CMS Workload Report

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CROClD (3.2.21
BLIST
CARRIER
RRB-SO CAR PGBA(RRB1

REPDRTING

CMS i d g ~ ~ ~ InZn~nT ~ E T

HEOICARE PROGRAH CARRIER PERFORMANCE WORKLOAD REPORT
FISCAL YEAR: OCTOBER, 2007 THRU SEPTEMBER, 2008
NUHBER

TOTAL

ASSIGNED

1,510,657
1,443,148
2,953,805

1,496,495
1,421,451
2,917,946

10,42R1691
0
10,423,691
8,726,7115

10,365,119
0
10,365,119
8,691,195

9,331,904
0,340,663
315,641
675,600
2,470,238
0
2,470,238
11,81)2J222
17,011

9,271,144
8,291,231
519,919
668,994
2,446,460

A: MONTHLY HORKLOAO OPERATIONS
OPENING PENDING
1. CLAIMS PENDING END OF LAST MONTH
2. ADJUSTMENTS
3. ADJUSTED OPENING PENDING
RECEIPTS
4. TOTAL CLAIHS RECEIVED DURING MONTH
5. TRAdSFERRED TO OTHER CARRIER
6. NET NUHBER OF CLAIHS RECEIVED
7. ELECTRONIC HEOIA CLAIflS RECEIVED
CLAIHS PROCESSEO
8. TOTAL CWF C L A I B
9. CLAIHS P A I D
10. CLAIMS APPLIED TO DECUCTIBLE
11. CLAIMS DENIED
12. TOTAL NON-CWF CLAIHS
13. CLAIMS APPROVED
14. CLAIMS DENIED
IS. TOTAL CLAIilS PROCESSED
16. REPLICATE CLAIMS PROCESSED
CLOSING PENDING
17. CLAfflS PENDING AT END OF HONTH
DISTRIBUTION BY DAYS ELAPSED SINCE RECEIPT
18.
1
15 DAYS
19. 16 30 DAYS
20.
31
60 DAYS
90 DAYS
21.
61
22.
OVER 90 DAYS
C L A I H INVESTIGATIONS
23. NUHBER CLAIHS INVESTIGATED DURING HONTH
8 : INQUIRIES
24. TOTAL PROCESSED DURING HONTH
25.
TELEPHONE
26.
WALK-IN CONTACT
27.
WRITTEN
C: MISCELLANEOUS CLAIHS DATA
REDICAID CROSSOVER CLAIMS
28. NUMBER TRANSFERRED TO ST. AGENCIES
29. NUHBER TRANSFERRED ELECTRONICALLY
OPTICAL CHARACTER RECOGNITION CLAIMS
30. TOTAL CLAIHS
31. TOTAL MSNS MAILED

-

PAGE:
HORKING DAYS 253.00

000882
ITEM

09:05 JAN 06 2009

1,5801274
ljO48j506
345,796
107,658
35,261
43,053
46,147
1,268,663
1,224,483
13
44,167
0
0
2,935,236
104,548

0

2,446,460
11,717,604
NiF

1,565,461

UNASSIGNED

1