REPORTING Vendor Online Excel Response Access (Y or N) Report Type Month Quarter Annual (Y or N) (Y or N) Enrollment (subscriber/member) by plan X option, by coverage tier for each employer Paid Claims By Plan Option X X By Type (fee for service, capitated) By Status (Active, Retiree, COBRA) X X By Member Cost-Sharing by Plan Option X Overpayments Large Claim Report - $50,000 with diagnosis X By Plan Option X By Status (Active, Retiree, Terminated, COBRA) Other Claims Reports X Claims Lag Network Utilization X In-Network X Out-of-network X Out-of-State Utilization Management Precertification X X Case Management Large Claims Report including Case X Management Status Wellness Programs Utilization X X ROI Savings
REPORTING Report Type Month Quarter Annual Vendor Response (Y or N) Online Access (Y or N) Excel (Y or N) Enrollment (subscriber/member) by plan option, by coverage tier for each employer X Paid Claims By Plan Option X By Type (fee for service, capitated) X By Status (Active, Retiree, COBRA) X By Member Cost-Sharing by Plan Option X Overpayments X Large Claim Report - $50,000 with diagnosis By Plan Option X By Status (Active, Retiree, Terminated, COBRA) X Other Claims Reports Claims Lag X Network Utilization In-Network X Out-of-network X Out-of-State X Utilization Management Precertification X Case Management X Large Claims Report including Case Management Status X Wellness Programs Utilization X ROI Savings X