66 / 537
Employer Group ABC
Incurred:
Apr 2014 thru Dec 2015
Paid:
Apr 2014 thru Mar 2016
3
|
Page
Introduction
All the metrics are calculated based on the claims incurred from April 2014 to December 2015 which were paid
between April 2014 and March 2016.
All quality and risk metrics like QRM compliance, RI, CGI and Risk Scores are calculated based on the full cycle
irrespective of the selected time period.
Period-over-period comparisons are performed on selected sections within this report. The two periods selected for
analysis are:
1.
Current Period (P2)
Incurred from April 2015 through December 2015
Paid from April 2015 through March 2016
2.
Previous Period (P1)
Incurred from April 2014 through December 2014
Paid from April 2014 through March 2015
Please Note:
1.
This report displays Plan Paid Amounts unless otherwise specified.
2.
Many dollar values are rounded to the nearest dollar for increased readability. However, calculated values (such as total sums) are
calculated precisely and then rounded afterwards. This produces more accurate results, but may occasionally cause calculated fields to
appear inexact.
3.
Some sections in the Appendix are dependent on previous sections. If the underlying previous sections are not requested, then the
corresponding sections in the Appendix will not be populated.
4.
The information contained in report has been produced from data provided to Verscend, which has not been independently verified by
Verscend for accuracy or completeness. Additional information, including, but not limited to, any claims that have been incurred but not
paid as of the date of this report, or claims that were subject to subsequent adjustment, should be considered before any action is taken
on the basis of the contents of this report. This report does not constitute the provision of medical or legal advice by Verscend to any
party.