ProductsHealth Benefits Administration:
Reports
Comprehensive, Flexible Reporting to Help Clients Monitor and Manage Health Care Expenses
Our comprehensive TPA reporting package includes easy-to-read financial, utilization and claim summaries that are delivered monthly, quarterly and annually. We strive to first understand the client’s needs, and then offer the flexibility to extract, organize and analyze the data that is meaningful to the client.
Our standard reports are the starting point; however, we have ad hoc reporting capabilities to further assist our clients. Additionally, we work collaboratively with clients and their benefits consultants to provide in-depth detail analyses of their reports to identify any trends and anomalies. The goal is to provide useful information that can be used to evaluate the effectiveness of their benefit plan on health care costs and utilization.
Key report elements include:
- Claims reported by major cost categories and subcategories
- Detailed inpatient utilization metrics
- Comparisons to industry benchmark data
- Large claims analysis
- Top episodes by cost
- Ambulatory utilization summary
- Top provider information
- Demographic information
- Claims and customer service statistics
- And more
Monthly and Quarterly Reports
Clients receive standard monthly reports focusing on claim costs; quarterly incurred reports provide insight on utilization patterns as well as cost and disease management reports. Executive Summaries also are included as part of the quarterly incurred reports.
