9l. Appendix L WeeklyOperationalSummaryReport_04.23.2025_Sanitized.xlsx
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- 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 Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Mar 31 - April 6 | 502,916 | 69,713 | 572,629 | Mar 31 - April 6 | 11 | ||||||
| April 7 - April 13 | 459,907 | 71,747 | 531,654 | April 7 - April 13 | 13 | ||||||
| April 14 - April 20 | 461,165 | 65,324 | 526,489 | April 14 - April 20 | 35 | ||||||
| April 21 - April 27 | April 21 - April 27 | ||||||||||
| April 28 - May 4 | April 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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Mar 31 - April 6 | 36,084 | 729 | 41,292 | 3,849 | 1,258 | 83,212 | Mar 31 - April 6 | 509 | ||||||
| April 7 - April 13 | 36,513 | 820 | 42,680 | 3,874 | 1,385 | 85,272 | April 7 - April 13 | 581 | ||||||
| April 14 - April 20 | 38,738 | 841 | 48,429 | 3,510 | 1,587 | 93,105 | April 14 - April 20 | 654 | ||||||
| April 21 - April 27 | April 21 - April 27 | |||||||||||||
| April 28 - May 4 | April 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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Mar 3 - Mar 9 | 4,174 | 799 | 6,985 | 14 | 51 | 12,023 | Mar 31 - April 6 | 2 | ||||||
| Mar 10 - Mar 16 | 3,554 | 654 | 7,072 | 15 | 35 | 11,330 | April 7 - April 13 | 2 | ||||||
| Mar 17 - Mar 23 | 3,254 | 717 | 6,541 | 29 | 41 | 10,582 | April 14 - April 20 | 0 | ||||||
| Mar 24 - Mar 30 | April 21 - April 27 | |||||||||||||
| April 28 - May 4 | April 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 Report | Online QLEs | |||||||||||||
| Telephone Stats | Mar 31 - April 6 | April 7 - April 13 | April 14 - April 20 | April 21 - April 27 | April 28 - May 4 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | |||||||||
| Calls Received | 5,623 | 5,670 | 5,441 | 16,734 | Mar 31 - April 6 | 2,977 | ||||||||
| April 7 - April 13 | 2,036 | |||||||||||||
| April 14 - April 20 | 973 | |||||||||||||
| Average Handle Time | 0:00 | 0:00 | 0:00 | April 21 - April 27 | ||||||||||
| April 28 - May 4 |
| TOTALS: | 5,986 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| Email Response Stats | Mar 31 - April 6 | April 7 - April 13 | April 14 - April 20 | April 21 - April 27 | April 28 - May 4 | Month to Date TOTALS |
Webs Received 220 242 250 712
March 2025 2025 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Mar 3 - Mar 9 | 518,367 | 70,062 | 588,429 | Mar 3 - Mar 9 | 14 | ||||||
| Mar 10 - Mar 16 | 485,393 | 60,586 | 545,979 | Mar 10 - Mar 16 | 8 | ||||||
| Mar 17 - Mar 23 | 483,138 | 65,427 | 548,565 | Mar 17 - Mar 23 | 20 | ||||||
| Mar 24 - Mar 30 | 469,247 | 61,036 | 530,283 | Mar 24 - Mar 30 | 34 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Mar 3 - Mar 9 | 37,895 | 713 | 41,897 | 3,637 | 1,185 | 85,327 | Mar 3 - Mar 9 | 608 | ||||||
| Mar 10 - Mar 16 | 38,317 | 773 | 43,542 | 3,343 | 1,364 | 87,339 | Mar 10 - Mar 16 | 597 | ||||||
| Mar 17 - Mar 23 | 40,892 | 728 | 44,972 | 3,487 | 1,304 | 91,383 | Mar 17 - Mar 23 | 575 | ||||||
| Mar 24 - Mar 30 | 36,072 | 784 | 40,052 | 3,563 | 1,339 | 81,810 | Mar 24 - Mar 30 | 572 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Mar 3 - Mar 9 | 4,857 | 910 | 8,735 | 28 | 49 | 14,579 | Mar 3 - Mar 9 | 0 | ||||||
| Mar 10 - Mar 16 | 3,396 | 684 | 6,923 | 22 | 43 | 11,068 | Mar 10 - Mar 16 | 1 | ||||||
| Mar 17 - Mar 23 | 3,394 | 699 | 6,330 | 20 | 50 | 10,493 | Mar 17 - Mar 23 | 4 | ||||||
| Mar 24 - Mar 30 | 2,709 | 641 | 5,460 | 22 | 51 | 8,883 | Mar 24 - Mar 30 | 1 |
TOTALS: 14,356 2,934 27,448 92 193 45,023 TOTALS: 6 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | Mar 3 - Mar 9 | Mar 10 - Mar 16 | Mar 17 - Mar 23 | Mar 24 - Mar 30 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 5,708 | 5,619 | 5,476 | 5,119 | 21,922 | Mar 3 - Mar 9 | 4,305 | ||||||
| Mar 10 - Mar 16 | 5,431 | ||||||||||||
| Mar 17 - Mar 23 | 4,252 | ||||||||||||
| Average Handle Time | 8:05 | 8:04 | 8:09 | 8:26 | Mar 24 - Mar 30 | 4,480 |
| TOTALS: | 18,468 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | Mar 3 - Mar 9 | Mar 10 - Mar 16 | Mar 17 - Mar 23 | Mar 24 - Mar 30 | Month to Date TOTALS |
Webs Received 244 251 276 252 1,023
February 2025 2025 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Feb 3 - Feb 9 | 519,294 | 58,287 | 577,581 | Feb 3 - Feb 9 | 57 | ||||||
| Feb 10 - Feb 16 | 508,355 | 55,111 | 563,466 | Feb 10 - Feb 16 | 35 | ||||||
| Feb 17 - Feb 23 | 467,015 | 62,627 | 529,642 | Feb 17 - Feb 23 | 17 | ||||||
| Feb 24 - Mar 2 | 479,635 | 57,971 | 537,606 | Feb 24 - Mar 2 | 17 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Feb 3 - Feb 9 | 36,061 | 951 | 38,404 | 2,555 | 987 | 78,958 | Feb 3 - Feb 9 | 595 | ||||||
| Feb 10 - Feb 16 | 36,189 | 618 | 39,985 | 2,885 | 996 | 80,673 | Feb 10 - Feb 16 | 664 | ||||||
| Feb 17 - Feb 23 | 36,522 | 572 | 41,054 | 2,958 | 996 | 82,102 | Feb 17 - Feb 23 | 535 | ||||||
| Feb 24 - Mar 2 | 37,496 | 705 | 40,349 | 3,179 | 1,077 | 82,806 | Feb 24 - Mar 2 | 567 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Feb 3 - Feb 9 | 4,872 | 974 | 9,171 | 31 | 65 | 15,113 | Feb 3 - Feb 9 | 1 | ||||||
| Feb 10 - Feb 16 | 3,440 | 602 | 7,076 | 10 | 39 | 11,167 | Feb 10 - Feb 16 | 2 | ||||||
| Feb 17 - Feb 23 | 3,140 | 712 | 6,377 | 16 | 33 | 10,278 | Feb 17 - Feb 23 | 1 | ||||||
| Feb 24 - Mar 2 | 3,114 | 773 | 5,683 | 22 | 56 | 9,648 | Feb 24 - Mar 2 | 0 |
TOTALS: 14,566 3,061 28,307 79 193 46,206 TOTALS: 4 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | Feb 3 - Feb 9 | Feb 10 - Feb 16 | Feb 17 - Feb 23 | Feb 24 - Mar 2 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 6,805 | 5,662 | 5,432 | 5,159 | 23,058 | Feb 3 - Feb 9 | 1,675 | ||||||
| Feb 10 - Feb 16 | 1,212 | ||||||||||||
| Feb 17 - Feb 23 | 1,287 | ||||||||||||
| Average Handle Time | 8:42 | 8:17 | 8:40 | 8:25 | Feb 24 - Mar 2 | 1,114 |
| TOTALS: | 5,288 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | Feb 3 - Feb 9 | Feb 10 - Feb 16 | Feb 17 - Feb 23 | Feb 24 - Mar 2 | Month to Date TOTALS |
Webs Received 324 367 311 242 1,244
January 2025 2025 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Dec 30 - Jan 5 | 246,277 | 19,686 | 265,963 | Dec 30 - Jan 5 | 2 | ||||||
| Jan 6 - Jan 12 | 410,405 | 38,701 | 449,106 | Jan 6 - Jan 12 | 16 | ||||||
| Jan 13 - Jan 19 | 430,219 | 40,111 | 470,330 | Jan 13 - Jan 19 | 11 | ||||||
| Jan 20 - Jan 26 | 427,427 | 41,510 | 468,937 | Jan 20 - Jan 26 | 8 | ||||||
| Jan 27 - Feb 2 | 467,096 | 44,989 | 512,085 | Jan 27 - Feb 2 | 6 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Dec 30 - Jan 5 | 19,994 | 528 | 29,574 | 1,059 | 646 | 51,801 | Dec 30 - Jan 5 | 591 | ||||||
| Jan 6 - Jan 12 | 28,619 | 633 | 34,234 | 2,528 | 1,409 | 67,423 | Jan 6 - Jan 12 | 577 | ||||||
| Jan 13 - Jan 19 | 31,879 | 641 | 35,286 | 2,536 | 1,239 | 71,581 | Jan 13 - Jan 19 | 632 | ||||||
| Jan 20 - Jan 26 | 34,296 | 384 | 36,215 | 2,250 | 931 | 74,076 | Jan 20 - Jan 26 | 633 | ||||||
| Jan 27 - Feb 2 | 32,459 | 588 | 34,543 | 2,398 | 898 | 70,886 | Jan 27 - Feb 2 | 665 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Dec 30 - Jan 5 | 2,187 | 422 | 5,012 | 14 | 61 | 7,696 | Dec 30 - Jan 5 | 3 | ||||||
| Jan 6 - Jan 12 | 3,755 | 1,037 | 8,073 | 33 | 66 | 12,964 | Jan 6 - Jan 12 | 0 | ||||||
| Jan 13 - Jan 19 | 3,585 | 811 | 7,604 | 23 | 52 | 12,075 | Jan 13 - Jan 19 | 4 | ||||||
| Jan 20 - Jan 26 | 3,277 | 736 | 6,764 | 19 | 52 | 10,848 | Jan 20 - Jan 26 | 0 | ||||||
| Jan 27 - Feb 2 | 2,997 | 693 | 6,021 | 22 | 58 | 9,791 | Jan 27 - Feb 2 | 1 |
TOTALS: 15,801 3,699 33,474 111 289 53,374 TOTALS: 8 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | |||||||||||||
| Telephone Stats | Dec 30 - Jan 5 | Jan 6 - Jan 12 | Jan 13 - Jan 19 | Jan 20 - Jan 26 | Jan 27 - Feb 2 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | |||||||||
| Calls Received | 8,086 | 8,433 | 8,375 | 6,479 | 6,673 | 38,046 | Dec 30 - Jan 5 | 1,081 | ||||||
| Jan 6 - Jan 12 | 2,009 | |||||||||||||
| Jan 13 - Jan 19 | 2,059 | |||||||||||||
| Average Handle Time | 10:52 | 9:26 | 8:47 | 8:54 | 8:21 | Jan 20 - Jan 26 | 1,641 | |||||||
| Jan 27 - Feb 2 | 1,567 |
| TOTALS: | 8,357 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| Email Response Stats | Dec 30 - Jan 5 | Jan 6 - Jan 12 | Jan 13 - Jan 19 | Jan 20 - Jan 26 | Jan 27 - Feb 2 | Month to Date TOTALS |
Webs Received 184 294 377 327 367 1,549
December 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Dec 2 - Dec 8 | 666,839 | 99,975 | 766,814 | Dec 2 - Dec 8 | 41 | ||||||
| Dec 9 - Dec 15 | 515,215 | 73,847 | 589,062 | Dec 9 - Dec 15 | 29 | ||||||
| Dec 16 - Dec 22 | 510,374 | 34,204 | 544,578 | Dec 16 - Dec 22 | 27 | ||||||
| Dec 23 - Dec 29 | 433,553 | 26,539 | 460,092 | Dec 23 - Dec 29 | 6 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Dec 2 - Dec 8 | 29,298 | 758 | 44,825 | 3,414 | 1,466 | 79,761 | Dec 2 - Dec 8 | 576 | ||||||
| Dec 9 - Dec 15 | 31,633 | 696 | 48,629 | 2,908 | 1,108 | 84,974 | Dec 9 - Dec 15 | 527 | ||||||
| Dec 16 - Dec 22 | 26,259 | 729 | 34,877 | 2,333 | 996 | 65,194 | Dec 16 - Dec 22 | 516 | ||||||
| Dec 23 - Dec 29 | 22,633 | 533 | 33,062 | 1,653 | 553 | 58,434 | Dec 23 - Dec 29 | 396 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Dec 2 - Dec 8 | 3,971 | 971 | 7,884 | 23 | 56 | 12,905 | Dec 2 - Dec 8 | 6 | ||||||
| Dec 9 - Dec 15 | 4,092 | 1,025 | 8,270 | 36 | 35 | 13,458 | Dec 9 - Dec 15 | 3 | ||||||
| Dec 16 - Dec 22 | 2,676 | 762 | 4,795 | 17 | 34 | 8,284 | Dec 16 - Dec 22 | 3 | ||||||
| Dec 23 - Dec 29 | 2,463 | 729 | 4,741 | 13 | 38 | 7,984 | Dec 23 - Dec 29 | 1 |
TOTALS: 13,202 3,487 25,690 89 163 42,631 TOTALS: 13 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | Dec 2 - Dec 8 | Dec 9 - Dec 15 | Dec 16 - Dec 22 | Dec 23 - Dec 29 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 25,058 | 26,164 | 5,352 | 4,412 | 60,986 | Dec 2 - Dec 8 | N/A | ||||||
| Dec 9 - Dec 15 | N/A | ||||||||||||
| Dec 16 - Dec 22 | N/A | ||||||||||||
| Average Handle Time | 12:52 | 12:39 | 10:32 | 0:11 | Dec 23 - Dec 29 | N/A |
| TOTALS: | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | Dec 2 - Dec 8 | Dec 9 - Dec 15 | Dec 16 - Dec 22 | Dec 23 - Dec 29 | Month to Date TOTALS |
Webs Received 351 474 214 160 1,199
November 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Nov 4 - Nov 10 | 495,600 | 56,838 | 552,438 | Nov 4 - Nov 10 | 16 | ||||||
| Nov 11 - Nov 17 | 483,391 | 74,474 | 557,865 | Nov 11 - Nov 17 | 10 | ||||||
| Nov 18 - Nov 24 | 559,493 | 74,190 | 633,683 | Nov 18 - Nov 24 | 24 | ||||||
| Nov 25 - Dec 1 | 344,451 | 55,168 | 399,619 | Nov 25 - Dec 1 | 6 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Nov 4 - Nov 10 | 22,075 | 430 | 27,397 | 2,891 | 1,140 | 53,933 | Nov 4 - Nov 10 | 294 | ||||||
| Nov 11 - Nov 17 | 25,884 | 484 | 34,014 | 2,657 | 783 | 63,822 | Nov 11 - Nov 17 | 330 | ||||||
| Nov 18 - Nov 24 | 27,735 | 719 | 39,865 | 3,048 | 1,366 | 72,733 | Nov 18 - Nov 24 | 414 | ||||||
| Nov 25 - Dec 1 | 20,734 | 476 | 28,199 | 2,156 | 648 | 52,213 | Nov 25 - Dec 1 | 270 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Nov 4 - Nov 10 | 3,240 | 700 | 5,187 | 24 | 45 | 9,196 | Nov 4 - Nov 10 | 36 | ||||||
| Nov 11 - Nov 17 | 3,384 | 864 | 6,386 | 14 | 34 | 10,682 | Nov 11 - Nov 17 | 5 | ||||||
| Nov 18 - Nov 24 | 3,364 | 775 | 6,915 | 17 | 34 | 11,105 | Nov 18 - Nov 24 | 9 | ||||||
| Nov 25 - Dec 1 | 2,378 | 738 | 4,738 | 18 | 34 | 7,906 | Nov 25 - Dec 1 | 16 |
TOTALS: 12,366 3,077 23,226 73 147 38,889 TOTALS: 66 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | Nov 4 - Nov 10 | Nov 11 - Nov 17 | Nov 18 - Nov 24 | Nov 25 - Dec 1 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 4,766 | 11,774 | 12,962 | 8,409 | 37,911 | Nov 4 - Nov 10 | N/A | ||||||
| Nov 11 - Nov 17 | N/A | ||||||||||||
| Nov 18 - Nov 24 | N/A | ||||||||||||
| Average Handle Time | 9:36 | 9:16 | 9:43 | 10:08 | Nov 25 - Dec 1 | N/A |
| TOTALS: | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | Nov 4 - Nov 10 | Nov 11 - Nov 17 | Nov 18 - Nov 24 | Nov 25 - Dec 1 | Month to Date TOTALS |
Webs Received 178 232 325 266 1,001
October 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Sept 30 - Oct 6 | 507,548 | 45,301 | 552,849 | Sept 30 - Oct 6 | 10 | ||||||
| Oct 7 - Oct 13 | 496,146 | 45,835 | 541,981 | Oct 7 - Oct 13 | 1 | ||||||
| Oct 14 - Oct 20 | 490,009 | 50,052 | 540,061 | Oct 14 - Oct 20 | 12 | ||||||
| Oct 21 - Oct 27 | 504,258 | 50,874 | 555,132 | Oct 21 - Oct 27 | 14 | ||||||
| Oct 28 - Nov 3 | 483,590 | 56,594 | 540,184 | Oct 28 - Nov 3 | 4 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Sept 30 - Oct 6 | 22,161 | 398 | 24,960 | 2,720 | 868 | 51,107 | Sept 30 - Oct 6 | 250 | ||||||
| Oct 7 - Oct 13 | 20,300 | 516 | 24,463 | 2,724 | 1,083 | 49,086 | Oct 7 - Oct 13 | 225 | ||||||
| Oct 14 - Oct 20 | 21,954 | 401 | 24,675 | 3,084 | 1,011 | 51,125 | Oct 14 - Oct 20 | 239 | ||||||
| Oct 21 - Oct 27 | 20,286 | 477 | 24,373 | 2,485 | 867 | 48,488 | Oct 21 - Oct 27 | 253 | ||||||
| Oct 28 - Nov 3 | 21,032 | 576 | 25,520 | 2,459 | 964 | 50,551 | Oct 28 - Nov 3 | 263 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Sept 30 - Oct 6 | 3,414 | 854 | 5,243 | 28 | 50 | 9,589 | Sept 30 - Oct 6 | 0 | ||||||
| Oct 7 - Oct 13 | 2,405 | 636 | 4,055 | 14 | 31 | 7,141 | Oct 7 - Oct 13 | 7 | ||||||
| Oct 14 - Oct 20 | 2,522 | 690 | 4,246 | 11 | 33 | 7,502 | Oct 14 - Oct 20 | 7 | ||||||
| Oct 21 - Oct 27 | 2,126 | 607 | 3,827 | 15 | 25 | 6,600 | Oct 21 - Oct 27 | 0 | ||||||
| Oct 28 - Nov 3 | 2,529 | 814 | 4,039 | 25 | 38 | 7,445 | Oct 28 - Nov 3 | 0 |
TOTALS: 12,996 3,601 21,410 93 177 38,277 TOTALS: 14 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | |||||||||||||
| Telephone Stats | Sept 30 - Oct 6 | Oct 7 - Oct 13 | Oct 14 - Oct 20 | Oct 21 - Oct 27 | Oct 28 - Nov 3 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | |||||||||
| Calls Received | 3,262 | 3,012 | 3,207 | 4,119 | 3,581 | 17,181 | Sept 30 - Oct 6 | 295 | ||||||
| Oct 7 - Oct 13 | N/A | |||||||||||||
| Oct 14 - Oct 20 | N/A | |||||||||||||
| Average Handle Time | 8:24 | 8:19 | 8:33 | 8:05 | 8:39 | Oct 21 - Oct 27 | N/A | |||||||
| Oct 28 - Nov 3 | N/A |
| TOTALS: | 295 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| Email Response Stats | Sept 30 - Oct 6 | Oct 7 - Oct 13 | Oct 14 - Oct 20 | Oct 21 - Oct 27 | Oct 28 - Nov 3 | Month to Date TOTALS |
Webs Received 138 118 129 174 163 722
September 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Sept 2 - Sept 8 | 458,481 | 44,193 | 502,674 | Sept 2 - Sept 8 | 17 | ||||||
| Sept 9 - Sept 15 | 501,233 | 43,511 | 544,744 | Sept 9 - Sept 15 | 18 | ||||||
| Sept 16 - Sept 22 | 506,240 | 51,204 | 557,444 | Sept 16 - Sept 22 | 26 | ||||||
| Sept 23 - Sept 29 | 495,190 | 48,789 | 543,979 | Sept 23 - Sept 29 | 1 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Sept 2 - Sept 8 | 19,506 | 416 | 20,119 | 2,759 | 840 | 43,640 | Sept 2 - Sept 8 | 195 | ||||||
| Sept 9 - Sept 15 | 22,947 | 410 | 24,796 | 3,141 | 977 | 52,271 | Sept 9 - Sept 15 | 240 | ||||||
| Sept 16 - Sept 22 | 21,531 | 445 | 24,833 | 3,271 | 1,160 | 51,240 | Sept 16 - Sept 22 | 219 | ||||||
| Sept 23 - Sept 29 | 21,970 | 600 | 25,944 | 3,122 | 1,137 | 52,773 | Sept 23 - Sept 29 | 235 |
TOTALS: 85,954 1,871 95,692 12,293 4,114 199,924 TOTALS: 889 0 0 0 0 0 0
| Manual Claims - Dependent Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Sept 2 - Sept 8 | 2,827 | 715 | 4,139 | 13 | 37 | 7,731 | Sept 2 - Sept 8 | 0 | ||||||
| Sept 9 - Sept 15 | 2,786 | 603 | 4,347 | 29 | 26 | 7,791 | Sept 9 - Sept 15 | 0 | ||||||
| Sept 16 - Sept 22 | 2,771 | 760 | 4,673 | 17 | 30 | 8,251 | Sept 16 - Sept 22 | 0 | ||||||
| Sept 23 - Sept 29 | 2,204 | 637 | 3,898 | 22 | 26 | 6,787 | Sept 23 - Sept 29 | 3 |
TOTALS: 10,588 2,715 17,057 81 119 30,560 TOTALS: 3 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | Sept 2 - Sept 8 | Sept 9 - Sept 15 | Sept 16 - Sept 22 | Sept 23 - Sept 29 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 2,469 | 2,813 | 3,179 | 3,195 | 11,656 | Sept 2 - Sept 8 | 966 | ||||||
| Sept 9 - Sept 15 | 1,148 | ||||||||||||
| Sept 16 - Sept 22 | 1,348 | ||||||||||||
| Average Handle Time | 7:56 | 8:14 | 8:02 | 8:12 | Sept 23 - Sept 29 | 1,318 |
| TOTALS: | 4,780 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | Sept 2 - Sept 8 | Sept 9 - Sept 15 | Sept 16 - Sept 22 | Sept 23 - Sept 29 | Month to Date TOTALS |
Webs Received 131 93 156 143 523
August 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Aug 5 - Aug 11 | 514,626 | 48,578 | 563,204 | Aug 5 - Aug 11 | 20 | ||||||
| Aug 12 - Aug 18 | 476,100 | 44,591 | 520,691 | Aug 12 - Aug 18 | 19 | ||||||
| Aug 19 - Aug 25 | 499,310 | 50,696 | 550,006 | Aug 19 - Aug 25 | 39 | ||||||
| Aug 26 - Sept 1 | 504,660 | 43,031 | 547,691 | Aug 26 - Sept 1 | 24 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Aug 5 - Aug 11 | 25,143 | 503 | 25,855 | 3,248 | 1,050 | 55,799 | Aug 5 - Aug 11 | 252 | ||||||
| Aug 12 - Aug 18 | 22,356 | 554 | 22,466 | 3,290 | 1,029 | 49,695 | Aug 12 - Aug 18 | 229 | ||||||
| Aug 19 - Aug 25 | 25,436 | 585 | 25,981 | 3,594 | 1,260 | 56,856 | Aug 19 - Aug 25 | 271 | ||||||
| Aug 26 - Sept 1 | 22,727 | 480 | 23,620 | 3,042 | 1,196 | 51,065 | Aug 26 - Sept 1 | 228 |
TOTALS: 95,662 2,122 97,922 13,174 4,535 213,415 TOTALS: 980 0 0 0 0 0 0
| Manual Claims - Dependent Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Aug 5 - Aug 11 | 3,537 | 802 | 5,511 | 20 | 46 | 9,916 | Aug 5 - Aug 11 | 0 | ||||||
| Aug 12 - Aug 18 | 2,427 | 601 | 3,955 | 12 | 24 | 7,019 | Aug 12 - Aug 18 | 1 | ||||||
| Aug 19 - Aug 25 | 3,090 | 739 | 5,160 | 28 | 32 | 9,049 | Aug 19 - Aug 25 | 2 | ||||||
| Aug 26 - Sept 1 | 2,502 | 689 | 4,088 | 18 | 32 | 7,329 | Aug 26 - Sept 1 | 1 |
TOTALS: 11,556 2,831 18,714 78 134 33,313 TOTALS: 4 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | Aug 5 - Aug 11 | Aug 12 - Aug 18 | Aug 19 - Aug 25 | Aug 26 - Sept 1 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 3,430 | 3,094 | 3,296 | 2,960 | 12,780 | Aug 5 - Aug 11 | 1,835 | ||||||
| Aug 12 - Aug 18 | 1,274 | ||||||||||||
| Aug 19 - Aug 25 | 1,124 | ||||||||||||
| Average Handle Time | 8:05 | 8:14 | 8:20 | 8:09 | Aug 26 - Sept 1 | 917 |
| TOTALS: | 5,150 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | Aug 5 - Aug 11 | Aug 12 - Aug 18 | Aug 19 - Aug 25 | Aug 26 - Sept 1 | Month to Date TOTALS |
Webs Received 143 142 114 122 521
July 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| July 1 - July 7 | 426,722 | 44,479 | 471,201 | July 1 - July 7 | 25 | ||||||
| July 8 - July 14 | 521,528 | 53,729 | 575,257 | July 8 - July 14 | 22 | ||||||
| July 15 - July 21 | 479,414 | 48,236 | 527,650 | July 15 - July 21 | 12 | ||||||
| July 22 - July 28 | 494,073 | 44,033 | 538,106 | July 22 - July 28 | 4 | ||||||
| July 29 - Aug 4 | 507,810 | 49,899 | 557,709 | July 29 - Aug 4 | 15 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| July 1 - July 7 | 22,637 | 787 | 22,497 | 2,569 | 697 | 49,187 | July 1 - July 7 | 236 | ||||||
| July 8 - July 14 | 29,456 | 974 | 30,945 | 3,218 | 742 | 65,335 | July 8 - July 14 | 308 | ||||||
| July 15 - July 21 | 24,630 | 829 | 26,311 | 3,522 | 1,479 | 56,771 | July 15 - July 21 | 288 | ||||||
| July 22 - July 28 | 27,319 | 671 | 28,152 | 4,118 | 2,149 | 62,409 | July 22 - July 28 | 308 | ||||||
| July 29 - Aug 4 | 24,329 | 525 | 25,467 | 3,918 | 1,382 | 55,621 | July 29 - Aug 4 | 265 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| July 1 - July 7 | 2,939 | 642 | 4,634 | 22 | 32 | 8,269 | July 1 - July 7 | 1 | ||||||
| July 8 - July 14 | 3,477 | 886 | 6,100 | 25 | 68 | 10,556 | July 8 - July 14 | 0 | ||||||
| July 15 - July 21 | 2,760 | 642 | 5,048 | 20 | 26 | 8,496 | July 15 - July 21 | 1 | ||||||
| July 22 - July 28 | 2,892 | 795 | 4,651 | 19 | 41 | 8,398 | July 22 - July 28 | 0 | ||||||
| July 29 - Aug 4 | 2,793 | 776 | 4,895 | 25 | 38 | 8,527 | July 29 - Aug 4 | 1 |
TOTALS: 14,861 3,741 25,328 111 205 44,246 TOTALS: 3 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | |||||||||||||
| Telephone Stats | July 1 - July 7 | July 8 - July 14 | July 15 - July 21 | July 22 - July 28 | July 29 - Aug 4 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | |||||||||
| Calls Received | 3,551 | 4,272 | 3,848 | 3,372 | 3,804 | 18,847 | July 1 - July 7 | N/A | ||||||
| July 8 - July 14 | N/A | |||||||||||||
| July 15 - July 21 | N/A | |||||||||||||
| Average Handle Time | 7:18 | 7:54 | 7:38 | 7:28 | 8:19 | July 22 - July 28 | N/A | |||||||
| July 29 - Aug 4 | 1,531 |
| TOTALS: | 1,531 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| Email Response Stats | July 1 - July 7 | July 8 - July 14 | July 15 - July 21 | July 22 - July 28 | July 29 - Aug 4 | Month to Date TOTALS |
Webs Received 246 294 216 161 175 1,092
June 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| June 3 - June 9 | 503,124 | 55,586 | 558,710 | June 3 - June 9 | 26 | ||||||
| June 10 - June 16 | 507,314 | 52,837 | 560,151 | June 10 - June 16 | 55 | ||||||
| June 17 - June 23 | 485,697 | 53,102 | 538,799 | June 17 - June 23 | 19 | ||||||
| June 24 - June 30 | 492,991 | 49,660 | 542,651 | June 24 - June 30 | 53 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| June 3 - June 9 | 30,074 | 642 | 29,799 | 3,849 | 1,187 | 65,551 | June 3 - June 9 | 328 | ||||||
| June 10 - June 16 | 27,748 | 667 | 27,884 | 3,634 | 1,210 | 61,143 | June 10 - June 16 | 290 | ||||||
| June 17 - June 23 | 23,129 | 576 | 21,443 | 2,930 | 681 | 48,759 | June 17 - June 23 | 183 | ||||||
| June 24 - June 30 | 25,972 | 717 | 25,875 | 3,225 | 894 | 56,683 | June 24 - June 30 | 238 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| June 3 - June 9 | 3,790 | 737 | 5,581 | 22 | 40 | 10,170 | June 3 - June 9 | 11 | ||||||
| June 10 - June 16 | 2,972 | 782 | 4,783 | 18 | 43 | 8,598 | June 10 - June 16 | 1 | ||||||
| June 17 - June 23 | 2,947 | 663 | 4,917 | 21 | 45 | 8,593 | June 17 - June 23 | 1 | ||||||
| June 24 - June 30 | 3,058 | 803 | 5,066 | 22 | 30 | 8,979 | June 24 - June 30 | 0 |
TOTALS: 12,767 2,985 20,347 83 158 36,340 TOTALS: 13 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | June 3 - June 9 | June 10 - June 16 | June 17 - June 23 | June 24 - June 30 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 4,045 | 3,499 | 3,097 | 6,398 | 17,039 | June 3 - June 9 | N/A | ||||||
| June 10 - June 16 | N/A | ||||||||||||
| June 17 - June 23 | N/A | ||||||||||||
| Average Handle Time | 8:04 | 7:39 | 7:01 | 6:25 | June 24 - June 30 | N/A |
| TOTALS: | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | June 3 - June 9 | June 10 - June 16 | June 17 - June 23 | June 24 - June 30 | Month to Date TOTALS |
Webs Received 199 135 183 374 891
May 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| April 29 - May 5 | 496,145 | 77,530 | 573,675 | April 29 - May 5 | 28 | ||||||
| May 6 - May 12 | 539,360 | 60,698 | 600,058 | May 6 - May 12 | 20 | ||||||
| May 13 - May 19 | 504,679 | 52,162 | 556,841 | May 13 - May 19 | 10 | ||||||
| May 20 - May 26 | 487,361 | 55,201 | 542,562 | May 20 - May 26 | 22 | ||||||
| May 27 - June 2 | 472,112 | 52,762 | 524,874 | May 27 - June 2 | 9 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| April 29 - May 5 | 42,659 | 1,685 | 71,679 | 5,921 | 2,136 | 124,080 | April 29 - May 5 | 503 | ||||||
| May 6 - May 12 | 29,631 | 865 | 29,036 | 4,129 | 1,228 | 64,889 | May 6 - May 12 | 349 | ||||||
| May 13 - May 19 | 28,180 | 601 | 26,698 | 3,740 | 1,274 | 60,493 | May 13 - May 19 | 334 | ||||||
| May 20 - May 26 | 29,936 | 620 | 28,601 | 3,831 | 1,381 | 64,369 | May 20 - May 26 | 381 | ||||||
| May 27 - June 2 | 25,512 | 633 | 24,790 | 3,170 | 1,049 | 55,154 | May 27 - June 2 | 236 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| April 29 - May 5 | 3,942 | 1,062 | 7,579 | 42 | 63 | 12,688 | April 29 - May 5 | 0 | ||||||
| May 6 - May 12 | 2,931 | 652 | 4,465 | 19 | 39 | 8,106 | May 6 - May 12 | 1 | ||||||
| May 13 - May 19 | 2,602 | 735 | 4,017 | 19 | 37 | 7,410 | May 13 - May 19 | 1 | ||||||
| May 20 - May 26 | 2,631 | 553 | 3,994 | 23 | 19 | 7,220 | May 20 - May 26 | 0 | ||||||
| May 27 - June 2 | 2,351 | 828 | 3,747 | 15 | 29 | 6,970 | May 27 - June 2 | 0 |
TOTALS: 14,457 3,830 23,802 118 187 42,394 TOTALS: 2 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | |||||||||||||
| Telephone Stats | April 29 - May 5 | May 6 - May 12 | May 13 - May 19 | May 20 - May 26 | May 27 - June 2 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | |||||||||
| Calls Received | 7,202 | 4,529 | 3,623 | 4,032 | 3,872 | 23,258 | April 29 - May 5 | 1,849 | ||||||
| May 6 - May 12 | 1,107 | |||||||||||||
| May 13 - May 19 | 958 | |||||||||||||
| Average Handle Time | 9:03 | 8:08 | 8:07 | 8:45 | 8:59 | May 20 - May 26 | 332 | |||||||
| May 27 - June 2 | N/A |
| TOTALS: | 4,246 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| Email Response Stats | April 29 - May 5 | May 6 - May 12 | May 13 - May 19 | May 20 - May 26 | May 27 - June 2 | Month to Date TOTALS |
Webs Received 300 240 192 118 189 1,039
April 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| April 1 - April 7 | 521,504 | 69,445 | 590,949 | April 1 - April 7 | 20 | ||||||
| April 8 - April 14 | 504,031 | 69,512 | 573,543 | April 8 - April 14 | 17 | ||||||
| April 15 - April 21 | 523,857 | 61,448 | 585,305 | April 15 - April 21 | 23 | ||||||
| April 22 - April 28 | 517,479 | 76,521 | 594,000 | April 22 - April 28 | 36 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| April 1 - April 7 | 35,827 | 986 | 39,552 | 3,770 | 1,395 | 81,530 | April 1 - April 7 | 443 | ||||||
| April 8 - April 14 | 33,273 | 834 | 36,408 | 4,334 | 1,464 | 76,313 | April 8 - April 14 | 427 | ||||||
| April 15 - April 21 | 41,303 | 922 | 45,435 | 4,285 | 1,541 | 93,486 | April 15 - April 21 | 469 | ||||||
| April 22 - April 28 | 40,186 | 1,199 | 49,783 | 4,198 | 1,642 | 97,008 | April 22 - April 28 | 525 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| April 1 - April 7 | 4,371 | 943 | 7,179 | 32 | 61 | 12,586 | April 1 - April 7 | 0 | ||||||
| April 8 - April 14 | 3,238 | 714 | 6,068 | 22 | 49 | 10,091 | April 8 - April 14 | 1 | ||||||
| April 15 - April 21 | 3,266 | 828 | 5,960 | 26 | 44 | 10,124 | April 15 - April 21 | 4 | ||||||
| April 22 - April 28 | 2,770 | 757 | 5,471 | 30 | 58 | 9,086 | April 22 - April 28 | 2 |
TOTALS: 13,645 3,242 24,678 110 212 41,887 TOTALS: 7 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | April 1 - April 7 | April 8 - April 14 | April 15 - April 21 | April 22 - April 28 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 5,519 | 5,726 | 5,283 | 6,353 | 22,881 | April 1 - April 7 | 1,087 | ||||||
| April 8 - April 14 | 1,191 | ||||||||||||
| April 15 - April 21 | 1,034 | ||||||||||||
| Average Handle Time | 9:07 | 8:54 | 8:39 | 8:43 | April 22 - April 28 | 1,633 |
| TOTALS: | 4,945 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | April 1 - April 7 | April 8 - April 14 | April 15 - April 21 | April 22 - April 28 | Month to Date TOTALS |
Webs Received 212 241 198 243 894
March 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Mar 4 - Mar 10 | 493,902 | 62,771 | 556,673 | Mar 4 - Mar 10 | 21 | ||||||
| Mar 11 - Mar 17 | 485,927 | 61,605 | 547,532 | Mar 11 - Mar 17 | 38 | ||||||
| Mar 18 - Mar 24 | 545,218 | 62,494 | 607,712 | Mar 18 - Mar 24 | 33 | ||||||
| Mar 25 - Mar 31 | 340,993 | 36,953 | 377,946 | Mar 25 - Mar 31 | 16 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Mar 4 - Mar 10 | 39,553 | 1,098 | 41,288 | 3,968 | 1,424 | 87,331 | Mar 4 - Mar 10 | 499 | ||||||
| Mar 11 - Mar 17 | 37,392 | 1,051 | 39,070 | 3,673 | 1,439 | 82,625 | Mar 11 - Mar 17 | 467 | ||||||
| Mar 18 - Mar 24 | 38,502 | 821 | 39,707 | 4,113 | 1,464 | 84,607 | Mar 18 - Mar 24 | 453 | ||||||
| Mar 25 - Mar 31 | 20,546 | 485 | 22,242 | 2,194 | 712 | 46,179 | Mar 25 - Mar 31 | 447 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Mar 4 - Mar 10 | 4,753 | 950 | 7,786 | 30 | 70 | 13,589 | Mar 4 - Mar 10 | 5 | ||||||
| Mar 11 - Mar 17 | 3,077 | 751 | 5,463 | 33 | 49 | 9,373 | Mar 11 - Mar 17 | 3 | ||||||
| Mar 18 - Mar 24 | 3,152 | 762 | 5,681 | 21 | 72 | 9,688 | Mar 18 - Mar 24 | 0 | ||||||
| Mar 25 - Mar 31 | 1,494 | 386 | 2,887 | 8 | 25 | 4,800 | Mar 25 - Mar 31 | 4 |
TOTALS: 12,476 2,849 21,817 92 216 37,450 TOTALS: 12 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | Mar 4 - Mar 10 | Mar 11 - Mar 17 | Mar 18 - Mar 24 | Mar 25 - Mar 31 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 9,280 | 6,495 | 5,625 | 5,493 | 26,893 | Mar 4 - Mar 10 | 1,115 | ||||||
| Mar 11 - Mar 17 | 1,108 | ||||||||||||
| Mar 18 - Mar 24 | 1,056 | ||||||||||||
| Average Handle Time | 9:41 | 9:29 | 9:05 | 9:14 | Mar 25 - Mar 31 | 1,071 |
| TOTALS: | 4,350 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | Mar 4 - Mar 10 | Mar 11 - Mar 17 | Mar 18 - Mar 24 | Mar 25 - Mar 31 | Month to Date TOTALS |
Webs Received 256 232 250 216 954
February 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Feb 5 - Feb 11 | 548,198 | 57,866 | 606,064 | Feb 5 - Feb 11 | 61 | ||||||
| Feb 12 - Feb 18 | 505,347 | 53,790 | 559,137 | Feb 12 - Feb 18 | 31 | ||||||
| Feb 19 - Feb 25 | 494,627 | 59,621 | 554,248 | Feb 19 - Feb 25 | 47 | ||||||
| Feb 26 - Mar 3 | 466,876 | 56,621 | 523,497 | Feb 26 - Mar 3 | 30 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Feb 5 - Feb 11 | 33,736 | 917 | 37,184 | 3,515 | 1,436 | 76,788 | Feb 5 - Feb 11 | 512 | ||||||
| Feb 12 - Feb 18 | 34,612 | 692 | 38,033 | 3,549 | 1,289 | 78,175 | Feb 12 - Feb 18 | 543 | ||||||
| Feb 19 - Feb 25 | 35,190 | 1,062 | 37,489 | 3,680 | 1,375 | 78,796 | Feb 19 - Feb 25 | 481 | ||||||
| Feb 26 - Mar 3 | 37,254 | 892 | 37,729 | 3,682 | 1,355 | 80,912 | Feb 26 - Mar 3 | 494 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Feb 5 - Feb 11 | 3,870 | 974 | 7,729 | 28 | 82 | 12,683 | Feb 5 - Feb 11 | 4 | ||||||
| Feb 12 - Feb 18 | 2,892 | 680 | 5,710 | 30 | 49 | 9,361 | Feb 12 - Feb 18 | 2 | ||||||
| Feb 19 - Feb 25 | 3,276 | 800 | 6,029 | 29 | 67 | 10,201 | Feb 19 - Feb 25 | 1 | ||||||
| Feb 26 - Mar 3 | 3,054 | 787 | 5,363 | 17 | 58 | 9,279 | Feb 26 - Mar 3 | 2 |
TOTALS: 13,092 3,241 24,831 104 256 41,524 TOTALS: 9 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | Feb 5 - Feb 11 | Feb 12 - Feb 18 | Feb 19 - Feb 25 | Feb 26 - Mar 3 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 7,937 | 6,469 | 6,103 | 6,293 | 26,802 | Feb 5 - Feb 11 | 1,446 | ||||||
| Feb 12 - Feb 18 | 1,234 | ||||||||||||
| Feb 19 - Feb 25 | 1,298 | ||||||||||||
| Average Handle Time | 9:55 | 9:43 | 9:33 | 9:47 | Feb 26 - Mar 3 | 1,249 |
| TOTALS: | 5,227 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | Feb 5 - Feb 11 | Feb 12 - Feb 18 | Feb 19 - Feb 25 | Feb 26 - Mar 3 | Month to Date TOTALS |
Webs Received 493 268 333 232 1,326
January 2024 2024 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Jan 1 - Jan 7 | 494,259 | 35,202 | 529,461 | Jan 1 - Jan 7 | 9 | ||||||
| Jan 8 - Jan 14 | 456,074 | 40,350 | 496,424 | Jan 8 - Jan 14 | 34 | ||||||
| Jan 15 - Jan 21 | 523,048 | 44,411 | 567,459 | Jan 15 - Jan 21 | 45 | ||||||
| Jan 22 - Jan 28 | 472,884 | 45,261 | 518,145 | Jan 22 - Jan 28 | 41 | ||||||
| Jan 29 - Feb 4 | 513,548 | 51,085 | 564,633 | Jan 29 - Feb 4 | 50 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Jan 1 - Jan 7 | 26,421 | 715 | 48,136 | 2,209 | 1,430 | 78,911 | Jan 1 - Jan 7 | 456 | ||||||
| Jan 8 - Jan 14 | 30,049 | 1,166 | 39,929 | 2,375 | 1,291 | 74,810 | Jan 8 - Jan 14 | 524 | ||||||
| Jan 15 - Jan 21 | 28,487 | 714 | 35,137 | 2,079 | 1,046 | 67,463 | Jan 15 - Jan 21 | 452 | ||||||
| Jan 22 - Jan 28 | 28,216 | 731 | 32,008 | 2,441 | 1,006 | 64,402 | Jan 22 - Jan 28 | 508 | ||||||
| Jan 29 - Feb 4 | 35,319 | 911 | 39,086 | 2,931 | 1,132 | 79,379 | Jan 29 - Feb 4 | 555 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Jan 1 - Jan 7 | 3,191 | 859 | 9,150 | 32 | 58 | 13,290 | Jan 1 - Jan 7 | 2 | ||||||
| Jan 8 - Jan 14 | 3,615 | 1,111 | 8,757 | 22 | 72 | 13,577 | Jan 8 - Jan 14 | 2 | ||||||
| Jan 15 - Jan 21 | 2,546 | 742 | 5,950 | 18 | 44 | 9,300 | Jan 15 - Jan 21 | 4 | ||||||
| Jan 22 - Jan 28 | 2,795 | 849 | 5,677 | 24 | 41 | 9,386 | Jan 22 - Jan 28 | 5 | ||||||
| Jan 29 - Feb 4 | 3,733 | 850 | 6,782 | 27 | 54 | 11,446 | Jan 29 - Feb 4 | 0 |
TOTALS: 15,880 4,411 36,316 123 269 56,999 TOTALS: 13 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | |||||||||||||
| Telephone Stats | Jan 1 - Jan 7 | Jan 8 - Jan 14 | Jan 15 - Jan 21 | Jan 22 - Jan 28 | Jan 29 - Feb 4 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | |||||||||
| Calls Received | 11,359 | 12,737 | 8,884 | 9,243 | 9,528 | 51,751 | Jan 1 - Jan 7 | 2,221 | ||||||
| Jan 8 - Jan 14 | 2,306 | |||||||||||||
| Jan 15 - Jan 21 | 1,971 | |||||||||||||
| Average Handle Time | 12:20 | 11:29 | 11:06 | 10:19 | 9:38 | Jan 22 - Jan 28 | 2,252 | |||||||
| Jan 29 - Feb 4 | 1,670 |
| TOTALS: | 10,420 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| Email Response Stats | Jan 1 - Jan 7 | Jan 8 - Jan 14 | Jan 15 - Jan 21 | Jan 22 - Jan 28 | Jan 29 - Feb 4 | Month to Date TOTALS |
Webs Received 240 348 329 368 311 1,596
December 2023 2023 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Dec 4 - Dec 10 | 503,821 | 80,493 | 584,314 | Dec 4 - Dec 10 | 2 | ||||||
| Dec 11 - Dec 17 | 506,394 | 64,862 | 571,256 | Dec 11 - Dec 17 | 16 | ||||||
| Dec 18 - Dec 24 | 516,495 | 27,417 | 543,912 | Dec 18 - Dec 24 | 22 | ||||||
| Dec 25 - Dec 31 | 253,106 | 14,600 | 267,706 | Dec 25 - Dec 31 | 7 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Dec 4 - Dec 10 | 28,487 | 643 | 41,074 | 2,932 | 1,222 | 74,358 | Dec 4 - Dec 10 | 453 | ||||||
| Dec 11 - Dec 17 | 29,845 | 732 | 42,839 | 2,939 | 1,223 | 77,578 | Dec 11 - Dec 17 | 411 | ||||||
| Dec 18 - Dec 24 | 16,724 | 427 | 26,623 | 17,777 | 795 | 62,346 | Dec 18 - Dec 24 | 332 | ||||||
| Dec 25 - Dec 31 | 7,791 | 353 | 18,692 | 836 | 485 | 28,157 | Dec 25 - Dec 31 | 358 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Dec 4 - Dec 10 | 3,900 | 921 | 7,007 | 21 | 50 | 11,899 | Dec 4 - Dec 10 | 3 | ||||||
| Dec 11 - Dec 17 | 3,393 | 950 | 6,590 | 24 | 55 | 11,012 | Dec 11 - Dec 17 | 11 | ||||||
| Dec 18 - Dec 24 | 1,842 | 601 | 4,111 | 17 | 28 | 6,599 | Dec 18 - Dec 24 | 11 | ||||||
| Dec 25 - Dec 31 | 635 | 335 | 1,833 | 2 | 13 | 2,818 | Dec 25 - Dec 31 | 2 |
TOTALS: 9,770 2,807 19,541 64 146 32,328 TOTALS: 27 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | ||||||||||||
| Telephone Stats | Dec 4 - Dec 10 | Dec 11 - Dec 17 | Dec 18 - Dec 24 | Dec 25 - Dec 31 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | ||||||||
| Calls Received | 16,846 | 18,948 | 12,658 | 10,607 | 59,059 | Dec 4 - Dec 10 | N/A | ||||||
| Dec 11 - Dec 17 | N/A | ||||||||||||
| Dec 18 - Dec 24 | N/A | ||||||||||||
| Average Handle Time | 9:10 | 9:51 | 8:22 | 12:43 | Dec 25 - Dec 31 | N/A |
| TOTALS: | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||||||
| Email Response Stats | Dec 4 - Dec 10 | Dec 11 - Dec 17 | Dec 18 - Dec 24 | Dec 25 - Dec 31 | Month to Date TOTALS |
Webs Received 354 574 142 147 1,217
November 2023 2023 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Oct 30 - Nov 5 | 489,731 | 44,161 | 533,892 | Oct 30 - Nov 5 | 17 | ||||||
| Nov 6 - Nov 12 | 472,638 | 47,600 | 520,238 | Nov 6 - Nov 12 | 19 | ||||||
| Nov 13 - Nov 19 | 524,664 | 71,817 | 596,481 | Nov 13 - Nov 19 | 4 | ||||||
| Nov 20 - Nov 26 | 298,668 | 53,665 | 352,333 | Nov 20 - Nov 26 | 7 | ||||||
| Nov 27 - Dec 3 | 557,946 | 68,647 | 626,593 | Nov 27 - Dec 3 | 22 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Oct 30 - Nov 5 | 22,828 | 504 | 23,918 | 2,967 | 1,014 | 51,231 | Oct 30 - Nov 5 | 240 | ||||||
| Nov 6 - Nov 12 | 22,074 | 470 | 24,433 | 2,693 | 868 | 50,538 | Nov 6 - Nov 12 | 207 | ||||||
| Nov 13 - Nov 19 | 25,044 | 522 | 29,372 | 3,241 | 1,081 | 59,260 | Nov 13 - Nov 19 | 238 | ||||||
| Nov 20 - Nov 26 | 21,945 | 513 | 27,487 | 2,096 | 766 | 52,807 | Nov 20 - Nov 26 | 271 | ||||||
| Nov 27 - Dec 3 | 27,750 | 637 | 37,041 | 3,047 | 1,112 | 69,587 | Nov 27 - Dec 3 | 370 |
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 Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Oct 30 - Nov 5 | 3,431 | 876 | 4,403 | 29 | 35 | 8,774 | Oct 30 - Nov 5 | 8 | ||||||
| Nov 6 - Nov 12 | 2,649 | 737 | 4,198 | 15 | 25 | 7,624 | Nov 6 - Nov 12 | 8 | ||||||
| Nov 13 - Nov 19 | 3,245 | 932 | 5,729 | 28 | 43 | 9,977 | Nov 13 - Nov 19 | 8 | ||||||
| Nov 20 - Nov 26 | 2,251 | 574 | 4,263 | 13 | 28 | 7,129 | Nov 20 - Nov 26 | 14 | ||||||
| Nov 27 - Dec 3 | 3,457 | 988 | 6,081 | 23 | 50 | 10,599 | Nov 27 - Dec 3 | 3 |
TOTALS: 15,033 4,107 24,674 108 181 44,103 TOTALS: 41 0 0 0 0 0 0
| Call Center Summary Report | Online QLEs | |||||||||||||
| Telephone Stats | Oct 30 - Nov 5 | Nov 6 - Nov 12 | Nov 13 - Nov 19 | Nov 20 - Nov 26 | Nov 27 - Dec 3 | Month to Date TOTALS | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date | ||||
| Approved | Denied | 0-5 | 6 | 7 | 8+ | |||||||||
| Calls Received | 3,224 | 3,587 | 11,666 | 7,249 | 10,622 | 36,348 | Oct 30 - Nov 5 | N/A | ||||||
| Nov 6 - Nov 12 | N/A | |||||||||||||
| Nov 13 - Nov 19 | N/A | |||||||||||||
| Average Handle Time | 8:15 | 8:17 | 9:09 | 9:25 | 9:24 | Nov 20 - Nov 26 | N/A | |||||||
| Nov 27 - Dec 3 | N/A |
| TOTALS: | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||||||
| Email Response Stats | Oct 30 - Nov 5 | Nov 6 - Nov 12 | Nov 13 - Nov 19 | Nov 20 - Nov 26 | Nov 27 - Dec 3 | Month to Date TOTALS |
Webs Received 226 138 344 287 224 1,219
October 2023 2023 Weekly Operational Summary
| Paperless Claims | Appeals | ||||||||||
| Week of: | Paperless Reimbursement | Week of: | Total Appeals Received | Outcome | Number Complete in Number of Days from Received Date | ||||||
| Auto-Reimbursement | Pick & Process | TOTALS BY WEEK | Approved | Denied | 0-10 | 11-20 | 21-30 | 31+ | |||
| Oct 2 - Oct 8 | 475,186 | 35,866 | 511,052 | Oct 2 - Oct 8 | 0 | ||||||
| Oct 9 - Oct 15 | 470,301 | 42,582 | 512,883 | Oct 9 - Oct 15 | 10 | ||||||
| Oct 16 - Oct 22 | 486,464 | 43,466 | 529,930 | Oct 16 - Oct 22 | 5 | ||||||
| Oct 23 - Oct 29 | 478,411 | 45,902 | 524,313 | Oct 23 - Oct 29 | 31 |
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 Back | Pay My Provider | Week of: | Total LMNs Received | Outcome | Number Complete in Number of Days from Received Date | ||||||||
| EZ Receipt | Fax/Mail | Online | EZ Receipt | Online | TOTALS BY WEEK | Approved | Denied | 0-5 | 6 | 7 | 8+ | |||
| Oct 2 - Oct 8 | 21,919 | 438 | 20,936 | 2,893 | 965 | 47,151 | Oct 2 - Oct 8 | 197 | ||||||
| Oct 9 - Oct 15 | 21,534 | 413 | 20,552 | 2,856 | 890 | 46,245 | Oct 9 - Oct 15 | 213 | ||||||
| Oct 16 - Oct 22 | 20,869 | 493 | 21,997 | 2,558 | 1,003 | 46,920 | Oct 16 - Oct 22 | 229 | ||||||
| Oct 23 - Oct 29 | 19,791 | 462 | 20,803 | 2,950 | 834 | 44,840 | Oct 23 - Oct 29 | 214 |
TOTALS: 84,113 1,806 84,288 11,257 3,692 185,156 TOTALS: 853 0 0 0 0 0 0
| Manual Claims - Dependent Care | QLE Forms | |||||||||||||
| Week of: | Pay Me Back | Pay My Provider | Week of: | Total QLEs Received | Outcome | Number Complete in Number of Days from Received Date |
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