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Employer Group ABC
Incurred:
Apr 2014 thru Dec 2015
Paid:
Apr 2014 thru Mar 2016
4
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1. SUMMARY OF FINDINGS
1
This report provides an analysis of the healthcare information for Employer Group ABC. The information is based on
eligibility, medical claims, and pharmacy claims data for employees and their families on incurred and paid basis. The
cost figures below reflect the time frame specified.
Summary of Expenses Paid by Plan
Commercial Norms
2,
3
Medical Claims
$135,149,394.48
Pharmacy Claims
$0.00
Total Claims
$135,149,394.48
PMPM Medical Expenses
$405.59
$255.50
PMPM Pharmacy Expenses
$0.00
$59.52
Total PMPM Expenses
$405.59
$315.02
1
Source: Medical Intelligence : Executive Summary Module
2
The Commercial Norm values have been adjusted by Age-Gender-Geography
3
Norm or Verscend Norm in this report refers to the values from Verscend's Commercial Normative database.