Inquiry Summary,” a detail of Claim information for each reserve category: indemnity expenses, medical expenses, and Allocated Loss Expenses. Claims Listing,” a listing of all Claims that have had changes entered “Changed within a specified date frame. Analysis,” a summary that provides five (5) years financial Data “Comparative by month for Medical and Indemnity Claims. Allocation,” a report that details payment totals by date of loss by “Cost department. Development Report” a report that provides a trend analysis for ten (10) “Loss specific Claim activity categories for annual reporting periods (up to ten (10) years of Data). Work Days Report,” a report that details by twelve (12) ranges of lost “Lost days, the number of open and total Claims, total lost days per Claim, payment and reserve amounts, average paid, and the percent of total each category represents. Management Reports,” information regarding net savings, Medical “Medical Bill Review, PPO Network services, MPN Services, and Utilization and Peer Reviews. Duty Report,” a detailed listing of Claimants on modified or “Modified restricted duty within a given date frame with the estimated release to return to full duty. Production Report,” a report that provides monthly activity for “Office Indemnity and Medical Claims and Claim inventory at the beginning and end of the month. Check Register,” a listing of each provider that has received payments “Provider within a specified date frame. Report,” a comparison summary of current month, prior month, fiscal “Results year to date, and prior fiscal year to date. Report,” a detailed listing of Claimants that are currently being “Return-to-work paid a benefit or a detailed listing of Claimants with a return-to-work date or estimated return-to-work date. Request Report,” information requests to meet a specific client need “Special that cannot be satisfied through pre-established reports. Valuation,” a report that provides the value of Claims as of a “Historical specified date.
Inquiry Summary,” a detail of Claim information for each reserve category: indemnity expenses, medical expenses, and Allocated Loss Expenses. “Changed Claims Listing,” a listing of all Claims that have had changes entered within a specified date frame. “Comparative Analysis,” a summary that provides five (5) years financial Data by month for Medical and Indemnity Claims. “Cost Allocation,” a report that details payment totals by date of loss by department. “Loss Development Report” a report that provides a trend analysis for ten (10) specific Claim activity categories for annual reporting periods (up to ten (10) years of Data). “Lost Work Days Report,” a report that details by twelve (12) ranges of lost days, the number of open and total Claims, total lost days per Claim, payment and reserve amounts, average paid, and the percent of total each category represents. “Medical Management Reports,” information regarding net savings, Medical Bill Review, PPO Network services, MPN Services, and Utilization and Peer Reviews. “Modified Duty Report,” a detailed listing of Claimants on modified or restricted duty within a given date frame with the estimated release to return to full duty. “Office Production Report,” a report that provides monthly activity for Indemnity and Medical Claims and Claim inventory at the beginning and end of the month. “Provider Check Register,” a listing of each provider that has received payments within a specified date frame. “Results Report,” a comparison summary of current month, prior month, fiscal year to date, and prior fiscal year to date. “Return-to-work Report,” a detailed listing of Claimants that are currently being paid a benefit or a detailed listing of Claimants with a return-to-work date or estimated return-to-work date. “Special Request Report,” information requests to meet a specific client need that cannot be satisfied through pre-established reports. “Historical Valuation,” a report that provides the value of Claims as of a specified date.
HR-2013-01-RB-JBWC-TPA-Attachment-2-Terms-Cond.docx