14_Exhibit_L-2_Workload_Volumes_.xls

XLS spreadsheet 126 KB Posted Apr 5, 2013

Attached to: TRICARE Dual-Eligible Fiscal Intermediary Contract (TDEFIC)
Solicitation number: HT9402-12-R-0005
Issued by: Defense Health Agency

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Exhibit L-2 Workload Volumes

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CLAIMS

MONTH/YEAR	NET RECEIPTS	ADJUSTMENTS	TOTAL RECEIPTS	ELECTRONIC	%	PAPER	%
Jan-09	4,073,011	58,737	4,131,748	3,540,896	85.70%	590,852	14.30%
Feb-09	3,750,393	70,256	3,820,649	3,253,641	85.16%	567,008	14.84%
Mar-09	4,031,072	86,369	4,117,441	3,421,943	83.11%	695,498	16.89%
Apr-09	4,219,582	52,008	4,271,590	3,667,567	85.86%	604,023	14.14%
May-09	4,175,464	53,123	4,228,587	3,684,663	87.14%	543,924	12.86%
Jun-09	3,854,739	49,865	3,904,604	3,267,042	83.67%	637,562	16.33%
Jul-09	4,108,042	53,330	4,161,372	3,568,125	85.74%	593,247	14.26%
Aug-09	4,058,020	52,357	4,110,377	3,505,696	85.29%	604,681	14.71%
Sep-09	3,777,217	135,341	3,912,558	3,314,179	84.71%	598,379	15.29%
Oct-09	4,415,341	82,021	4,497,362	3,899,364	86.70%	597,998	13.30%
Nov-09	3,844,685	51,914	3,896,599	3,319,342	85.19%	577,257	14.81%
Dec-09	3,823,796	39,382	3,863,178	3,610,124	93.45%	253,054	6.55%
TOTALS	48,131,362	784,703	48,916,065	42052582		6,863,483
MONTH/YEAR	NET RECEIPTS	ADJUSTMENTS	TOTAL RECEIPTS	ELECTRONIC	%	PAPER	%
Jan-10	3,670,510	51,522	3,722,032	3,221,174	86.54%	500,858	13.46%
Feb-10	3,642,627	53,227	3,695,854	3,097,665	83.81%	598,189	16.19%
Mar-10	4,237,951	52,633	4,290,584	3,621,661	84.41%	668,923	15.59%
Apr-10	3,976,760	48,878	4,025,638	3,483,405	86.53%	542,233	13.47%
May-10	4,340,084	51,490	4,391,574	3,819,861	86.98%	571,713	13.02%
Jun-10	3,448,211	51,654	3,499,865	2,924,508	83.56%	575,357	16.44%
Jul-10	4,938,878	78,678	5,017,556	4,525,651	90.20%	491,905	9.80%
Aug-10	3,854,518	69,336	3,923,854	3,353,553	85.47%	570,301	14.53%
Sep-10	4,001,622	80,497	4,082,119	3,608,095	88.39%	474,024	11.61%
Oct-10	4,315,369	72,785	4,388,154	3,903,351	88.95%	484,803	11.05%
Nov-10	3,949,610	84,522	4,034,132	3,477,729	86.21%	556,403	13.79%
Dec-10	4,301,302	88,965	4,390,267	3,905,582	88.96%	484,685	11.04%
TOTALS	48,677,442	784,187	49,461,629	42,942,235		6,519,394
MONTH/YEAR	NET RECEIPTS	ADJUSTMENTS	TOTAL RECEIPTS	ELECTRONIC	%	PAPER	%
Jan-11	3,795,135	84,818	3,879,953	3,390,159	87.38%	489,794	12.62%
Feb-11	3,578,911	111,477	3,690,388	3,213,503	87.08%	476,885	12.92%
Mar-11	4,445,607	308,176	4,753,783	4,276,171	89.95%	477,612	10.05%
Apr-11	4,091,230	540,755	4,631,985	4,245,247	91.65%	386,738	8.35%
May-11	4,775,326	805,928	5,581,254	5,223,906	93.60%	357,348	6.40%
Jun-11	4,138,811	968,545	5,107,356	4,754,127	93.08%	353,229	6.92%
Jul-11	4,192,433	1,145,422	5,337,855	5,067,530	94.94%	270,325	5.06%
Aug-11	4,318,473	1,070,682	5,389,155	5,177,028	96.06%	212,127	3.94%
Sep-11	4,236,900	715,504	4,952,404	4,640,873	93.71%	311,531	6.29%
Oct-11	4,117,065	522,071	4,639,136	4,160,576	89.68%	478,560	10.32%
Nov-11	4,068,977	503,829	4,572,806	4,145,711	90.66%	427,095	9.34%
Dec-11	3,774,770	588,810	4,363,580	4,309,953	98.77%	53,627	1.23%
TOTALS	49,533,638	7,366,017	56,899,655	52,604,784		4,294,871
MONTH/YEAR	NET RECEIPTS	ADJUSTMENTS	TOTAL RECEIPTS	ELECTRONIC	%	PAPER	%
Jan-12	3,236,291	224,820	3,461,111	3,080,875	89.01%	380,236	10.99%
Feb-12	3,945,686	116,325	4,062,011	3,535,421	87.04%	526,590	12.96%
Mar-12	4,347,117	116,349	4,463,466	3,848,836	86.23%	614,630	13.77%
Apr-12	4,426,259	94,138	4,520,397	3,887,726	86.00%	632,671	14.00%
May-12	4,472,670	120,695	4,593,365	4,174,520	90.88%	418,845	9.12%
Jun-12	4,062,520	142,932	4,205,452	3,692,657	87.81%	512,795	12.19%
Jul-12	4,097,119	72,293	4,169,412	3,710,131	88.98%	459,281	11.02%
Aug-12	4,360,721	100,482	4,461,203	3,972,972	89.06%	488,231	10.94%
Sep-12	3,974,507	104,257	4,078,764	3,513,149	86.13%	565,615	13.87%
Oct-12	3,601,442	63,814	3,665,256	3,205,842	87.47%	459,414	12.53%
Nov-12	5,028,462	64,741	5,093,203	4,679,061	91.87%	414,142	8.13%
Dec-12	3,805,177	59,112	3,864,289	3,673,276	95.06%	191,013	4.94%
TOTALS	49,357,971	1,279,958	50,637,929	44,974,466		5,663,463
*NOTE: The fluctuations or increased adjustment receipts beginning Feb. 2011, are due to Medicare adjustments.

&C&"-,Bold"HT9402-12-R-0005

ROUTINE CORRESPONDENCE

MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-09	40,416	39,754
Feb-09	40,218	36,300
Mar-09	45,602	48,665
Apr-09	42,133	38,403
May-09	37,448	41,071
Jun-09	44,697	39,110
Jul-09	38,886	54,337
Aug-09	40,647	26,734
Sep-09	38,497	41,702
Oct-09	37,111	37,470
Nov-09	36,993	38,110
Dec-09	35,198	38,843
TOTALS	477,846	480,499
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-10	34,678	35,607
Feb-10	36,689	33,558
Mar-10	42,088	41,828
Apr-10	39,581	38,997
May-10	38,416	37,606
Jun-10	42,537	39,635
Jul-10	38,385	41,000
Aug-10	41,267	42,860
Sep-10	37,095	33,882
Oct-10	37,140	38,345
Nov-10	40,063	41,418
Dec-10	34,212	38,209
TOTALS	462,151	462,945
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-11	37,945	31,178
Feb-11	34,202	35,341
Mar-11	39,443	41,382
Apr-11	38,045	39,109
May-11	42,641	40,114
Jun-11	41,313	42,694
Jul-11	40,249	37,483
Aug-11	47,825	49,692
Sep-11	37,467	41,479
Oct-11	37,011	35,913
Nov-11	39,377	39,204
Dec-11	33,369	40,149
TOTALS	468,887	473,738
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-12	36,322	35,774
Feb-12	36,645	37,151
Mar-12	36,161	38,845
Apr-12	35,758	31,479
May-12	34,397	40,675
Jun-12	33,442	39,122
Jul-12	37,154	28,368
Aug-12	37,195	39,666
Sep-12	31,404	29,038
Oct-12	35,391	37,796
Nov-12	36,302	34,357
Dec-12	32,176	33,742
TOTALS	422,347	426,013

&C&"-,Bold"SECTION L, EXHIBIT L-2

ROUTINE CORRESPONDENCE

&C&"-,Bold"HT9402-12-R-0005

PRIORITY CORRESPONDENCE

MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-09	66	118
Feb-09	144	121
Mar-09	152	131
Apr-09	190	158
May-09	29	106
Jun-09	143	94
Jul-09	70	124
Aug-09	91	92
Sep-09	118	114
Oct-09	194	108
Nov-09	94	110
Dec-09	96	94
TOTALS	1,387	1,370
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-10	116	108
Feb-10	120	104
Mar-10	89	123
Apr-10	122	110
May-10	99	101
Jun-10	123	124
Jul-10	114	119
Aug-10	141	130
Sep-10	145	149
Oct-10	84	85
Nov-10	101	99
Dec-10	78	90
TOTALS	1,332	1,342
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-11	117	117
Feb-11	93	93
Mar-11	117	117
Apr-11	198	94
May-11	19	121
Jun-11	100	110
Jul-11	42	56
Aug-11	96	94
Sep-11	125	74
Oct-11	58	82
Nov-11	69	78
Dec-11	93	111
TOTALS	1,127	1,147
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-12	105	91
Feb-12	114	111
Mar-12	111	116
Apr-12	161	101
May-12	134	101
Jun-12	137	102
Jul-12	41	84
Aug-12	103	91
Sep-12	166	94
Oct-12	53	93
Nov-12	50	63
Dec-12	35	87
TOTALS	1,210	1,134

&C&"-,Bold"SECTION L, EXHIBIT L-2

PRIORITY CORRESPONDENCE

&C&"-,Bold"HT9402-12-R-0005

EXPEDITED APPEALS

MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-09	0	0
Feb-09	0	0
Mar-09	0	0
Apr-09	0	0
May-09	0	0
Jun-09	0	0
Jul-09	0	0
Aug-09	0	0
Sep-09	0	0
Oct-09	0	0
Nov-09	0	0
Dec-09	0	0
TOTALS	0	0
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-10	0	0
Feb-10	0	0
Mar-10	0	0
Apr-10	0	0
May-10	0	0
Jun-10	0	0
Jul-10	0	0
Aug-10	0	0
Sep-10	0	0
Oct-10	0	0
Nov-10	0	0
Dec-10	0	0
TOTALS	0	0
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-11	0	0
Feb-11	0	0
Mar-11	0	0
Apr-11	0	0
May-11	0	0
Jun-11	0	0
Jul-11	0	0
Aug-11	0	0
Sep-11	0	0
Oct-11	0	0
Nov-11	0	0
Dec-11	0	0
TOTALS	0	0
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-12	0	0
Feb-12	0	0
Mar-12	0	0
Apr-12	0	0
May-12	0	0
Jun-12	0	0
Jul-12	0	0
Aug-12	0	0
Sep-12	0	0
Oct-12	0	0
Nov-12	0	0
Dec-12	0	0
TOTALS	0	0

&C&"-,Bold"SECTION L, EXHIBIT L-2

EXPEDITED APPEALS

&C&"-,Bold"HT9402-12-R-0005

NON EXPEDITED APPEALS

MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-09	35	24
Feb-09	34	34
Mar-09	32	37
Apr-09	49	35
May-09	35	39
Jun-09	39	48
Jul-09	57	36
Aug-09	30	46
Sep-09	28	31
Oct-09	26	36
Nov-09	21	21
Dec-09	21	17
TOTALS	407	404
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-10	9	17
Feb-10	11	7
Mar-10	23	12
Apr-10	26	26
May-10	30	22
Jun-10	27	34
Jul-10	25	27
Aug-10	19	25
Sep-10	29	24
Oct-10	34	23
Nov-10	23	37
Dec-10	9	16
TOTALS	265	270
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-11	19	19
Feb-11	10	11
Mar-11	20	12
Apr-11	9	17
May-11	14	15
Jun-11	7	7
Jul-11	2	5
Aug-11	10	10
Sep-11	1	3
Oct-11	5	4
Nov-11	5	5
Dec-11	2	5
TOTALS	104	113
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-12	2	4
Feb-12	6	6
Mar-12	7	5
Apr-12	6	6
May-12	2	5
Jun-12	8	7
Jul-12	5	8
Aug-12	10	8
Sep-12	8	5
Oct-12	2	5
Nov-12	4	3
Dec-12	6	8
TOTALS	66	70

&C&"-,Bold"SECTION L, EXHIBIT L-2

NON-EXPEDITED APPEALS

&C&"-,Bold"HT9402-12-R-0005

FACTUAL APPEALS

MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-09	115	112
Feb-09	70	97
Mar-09	118	98
Apr-09	122	111
May-09	112	86
Jun-09	92	108
Jul-09	134	121
Aug-09	103	116
Sep-09	113	118
Oct-09	111	118
Nov-09	98	108
Dec-09	53	92
TOTALS	1,241	1,285
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-10	138	155
Feb-10	111	116
Mar-10	166	142
Apr-10	167	171
May-10	130	120
Jun-10	168	168
Jul-10	115	127
Aug-10	144	141
Sep-10	118	133
Oct-10	112	117
Nov-10	170	124
Dec-10	91	119
TOTALS	1,630	1,633
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-11	123	124
Feb-11	129	140
Mar-11	141	117
Apr-11	103	125
May-11	117	121
Jun-11	128	118
Jul-11	56	114
Aug-11	130	118
Sep-11	130	142
Oct-11	122	126
Nov-11	135	127
Dec-11	119	150
TOTALS	1,433	1,522
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-12	130	156
Feb-12	128	141
Mar-12	228	160
Apr-12	227	194
May-12	248	217
Jun-12	69	141
Jul-12	129	147
Aug-12	148	142
Sep-12	116	106
Oct-12	201	160
Nov-12	73	106
Dec-12	130	94
TOTALS	1,827	1,764

&C&"-,Bold"SECTION L, EXHIBIT L-2

FACTUAL APPEALS

&C&"-,Bold"HT9402-12-R-0005

GRIEVANCES

MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-09	0	0
Feb-09	0	0
Mar-09	0	0
Apr-09	0	0
May-09	0	0
Jun-09	0	0
Jul-09	0	0
Aug-09	0	0
Sep-09	0	0
Oct-09	0	0
Nov-09	0	0
Dec-09	0	0
TOTALS	0	0
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-10	0	0
Feb-10	0	0
Mar-10	0	0
Apr-10	0	0
May-10	0	0
Jun-10	0	0
Jul-10	0	0
Aug-10	0	0
Sep-10	0	0
Oct-10	0	0
Nov-10	0	0
Dec-10	0	0
TOTALS	0	0
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-11	0	0
Feb-11	0	0
Mar-11	0	0
Apr-11	0	0
May-11	0	0
Jun-11	0	0
Jul-11	0	0
Aug-11	0	0
Sep-11	0	0
Oct-11	0	0
Nov-11	0	0
Dec-11	0	0
TOTALS	0	0
MONTH	NET RECEIPTS	NUMBER PROCESSED
Jan-12	0	0
Feb-12	0	0
Mar-12	0	0
Apr-12	0	0
May-12	0	0
Jun-12	0	0
Jul-12	0	0
Aug-12	0	0
Sep-12	0	0
Oct-12	0	0
Nov-12	0	0
Dec-12	0	0
TOTALS	0	0

&C&"-,Bold"SECTION L, EXHIBIT L-2

GRIEVANCES

&C&"-,Bold"HT9402-12-R-0005

TELEPHONE

MONTH	CALLS ATTEMPTED	CALLS RECEIVED
Jan-09	293,139	271,924
Feb-09	248,477	242,748
Mar-09	276,516	271,987
Apr-09	261,433	257,220
May-09	237,248	232,679
Jun-09	266,843	263,494
Jul-09	258,056	253,909
Aug-09	257,341	257,318
Sep-09	250,755	249,896
Oct-09	255,383	255,180
Nov-09	232,832	231,060
Dec-09	233,621	232,438
TOTALS	3,071,644	3,019,853
MONTH	CALLS ATTEMPTED	CALLS RECEIVED
Jan-10	268,234	264,355
Feb-10	232,819	232,299
Mar-10	281,371	279,348
Apr-10	262,388	257,485
May-10	238,595	235,234
Jun-10	257,980	252,537
Jul-10	233,293	230,857
Aug-10	256,364	250,176
Sep-10	242,673	239,290
Oct-10	235,989	231,226
Nov-10	230,063	225,864
Dec-10	223,384	214,957
TOTALS	2,963,153	2,913,628
MONTH	CALLS ATTEMPTED	CALLS RECEIVED
Jan-11	252,867	248,465
Feb-11	231,139	227,488
Mar-11	288,758	272,733
Apr-11	231,581	227,468
May-11	237,517	233,718
Jun-11	251,482	245,562
Jul-11	236,016	225,411
Aug-11	276,870	252,836
Sep-11	261,337	244,039
Oct-11	257,289	253,563
Nov-11	231,479	228,431
Dec-11	213,255	210,126
TOTALS	2,969,590	2,869,840
MONTH	CALLS ATTEMPTED	CALLS RECEIVED
Jan-12	374,870	256,072
Feb-12	234,338	230,973
Mar-12	255,301	244,019
Apr-12	237,657	234,487
May-12	241,582	238,332
Jun-12	229,319	226,228
Jul-12	234,117	230,349
Aug-12	254,761	246,448
Sep-12	216,270	213,428
Oct-12	263,545	258,787
Nov-12	236,774	230,218
Dec-12	206,682	202,923
TOTALS	2,985,216	2,812,264

&C&"-,Bold"SECTION L, EXHIBIT L-2

TOLL-FREE TELEPHONES

&C&"-,Bold"HT9402-12-R-0005

AUTHS

MONTH	SNF	OTHER
Jan-11	443	240
Feb-11	381	127
Mar-11	418	118
Apr-11	387	175
May-11	440	164
Jun-11	389	90
Jul-11	382	99
Aug-11	462	129
Sep-11	498	259
Oct-11	418	133
Nov-11	409	193
Dec-11	397	192
TOTALS	5,024	1,919
MONTH	SNF	OTHER
Jan-12	523	218
Feb-12	405	128
Mar-12	525	192
Apr-12	493	132
May-12	470	121
Jun-12	479	135
Jul-12	518	181
Aug-12	553	274
Sep-12	492	176
Oct-12	518	364
Nov-12	498	271
Dec-12	473	164
TOTALS	5,947	2,356

&C&"-,Bold"SECTION L, EXHIBIT L-2

AUTHORIZATIONS

&C&"-,Bold"HT9402-12-R-0005

Sheet1

File details come from the government source that posted it. Updated Nov 14, 2017.