Las - Mem

Enrollment by Relationship Type Table – Period 1 All - Contract, Dental Coverage Type – Subscriber Enrollment

The number of Subscriber & All(Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 All - Contract, Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscribers & All (Husband, Wife, Son, Daughter, Other) enrolled in a pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 All - Contract, Vision Coverage Type – Subscriber Enrollment

The number of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 All- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 All Contract, Medical Coverage Type – Subscriber Enrollment

The number of Subscribers & All (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 All- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscribers & All (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 All Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a Pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 All- Contract, Stop Loss Coverage Type – Subscriber Enrollment

The number of Subscriber & All(Husband, Wife, Son, Daughter, Other) enrolled in a Stop Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 All Contract, Stop Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber & All(Husband, Wife, Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 All- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family - Contract, Dental Coverage Type – Subscriber Enrollment

The number of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family - Contract, Medical Coverage Type – Subscriber Enrollment

The number of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family - Contract, Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family - Contract, Stop Loss Coverage Type – Subscriber Enrollment

The number of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a Stop Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family - Contract, Vision Coverage Type – Subscriber Enrollment

The number of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a Pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family- Contract, Stop Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Family- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Dental Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscriber, Husband & Wife enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Medical Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscriber, Husband & Wife enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber, Husband & Wife enrolled in a pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Stop-Loss Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Stop-Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber, Husband & Wife enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Vision Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Husband & Wife- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber, Husband & Wife enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other - Contract, Dental Coverage Type – Subscriber Enrollment

The number of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other - Contract, Stop Loss Coverage Type – Subscriber Enrollment

The number of Subscribers & Others(Husband, Wife, Son, Daughter, Other) enrolled in a Stop Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other - Contract, Vision Coverage Type – Subscriber Enrollment

The number of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other Contract, Medical Coverage Type – Subscriber Enrollment

The number of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other- Contract, Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a Pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other- Contract, Stop Loss Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Other- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Dental Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Medical Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent Child (Son, Daughter, Other) enrolled in a Pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Stop-Loss Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Stop-Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Vision Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Child- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Dental Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent Children (Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Medical Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent Children (Son, Daughter, Other) enrolled in a Pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Stop-Loss Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Stop-Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Vision Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Parent & Children- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Dental Coverage Type – Subscriber Enrollment

The number of single subscribers enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Dental Coverage Type – Subscriber Enrollment%

The % single subscribers enrolled in a dental benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Medical Coverage Type – Subscriber Enrollment

The number of single subscribers enrolled in a medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Medical Coverage Type – Subscriber Enrollment%

The % single subscribers enrolled in a medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Medical Coverage Type – Subscriber Enrollment%

The % single subscribers enrolled in a pharmacy benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Pharmacy Coverage Type – Subscriber Enrollment

The number of single subscribers enrolled in a medical benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Stop-Loss Coverage Type – Subscriber Enrollment

The number of single subscribers enrolled in a stop-loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Stop-Loss Coverage Type – Subscriber Enrollment%

The % of single subscribers enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Vision Coverage Type – Subscriber Enrollment

The number of single subscribers enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 1 Single- Contract, Vision Coverage Type – Subscriber Enrollment%

The % single subscribers enrolled in a vision benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract Dental Coverage Type – Subscriber Enrollment

The number of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract Medical Coverage Type – Subscriber Enrollment

The number of Subscribers & All (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract Stop Loss Coverage Type – Subscriber Enrollment

The number of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract Vision Coverage Type – Subscriber Enrollment

The number of Subscriber & All(Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscribers & All (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract, Stop Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber & All(Husband, Wife, Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 All- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber & All (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract Dental Coverage Type – Subscriber Enrollment

The number of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract Medical Coverage Type – Subscriber Enrollment

The number of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract Stop Loss Coverage Type – Subscriber Enrollment

The number of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract Vision Coverage Type – Subscriber Enrollment

The number Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract, Stop Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Family- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber & Family (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract Dental Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a Dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract Dental Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract Stop Loss Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract, Dental Coverage Type – Subscriber Enrollment%

The % Subscriber, Husband & Wife enrolled in a dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract, Medical Coverage Type – Subscriber Enrollment

The number of Subscriber, Husband & Wife enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscriber, Husband & Wife enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber, Husband & Wife enrolled in a Pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract, Stop Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber, Husband & Wife enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Husband & Wife- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber, Husband & Wife enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Other - Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Other - Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Other- Contract Dental Coverage Type – Subscriber Enrollment

The number of Subscribers & Others(Husband, Wife, Son, Daughter, Other) enrolled in a dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Other- Contract Medical Coverage Type – Subscriber Enrollment

The number of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Other- Contract Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscribers & Others(Husband, Wife, Son, Daughter, Other) enrolled in a pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2- Other- Contract Stop Loss Coverage Type – Subscriber Enrollment

The number of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Other- Contract Vision Coverage Type – Subscriber Enrollment

The number of Subscribers & Others(Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Other- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Other- Contract, Stop Loss Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Other- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscribers & Others (Husband, Wife, Son, Daughter, Other) enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract Dental Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract Medical Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract Stop-Loss Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract Vision Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract, Stop-Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Child- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Child (Son, Daughter, Other) enrolled in a Vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract Dental Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Children(Son, Daughter, Other) enrolled in a Dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract Medical Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract Pharmacy Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract Stop-Loss Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract Vision Coverage Type – Subscriber Enrollment

The number of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract, Dental Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract, Medical Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract, Pharmacy Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract, Stop-Loss Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Children (Son, Daughter, Other) enrolled in a Stop-Loss benefit plan for current year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Parent & Children- Contract, Vision Coverage Type – Subscriber Enrollment%

The % of Subscriber, Parent & Children(Son, Daughter, Other) enrolled in a Vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Dental Coverage Type – Subscriber Enrollment

The number of single subscribers enrolled in a dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Medical Coverage Type – Subscriber Enrollment

The number of single subscribers enrolled in a medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Medical Coverage Type – Subscriber Enrollment%

The % single subscribers enrolled in a medical benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Medical Coverage Type – Subscriber Enrollment%

The % single subscribers enrolled in a pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Medical Coverage Type – Subscriber Enrollment%

The % single subscribers enrolled in a dental benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Pharmacy Coverage Type – Subscriber Enrollment

The number of singles subscribers enrolled in a pharmacy benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Stop – Loss Coverage Type – Subscriber Enrollment

The number of single subscribers enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Stop-Loss Coverage Type – Subscriber Enrollment%

The % of single subscribers enrolled in a Stop-Loss benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Vision Coverage Type – Subscriber Enrollment

The number of single subscribers enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment by Relationship Type Table – Period 2 Single- Contract, Vision Coverage Type – Subscriber Enrollment%

The % single subscribers enrolled in a vision benefit plan for previous year

CE Member Subscriber Enrollment by Contract Type -Dashlet

Enrollment Close Date (Fecha de cierre de inscripción)

La fecha de finalización de la participación del miembro en el programa de coordinación de atención médica.

Program Detail - Action Report (Detalle del programa - Informe de acción)

Enrollment Open Date (Fecha de apertura de inscripción)

La fecha en que se identificó al miembro para participar en el programa de coordinación de atención médica.

Program Detail - Action Report (Detalle del programa - Informe de acción)

Followed by Acute Admission

Indicates if the service was followed by an acute inpatient admission.

Inpatient Admission -Action Report

Followed by an Acute Admission Indicator

Indicates if the service was followed by an acute inpatient admission.

Claim Summary - Action Report (Resumen de la reclamación - Informe de acción)

Followed by SNF Admission

Indicates if the service was followed by skilled nursing facility (SNF) admission.

Inpatient Admission -Action Report

Sexo

Gender of member(s).

Enrollment Detail -Action Report

Generic Available Indicator

Indicates if a generic version of the prescription is available.

Prescribing Pattern, Pharmacy Detail -Action Report

Generic Current Scripts

Volume of scripts for generic drugs filled in the current rolling 12 month period. El total de recetas surtida se basa en un cálculo equivalente de 30 días.

Utilization by Drug Type -Dashlet

Generic Drug Current Plan Paid Amount

Plan payments for generic drugs filled in the current rolling 12 month period.

Payment by Drug Type -Dashlet

Generic Drug Previous Plan Paid Amount

Plan payments for generic drugs filled in the previous rolling 12 month period.

Payment by Drug Type -Dashlet

Generic Fill Ratio

% ofgenericprescriptions dispensed divided by the total number of prescriptions.

CE Executive Report – Pharmacy Cost Summary Page - Action Report

Nombre genérico

The generic name of the prescribed drug.

Prescribing Pattern - Action Report (Patrón de prescripción - Informe de acción)

Generic Previous Scripts

Volume of scripts for generic drugs filled in the previous rolling 12 month period. El total de recetas surtida se basa en un cálculo equivalente de 30 días.

Utilization by Drug Type -Dashlet

Group Description

The Group Name associated with the Group Number.

Dental Payment Summary, Vision Payment Summary -Action Report

Número del grupo

Client assigned group number for which the payment was made.

Dental Payment Summary,Vision Payment Summary -Action Report

Número del grupo

The Group Number assigned by the carrier.

Expense and Cost Summary by Incurred Date, xpense and Cost Summary by Paid Date -Action Report

High Cost Claimants

Number of member whose claim total costs exceeds pre-determine cost threshold.

Executive Report- Action Report

High Cost Members

Number of members whose total plan costs exceeded the combined medical and pharmacy limit as defined by the carrier.

High Cost Members -Population Measures

Highest PMPM Cost Bucket

Cost bucket with the highest per member per month cost.

Executive Report- Action Report

Hospital Services Actual PMPM

Hospital services cost per member per month for the normative population for the current rolling 12 month period. Completion factors are applied and capitation payments are included.

Cost Overview -Dashlet

Hospital Services Actual PMPM

Hospital services cost per member per month for the plan for the current rolling 12 month period where the cost does not exceed a threshold. Capitation payments are included and completion factors are applied.

Cost Overview w/o Outliers -Dashlet

Hospital Services Actual PMPM

Hospital services cost per member per month for the normative population for the current rolling 12 month period where the cost exceeds a threshold. Capitation payments are included and completion factors are applied.

Cost Overview w/o Outliers -Dashlet

Hospital Services Norm PMPM

Hospital services cost per member per month for the plan for the current rolling 12 month period. Completion factors are applied and capitation payments are included.

Cost Overview -Dashlet

Hospital Services Norm PMPM

Hospital services cost per member per month for the normative population for the current rolling 12 month period where the cost does not exceed a threshold. Capitation payments are included and completion factors are applied.

Cost Overview w/o Outliers -Dashlet

Hospital Services Norm PMPM

Hospital services cost per member per month for the plan for the current rolling 12 month period where the cost exceeds a threshold. Capitation payments are included and completion factors are applied.

Cost Overview w/o Outliers -Dashlet

Hospital Services Visits/1000 Count

Utilization per 1,000 members for hospital services for the plan population. Completion factors are applied.

Cost and Utilization Summary by Cost Bucket - Action Report

Hospital Services-All PMPM

Hospital services cost per member per month for the plan for the current rolling 12 month period. Completion factors are applied and capitation payments are included.

Cost and Utilization Summary by Cost Bucket - Action Report

Hospital Services-Outliers Only PMPM

Hospital services cost per member per month for the plan for the current rolling 12 month period. This measure includes only those members who have exceeded a client configured threshold. Completion factors are applied and capitation payments are included

Cost and Utilization Summary by Cost Bucket - Action Report

Hospital Services-w/o Outliers PMPM

Hospital services cost per member per month for the plan for the current rolling 12 month period. This measure excludes those members who have exceeded a client configured threshold. Completion factors are applied and capitation payments are included.

Cost and Utilization Summary by Cost Bucket - Action Report

ICD Type Code

Code indicating the version of the International Classification of Diseases associated with all the diagnoses for the claim line. Current this is either 9 or 10.

Claim Detail - Action Report (Detalle de la reclamación - Informe de acción)

ICD Type Code

Code indicating if the ICD code is version 9 or 10.

Claim Summary, Inpatient Admission-Action Report

Identified Member Count

The total number of members who were identified as potential candidates for the health management program.

Program Summary -Action Report

Identified Member Percentage

The percentage of members in the population and identified as eligible for the program (Under current configuration, currently always 100%).

Program Summary -Action Report

Incurred Month

The year and month (CCYYMM) in which the plan's liability for claim payment is realized. Typically this is the first date of service on the claim.

Lag Report -Action Report

In-Network PMPM Group Current

In Network cost per member per month for the current rolling 12 month period. Completion Factors are applied and Capitation Payments are included.

In-Network Cost Summary -Dashlet

In-Network PMPM Group Prior

In Network cost per member per month for the prior rolling 12 month period. Completion Factors are applied and Capitation Payments are included.

In-Network Cost Summary -Dashlet

In-Network PMPM Norm Current

In Network cost per member per month for the normative population, for the current rolling 12 month period. Completion Factors are applied and Capitation Payments are included.

In-Network Cost Summary -Dashlet

In-Network PMPM Norm Prior

In Network cost per member per month for the normative population, for the prior rolling 12 month period. Completion Factors are applied and Capitation Payments are included.

In-Network Cost Summary -Dashlet

In-Network Services Per 1,000 Group Current Period

Utilization per 1,000 members for In-Network services for the current time period. Completion factors are applied.

In-Network Utilization Summary -Dashlet

In-Network Services Per 1,000 Group Prior Period

Utilization per 1,000 members for In-Network services for the prior time period. Completion factors are applied.

In-Network Utilization Summary -Dashlet

In-Network Services Per 1,000 Norm Current Period

Utilization per 1,000 members for In-Network services for the prior time period, for the normative population. Completion factors are applied.

In-Network Utilization Summary -Dashlet

In-Network Services Per 1,000 Norm Prior Period

Utilization per 1,000 members for In-Network services for the prior time period, for the normative population. Completion factors are applied.

In-Network Utilization Summary -Dashlet

Inpatient Facility - % Change

Number of Admissions to Inpatient Facility % change from previous to current year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Inpatient Facility Admissions/1000 Members - % Change

Admissions per 1000 members to Inpatient Facility % change from previous to current year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Inpatient Facility Average Length of Stay - % Change

Average Length in days of a patient Inpatient Facility stay % change from previous to current year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Inpatient Facility Average Paid Per Admission - % Change

Average paid per Inpatient Facility admission % change from previous to current year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Inpatient Facility Paid PMPM - % Change

Plan Paid Per Member Per Month for Inpatient Facility services % change from previous to current year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Inpatient Facility Readmission Percentage - % Change

% of patients that were re-admitted to Inpatient Facility less than 30 days between initial discharge and re-admission % change from previous to current year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Inpatient Hospital Current

The total adjusted paid amount for facility inpatient medical services in the current rolling 12 month period. Completion factors are applied then capitation payments are included.

Payment Summary -Dashlet

Inpatient Hospital Previous

The total adjusted paid amount for facility inpatient medical services in the previous rolling 12 month period. Completion factors are applied then capitation payments are included.

Payment Summary -Dashlet

Inpatient Hospital Variance

The variance in the total adjusted paid amount for facility inpatient medical services from the current period versus the previous one. Completion factors are applied then capitation payments are included.

Payment Summary -Dashlet

Inpatient Professional Average Paid Per Service - % Change

Average Paid per service for Inpatient Professional Services % change from previous to current year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Inpatient Professional Paid PMPM - % Change

Plan Paid Per Member Per Month for Inpatient Professional services % change from current to previous year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Inpatient Professional Services - % Change

Number of Services that are for Inpatient Professional Services % change from previous to current year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Inpatient Professional Services/1000 Members - % Change

Number of Inpatient Professional Services per 1000 members % change from previous to current year.

CE Executive Report – Total Medical Cost Key Metrics Page - Action Report

Lab Actual PMPM

Laboratory services cost per member per month for the plan for the current rolling 12 month period. Completion factors are applied and capitation payments are included.

Cost Overview -Dashlet

Lab Actual PMPM

Laboratory services cost per member per month for the plan for the current rolling 12 month period where the cost does not exceed a threshold. Capitation payments are included and completion factors are applied.

Cost Overview w/o Outliers -Dashlet

Lab Actual PMPM

Laboratory services cost per member per month for the plan for the current rolling 12 month period where the cost exceeds a threshold. Capitation payments are included and completion factors are applied.

Cost Overview w/o Outliers -Dashlet

Lab Norm PMPM

Laboratory services cost per member per month for the normative population for the current rolling 12 month period. Completion factors are applied and capitation payments are included.

Cost Overview -Dashlet

Lab Norm PMPM

Laboratory services cost per member per month for the Normative Population for the current rolling 12 month period where the cost does not exceed a threshold. Capitation payments are included and completion factors are applied.

Cost Overview w/o Outliers -Dashlet

Lab Norm PMPM

Laboratory services cost per member per month for the normative population for the current rolling 12 month period where the cost exceeds a threshold. Capitation payments are included and completion factors are applied.

Cost Overview w/o Outliers -Dashlet

Lab Visits/1000 Count

Utilization per 1,000 members for laboratory services for the plan. Completion factors are applied.

Cost and Utilization Summary by Cost Bucket - Action Report

Lab-All PMPM

Laboratory services cost per member per month for the plan for the current rolling 12 month period . Completion factors are applied and capitation payments are included.

Cost and Utilization Summary by Cost Bucket - Action Report

Lab-Outliers Only PMPM

Laboratory services cost per member per month for the plan for the current rolling 12 month period. includes only those members who have exceeded a client configured threshold. Completion factors are applied and capitation payments are included.

Cost and Utilization Summary by Cost Bucket - Action Report

Lab-w/o Outliers PMPM

Laboratory services cost per member per month for the plan for the current rolling 12 month period. Excludes those members who have exceeded a client configured threshold. Completion factors are applied and capitation payments are included.

Cost and Utilization Summary by Cost Bucket - Action Report