21 / 63
MEMBER ID
PLAN PAID
MEMBER PAID
% PLAN PAID OF
TOTAL PLAN PAID
AGE
M/F
REL
TOP CONDITION
/K7T54u5XULtojgFZcBq9g==
$73,339.67
$2,870.68
7.19%
63
M
SUBSCRIBER Isch hrt dis, wo comp, w comorb, w
CABG
QYyKG/CSX7gcm9693Y0MUw==
$64,195.55
$3,075.17
6.29%
26
M
SUBSCRIBER Cong disorder CNS, wo comorb, wo
surg
l2Ug0q7o9IDCAHrILbDk3Q==
$55,336.89
$4,680.20
5.43%
66
F
SUBSCRIBER Jt degen -knee L/leg, wo comp, w
comorb, w surg
vZ4M33DX+CW/yG9srrPPEw==
$46,350.50
$3,604.80
4.54%
22
F
DEPENDENT Eating disorder
HsSfpx+wMa8MH03/Kbx+yg==
$34,321.77
$3,705.54
3.37%
57
M
SUBSCRIBER Jt degen -knee L/leg, wo comp, wo
comorb, w surg
S18Als3pHQG+yr2bOQv43g==
$34,265.94
$4,872.67
3.36%
32
F
SPOUSE
Jt degen -back, w comp, wo comorb,
w surg
WGWaJv6rMSc1HjnPVP5ZTA==
$32,173.23
$7,405.32
3.15%
58
F
SPOUSE
Jt degen -neck, wo comp, wo comorb,
w surg
pBmLW41Gu0tdHE+CetLNJw==
$27,376.30
$5,245.31
2.68%
63
F
SUBSCRIBER Jt degen -back, w comp, w comorb, w
surg
8OYpkZNtCFw2R7cy3Imlig==
$23,380.59
$3,129.64
2.29%
30
F
SPOUSE
Pregnancy w delivery, w comp, wo
comorb, w c-section
vPAfqK7CLXAoqi65FoStvw==
$20,947.83
$3,528.57
2.05%
42
F
SPOUSE
Pregnancy w delivery, w comp, wo
comorb, w c-section
Remaining Members
$608,211.63
$361,699.42
59.63%
Top 10 Claimants
21