Attachment 0005- Historical Claims.pdf

This document is a Health Insurance Claims Experience Form for OPM-SANG(US GOV) covering policy periods from December 2022 to December 2023. The form provides detailed monthly claims data including number of lives insured, number of paid claims, and amount of paid claims across different benefit categories such as outpatient, inpatient, dental, optical, and maternity services.

The claims data is broken down into two primary policy years, with a total of 703 claims in the last policy year amounting to $2,076,259 in paid claims. The top utilized providers are partially redacted but show varying levels of claim volumes and amounts. The document includes a comprehensive breakdown of claims by benefit type, showing trends in healthcare utilization across different medical service categories, with outpatient services consistently representing the highest volume of claims and paid amounts. The report is dated 18 July 2024 and appears to be part of a historical claims analysis for insurance procurement purposes.