21,695 20, , , ,133 Jun ,317 17,807 38,149 66,807 67,376-14,059 1,405 5,625-34,488 1, ,384 Jul ,286 10,529 14,404 4,941 10,929 4,429 2,050 2,325-5, ,318 Aug ,252 21,046 99,132 9,148 28,002 11,252 3, ,706-1, , ,701 Sep , ,710 28,227 27,660-4,710 3,911 14,744 13,371 1,144-1,227 1,629 3, ,383 Oct ,571 53,052 76,992 37, ,081 20,955 5,234 2,597-1,226 1, , ,046 HMO payment information includes fee-for-service claims only. No deductible referrals or priced encounters are included. RTOR0301

16 CLAIMS SUMMARY : LAG Print Date : 1/19/2018 9:42:45AM Page 4 of 4 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Nov , ,017 35,232 24,399 45,913-41,680 4,180 2,811 5,812 79,998 3,199 1, ,964 Dec ,788, ,208 49,893 62,834 48,465 29,468 18,744 2,108 4,639 13,285 14,554 1,277 2,266,350 Jan ,647 1,959, , ,357 49,654 21,292 49,468 40,477 1,426 4,270 18,165 20,075 3,940,096 Feb ,332 2,209, ,512 93,744 68,789 29,982 19,604 5,593 6,545 11,973 9,906 3,792,397 Mar ,256,274 1,766, , ,640 22,233 10,905 20,337 16,713 15,910 25,485 4,048,877 Apr ,003 1,839, , ,766 17, ,996 25,166 22,454 21,630 3,981,838 May ,625 2,042, , , ,865 13,695 43,012 87,850 3,898,000 Jun ,380 2,032, ,200 90,226 58,446 58,466 60,103 3,771,654 Jul ,130 1,820, , ,549 29,442 40,995 3,425,014 Aug ,225 2,236, , ,358 41,636 3,737,483 Sep ,188 1,992, , ,755 3,710,444 Oct ,651 1,705, ,920 3,001,400 Nov ,044,082 1,634,052 2,678,135 Dec , ,409 : 3,245,728 3,558,618 4,809,395 3,511,142 4,081,238 3,767,494 3,963,240 3,522,254 4,111,647 3,731,654 3,772,675 3,338,372 45,413,456 HMO payment information includes fee-for-service claims only. No deductible referrals or priced encounters are included. RTOR0301

17 CLAIMS SUMMARY : Payments by Line of Business - Summary All Sections Report Type : Paid Claims - All Sections - Mutual and Employer Paid Claims Combined Print Date : 1/19/2018 9:40:55AM Page 1 of 1 SUMMARY ALL SECTIONS Comprehensive Major LINK TO : CHART Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ,245,728 3,558,618 4,809,395 3,511,142 4,081,238 3,767,494 3,963,240 3,522,254 4,111,647 3,731,654 3,772,675 3,338,372 45,413,456 3,245,728 3,558,618 4,809,395 3,511,142 4,081,238 3,767,494 3,963,240 3,522,254 4,111,647 3,731,654 3,772,675 3,338,372 45,413,456 This report displays paid claims information only. The report does not include employer payments toward deductible or coinsurance. RTOR0411