Embassy Egypt CS Claims Analysis May 1 through Oct 31 2018.pdf

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Health and Life Insurance, US Embassy Cairo
Solicitation number
19GE5021R0009
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This solicitation seeks health and life insurance proposals for locally engaged staff at the US Embassy in Cairo, Egypt. Offerors must submit pricing in the required Microsoft Excel spreadsheet by February 26, 2021 at 15:00 German Time to the Regional Procurement Support Office in Frankfurt. Questions are due by February 9, 2021 and will be answered via amendment. The selected contractor must have an active SAM registration. The contract type is not specified but the pricing sheet requests firm fixed unit prices. The Department of State is the contracting agency and the incumbent is not identified.

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19GE5021R0009_0009.pdf PDF
DOB report_amendent 0009.xlsx XLSX spreadsheet
Attachment 1 - Pricing_amendment 0009.xlsx XLSX spreadsheet
Q and A set four 21R0009.pdf PDF
19GE5021R0009_0008.pdf PDF
19GE5021R0009_0007.pdf PDF
19GE5021R0009_0006.pdf PDF
19GE5021R0009_00005.pdf PDF
Claims Report_Life insurance_corrected_00004.xlsx XLSX spreadsheet
19GE5021R0009_0004.pdf PDF
DOB report_19GE5021R0009_A0003.pdf PDF
19GE5021R0009_00003_Q and A_set three.pdf PDF
19GE5021R0009_0003.pdf PDF
DEPENDENT_DATA_19GE5021R0009_A0003.pdf PDF
Claims Report_Life insurance.xlsx XLSX spreadsheet
19GE5021R0009_0002.pdf PDF
19GE5021R0009_Q and A_ set two.pdf PDF
19GE5021R0009_00001_Q and A_set one.pdf PDF
SAM.zip ZIP file
DOB report.pdf PDF
19GE5021R0009_00001.pdf PDF
Table of Benefits 2019.pdf PDF
Claims analysis.zip ZIP file
Attachment 2 - Experience and Past Performance.docx DOCX document
19GE5021R0009.pdf PDF
Attachment 3 - Form W-14.pdf PDF
Attachment 1 - Pricing.xlsx XLSX spreadsheet
Exhibits A_ B and C.pdf PDF
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CS Claims Analysis by Client and Sub office Client code: 0312* Paid date from : 2018-05-01 to : 2018-10-31

Claims Paid by Benefit Category

Client / Suboffice Inpatient Outpatient Op Medication

Maternity Dental Optical Other Services

Total % of Total

0312A 001 AMERICAN EMBASSY 1,614,778 1,450,278 2,204,901 39,709 169,067 101,463 0 5,580,196 34% 0312B 001 AMERICAN EMBASSY 2,375,348 2,095,010 2,109,258 279,813 257,085 153,960 0 7,270,474 45%

0312C 001 AMERICAN EMBASSY 964,449 126,837 311,443 3,587 845 1,407,162 9%

0312D 001 AMERICAN EMBASSY 24,950 81,808 172,928 10,424 5,633 295,743 2%

0312E 001 AMERICAN EMBASSY 234,747 155,800 190,628 15,467 22,397 13,966 633,006 4%

0312F 001 AMERICAN EMBASSY 17,834 16,739 61,072 1,718 97,363 1%

0312G 001 AMERICAN EMBASSY 9,632 6,917 23,545 1,940 685 42,719 0%

0312H 001 AMERICAN EMBASSY 15,959 14,249 4,911 2,000 45 37,164 0%

0312I 001 AMERICAN EMBASSY USAID 165,043 181,711 187,343 25,436 21,129 5,365 586,028 4% 0312J 001 AMERICAN EMBASSY USAID 17,763 156,818 127,158 17,787 19,510 21,830 0 360,866 2%

0312K 001 AMERICAN EMBASSY 892 233 1,126 0%

Total 5,440,502 4,287,059 5,393,422 378,213 508,858 303,792 0 16,311,846 100% Inpatient

33%

Outpatient 26%

Op Medication 33%

Maternity 2%

Dental 3%

Optical 2%

Inpatient 33%

Outpatient 26%

Op Medication 33%

Maternity 2%

Dental 3%

Optical 2%

PercentagePaid_usd

Inpatient Outpatient Op Medication Maternity Dental Optical Other Services

Cash vs. PPO Claims

Client / Suboffice CASH PPO Total % of Total

0312A 001 AMERICAN EMBASSY 171,543 5,408,653 5,580,196 34%

0312B 001 AMERICAN EMBASSY 643,929 6,626,546 7,270,474 45%

0312C 001 AMERICAN EMBASSY 141,849 1,265,313 1,407,162 9%

0312D 001 AMERICAN EMBASSY 21,985 273,758 295,743 2%

0312E 001 AMERICAN EMBASSY 42,056 590,950 633,006 4%

0312F 001 AMERICAN EMBASSY 900 96,463 97,363 1%

0312G 001 AMERICAN EMBASSY 1,152 41,567 42,719 0%

0312H 001 AMERICAN EMBASSY 1,000 36,164 37,164 0%

0312I 001 AMERICAN EMBASSY USAID 61,497 524,531 586,028 4%

0312J 001 AMERICAN EMBASSY USAID 89,807 271,058 360,866 2%

0312K 001 AMERICAN EMBASSY 1,126 1,126 0%

Total 1,175,718 15,136,128 16,311,846 100%

CASH

7%

PPO

93%

CASH

7%

PPO

93%

CASH

PPO

User: Maged Hamdy 1 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Cash Claims by Benefit Category

Client / Suboffice Inpatient Outpatient Op Medication

Maternity Dental Optical Other Services

Total % of Total

0312A 001 AMERICAN EMBASSY 6,371 33,611 4,150 14,331 95,923 17,156 171,543 15%

0312B 001 AMERICAN EMBASSY 264,701 121,812 16,336 70,573 139,330 31,177 0 643,929 55%

0312C 001 AMERICAN EMBASSY 127,653 5,740 7,956 500 141,849 12%

0312D 001 AMERICAN EMBASSY 11,963 2,419 219 5,784 1,600 21,985 2%

0312E 001 AMERICAN EMBASSY 9,973 2,310 631 8,530 13,912 6,700 42,056 4%

0312F 001 AMERICAN EMBASSY 900 900 0%

0312G 001 AMERICAN EMBASSY 77 125 950 1,152 0%

0312H 001 AMERICAN EMBASSY 1,000 1,000 0%

0312I 001 AMERICAN EMBASSY USAID 23,129 2,139 13,455 19,214 3,560 61,497 5%

0312J 001 AMERICAN EMBASSY USAID 40,632 1,960 15,287 17,756 14,172 0 89,807 8%

Total 420,661 229,730 33,515 122,176 295,270 74,366 0 1,175,718 100%

Inpatient 36%

Outpatient 20%

Op Medica...

3%

Maternity 10%

Dental 25%

Optical 6%

Inpatient 36%

Outpatient 20%

Op Medica...

3%

Maternity 10%

Dental 25%

Optical 6%

Op Medication Maternity Dental Optical Other Services

PPO Claims by Benefit Category

Client / Suboffice Inpatient Outpatient Op Medication

Maternity Dental Optical Other Services

Total % of Total

0312A 001 AMERICAN EMBASSY 1,608,407 1,416,666 2,200,751 25,378 73,144 84,306 0 5,408,653 36% 0312B 001 AMERICAN EMBASSY 2,110,647 1,973,198 2,092,922 209,241 117,755 122,783 6,626,546 44%

0312C 001 AMERICAN EMBASSY 836,796 121,097 303,488 3,087 845 1,265,313 8%

0312D 001 AMERICAN EMBASSY 12,987 79,389 172,709 4,640 4,033 273,758 2%

0312E 001 AMERICAN EMBASSY 224,774 153,490 189,997 6,937 8,485 7,266 590,950 4%

0312F 001 AMERICAN EMBASSY 17,834 16,739 61,072 818 96,463 1%

0312G 001 AMERICAN EMBASSY 9,632 6,840 23,420 990 685 41,567 0%

0312H 001 AMERICAN EMBASSY 15,959 14,249 4,911 1,000 45 36,164 0%

0312I 001 AMERICAN EMBASSY USAID 165,043 158,583 185,205 11,981 1,915 1,805 524,531 3% 0312J 001 AMERICAN EMBASSY USAID 17,763 116,186 125,198 2,500 1,754 7,658 271,058 2%

0312K 001 AMERICAN EMBASSY 892 233 1,126 0%

Total 5,019,841 4,057,328 5,359,907 256,037 213,588 229,426 0 15,136,128 100% Inpatient

33%

Outpatient 27%

Op Medication 35%

Maternity 2%

Dental 1%

Optical 2%

Inpatient 33%

Outpatient 27%

Op Medication 35%

Maternity 2%

Dental 1%

Optical 2%

Op Medication Maternity Dental Optical Other Services

User: Maged Hamdy 2 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Monthly Claims Paid Amount

Year- Month

Inpatient Outpatient Op Medication

Maternity Dental Optical Other Services

Total

May-2018 819,543 952,381 783,276 40,363 99,179 74,703 0 2,769,444 Jun-2018 479,698 595,038 1,016,052 33,950 69,684 55,474 1,379 2,251,275 Jul-2018 575,395 571,587 891,159 31,957 88,088 29,784 -1,379 2,186,592 Aug-2018 1,496,474 584,132 894,730 79,529 95,834 22,070 3,172,768 Sep-2018 842,550 842,722 848,855 90,242 69,766 20,595 2,714,729 Oct-2018 1,226,842 741,198 959,351 102,173 86,307 101,166 3,217,037 Total 5,440,502 4,287,059 5,393,422 378,213 508,858 303,792 0 16,311,846

-500,000

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

May-2018 Jun-2018 Jul-2018 Aug-2018 Sep-2018 Oct-2018

Benefit_Category Inpatient Outpatient Op Medication Maternity Dental Optical Other Services

Year-Month

Pa id

_u sd

Monthly Claims Count

Year-Month Inpatient Outpatient Op Medication Maternity Dental Optical Other Services May-2018 61 3,420 2,967 95 195 112 1 Jun-2018 51 2,095 3,594 64 145 110 3 Jul-2018 40 2,254 2,907 63 161 40 4 Aug-2018 80 2,359 3,215 93 193 48 Sep-2018 57 2,903 2,984 95 132 50 Oct-2018 92 2,798 3,239 101 188 141 Total 381 15,829 18,906 511 1,014 501 8

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

May-2018 Jun-2018 Jul-2018 Aug-2018 Sep-2018 Oct-2018

Benefit_Category Inpatient Outpatient Op Medication Maternity Dental Optical Other Services

Year-Month

Cl ai m _c ou nt

User: Maged Hamdy 3 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Claims based on Paid Amount Range

Paid Amount Range No.of claims %of total claims Paid Amount % of Total

<= 250 25,333 69% 2,731,168 17%

251-500 5,471 15% 1,956,032 12%

501-1000 4,248 12% 3,055,680 19%

1001-2500 1,178 3% 1,691,281 10%

2501-5000 253 1% 912,158 6%

5001-10000 183 0% 1,229,766 8%

>=10000 161 0% 4,735,761 29%

Total 36,827 100% 16,311,846 100%

Top 10 Daignosis Codes based on Paid Amount

Top 10 Diagnosis Number of Claimant

Paid Amount % to Total

DIABETES MELLITUS (DM) 379 1,187,285 7%

HYPERTENSION 444 727,492 4%

DENTAL 787 515,181 3%

RESPIRATORY DISTRESS SYNDROME 5 488,772 3%

ISCHEMIC HEART DISEASE (IHD) 121 481,775 3%

BREAST TUMOR - MALIGNANT -FEMALE 12 474,172 3%

LUMBAGO / LOW BACK PAIN 851 446,605 3%

OSTEOARTHRITIS 372 352,585 2%

HYPERLIPIDEMIA 361 319,922 2%

OPTICAL 483 311,276 2%

Top 10 5,305,065 33%

Others 11,006,781 67%

Summary 16,311,846 100%

User: Maged Hamdy 4 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Top 10 Claimant based on Paid Amount

Top 10 Claimant

Paid Amount % of Total

Major Conditions

1 239,822 1% ANAEMIA UNSPECIFIC

ARTHROPATHY / ARTHRITIS

CATARRH / COLD / CORYZA / NASOPHARYNTIGIS /RHINOPHARINGITIS

CEREBROVASCULAR DISEASE ( STROKE )

CHRONIC INFLAMMATORY DEMYELINATING POLYNEURITIS

CYSTIC FIBROSIS

DIABETES MELLITUS (DM)

DIABETES WITH KETOACIDOSIS

FOLLOW-UP EXAMINATION FOLLOWING SURGERY UNSPECIFIED

HEADACHE / HEAD PAIN

HYPERTENSION

INTERVERTEBRAL DISC

ISCHEMIC HEART DISEASE (IHD)

JOINT PAIN

KNEE PAIN

LUMBAGO / LOW BACK PAIN

NEURALGIA / NEURITIS

NEUROPATHY UNSPECIFIC

OSTEOARTHRITIS

OTHER FOLLOW-UP EXAMINATION

POLYDACTYLY OF FINGERS

RENAL COLIC

SPONDYLOSIS, CERVICAL

SPONDYLOSIS, LUMBOSACRAL

UNSPECIFIED INFLAMMATORY AND TOXIC NEUROPATHY

WOUND

2 232,102 1% ABDOMINAL PAIN

ABNORMAL LEVEL OF BLOOD / LIVER ENZYME.

ALLERGIC RHINITIS / RHINORRHEA / HAY FEVER

ANAEMIA IRON DEFICIENCY

ANEMIA UNSPECIFIED

ARTHROPATHY / ARTHRITIS

BRONCHIAL ASTHMA

BRONCHITIS, ACUTE

DENTAL

DIABETES MELLITUS (DM)

DIARRHAEA

User: Maged Hamdy 5 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Top 10 Claimant based on Paid Amount

Top 10 Claimant

Paid Amount % of Total

Major Conditions

2 232,102 1% GASTRITIS

GASTROENTERITIS / ENTERITIS OR COLITIS

GOUT / HYPERURICEMIA

HELICOBACTER PYLORI INFECTION

HYPOCALCEMIA

ILLNESS OF UNKNOWN REASON / UNSPECIFIED CONDITIONS

IMMUNE THROMBOCYTOPENIC PURPURA

IRRITABLE COLON / IRRITABLE BOWEL SYNDROME (IBS)

MALAISE / FATIGUE

PALLOR

PANCYTOPENIA

PEPTIC ULCER

PHARYNGITIS

REFLUX ESOPHAGITIS

SORE THROAT / PHARYNGITIS, ACUTE

THROMBOCYTOPENIA

TONSILLITIS, ACUTE

UNSPECIFIED FUNCTIONAL DISORDER OF INTESTINE

URTICARIA

VITAMIN D DEFICIENCY (RICKETS)

3 218,289 1% ARTHROPATHY / ARTHRITIS

ASPRAINS AND STRAINS NKLE / ANKLE & FOOT SPRAIN

BREAST TUMOR - MALIGNANT -FEMALE

ILLNESS OF UNKNOWN REASON / UNSPECIFIED CONDITIONS

LUMBAGO / LOW BACK PAIN

URINARY TRACT INFECTION (UTI)

4 200,000 1% RESPIRATORY DISTRESS SYNDROME

5 196,625 1% ANGINA PECTORIS

ARTHROPATHY / ARTHRITIS

BRONCHIAL ASTHMA

CEREBROVASCULAR DISEASE ( STROKE )

DENTAL

DIABETES MELLITUS (DM)

DRY EYE

HEADACHE / HEAD PAIN

HYPERTENSION

INTERVERTEBRAL DISC

User: Maged Hamdy 6 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Top 10 Claimant based on Paid Amount

Top 10 Claimant

Paid Amount % of Total

Major Conditions

5 196,625 1% ISCHEMIC HEART DISEASE (IHD)

LUMBAGO / LOW BACK PAIN

OPTICAL

SCIATICA / SCIATIC PAIN

SHOULDER PAIN

SPRAIN UNSPECIFIC

UPPER RESPIRATORY INFECTION (URTI / URI)

VERTIGO / DIZZINESS / GIDDINESS

6 180,000 1% POST LIVER TRANSPLANT

7 171,622 1% ABDOMINAL PAIN

ABNORMAL LEVEL OF BLOOD / LIVER ENZYME.

BREAST TUMOR - MALIGNANT -FEMALE

CATARRH / COLD / CORYZA / NASOPHARYNTIGIS /RHINOPHARINGITIS

DIABETES MELLITUS (DM)

GASTRITIS

GASTROENTERITIS / ENTERITIS OR COLITIS

GENERALIZED WEAKNESS

GLAUCOMA

HYPERTENSION

ILLNESS OF UNKNOWN REASON / UNSPECIFIED CONDITIONS

IRRITABLE COLON / IRRITABLE BOWEL SYNDROME (IBS)

LUMBAGO / LOW BACK PAIN

NEURALGIA / NEURITIS

PELVIC PAIN / LOWER ABDOMINAL PAIN

TINEA

TUMOR - MALIGNANT (UNSPECIFIED)

UNSPECIFIED DISORDER OF LIVER

VERTIGO / DIZZINESS / GIDDINESS

VITAMIN D DEFICIENCY (RICKETS)

WOUND

8 161,307 1% ABNORMAL LEVEL OF BLOOD / LIVER ENZYME.

BRONCHITIS, ACUTE

CATARRH / COLD / CORYZA / NASOPHARYNTIGIS /RHINOPHARINGITIS

DERMATITIS (& CONTACT) / ECZEMA

FATTY LIVER

FOLLOW-UP EXAMINATION FOLLOWING OTHER SURGERY

HEADACHE / HEAD PAIN

User: Maged Hamdy 7 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Top 10 Claimant based on Paid Amount

Top 10 Claimant

Paid Amount % of Total

Major Conditions

8 161,307 1% HEPATOMEGALY / LIVER HYPERTROPHY

KIDNEY TRANSPLANTATION

POST HEART TRANSPLANT

POST LIVER TRANSPLANT

RENAL FAILURE, CHRONIC

9 160,013 1% ABDOMINAL PAIN

APPENDICITIS

BENIGN CARCINOID TUMOR OF THE APPENDIX

BRONCHITIS, ACUTE

CHEST PAIN (UNSPECIFIC REASON)

CLAVICLE FRACTURE - OPEN

DENTAL

DIABETES MELLITUS (DM)

IRRITABLE COLON / IRRITABLE BOWEL SYNDROME (IBS)

LARGE BOWEL / COLON TUMOR - BENIGN

MALAISE / FATIGUE

MALIGNANT CARCINOID TUMOR OF THE APPENDIX

NEED FOR OTHER SPECIFIED PROPHYLACTIC MEASURE

OVARIAN TUMOR - MALIGNANT

PERIPHERAL VASCULAR DISEASE / ISCHEMIA

TUMOR - MALIGNANT (UNSPECIFIED)

UNSPECIFIED GASTRITIS AND GASTRODUODENITIS WITHOUT MENTION OF HEMORRHAGE

UTERUS TUMOR - MALIGNANT

WOUND

10 139,398 1% ABDOMINAL PAIN

ALLERGY

ANAEMIA IRON DEFICIENCY

ARTHROPATHY / ARTHRITIS

BACK PAIN

BEHCET'S SYNDROME

BRONCHITIS, ACUTE

CATARRH / COLD / CORYZA / NASOPHARYNTIGIS /RHINOPHARINGITIS

CEREBROVASCULAR DISEASE ( STROKE )

CHEST PAIN (UNSPECIFIC REASON)

CONJUNCTIVITIS, ACUTE

CONSTIPATION

DERMATITIS (& CONTACT) / ECZEMA

User: Maged Hamdy 8 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Top 10 Claimant based on Paid Amount

Top 10 Claimant

Paid Amount % of Total

Major Conditions

10 139,398 1% DIABETES MELLITUS (DM)

DYSFUNCTIONAL UTERINE BLEEDING (DUB)

DYSPLASIA OF VAGINA

GASTRITIS

GASTROENTERITIS / ENTERITIS OR COLITIS

HERNIA, INGUINAL

HYPERLIPIDEMIA

HYPERTENSION

INTERVERTEBRAL DISC

IRRITABLE COLON / IRRITABLE BOWEL SYNDROME (IBS)

ISCHEMIC HEART DISEASE (IHD)

LUMBAGO / LOW BACK PAIN

NECK PAIN / CERVICALGIA

NEURALGIA / NEURITIS

OSTEOPOROSIS

OTITIS MEDIA

PELVIC PAIN / LOWER ABDOMINAL PAIN

PEPTIC ULCER

PITYRIASIS / TINEA VERSICOLOR

REFLUX ESOPHAGITIS

RENAL COLIC

RHEUMATOID ARTHRITIS

TINEA

ULCERATIVE COLITIS

UNSPECIFIED GASTRITIS AND GASTRODUODENITIS WITHOUT MENTION OF HEMORRHAGE

URINARY TRACT INFECTION (UTI)

URINARY-GENITAL TRACT FISTULA FEMALE

URTICARIA

VITILIGO

WOUND

Top 10 1,899,179 12%

Others 14,412,667 88%

Summary 16,311,846 100%

User: Maged Hamdy 9 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Top 10 Providers based on Paid Amount

Top 10 Providers Paid Amount Claim_Count % of Total

AS-SALAM INT'L HOSPITAL 2,302,407 541 15%

EZABY PHARMACY 1,563,007 3,313 10%

Al Nakheel Hospital 1,317,665 601 9%

Dr. El Hakim Pharmacy 834,614 1,817 6%

ANEES & RAMZY PHARMACY 715,865 1,625 5%

CLEOPATRA HOSPITAL 647,877 281 4%

SAUDI GERMAN HOSPITAL 598,630 272 4%

DR. KAMAL HUSSIEN PHARMACY 441,982 703 3%

ROUSHDY PHARMACIES 356,137 1,257 2%

CAIRO MEDICAL CENTRER 346,701 185 2%

Top 10 9,124,884 61%

User: Maged Hamdy 10 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

001 AMERICAN EMBASSY

Top 10 Providers Paid Amount % of Total

AS-SALAM INT'L HOSPITAL 2,196,965 15%

EZABY PHARMACY 1,505,422 10%

Al Nakheel Hospital 1,262,610 9%

Dr. El Hakim Pharmacy 831,690 6%

CLEOPATRA HOSPITAL 627,496 4%

SAUDI GERMAN HOSPITAL 583,357 4%

ANEES & RAMZY PHARMACY 555,810 4%

DR. KAMAL HUSSIEN PHARMACY 436,375 3%

CAIRO MEDICAL CENTRER 346,551 2%

ROUSHDY PHARMACIES 342,310 2%

Top 10 8,688,586 61%

Others 5,651,953 39%

001 AMERICAN EMBASSY 14,340,538 100%

001 AMERICAN EMBASSY USAID

Top 10 Providers Paid Amount % of Total

ANEES & RAMZY PHARMACY 160,056 20%

AS-SALAM INT'L HOSPITAL 105,442 13%

AL SALAM HOSPITAL 68,040 9%

EZABY PHARMACY 57,585 7%

Al Nakheel Hospital 55,054 7%

Alfa Lab 43,023 5%

ALFA SCAN 33,220 4%

Eye Subspeciality Center 23,632 3%

CLEOPATRA HOSPITAL 20,380 3%

SEIF PHARMACY 18,696 2%

Top 10 585,128 74%

Others 210,461 26%

001 AMERICAN EMBASSY USAID 795,590 100%

User: Maged Hamdy 11 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

CASH Claims Detail CASH Claims - Paid Amount Paid Amount america 001 AMERICAN EMBASSY 2,963

Sub total 2,963

Country 001 AMERICAN EMBASSY 1,021,451

AMERICAN EMBASSY USAID 151,304

Sub total 1,172,755

Total 1,175,718

CASH Claims - Claim Count Claim_Count america 001 AMERICAN EMBASSY 2

Sub total 2

Country 001 AMERICAN EMBASSY 1,303

AMERICAN EMBASSY USAID 249

Sub total 1,552

Total 1,554

PPO Claims Detail PPO Claims - Paid Amount Paid Amount

Country 001 AMERICAN EMBASSY 14,340,538

AMERICAN EMBASSY USAID 795,590

Sub total 15,136,128

Total 15,136,128

PPO Claims - Claim Count Claim_Count

Country 001 AMERICAN EMBASSY 36,794

AMERICAN EMBASSY USAID 2,036

Sub Total 38,830

Total 38,830

User: Maged Hamdy 12 of 13 Mar 3, 2021 5:33:37 PM

Paid date from : 2018-05-01 to : 2018-10-31

Claims by Insured Type Insured Op Medication Outpatient Inpatient Maternity Dental Optical Other Services Total % of Total

Employees 2,936,851 1,905,106 2,531,297 72,530 217,380 117,746 0 7,780,910 48%

Spouse 1,715,744 1,319,028 1,715,829 305,594 136,324 84,040 5,276,559 32%

Child 740,828 1,062,924 1,193,377 89 155,154 102,005 0 3,254,377 20%

Total 5,393,422 4,287,059 5,440,502 378,213 508,858 303,792 0 16,311,846 100%

Claims by Age Range Age Range Paid Amount Claim count

Male Female Total Female Male Total

Under 21 1,341,982 962,370 2,304,352 4,124 4,602 8,726

21-25 481,624 318,923 800,547 1,098 613 1,711

26-30 115,968 335,802 451,769 893 409 1,302

31-35 224,611 509,432 734,043 1,642 909 2,551

36-40 523,952 713,701 1,237,653 1,876 1,679 3,555

41-45 1,368,354 1,242,038 2,610,392 2,185 2,408 4,593

46-50 1,059,663 1,012,057 2,071,720 2,168 2,484 4,652

51-55 1,033,412 944,643 1,978,055 1,365 2,241 3,606

56-60 1,603,407 631,647 2,235,054 1,168 2,558 3,726

61-65 1,275,625 525,269 1,800,895 533 1,719 2,252

66-69 67,338 9,241 76,579 37 94 131

70 and above 10,653 134 10,787 1 21 22

Total 9,106,589 7,205,256 16,311,846 17,090 19,737 36,827

Note: All amounts are in Policy Currency

User: Maged Hamdy 13 of 13 Mar 3, 2021 5:33:37 PM

File details come from the government source that posted it. Updated .