6.6 Claims and Lives by Month
The Claims and Medical Active Lives by Month report shows the number of members enrolled in Single, Family and Dental plans along with the total amount paid by the plan in Medical Dental, Vision, RX, and Fees each month over a three year period. Provide Underwriters, MGUs, and Stop-Loss providers with a clear picture of overall utilization.
The fields displayed in Claims and Medical Active Lives include:
- Paid Month- The month in which claims/fees were paid.
- Single - The number of active members enrolled in a Single plan.
- Family - The number of active members enrolled in a Family plan.
- Medical Claims- The total dollar amount paid by the plan on medical claims.
- RX Claims - The total dollar amount paid by the plan on prescriptions.
- Dental Claims - The total dollar amount paid by the plan on dental claims.
- Vision Claims - The total dollar amount paid by the plan on vision claims.
- Total Claims - The sum of medical + prescription + dental + vision = the total amount paid by the plan.
- Fees Paid - The total dollar amount the plan paid in administrative fees.
- Averages - The average of each column.
- Totals - The sum of each column.