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Top 20 Claimants
qPRNkKHt1uSN7MAC92HugQ==
umKyizyDMZJqYl0CFOioMw==
HuXpBzZfdebzE9nHCL45Xw==
73izAYytqduA3wPGo4HFhg==
eoVAF6xf9BVljJyW1AZPGg==
TzSslGq9TMMxzLsPtJyxaw==
SFLSg+17MOeuhLcL9PDfsw==
mfW7uAhTwGc9TDt5DGi82A==
GeZaYBZ/Yf2BECz+ygv9mg==
WIvRgfLcv+mQcuLJpgcpwg==
3xirYSEsvkcfWMo0IwCGQg==
UHh+3OZlZok2IqzKYh7s3g==
lABT/bXnvDw/uSBz5Bwdkw==
faXwTmrrkF++n0gpfZmzMw==
GbAxyWwt2jgBZcn1Xj9VcQ==
q9LlvjyzM3pYOOiqNMExWA==
OIkxntrf7+X8vh7EGC29NQ==
s7mzz1tpEzQYACdC2u45kQ==
XX12oUnFYLMoRpvjxyhmwg==
ZJsK43wBK860Tm1SapXlKQ==
$0
$50,000 $100,000 $150,000 $200,000 $250,000 $300,000 $350,000 $400,000
TOP CONDITION
REL
M/F
AGE
% PLAN
PAID OF
TOTAL
PLAN PAID
MEMBER PAID
PLAN PAID
MEMBER ID
Chronic skin ulcer, wo comp,
w comorb, w surg
SUBSCRIBER
M 35
5.35 %
$4,500.00
$393,880.12
ZJsK43wBK860Tm1SapXlKQ==
Other drug dependence, w
comorb
SON
M 26
3.72 %
$12,315.14
$274,315.05
XX12oUnFYLMoRpvjxyhmwg==
Cirrhosis, w comp, w
comorb, w surg
HUSBAND
M 65
2.75 %
$4,587.85
$202,316.75
s7mzz1tpEzQYACdC2u45kQ==
Jt degen -back, w comp, w
comorb, w surg
WIFE
F
39
2.72 %
$8,900.00
$200,645.48
OIkxntrf7+X8vh7EGC29NQ==
Closed fx/dis - pelv girdle,
wo comp, w comorb, w surg
SUBSCRIBER
M 62
2.41 %
$4,522.75
$177,206.11
q9LlvjyzM3pYOOiqNMExWA==
Septicemia, wo comp, wo
surg
HUSBAND
M 61
2.38 %
$4,711.13
$175,721.69
GbAxyWwt2jgBZcn1Xj9VcQ==
Chronic renal failure, w
comp, w comorb
SUBSCRIBER
F
53
2.38 %
$1,075.62
$175,586.00
faXwTmrrkF++n0gpfZmzMw==
Thrombocytopenia, w comp,
wo comorb, wo surg
SUBSCRIBER
F
58
1.90 %
$73.83
$139,751.11
lABT/bXnvDw/uSBz5Bwdkw==
Oth hematologic dis, wo surg
SUBSCRIBER
M 55
1.37 %
$3,779.02
$100,934.60
UHh+3OZlZok2IqzKYh7s3g==
Embolism & thrombosis
veins, w comp, wo surg
SUBSCRIBER
F
52
1.35 %
$4,893.30
$99,630.63
3xirYSEsvkcfWMo0IwCGQg==
Page 9 of 41
Incurred: 2/1/2016 to 1/31/2017
Episode Treatment Groups, third party software included in Design180 ™, is the proprietary and copyrighted
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