120 / 537
Employer Group ABC
Incurred:
Apr 2014 thru Dec 2015
Paid:
Apr 2014 thru Mar 2016
46
|
Page
Table 5.2.6 Network Utilization and Contract Discount Summary
Network
Total
Claims Billed
Claims
Allowed
Claims Paid
Employee
Contribution
Network
Discount
% Discount
All In Network
$336,612,730
$135,380,899
$128,214,508
$16,171,494
$146,570,926
43.5%
All Out-of-Network
$15,700,220
$7,624,470
$6,934,887
$1,976,699
$3,664,514
23.3%
Total
$352,312,949
$143,005,369
$135,149,394
$18,148,192
$150,235,439
42.6%