Paid Claims 23-24.xls

This is a Paid Claims Summary Report documenting health insurance claims processed for the American Embassy under multiple policy numbers during the period of November 1, 2023 through October 31, 2024. The report details claims across five benefit categories: Outpatient services, Inpatient services, Other Services, Maternity benefits, and Dental services, with all amounts expressed in Egyptian Pounds (EGP).

The report encompasses nine distinct policies (4031201001, 4031201002, 4031201003, 4031202001, 4031202002, 4031202003, 4031203001, 4031203002, 4031203003, 4031204001, 4031204002, and 4031204003), with aggregate totals showing 27,979 to 48,629 claim counts across policies and 142,849 total units of service. The combined claimed amount across all policies totaled EGP 95,244,541.97, with EGP 78,514,648.13 approved and EGP 71,935,867.92 ultimately paid after accounting for deductibles, co-payments, co-insurance, and denied claims. Key service categories include outpatient investigations and medicine (the largest claim volumes), inpatient surgeries and treatments, dental procedures (particularly crowns and fillings), and maternity services. The report demonstrates comprehensive health coverage with co-insurance amounts totaling EGP 2,754,958.86 across all policies and denied claims reaching EGP 2,435,615.97, indicating policy limits and coverage restrictions were applied during the claims processing period.