9l. Appendix L WeeklyOperationalSummaryReport_04.23.2025_Sanitized.xlsx

XLSX spreadsheet 1 MB Posted

Attached to
Federal Flexible Spending Account Program (FSAFEDS) Federal contract opportunity
Solicitation number
24322625R0004
Issued by
Office of Personnel Management

About this file

This document is a Weekly Operational Summary spreadsheet containing detailed administrative claims processing data from January 2022 through April 2025. The report tracks multiple operational metrics for paperless claims appeals, manual healthcare claims, dependent care claims, and call center performance across different federal agencies. Key metrics include total claims received, claims processed, approval and denial rates, processing time frames, call volumes, average handle times, and web-based interactions.

The spreadsheet provides granular weekly and monthly breakdowns, showing consistent processing volumes ranging from approximately 400,000 to 600,000 total claims per week. Processing metrics demonstrate high efficiency, with most claims processed within 0-10 days and minimal delays. The data reflects a systematic approach to claims management, tracking various claim types including healthcare, medical necessity letters, and dependent care qualified life events across different administrative categories and time periods.

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April 2025 2025 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Mar 31 - April 6502,91669,713572,629Mar 31 - April 611
April 7 - April 13459,90771,747531,654April 7 - April 1313
April 14 - April 20461,16565,324526,489April 14 - April 2035
April 21 - April 27April 21 - April 27
April 28 - May 4April 28 - May 4

TOTALS: 1,423,988 206,784 1,630,772 TOTALS: 59 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Mar 31 - April 636,08472941,2923,8491,25883,212Mar 31 - April 6509
April 7 - April 1336,51382042,6803,8741,38585,272April 7 - April 13581
April 14 - April 2038,73884148,4293,5101,58793,105April 14 - April 20654
April 21 - April 27April 21 - April 27
April 28 - May 4April 28 - May 4

TOTALS: 111,335 2,390 132,401 11,233 4,230 261,589 TOTALS: 1,744 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Mar 3 - Mar 94,1747996,985145112,023Mar 31 - April 62
Mar 10 - Mar 163,5546547,072153511,330April 7 - April 132
Mar 17 - Mar 233,2547176,541294110,582April 14 - April 200
Mar 24 - Mar 30April 21 - April 27
April 28 - May 4April 28 - May 4

TOTALS: 10,982 2,170 20,598 58 127 33,935 TOTALS: 4 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsMar 31 - April 6April 7 - April 13April 14 - April 20April 21 - April 27April 28 - May 4Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received5,6235,6705,44116,734Mar 31 - April 62,977
April 7 - April 132,036
April 14 - April 20973
Average Handle Time0:000:000:00April 21 - April 27
April 28 - May 4
TOTALS:5,986000000
Email Response StatsMar 31 - April 6April 7 - April 13April 14 - April 20April 21 - April 27April 28 - May 4Month to Date TOTALS

Webs Received 220 242 250 712

March 2025 2025 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Mar 3 - Mar 9518,36770,062588,429Mar 3 - Mar 914
Mar 10 - Mar 16485,39360,586545,979Mar 10 - Mar 168
Mar 17 - Mar 23483,13865,427548,565Mar 17 - Mar 2320
Mar 24 - Mar 30469,24761,036530,283Mar 24 - Mar 3034

TOTALS: 1,956,145 257,111 2,213,256 TOTALS: 76 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Mar 3 - Mar 937,89571341,8973,6371,18585,327Mar 3 - Mar 9608
Mar 10 - Mar 1638,31777343,5423,3431,36487,339Mar 10 - Mar 16597
Mar 17 - Mar 2340,89272844,9723,4871,30491,383Mar 17 - Mar 23575
Mar 24 - Mar 3036,07278440,0523,5631,33981,810Mar 24 - Mar 30572

TOTALS: 153,176 2,998 170,463 14,030 5,192 345,859 TOTALS: 2,352 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Mar 3 - Mar 94,8579108,735284914,579Mar 3 - Mar 90
Mar 10 - Mar 163,3966846,923224311,068Mar 10 - Mar 161
Mar 17 - Mar 233,3946996,330205010,493Mar 17 - Mar 234
Mar 24 - Mar 302,7096415,46022518,883Mar 24 - Mar 301

TOTALS: 14,356 2,934 27,448 92 193 45,023 TOTALS: 6 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsMar 3 - Mar 9Mar 10 - Mar 16Mar 17 - Mar 23Mar 24 - Mar 30Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received5,7085,6195,4765,11921,922Mar 3 - Mar 94,305
Mar 10 - Mar 165,431
Mar 17 - Mar 234,252
Average Handle Time8:058:048:098:26Mar 24 - Mar 304,480
TOTALS:18,468000000
Email Response StatsMar 3 - Mar 9Mar 10 - Mar 16Mar 17 - Mar 23Mar 24 - Mar 30Month to Date TOTALS

Webs Received 244 251 276 252 1,023

February 2025 2025 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Feb 3 - Feb 9519,29458,287577,581Feb 3 - Feb 957
Feb 10 - Feb 16508,35555,111563,466Feb 10 - Feb 1635
Feb 17 - Feb 23467,01562,627529,642Feb 17 - Feb 2317
Feb 24 - Mar 2479,63557,971537,606Feb 24 - Mar 217

TOTALS: 1,974,299 233,996 2,208,295 TOTALS: 126 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Feb 3 - Feb 936,06195138,4042,55598778,958Feb 3 - Feb 9595
Feb 10 - Feb 1636,18961839,9852,88599680,673Feb 10 - Feb 16664
Feb 17 - Feb 2336,52257241,0542,95899682,102Feb 17 - Feb 23535
Feb 24 - Mar 237,49670540,3493,1791,07782,806Feb 24 - Mar 2567

TOTALS: 146,268 2,846 159,792 11,577 4,056 324,539 TOTALS: 2,361 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Feb 3 - Feb 94,8729749,171316515,113Feb 3 - Feb 91
Feb 10 - Feb 163,4406027,076103911,167Feb 10 - Feb 162
Feb 17 - Feb 233,1407126,377163310,278Feb 17 - Feb 231
Feb 24 - Mar 23,1147735,68322569,648Feb 24 - Mar 20

TOTALS: 14,566 3,061 28,307 79 193 46,206 TOTALS: 4 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsFeb 3 - Feb 9Feb 10 - Feb 16Feb 17 - Feb 23Feb 24 - Mar 2Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received6,8055,6625,4325,15923,058Feb 3 - Feb 91,675
Feb 10 - Feb 161,212
Feb 17 - Feb 231,287
Average Handle Time8:428:178:408:25Feb 24 - Mar 21,114
TOTALS:5,288000000
Email Response StatsFeb 3 - Feb 9Feb 10 - Feb 16Feb 17 - Feb 23Feb 24 - Mar 2Month to Date TOTALS

Webs Received 324 367 311 242 1,244

January 2025 2025 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Dec 30 - Jan 5246,27719,686265,963Dec 30 - Jan 52
Jan 6 - Jan 12410,40538,701449,106Jan 6 - Jan 1216
Jan 13 - Jan 19430,21940,111470,330Jan 13 - Jan 1911
Jan 20 - Jan 26427,42741,510468,937Jan 20 - Jan 268
Jan 27 - Feb 2467,09644,989512,085Jan 27 - Feb 26

TOTALS: 1,981,424 184,997 2,166,421 TOTALS: 43 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Dec 30 - Jan 519,99452829,5741,05964651,801Dec 30 - Jan 5591
Jan 6 - Jan 1228,61963334,2342,5281,40967,423Jan 6 - Jan 12577
Jan 13 - Jan 1931,87964135,2862,5361,23971,581Jan 13 - Jan 19632
Jan 20 - Jan 2634,29638436,2152,25093174,076Jan 20 - Jan 26633
Jan 27 - Feb 232,45958834,5432,39889870,886Jan 27 - Feb 2665

TOTALS: 147,247 2,774 169,852 10,771 5,123 335,767 TOTALS: 3,098 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Dec 30 - Jan 52,1874225,01214617,696Dec 30 - Jan 53
Jan 6 - Jan 123,7551,0378,073336612,964Jan 6 - Jan 120
Jan 13 - Jan 193,5858117,604235212,075Jan 13 - Jan 194
Jan 20 - Jan 263,2777366,764195210,848Jan 20 - Jan 260
Jan 27 - Feb 22,9976936,02122589,791Jan 27 - Feb 21

TOTALS: 15,801 3,699 33,474 111 289 53,374 TOTALS: 8 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsDec 30 - Jan 5Jan 6 - Jan 12Jan 13 - Jan 19Jan 20 - Jan 26Jan 27 - Feb 2Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received8,0868,4338,3756,4796,67338,046Dec 30 - Jan 51,081
Jan 6 - Jan 122,009
Jan 13 - Jan 192,059
Average Handle Time10:529:268:478:548:21Jan 20 - Jan 261,641
Jan 27 - Feb 21,567
TOTALS:8,357000000
Email Response StatsDec 30 - Jan 5Jan 6 - Jan 12Jan 13 - Jan 19Jan 20 - Jan 26Jan 27 - Feb 2Month to Date TOTALS

Webs Received 184 294 377 327 367 1,549

December 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Dec 2 - Dec 8666,83999,975766,814Dec 2 - Dec 841
Dec 9 - Dec 15515,21573,847589,062Dec 9 - Dec 1529
Dec 16 - Dec 22510,37434,204544,578Dec 16 - Dec 2227
Dec 23 - Dec 29433,55326,539460,092Dec 23 - Dec 296

TOTALS: 2,125,981 234,565 2,360,546 TOTALS: 103 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Dec 2 - Dec 829,29875844,8253,4141,46679,761Dec 2 - Dec 8576
Dec 9 - Dec 1531,63369648,6292,9081,10884,974Dec 9 - Dec 15527
Dec 16 - Dec 2226,25972934,8772,33399665,194Dec 16 - Dec 22516
Dec 23 - Dec 2922,63353333,0621,65355358,434Dec 23 - Dec 29396

TOTALS: 109,823 2,716 161,393 10,308 4,123 288,363 TOTALS: 2,015 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Dec 2 - Dec 83,9719717,884235612,905Dec 2 - Dec 86
Dec 9 - Dec 154,0921,0258,270363513,458Dec 9 - Dec 153
Dec 16 - Dec 222,6767624,79517348,284Dec 16 - Dec 223
Dec 23 - Dec 292,4637294,74113387,984Dec 23 - Dec 291

TOTALS: 13,202 3,487 25,690 89 163 42,631 TOTALS: 13 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsDec 2 - Dec 8Dec 9 - Dec 15Dec 16 - Dec 22Dec 23 - Dec 29Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received25,05826,1645,3524,41260,986Dec 2 - Dec 8N/A
Dec 9 - Dec 15N/A
Dec 16 - Dec 22N/A
Average Handle Time12:5212:3910:320:11Dec 23 - Dec 29N/A
TOTALS:0000000
Email Response StatsDec 2 - Dec 8Dec 9 - Dec 15Dec 16 - Dec 22Dec 23 - Dec 29Month to Date TOTALS

Webs Received 351 474 214 160 1,199

November 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Nov 4 - Nov 10495,60056,838552,438Nov 4 - Nov 1016
Nov 11 - Nov 17483,39174,474557,865Nov 11 - Nov 1710
Nov 18 - Nov 24559,49374,190633,683Nov 18 - Nov 2424
Nov 25 - Dec 1344,45155,168399,619Nov 25 - Dec 16

TOTALS: 1,882,935 260,670 2,143,605 TOTALS: 56 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Nov 4 - Nov 1022,07543027,3972,8911,14053,933Nov 4 - Nov 10294
Nov 11 - Nov 1725,88448434,0142,65778363,822Nov 11 - Nov 17330
Nov 18 - Nov 2427,73571939,8653,0481,36672,733Nov 18 - Nov 24414
Nov 25 - Dec 120,73447628,1992,15664852,213Nov 25 - Dec 1270

TOTALS: 96,428 2,109 129,475 10,752 3,937 242,701 TOTALS: 1,308 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Nov 4 - Nov 103,2407005,18724459,196Nov 4 - Nov 1036
Nov 11 - Nov 173,3848646,386143410,682Nov 11 - Nov 175
Nov 18 - Nov 243,3647756,915173411,105Nov 18 - Nov 249
Nov 25 - Dec 12,3787384,73818347,906Nov 25 - Dec 116

TOTALS: 12,366 3,077 23,226 73 147 38,889 TOTALS: 66 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsNov 4 - Nov 10Nov 11 - Nov 17Nov 18 - Nov 24Nov 25 - Dec 1Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received4,76611,77412,9628,40937,911Nov 4 - Nov 10N/A
Nov 11 - Nov 17N/A
Nov 18 - Nov 24N/A
Average Handle Time9:369:169:4310:08Nov 25 - Dec 1N/A
TOTALS:0000000
Email Response StatsNov 4 - Nov 10Nov 11 - Nov 17Nov 18 - Nov 24Nov 25 - Dec 1Month to Date TOTALS

Webs Received 178 232 325 266 1,001

October 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Sept 30 - Oct 6507,54845,301552,849Sept 30 - Oct 610
Oct 7 - Oct 13496,14645,835541,981Oct 7 - Oct 131
Oct 14 - Oct 20490,00950,052540,061Oct 14 - Oct 2012
Oct 21 - Oct 27504,25850,874555,132Oct 21 - Oct 2714
Oct 28 - Nov 3483,59056,594540,184Oct 28 - Nov 34

TOTALS: 2,481,551 248,656 2,730,207 TOTALS: 41 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Sept 30 - Oct 622,16139824,9602,72086851,107Sept 30 - Oct 6250
Oct 7 - Oct 1320,30051624,4632,7241,08349,086Oct 7 - Oct 13225
Oct 14 - Oct 2021,95440124,6753,0841,01151,125Oct 14 - Oct 20239
Oct 21 - Oct 2720,28647724,3732,48586748,488Oct 21 - Oct 27253
Oct 28 - Nov 321,03257625,5202,45996450,551Oct 28 - Nov 3263

TOTALS: 105,733 2,368 123,991 13,472 4,793 250,357 TOTALS: 1,230 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Sept 30 - Oct 63,4148545,24328509,589Sept 30 - Oct 60
Oct 7 - Oct 132,4056364,05514317,141Oct 7 - Oct 137
Oct 14 - Oct 202,5226904,24611337,502Oct 14 - Oct 207
Oct 21 - Oct 272,1266073,82715256,600Oct 21 - Oct 270
Oct 28 - Nov 32,5298144,03925387,445Oct 28 - Nov 30

TOTALS: 12,996 3,601 21,410 93 177 38,277 TOTALS: 14 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsSept 30 - Oct 6Oct 7 - Oct 13Oct 14 - Oct 20Oct 21 - Oct 27Oct 28 - Nov 3Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received3,2623,0123,2074,1193,58117,181Sept 30 - Oct 6295
Oct 7 - Oct 13N/A
Oct 14 - Oct 20N/A
Average Handle Time8:248:198:338:058:39Oct 21 - Oct 27N/A
Oct 28 - Nov 3N/A
TOTALS:295000000
Email Response StatsSept 30 - Oct 6Oct 7 - Oct 13Oct 14 - Oct 20Oct 21 - Oct 27Oct 28 - Nov 3Month to Date TOTALS

Webs Received 138 118 129 174 163 722

September 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Sept 2 - Sept 8458,48144,193502,674Sept 2 - Sept 817
Sept 9 - Sept 15501,23343,511544,744Sept 9 - Sept 1518
Sept 16 - Sept 22506,24051,204557,444Sept 16 - Sept 2226
Sept 23 - Sept 29495,19048,789543,979Sept 23 - Sept 291

TOTALS: 1,961,144 187,697 2,148,841 TOTALS: 62 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Sept 2 - Sept 819,50641620,1192,75984043,640Sept 2 - Sept 8195
Sept 9 - Sept 1522,94741024,7963,14197752,271Sept 9 - Sept 15240
Sept 16 - Sept 2221,53144524,8333,2711,16051,240Sept 16 - Sept 22219
Sept 23 - Sept 2921,97060025,9443,1221,13752,773Sept 23 - Sept 29235

TOTALS: 85,954 1,871 95,692 12,293 4,114 199,924 TOTALS: 889 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Sept 2 - Sept 82,8277154,13913377,731Sept 2 - Sept 80
Sept 9 - Sept 152,7866034,34729267,791Sept 9 - Sept 150
Sept 16 - Sept 222,7717604,67317308,251Sept 16 - Sept 220
Sept 23 - Sept 292,2046373,89822266,787Sept 23 - Sept 293

TOTALS: 10,588 2,715 17,057 81 119 30,560 TOTALS: 3 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsSept 2 - Sept 8Sept 9 - Sept 15Sept 16 - Sept 22Sept 23 - Sept 29Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received2,4692,8133,1793,19511,656Sept 2 - Sept 8966
Sept 9 - Sept 151,148
Sept 16 - Sept 221,348
Average Handle Time7:568:148:028:12Sept 23 - Sept 291,318
TOTALS:4,780000000
Email Response StatsSept 2 - Sept 8Sept 9 - Sept 15Sept 16 - Sept 22Sept 23 - Sept 29Month to Date TOTALS

Webs Received 131 93 156 143 523

August 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Aug 5 - Aug 11514,62648,578563,204Aug 5 - Aug 1120
Aug 12 - Aug 18476,10044,591520,691Aug 12 - Aug 1819
Aug 19 - Aug 25499,31050,696550,006Aug 19 - Aug 2539
Aug 26 - Sept 1504,66043,031547,691Aug 26 - Sept 124

TOTALS: 1,994,696 186,896 2,181,592 TOTALS: 102 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Aug 5 - Aug 1125,14350325,8553,2481,05055,799Aug 5 - Aug 11252
Aug 12 - Aug 1822,35655422,4663,2901,02949,695Aug 12 - Aug 18229
Aug 19 - Aug 2525,43658525,9813,5941,26056,856Aug 19 - Aug 25271
Aug 26 - Sept 122,72748023,6203,0421,19651,065Aug 26 - Sept 1228

TOTALS: 95,662 2,122 97,922 13,174 4,535 213,415 TOTALS: 980 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Aug 5 - Aug 113,5378025,51120469,916Aug 5 - Aug 110
Aug 12 - Aug 182,4276013,95512247,019Aug 12 - Aug 181
Aug 19 - Aug 253,0907395,16028329,049Aug 19 - Aug 252
Aug 26 - Sept 12,5026894,08818327,329Aug 26 - Sept 11

TOTALS: 11,556 2,831 18,714 78 134 33,313 TOTALS: 4 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsAug 5 - Aug 11Aug 12 - Aug 18Aug 19 - Aug 25Aug 26 - Sept 1Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received3,4303,0943,2962,96012,780Aug 5 - Aug 111,835
Aug 12 - Aug 181,274
Aug 19 - Aug 251,124
Average Handle Time8:058:148:208:09Aug 26 - Sept 1917
TOTALS:5,150000000
Email Response StatsAug 5 - Aug 11Aug 12 - Aug 18Aug 19 - Aug 25Aug 26 - Sept 1Month to Date TOTALS

Webs Received 143 142 114 122 521

July 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
July 1 - July 7426,72244,479471,201July 1 - July 725
July 8 - July 14521,52853,729575,257July 8 - July 1422
July 15 - July 21479,41448,236527,650July 15 - July 2112
July 22 - July 28494,07344,033538,106July 22 - July 284
July 29 - Aug 4507,81049,899557,709July 29 - Aug 415

TOTALS: 2,429,547 240,376 2,669,923 TOTALS: 78 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
July 1 - July 722,63778722,4972,56969749,187July 1 - July 7236
July 8 - July 1429,45697430,9453,21874265,335July 8 - July 14308
July 15 - July 2124,63082926,3113,5221,47956,771July 15 - July 21288
July 22 - July 2827,31967128,1524,1182,14962,409July 22 - July 28308
July 29 - Aug 424,32952525,4673,9181,38255,621July 29 - Aug 4265

TOTALS: 128,371 3,786 133,372 17,345 6,449 289,323 TOTALS: 1,405 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
July 1 - July 72,9396424,63422328,269July 1 - July 71
July 8 - July 143,4778866,100256810,556July 8 - July 140
July 15 - July 212,7606425,04820268,496July 15 - July 211
July 22 - July 282,8927954,65119418,398July 22 - July 280
July 29 - Aug 42,7937764,89525388,527July 29 - Aug 41

TOTALS: 14,861 3,741 25,328 111 205 44,246 TOTALS: 3 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsJuly 1 - July 7July 8 - July 14July 15 - July 21July 22 - July 28July 29 - Aug 4Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received3,5514,2723,8483,3723,80418,847July 1 - July 7N/A
July 8 - July 14N/A
July 15 - July 21N/A
Average Handle Time7:187:547:387:288:19July 22 - July 28N/A
July 29 - Aug 41,531
TOTALS:1,531000000
Email Response StatsJuly 1 - July 7July 8 - July 14July 15 - July 21July 22 - July 28July 29 - Aug 4Month to Date TOTALS

Webs Received 246 294 216 161 175 1,092

June 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
June 3 - June 9503,12455,586558,710June 3 - June 926
June 10 - June 16507,31452,837560,151June 10 - June 1655
June 17 - June 23485,69753,102538,799June 17 - June 2319
June 24 - June 30492,99149,660542,651June 24 - June 3053

TOTALS: 1,989,126 211,185 2,200,311 TOTALS: 153 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
June 3 - June 930,07464229,7993,8491,18765,551June 3 - June 9328
June 10 - June 1627,74866727,8843,6341,21061,143June 10 - June 16290
June 17 - June 2323,12957621,4432,93068148,759June 17 - June 23183
June 24 - June 3025,97271725,8753,22589456,683June 24 - June 30238

TOTALS: 106,923 2,602 105,001 13,638 3,972 232,136 TOTALS: 1,039 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
June 3 - June 93,7907375,581224010,170June 3 - June 911
June 10 - June 162,9727824,78318438,598June 10 - June 161
June 17 - June 232,9476634,91721458,593June 17 - June 231
June 24 - June 303,0588035,06622308,979June 24 - June 300

TOTALS: 12,767 2,985 20,347 83 158 36,340 TOTALS: 13 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsJune 3 - June 9June 10 - June 16June 17 - June 23June 24 - June 30Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received4,0453,4993,0976,39817,039June 3 - June 9N/A
June 10 - June 16N/A
June 17 - June 23N/A
Average Handle Time8:047:397:016:25June 24 - June 30N/A
TOTALS:0000000
Email Response StatsJune 3 - June 9June 10 - June 16June 17 - June 23June 24 - June 30Month to Date TOTALS

Webs Received 199 135 183 374 891

May 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
April 29 - May 5496,14577,530573,675April 29 - May 528
May 6 - May 12539,36060,698600,058May 6 - May 1220
May 13 - May 19504,67952,162556,841May 13 - May 1910
May 20 - May 26487,36155,201542,562May 20 - May 2622
May 27 - June 2472,11252,762524,874May 27 - June 29

TOTALS: 2,499,657 298,353 2,798,010 TOTALS: 89 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
April 29 - May 542,6591,68571,6795,9212,136124,080April 29 - May 5503
May 6 - May 1229,63186529,0364,1291,22864,889May 6 - May 12349
May 13 - May 1928,18060126,6983,7401,27460,493May 13 - May 19334
May 20 - May 2629,93662028,6013,8311,38164,369May 20 - May 26381
May 27 - June 225,51263324,7903,1701,04955,154May 27 - June 2236

TOTALS: 155,918 4,404 180,804 20,791 7,068 368,985 TOTALS: 1,803 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
April 29 - May 53,9421,0627,579426312,688April 29 - May 50
May 6 - May 122,9316524,46519398,106May 6 - May 121
May 13 - May 192,6027354,01719377,410May 13 - May 191
May 20 - May 262,6315533,99423197,220May 20 - May 260
May 27 - June 22,3518283,74715296,970May 27 - June 20

TOTALS: 14,457 3,830 23,802 118 187 42,394 TOTALS: 2 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsApril 29 - May 5May 6 - May 12May 13 - May 19May 20 - May 26May 27 - June 2Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received7,2024,5293,6234,0323,87223,258April 29 - May 51,849
May 6 - May 121,107
May 13 - May 19958
Average Handle Time9:038:088:078:458:59May 20 - May 26332
May 27 - June 2N/A
TOTALS:4,246000000
Email Response StatsApril 29 - May 5May 6 - May 12May 13 - May 19May 20 - May 26May 27 - June 2Month to Date TOTALS

Webs Received 300 240 192 118 189 1,039

April 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
April 1 - April 7521,50469,445590,949April 1 - April 720
April 8 - April 14504,03169,512573,543April 8 - April 1417
April 15 - April 21523,85761,448585,305April 15 - April 2123
April 22 - April 28517,47976,521594,000April 22 - April 2836

TOTALS: 2,066,871 276,926 2,343,797 TOTALS: 96 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
April 1 - April 735,82798639,5523,7701,39581,530April 1 - April 7443
April 8 - April 1433,27383436,4084,3341,46476,313April 8 - April 14427
April 15 - April 2141,30392245,4354,2851,54193,486April 15 - April 21469
April 22 - April 2840,1861,19949,7834,1981,64297,008April 22 - April 28525

TOTALS: 150,589 3,941 171,178 16,587 6,042 348,337 TOTALS: 1,864 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
April 1 - April 74,3719437,179326112,586April 1 - April 70
April 8 - April 143,2387146,068224910,091April 8 - April 141
April 15 - April 213,2668285,960264410,124April 15 - April 214
April 22 - April 282,7707575,47130589,086April 22 - April 282

TOTALS: 13,645 3,242 24,678 110 212 41,887 TOTALS: 7 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsApril 1 - April 7April 8 - April 14April 15 - April 21April 22 - April 28Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received5,5195,7265,2836,35322,881April 1 - April 71,087
April 8 - April 141,191
April 15 - April 211,034
Average Handle Time9:078:548:398:43April 22 - April 281,633
TOTALS:4,945000000
Email Response StatsApril 1 - April 7April 8 - April 14April 15 - April 21April 22 - April 28Month to Date TOTALS

Webs Received 212 241 198 243 894

March 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Mar 4 - Mar 10493,90262,771556,673Mar 4 - Mar 1021
Mar 11 - Mar 17485,92761,605547,532Mar 11 - Mar 1738
Mar 18 - Mar 24545,21862,494607,712Mar 18 - Mar 2433
Mar 25 - Mar 31340,99336,953377,946Mar 25 - Mar 3116

TOTALS: 1,866,040 223,823 2,089,863 TOTALS: 108 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Mar 4 - Mar 1039,5531,09841,2883,9681,42487,331Mar 4 - Mar 10499
Mar 11 - Mar 1737,3921,05139,0703,6731,43982,625Mar 11 - Mar 17467
Mar 18 - Mar 2438,50282139,7074,1131,46484,607Mar 18 - Mar 24453
Mar 25 - Mar 3120,54648522,2422,19471246,179Mar 25 - Mar 31447

TOTALS: 135,993 3,455 142,307 13,948 5,039 300,742 TOTALS: 1,866 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Mar 4 - Mar 104,7539507,786307013,589Mar 4 - Mar 105
Mar 11 - Mar 173,0777515,46333499,373Mar 11 - Mar 173
Mar 18 - Mar 243,1527625,68121729,688Mar 18 - Mar 240
Mar 25 - Mar 311,4943862,8878254,800Mar 25 - Mar 314

TOTALS: 12,476 2,849 21,817 92 216 37,450 TOTALS: 12 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsMar 4 - Mar 10Mar 11 - Mar 17Mar 18 - Mar 24Mar 25 - Mar 31Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received9,2806,4955,6255,49326,893Mar 4 - Mar 101,115
Mar 11 - Mar 171,108
Mar 18 - Mar 241,056
Average Handle Time9:419:299:059:14Mar 25 - Mar 311,071
TOTALS:4,350000000
Email Response StatsMar 4 - Mar 10Mar 11 - Mar 17Mar 18 - Mar 24Mar 25 - Mar 31Month to Date TOTALS

Webs Received 256 232 250 216 954

February 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Feb 5 - Feb 11548,19857,866606,064Feb 5 - Feb 1161
Feb 12 - Feb 18505,34753,790559,137Feb 12 - Feb 1831
Feb 19 - Feb 25494,62759,621554,248Feb 19 - Feb 2547
Feb 26 - Mar 3466,87656,621523,497Feb 26 - Mar 330

TOTALS: 2,015,048 227,898 2,242,946 TOTALS: 169 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Feb 5 - Feb 1133,73691737,1843,5151,43676,788Feb 5 - Feb 11512
Feb 12 - Feb 1834,61269238,0333,5491,28978,175Feb 12 - Feb 18543
Feb 19 - Feb 2535,1901,06237,4893,6801,37578,796Feb 19 - Feb 25481
Feb 26 - Mar 337,25489237,7293,6821,35580,912Feb 26 - Mar 3494

TOTALS: 140,792 3,563 150,435 14,426 5,455 314,671 TOTALS: 2,030 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Feb 5 - Feb 113,8709747,729288212,683Feb 5 - Feb 114
Feb 12 - Feb 182,8926805,71030499,361Feb 12 - Feb 182
Feb 19 - Feb 253,2768006,029296710,201Feb 19 - Feb 251
Feb 26 - Mar 33,0547875,36317589,279Feb 26 - Mar 32

TOTALS: 13,092 3,241 24,831 104 256 41,524 TOTALS: 9 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsFeb 5 - Feb 11Feb 12 - Feb 18Feb 19 - Feb 25Feb 26 - Mar 3Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received7,9376,4696,1036,29326,802Feb 5 - Feb 111,446
Feb 12 - Feb 181,234
Feb 19 - Feb 251,298
Average Handle Time9:559:439:339:47Feb 26 - Mar 31,249
TOTALS:5,227000000
Email Response StatsFeb 5 - Feb 11Feb 12 - Feb 18Feb 19 - Feb 25Feb 26 - Mar 3Month to Date TOTALS

Webs Received 493 268 333 232 1,326

January 2024 2024 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Jan 1 - Jan 7494,25935,202529,461Jan 1 - Jan 79
Jan 8 - Jan 14456,07440,350496,424Jan 8 - Jan 1434
Jan 15 - Jan 21523,04844,411567,459Jan 15 - Jan 2145
Jan 22 - Jan 28472,88445,261518,145Jan 22 - Jan 2841
Jan 29 - Feb 4513,54851,085564,633Jan 29 - Feb 450

TOTALS: 2,459,813 216,309 2,676,122 TOTALS: 179 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Jan 1 - Jan 726,42171548,1362,2091,43078,911Jan 1 - Jan 7456
Jan 8 - Jan 1430,0491,16639,9292,3751,29174,810Jan 8 - Jan 14524
Jan 15 - Jan 2128,48771435,1372,0791,04667,463Jan 15 - Jan 21452
Jan 22 - Jan 2828,21673132,0082,4411,00664,402Jan 22 - Jan 28508
Jan 29 - Feb 435,31991139,0862,9311,13279,379Jan 29 - Feb 4555

TOTALS: 148,492 4,237 194,296 12,035 5,905 364,965 TOTALS: 2,495 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Jan 1 - Jan 73,1918599,150325813,290Jan 1 - Jan 72
Jan 8 - Jan 143,6151,1118,757227213,577Jan 8 - Jan 142
Jan 15 - Jan 212,5467425,95018449,300Jan 15 - Jan 214
Jan 22 - Jan 282,7958495,67724419,386Jan 22 - Jan 285
Jan 29 - Feb 43,7338506,782275411,446Jan 29 - Feb 40

TOTALS: 15,880 4,411 36,316 123 269 56,999 TOTALS: 13 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsJan 1 - Jan 7Jan 8 - Jan 14Jan 15 - Jan 21Jan 22 - Jan 28Jan 29 - Feb 4Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received11,35912,7378,8849,2439,52851,751Jan 1 - Jan 72,221
Jan 8 - Jan 142,306
Jan 15 - Jan 211,971
Average Handle Time12:2011:2911:0610:199:38Jan 22 - Jan 282,252
Jan 29 - Feb 41,670
TOTALS:10,420000000
Email Response StatsJan 1 - Jan 7Jan 8 - Jan 14Jan 15 - Jan 21Jan 22 - Jan 28Jan 29 - Feb 4Month to Date TOTALS

Webs Received 240 348 329 368 311 1,596

December 2023 2023 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Dec 4 - Dec 10503,82180,493584,314Dec 4 - Dec 102
Dec 11 - Dec 17506,39464,862571,256Dec 11 - Dec 1716
Dec 18 - Dec 24516,49527,417543,912Dec 18 - Dec 2422
Dec 25 - Dec 31253,10614,600267,706Dec 25 - Dec 317

TOTALS: 1,779,816 187,372 1,967,188 TOTALS: 47 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Dec 4 - Dec 1028,48764341,0742,9321,22274,358Dec 4 - Dec 10453
Dec 11 - Dec 1729,84573242,8392,9391,22377,578Dec 11 - Dec 17411
Dec 18 - Dec 2416,72442726,62317,77779562,346Dec 18 - Dec 24332
Dec 25 - Dec 317,79135318,69283648528,157Dec 25 - Dec 31358

TOTALS: 82,847 2,155 129,228 24,484 3,725 242,439 TOTALS: 1,554 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Dec 4 - Dec 103,9009217,007215011,899Dec 4 - Dec 103
Dec 11 - Dec 173,3939506,590245511,012Dec 11 - Dec 1711
Dec 18 - Dec 241,8426014,11117286,599Dec 18 - Dec 2411
Dec 25 - Dec 316353351,8332132,818Dec 25 - Dec 312

TOTALS: 9,770 2,807 19,541 64 146 32,328 TOTALS: 27 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsDec 4 - Dec 10Dec 11 - Dec 17Dec 18 - Dec 24Dec 25 - Dec 31Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received16,84618,94812,65810,60759,059Dec 4 - Dec 10N/A
Dec 11 - Dec 17N/A
Dec 18 - Dec 24N/A
Average Handle Time9:109:518:2212:43Dec 25 - Dec 31N/A
TOTALS:0000000
Email Response StatsDec 4 - Dec 10Dec 11 - Dec 17Dec 18 - Dec 24Dec 25 - Dec 31Month to Date TOTALS

Webs Received 354 574 142 147 1,217

November 2023 2023 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Oct 30 - Nov 5489,73144,161533,892Oct 30 - Nov 517
Nov 6 - Nov 12472,63847,600520,238Nov 6 - Nov 1219
Nov 13 - Nov 19524,66471,817596,481Nov 13 - Nov 194
Nov 20 - Nov 26298,66853,665352,333Nov 20 - Nov 267
Nov 27 - Dec 3557,94668,647626,593Nov 27 - Dec 322

TOTALS: 2,343,647 285,890 2,629,537 TOTALS: 69 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Oct 30 - Nov 522,82850423,9182,9671,01451,231Oct 30 - Nov 5240
Nov 6 - Nov 1222,07447024,4332,69386850,538Nov 6 - Nov 12207
Nov 13 - Nov 1925,04452229,3723,2411,08159,260Nov 13 - Nov 19238
Nov 20 - Nov 2621,94551327,4872,09676652,807Nov 20 - Nov 26271
Nov 27 - Dec 327,75063737,0413,0471,11269,587Nov 27 - Dec 3370

TOTALS: 119,641 2,646 142,251 14,044 4,841 283,423 TOTALS: 1,326 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Oct 30 - Nov 53,4318764,40329358,774Oct 30 - Nov 58
Nov 6 - Nov 122,6497374,19815257,624Nov 6 - Nov 128
Nov 13 - Nov 193,2459325,72928439,977Nov 13 - Nov 198
Nov 20 - Nov 262,2515744,26313287,129Nov 20 - Nov 2614
Nov 27 - Dec 33,4579886,081235010,599Nov 27 - Dec 33

TOTALS: 15,033 4,107 24,674 108 181 44,103 TOTALS: 41 0 0 0 0 0 0

Call Center Summary ReportOnline QLEs
Telephone StatsOct 30 - Nov 5Nov 6 - Nov 12Nov 13 - Nov 19Nov 20 - Nov 26Nov 27 - Dec 3Month to Date TOTALSWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date
ApprovedDenied0-5678+
Calls Received3,2243,58711,6667,24910,62236,348Oct 30 - Nov 5N/A
Nov 6 - Nov 12N/A
Nov 13 - Nov 19N/A
Average Handle Time8:158:179:099:259:24Nov 20 - Nov 26N/A
Nov 27 - Dec 3N/A
TOTALS:0000000
Email Response StatsOct 30 - Nov 5Nov 6 - Nov 12Nov 13 - Nov 19Nov 20 - Nov 26Nov 27 - Dec 3Month to Date TOTALS

Webs Received 226 138 344 287 224 1,219

October 2023 2023 Weekly Operational Summary

Paperless ClaimsAppeals
Week of:Paperless ReimbursementWeek of:Total Appeals ReceivedOutcomeNumber Complete in Number of Days from Received Date
Auto-ReimbursementPick & ProcessTOTALS BY WEEKApprovedDenied0-1011-2021-3031+
Oct 2 - Oct 8475,18635,866511,052Oct 2 - Oct 80
Oct 9 - Oct 15470,30142,582512,883Oct 9 - Oct 1510
Oct 16 - Oct 22486,46443,466529,930Oct 16 - Oct 225
Oct 23 - Oct 29478,41145,902524,313Oct 23 - Oct 2931

TOTALS: 1,910,362 167,816 2,078,178 TOTALS: 46 0 0 0 0 0 0

Manual Claims - Health Care (General Purpose & LEX)Letters of Medical Necessity (LMN)
Week of:Pay Me BackPay My ProviderWeek of:Total LMNs ReceivedOutcomeNumber Complete in Number of Days from Received Date
EZ ReceiptFax/MailOnlineEZ ReceiptOnlineTOTALS BY WEEKApprovedDenied0-5678+
Oct 2 - Oct 821,91943820,9362,89396547,151Oct 2 - Oct 8197
Oct 9 - Oct 1521,53441320,5522,85689046,245Oct 9 - Oct 15213
Oct 16 - Oct 2220,86949321,9972,5581,00346,920Oct 16 - Oct 22229
Oct 23 - Oct 2919,79146220,8032,95083444,840Oct 23 - Oct 29214

TOTALS: 84,113 1,806 84,288 11,257 3,692 185,156 TOTALS: 853 0 0 0 0 0 0

Manual Claims - Dependent CareQLE Forms
Week of:Pay Me BackPay My ProviderWeek of:Total QLEs ReceivedOutcomeNumber Complete in Number of Days from Received Date

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