34_TCRS_Sec_L_Exhibit_L-6_TCRS_Hist_Wrkld_Rprt_11-7-16.pdf

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TRICARE Claims Review Services
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HT9402-17-R-0002
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Section L Exhibit L-6

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Contract Audit Cycle Claim

Volume Contract Audit Cycle Claim

Volume Contract Audit Cycle Claim

Volume TNEX North Region Jul-Sep 10 1,528 T-3 North Region Jul-Sep 11 1,617 T-3 North Region Jul-Sep 12 1,649

Oct-Dec 10 1,614 Oct-Dec 11 1,700 Oct-Dec 12 1,537 Jan-Mar 11 1,678 Jan-Mar 12 1,661 Jan-Mar 13 1,604

T-3 North Apr-Jun 11 1,463 Apr-Jun 12 1,727 Apr-Jun 13 1,565 TNEX AHCC Apr09 - Mar10 4,000 TNEX AHCC Apr10 - Mar11 4,001 T-3 AHCC Apr11 - Mar 12 4,000 TNEX South Region Jul-Sep 10 1,713 TNEX South Region Jul-Sep 11 1,718 T-3 South Region Jul-Sep 12 1,703

Oct-Dec 10 1,665 Oct-Dec 11 1,442 Oct-Dec 12 1,533 Jan-Mar 11 1,687 Jan-Mar 12 1,448 Jan-Mar 13 1,622 Apr-Jun 11 1,724 T-3 South Apr-Jun 12 1,468 Apr-Jun 13 1,563

AHCC Audit Apr09 - Mar10 4,000 TNEX AHCC Apr10 - Mar11 4,000 TNEX AHCC Apr11 - Mar12 4,000 TNEX West Region Jun-Aug 10 1,785 TNEX West Region Jun-Aug 11 1,817 TNEX West Region Jun-Aug 12 1,741

Sep-Nov 10 1,542 Sep-Nov 11 1,432 Sep-Nov 12 1,782 Dec10 - Feb11 1,785 Dec11 - Feb 12 1,803 Dec12-Feb13 1,507 Mar-May 11 1,690 Mar-May 12 1,766 T-3 West Region Apr-Jun 13 1,606

AHCC Audit Apr09 - Mar10 4,000 TNEX AHCC Apr10 - Mar11 4,000 TNEX AHCC Apr11 - Mar12 4,000 TDEFIC Jul-Sep 10 2,309 TDEFIC Jul-Sep 11 2,179 TDEFIC Jul-Sep 12 2,196

Oct-Dec 10 2,261 Oct-Dec 11 1,811 Oct-Dec 12 2,055 Jan-Mar 11 2,154 Jan-Mar 12 2,180 Jan-Mar 13 2,069 Apr-Jun 11 2,204 Apr-Jun 12 2,201 Apr-Jun 13 2,382

TOP Sep-Nov 10 979 TOP Jun-Aug 11 1,264 TOP Jun-Aug 12 1,219 Dec10 - Feb11 1,016 Sep-Nov 11 1,219 Sep-Nov 12 1,197 Mar-May 11 1,258 Dec11 - Feb 12 1,215 Dec12 - Feb13 1,218

Mar-May 12 1,310 Mar-May 13 1,315 TPharm May - Oct 10 2,615 TPharm May-Oct 11 2,717 TPharm May-Oct 12 2,630

Nov 10 - Apr 11 2,646 Nov11 - Apr 12 2,630 Nov12 - Apr13 2,784 ADDP Feb - Jul 10 2,478 ADDP Feb - Jul 11 2,791 ADDP Feb-Jul 12 1,242

Aug 10 - Jan 11 2,791 Aug 11 - Jan 12 2,432 Aug12 - Jan13 1,199

TOTAL OP1 54,585 TOTAL - OP2 55,549 TOTAL - OP3 52,918

Contract Audit Cycle Claim

Volume Contract Audit Cycle Claim

Volume T-3 North Region Jul-Sep 13 1552 T-3 North Jul-Sep 14 1,563

Option Period 3 Sep 1, 2012 - Aug 31, 2013

Option Period 4 Sep 1, 2013 - Aug 31, 2014

Option Period 5 Sep 1, 2014 - Aug, 31 2015

Option Period 2 Sep 1, 2011 - Aug 31, 2012

Option Period 1 Sep 1, 2010 - Aug 31, 2011

Exhibit L-6 TCRS Workload Report (2009 - 2014)

TCRS HT9402-17-R-0002, Section L, Exhibit L-6

Option Period 4 Sep 1, 2013 - Aug 31, 2014

Option Period 5 Sep 1, 2014 - Aug, 31 2015

Oct-Dec 13 1592 Oct-Dec 14 1,614 Jan-Mar 14 1599 Jan-Mar 15 1,600 Apr-Jun 14 1581 Apr-Jun 15 1,600

T-3 AHCC Apr12 - Mar 13 5000 T-3 AHCC Apr13 - Mar 14 5,000 T-3 South Jul-Sep 13 1588 T-3 South Jul-Sep 14 1,605

Oct-Dec 13 1605 Oct-Dec 14 1,599 Jan-Mar 14 1590 Jan-Mar 15 1,592 Apr-Jun 14 1613 Apr-Jun 15 1,608

T-3 AHCC Apr12 - Mar13 4000 T-3 AHCC Apr13 - Mar 14 5,000 TNEX West Jul-Sep 13 1622 T-3 West Jul-Sep 14 1,604

Oct-Dec 13 1618 Oct-Dec 14 1,604 Jan-Mar 14 1615 Jan-Mar 15 1,597

T-3 West Apr-Jun 14 1604 Apr-Jun 15 1,597 T-3 AHCC Apr13 - Mar14 4,000

TDEFIC Jul-Sep 13 2156 TDEFIC Jul-Sep 14 2,020 Oct-Dec 13 2180 Oct-Dec 14 2,049 Jan-Mar 14 2148 Jan-Mar 15 2,064 Apr-Jun 14 2135 Apr-Jun 15 2,040

TOP Jun-Aug 13 1617 TOP Jun-Aug 14 1,457 Sep-Nov 13 1609 Sep-Nov 14 1,406

Dec13 - Feb14 1402 Dec14 - Feb15 1,343 Mar-May 14 1443 Mar-May 15 1,350

TPharm May-Oct 13 2610 TPharm May-Oct 14 2,560 Nov13 - Apr14 2631 Nov14 - Apr15 2,616

ADDP Feb-Jul 13 1350 ADDP Feb-Jul 14 1,198 Aug13 - Jan14 1269 Aug14 - Jan15 1,192

TOTAL - OP4 50,729 TOTAL OP5 54,478 TOTAL ALL OPTION PERIODS 268,259

Exhibit L-6 TCRS Workload Report (2009 - 2014)

TCRS HT9402-17-R-0002, Section L, Exhibit L-6

Sheet1

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