37_TCRS_Sec_L_Exhibit_L-9_Hist_TOP_Data_11-7-16.pdf

Exhibit L-9 TRICARE Overseas Program Data (2010 - 2015)

TCRS HT9402-17-R-0002, Section L, Exhibit 9 1 of 14

Claim Type Number of

Records % to Total

Institutional 8,640 39.65%

Non-Institutional 13,149 60.35% Total 21,789 100.00%

Country/State Code Claim Count Pct. Of Total

Country/State Code

Claim Count Pct. Of Total

ABW 1 0.01% ABW 1 0.01%

AK 8 0.09% AFG 2 0.02%

AL 8 0.09% AGO 1 0.01%

ANT 3 0.03% AK 6 0.05%

AR 6 0.07% AL 41 0.31%

ARE 13 0.15% AR 12 0.09%

ARG 2 0.02% ARE 38 0.29%

ASM 17 0.20% ARG 6 0.05%

AUS 29 0.34% ASM 6 0.05%

AUT 20 0.23% AUS 104 0.79%

AZ 14 0.16% AUT 27 0.21%

BEL 48 0.56% AZ 33 0.25%

BHR 190 2.20% AZE 1 0.01%

BHS 5 0.06% BEL 44 0.33%

BLZ 3 0.03% BHR 144 1.10%

BMU 2 0.02% BHS 17 0.13%

BOL 2 0.02% BLZ 3 0.02%

BRA 8 0.09% BMU 8 0.06%

BRB 4 0.05% BOL 5 0.04%

CA 87 1.01% BRA 22 0.17%

CAN 27 0.31% CA 196 1.49%

CHE 7 0.08% CAN 33 0.25%

CHL 7 0.08% CHE 12 0.09%

CHN 12 0.14% CHL 6 0.05%

CO 33 0.38% CHN 15 0.11%

COL 11 0.13% CO 48 0.37%

CRI 19 0.22% COL 17 0.13%

CT 2 0.02% CRI 67 0.51%

CUW 1 0.01% CT 3 0.02%

CYM 2 0.02% CYM 1 0.01%

CYP 3 0.03% CYP 4 0.03%

CZE 1 0.01% CZE 1 0.01%

Institutional Non-Institutional

Total Number of TOP Claims Reviewed by TCRS Contractor

(2010 - 2015) Summary Workload Data

TCRS HT9402-17-R-0002, Section L, Exhibit 9 2 of 14

Claim Type Number of

Records % to Total

Institutional 8,640 39.65%

Non-Institutional 13,149 60.35% Total 21,789 100.00%

Institutional Non-Institutional

Total Number of TOP Claims Reviewed by TCRS Contractor

(2010 - 2015) Summary Workload Data

DC 5 0.06% DC 2 0.02%

DE 1 0.01% DE 2 0.02%

DEU 3,237 37.47% DEU 4,371 33.24%

DOM 19 0.22% DJI 1 0.01%

ECU 6 0.07% DNK 1 0.01%

EGY 1 0.01% DOM 2 0.02%

ESP 44 0.51% ECU 7 0.05%

FIN 2 0.02% EGY 3 0.02%

FL 74 0.86% ESP 88 0.67%

FRA 41 0.47% FIN 3 0.02%

GA 23 0.27% FL 199 1.51%

GBR 650 7.52% FRA 36 0.27%

GHA 1 0.01% GA 53 0.40%

GRC 118 1.37% GBR 1,511 11.49%

GRD 1 0.01% GEO 2 0.02%

GTM 8 0.09% GHA 1 0.01%

GUM 32 0.37% GRC 66 0.50%

HI 41 0.47% GTM 6 0.05%

HKG 17 0.20% GUM 498 3.79%

HND 6 0.07% HI 125 0.95%

HUN 1 0.01% HKG 10 0.08%

IA 2 0.02% HND 8 0.06%

ID 2 0.02% HRV 1 0.01%

IDN 3 0.03% HUN 2 0.02%

IL 10 0.12% IA 3 0.02%

IN 5 0.06% ID 7 0.05%

IND 6 0.07% IDN 2 0.02%

IRL 3 0.03% IL 39 0.30%

ISR 14 0.16% IN 8 0.06%

ITA 242 2.80% IND 1 0.01%

JAM 1 0.01% IOT 1 0.01%

JOR 6 0.07% IRL 5 0.04%

JPN 400 4.63% ISR 19 0.14%

TCRS HT9402-17-R-0002, Section L, Exhibit 9 3 of 14

Claim Type Number of

Records % to Total

Institutional 8,640 39.65%

Non-Institutional 13,149 60.35% Total 21,789 100.00%

Institutional Non-Institutional

Total Number of TOP Claims Reviewed by TCRS Contractor

(2010 - 2015) Summary Workload Data

KEN 4 0.05% ITA 340 2.59%

KHM 1 0.01% JAM 4 0.03%

KOR 669 7.74% JOR 11 0.08%

KS 4 0.05% JPN 296 2.25%

KWT 3 0.03% KAZ 2 0.02%

KY 9 0.10% KEN 1 0.01%

LA 7 0.08% KHM 1 0.01%

LUX 1 0.01% KOR 640 4.87%

MA 5 0.06% KS 9 0.07%

MAR 3 0.03% KWT 6 0.05%

MD 16 0.19% KY 14 0.11%

MEX 68 0.79% LA 22 0.17%

MI 3 0.03% LTU 1 0.01%

MKD 2 0.02% LUX 1 0.01%

MLI 1 0.01% MA 18 0.14%

MLT 2 0.02% MD 48 0.37%

MN 7 0.08% ME 2 0.02%

MNP 4 0.05% MEX 87 0.66%

MO 17 0.20% MHL 7 0.05%

MS 5 0.06% MI 17 0.13%

MTQ 1 0.01% MKD 4 0.03%

MUS 3 0.03% MN 26 0.20%

MYS 5 0.06% MNP 4 0.03%

NC 28 0.32% MO 29 0.22%

NE 2 0.02% MS 8 0.06%

NH 2 0.02% MT 2 0.02%

NIC 3 0.03% MUS 1 0.01%

NJ 6 0.07% MYS 4 0.03%

NLD 20 0.23% NC 63 0.48%

NM 8 0.09% ND 4 0.03%

NOR 5 0.06% NE 6 0.05%

NPL 2 0.02% NH 6 0.05%

NV 15 0.17% NIC 3 0.02%

TCRS HT9402-17-R-0002, Section L, Exhibit 9 4 of 14

Claim Type Number of

Records % to Total

Institutional 8,640 39.65%

Non-Institutional 13,149 60.35% Total 21,789 100.00%

Institutional Non-Institutional

Total Number of TOP Claims Reviewed by TCRS Contractor

(2010 - 2015) Summary Workload Data

NY 17 0.20% NJ 33 0.25%

NZL 8 0.09% NLD 62 0.47%

OH 8 0.09% NM 6 0.05%

OK 4 0.05% NOR 17 0.13%

OMN 2 0.02% NV 16 0.12%

OR 41 0.47% NY 41 0.31%

PA 7 0.08% NZL 16 0.12%

PAN 37 0.43% OH 35 0.27%

PER 8 0.09% OK 12 0.09%

PHL 611 7.07% OR 20 0.15%

POL 6 0.07% PA 167 1.27%

PRI 437 5.06% PAN 107 0.81%

PRT 17 0.20% PER 13 0.10%

QAT 2 0.02% PHL 478 3.64%

RI 1 0.01% PLW 1 0.01%

ROU 1 0.01% POL 2 0.02%

RUS 3 0.03% PRI 1,125 8.56%

SAU 2 0.02% PRT 33 0.25%

SC 10 0.12% PRY 1 0.01%

SEN 1 0.01% PYF 2 0.02%

SGP 121 1.40% QAT 8 0.06%

SLV 11 0.13% RI 1 0.01%

SVN 1 0.01% ROU 1 0.01%

SWE 1 0.01% SAU 8 0.06%

THA 199 2.30% SC 23 0.17%

TN 22 0.25% SCG 1 0.01%

TUR 180 2.08% SD 2 0.02%

TX 182 2.11% SGP 289 2.20%

TZA 1 0.01% SLV 6 0.05%

URY 3 0.03% SWE 2 0.02%

UT 23 0.27% THA 75 0.57%

VA 39 0.45% TLS 2 0.02%

VEN 2 0.02% TN 34 0.26%

TCRS HT9402-17-R-0002, Section L, Exhibit 9 5 of 14

Claim Type Number of

Records % to Total

Institutional 8,640 39.65%

Non-Institutional 13,149 60.35% Total 21,789 100.00%

Institutional Non-Institutional

Total Number of TOP Claims Reviewed by TCRS Contractor

(2010 - 2015) Summary Workload Data

VIR 31 0.36% TUR 171 1.30%

VNM 5 0.06% TWN 4 0.03%

VT 4 0.05% TX 149 1.13%

WA 15 0.17% UKR 3 0.02%

WI 7 0.08% URY 23 0.17%

WV 1 0.01% UT 28 0.21%

WY 3 0.03% VA 75 0.57%

ZAF 18 0.21% VEN 3 0.02%

TOTAL 8,640 100.00% VIR 276 2.10%

VNM 3 0.02%

VT 7 0.05%

WA 36 0.27%

WI 11 0.08%

WV 9 0.07%

WY 1 0.01%

YEM 3 0.02%

ZAF 14 0.11%

TOTAL 13,149 100.00%

Exhibit L-9, TRICARE Overseas Program Data

TCRS HT9402-17-R-0002, Section L, Exhibit L-9 6 of 14

Country Abbreviation

Description State Abbreviation

Description

ABW ARUBA AK Alaska AFG Afghanistan AL Alabama AGO Angola AR Arkansas

ARE

United Arab Emirates (formerly Trucial States) AZ Arizona

ARG Argentina CA California ASM American Samoa CO Colorado AUS Australia CT Connecticut AUT Austria DC District of Columbia AZE Azerbaijan DE Delaware BEL Belgium FL Florida BHR Bahrain GA Georgia BHS Bahamas HI Hawaii BLZ Belize IA Iowa

BMU Bermuda ID Idaho BOL Bolivia IL Illinois BRA Brazil IN Indiana CAN Canada KS Kansas CHE Switzerland KY Kentucky CHL Chile LA Louisiana CHN China MA Massachusetts COL Colombia MD Maryland CRI Costa Rica ME Maine

CYM Cayman Islands MI Michigan CYP Cyprus MN Minnesota CZE Czech Republic MO Missouri DEU Germany MS Mississippi

DJI

Djibouti (formerly French Afars and Issass) MT Montana

DNK Denmark NC North Carolina DOM Dominican Republic ND North Dakota ECU Ecuador NE Nebraska EGY Egypt NH New Hampshire ESP Spain NJ New Jersey FIN Finland NV Nevada FRA France NY New York GBR United Kingdom OH Ohio GEO Georgia OK Oklahoma GHA Ghana OR Oregon GRC Greece PA Pennsylvania GTM Guatemala RI Rhode Island GUM Guam SC South Carolina HKG Hong Kong SD South Dakota HND Honduras TN Tennessee HRV Croatia TX Texas

TCRS HT9402-17-R-0002, Section L, Exhibit L-9 7 of 14

Country Abbreviation

Description State Abbreviation

Description

HUN Hungary UT Utah IDN Indonesia VA Virginia IND India VT Vermont IOT British Indian Ocean Territory WA Washington IRL Ireland WI Wisconsin ISR Israel WV West Virginia ITA Italy WY Wyoming JAM Jamaica JOR Jordan JPN Japan KAZ Kazakhstan KEN Kenya

KHM

Cambodia (formerly Khmer Republic/Kampuchea, Democratic)

KOR Korea, Republic of KWT Kuwait LTU Lithuania LUX Luxembourg MEX Mexico MHL Marshall Islands

MKD

Macedonia, the Former Yugoslav Republic of

MNP Northern Mariana Islands MUS Mauritius MYS Malaysia NIC Nicaragua NLD Netherlands NOR Norway NZL New Zealand PAN Panama PER Peru PHL Philippines PLW Palau POL Poland PRI Puerto Rico PRT Portugal PRY Paraguay PYF French Polynesia ROU Romania SAU Saudi Arabia

SCG

Serbia and Montenegro (formerly Yugoslavia)

SGP Singapore

TCRS HT9402-17-R-0002, Section L, Exhibit L-9 8 of 14

Country Abbreviation

Description State Abbreviation

Description

SLV El Salvador SWE Sweden THA Thailand

TLS Timor-Leste, Democratic Republic of TUR Turkey TWN Taiwan, Province of China UKR Ukraine URY Uruguay VEN Venezuela VIR Virgin Islands, U.S.

VNM Viet Nam YEM Yemen ZAF South Africa

Exhibit L-9, TRICARE Overseas Program Data (FY 2014)

TCRS HT9402-17-R-0002, Section L, Exhibit L-9 9 of 14

Claim Type Number of Records

% to Total

Institutional 22,543 4.97% Non-Institutional 431,476 95.03%

Total 454,019 100.00% Country

Paper Electronic Paper Electronic Afghanistan 4 46 50 0.01% Albania 20 20 0.00% Algeria 1 1 0.00% American Samoa 8 1,439 1,447 0.32% Angola 2 12 14 0.00% Anguilla 1 1 0.00% Antigua and Barbuda 4 4 0.00% Argentina 6 200 206 0.05% Armenia 1 1 0.00% Aruba 9 29 38 0.01% Australia 105 4,463 415 4,983 1.10% Austria 39 419 458 0.10% Azerbaijan 28 28 0.01% Bahamas 12 639 651 0.14% Bahrain 721 12,348 13,069 2.88% Bangladesh 8 8 0.00% Barbados 1 63 64 0.01% Belgium 279 36 5,759 751 6,825 1.50% Belize 7 69 76 0.02% Benin 1 4 5 0.00% Bermuda 1 180 181 0.04% Bhutan 1 1 0.00% Bolivia 6 52 58 0.01% Bosnia and Herzegowina

45 45 0.01% Botswana 41 41 0.01% Brazil 9 507 516 0.11%

Brunei Darussalam 5 5 0.00% Bulgaria 2 69 71 0.02% Burkina Faso (formerly Upper Volta)

2 0.00%

OCONUS Claims Processed by the TOP Contractor By Country and Claim Form Type

FY 2014

Summary Workload Data

Institutional Claims Non-Institutional Total % of Total

TCRS HT9402-17-R-0002, Section L, Exhibit L-9 10 of 14

Country Paper Electronic Paper Electronic

Institutional Claims Non-Institutional Total % of Total

Cambodia (formerly Khmer Republic/Kampuch ea, Democratic) 5

138 0.03% Cameroon 4 3 7 0.00% Canada 37 1,176 1,213 0.27% Cayman Island 2 22 24 0.01% Chile 21 475 496 0.11% China 9 686 695 0.15% Columbia 26 847 873 0.19% Congo (formerly Zaire)

1 1 0.00% Congo, the Democratic Republic of the

1 0.00%

Costa Rica 53 1,784 1,837 0.40% Croatia (Local Name: Hrvatska) 2 80 82 0.02% Cyprus 4 47 51 0.01% Czech Republic 1 150 151 0.03% Denmark 113 113 0.02% Djibouti (formerly French Afars and Issass)

1 0.00%

Dominican Republic 43 649 692 0.15% Ecuador 22 603 625 0.14% Egypt (United Arab Republic) 7 163 170 0.04% El Salvador 33 293 326 0.07% Estonia 40 40 0.01% Ethiopia 5 5 0.00% Fiji 22 22 0.00% Finland 1 204 205 0.05% France 66 1,941 100 2,107 0.46% French Polynesia 2 2 0.00% Gabon 1 1 0.00% Georgia 3 114 117 0.03% Germany 10,440 127,644 9,205 147,289 32.44% Ghana 4 18 22 0.00% Gibraltar 8 8 0.00% Greece 181 2,836 3,017 0.66%

TCRS HT9402-17-R-0002, Section L, Exhibit L-9 11 of 14

Country Paper Electronic Paper Electronic

Institutional Claims Non-Institutional Total % of Total

Grenada 2 2 0.00% Guadeloupe 3 3 0.00% Guam 53 6,880 2,946 9,879 2.18% Guatemala 16 238 254 0.06% Guyana 1 22 23 0.01% Haiti 7 7 0.00% Honduras 33 669 702 0.15% Hong Kong 41 440 481 0.11% Hungary 176 176 0.04% Iceland 31 31 0.01% India 13 97 110 0.02% Indonesia 6 264 270 0.06% Iraq 1 1 0.00% Ireland 6 210 216 0.05% Israel 26 647 673 0.15% Italy 811 10,258 77 11,146 2.45% Jamaica 4 150 154 0.03% Japan 1,245 12,660 1,194 15,099 3.33% Jordan 21 524 41 586 0.13% Kazakhstan 27 27 0.01% Kenya 20 185 205 0.05%

Korea, Republic of 2,037 26,938 28,975 6.38% Kuwait 6 161 167 0.04% Kyrgyzstan 1 1 0.00% Laos People's Democratic Republic

7 0.00%

Latvia 1 62 63 0.01% Lebanon 1 39 40 0.01% Liberia 5 5 0.00% Lithuania 7 57 64 0.01% Luxembourg 43 43 0.01% Macedonia, The Former Yugoslav Republic 4

92 0.02%

Madagascar 3 3 0.00% Malaysia 15 295 310 0.07% Mali 2 4 6 0.00% Malta 6 87 93 0.02% Marshall Islands 1 531 532 0.12% Martinique 9 2 11 0.00%

TCRS HT9402-17-R-0002, Section L, Exhibit L-9 12 of 14

Country Paper Electronic Paper Electronic

Institutional Claims Non-Institutional Total % of Total

Mauritania 12 12 0.00% Mauritius 2 2 0.00% Mexico 135 2,151 2,286 0.50%

Micronesia, Federated States of 2 2 0.00%

MNE 8 8 0.00%

Moldova, Republic of 1 14 15 0.00% Monaco 3 3 0.00% Mongolia 44 44 0.01% Morocco 13 78 91 0.02% Mozambique 19 19 0.00% Myanmar (formerly Burma)

14 14 0.00% Namibia 3 8 11 0.00% Nepal 1 31 32 0.01% Netherlands 36 1,456 233 1,725 0.38% Netherlands Antilles 11 58 69 0.02% New Zealand 13 339 352 0.08% Nicaragua 18 272 290 0.06% Niger 18 18 0.00% Nigeria 4 18 22 0.00% Northern Mariana Islands 7 1,029 54 1,090 0.24% Norway 22 958 25 1,005 0.22%

Oman (formerly Muscat and Oman) 4

187 0.04%

Pakistan 2 90 92 0.02% Palau 1 1 0.00% Panama 95 5,693 5,788 1.27% Paraguay 2 87 89 0.02% Peru 24 442 466 0.10% Philippines 1,957 24,567 2 26,526 5.84% Poland 1 369 370 0.08% Portugal 37 2,314 2,351 0.52% Puerto Rico 1,056 254 50,477 53,545 105,332 23.20% Qatar 8 432 440 0.10% Romania 1 180 181 0.04%

TCRS HT9402-17-R-0002, Section L, Exhibit L-9 13 of 14

Country Paper Electronic Paper Electronic

Institutional Claims Non-Institutional Total % of Total

Russian Federation 7 208 215 0.05% Rwanda 1 1 0.00% Saint Helena 1 1 0.00% Saint Kitts and Nevis 1 1 2 0.00% Saint Lucia 1 7 8 0.00% Samoa 1 1 0.00% Saudia Arabia 10 1,036 1,046 0.23% Senegal 2 42 44 0.01% Serbia and Montenegro (formerly Yugoslavia)

138 0.03% Seychelles 1 1 0.00% Sierra Leone 9 9 0.00% Singapore 251 6,090 87 6,428 1.42% Slovakia (Slovak Republic)

33 33 0.01% Slovenia 42 42 0.01% South Africa 60 648 708 0.16% Spain 117 2,618 159 2,894 0.64% Sri Lanka (formerly Ceylon) 1 14 15 0.00% Swaziland 1 1 0.00% Sweden 4 66 70 0.02% Switzerland 16 345 361 0.08% Taiwan, Province of China 17 260 277 0.06% Tanzania, United Republic of 3 22 25 0.01% Thailand 531 6,512 7,043 1.55% Timor-Leste, Democratic Republic of

20 0.00%

Togo 1 2 3 0.00% Trinidad and Tobago 4 30 34 0.01% Tunisia 25 25 0.01% Turkey 235 2,464 11 2,710 0.60% Turks and Caicos Islands

6 6 0.00%

TCRS HT9402-17-R-0002, Section L, Exhibit L-9 14 of 14

Country Paper Electronic Paper Electronic

Institutional Claims Non-Institutional Total % of Total

Uganda 26 26 0.01% Ukraine 1 76 77 0.02%

United Arab Emirates (formerly Trucial States) 49

1,622

1,671 0.37% United Kingdom 846 12,691 1,357 14,894 3.28% Uruguay 4 231 21 256 0.06% Uzbekistan 8 8 0.00% Venezuela 8 28 36 0.01% Viet Nam 8 266 274 0.06% Virgin Islands, British 54 18 72 0.02%

Virgin Islands, U.S. 4,904 1,021 5,925 1.31% Wallis and Futuna Islands

5 5 0.00% Yemen 1 11 12 0.00% Zambia 5 5 0.00%

Zimbabwe (formerly Southern Rhodesia)

7 0.00%

TOTAL ALL 22,253 290 360,232 71,244 454,019 100%

FY 2014 data extacted from the TEDS Operational Data Store (ODS) as of October 2015