Paid Claims 24-25.xls
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About this file
This is a Paid Claims Summary Report for medical and life insurance services provided to American Embassy personnel under multiple policy numbers for the period of November 1, 2024 through October 31, 2025. The report documents claims data in Egyptian Pounds (EGP) across six distinct policies (4031201001, 4031201002, 4031201003, 4031202001, 4031202002, and 4031204001-4031204003), with a combined total of EGP 51.6 million claimed and EGP 39.3 million approved for payment.
The claims are categorized by service type including outpatient care (optical examinations, investigations, physiotherapy, medicines, surgeries, and doctor visits), inpatient services (anesthesia, intensive care, investigations, room and board, medicines, surgeries, and initial visits), dental procedures (crowns, extractions, fillings, gum treatment, endodontics, and examinations), maternity benefits (abortion, normal delivery, and caesarian sections), and other services (checkups and vaccinations). Total paid claims across all policies amounted to EGP 39,320,507.04 (Policy 4031201001), EGP 57,350,292.42 (Policy 4031201002), EGP 4,467,385.30 (Policy 4031201003), EGP 2,538,929.91 (Policy 4031202001), EGP 2,317,205.45 (Policy 4031202002), and EGP 9,072,034.87 combined for the USAID-related policies (4031204001-4031204003). The report reflects claim denials, co-insurance payments, and co-payment amounts applied across all benefit categories, with no deductibles applied to any claims during this period.
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Other files
| File | Type | Posted |
|---|---|---|
| Paid Claims 22-23.xls | XLS spreadsheet | |
| Attachment A (QA).pdf | ||
| SF30 Solicitation mod (QA and due date ext).pdf | ||
| Paid Claims 23-24.xls | XLS spreadsheet |
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Sheet1
| Paid | Claims - Summary Report | ||||||||||||||||||||
| Policy : | 4031201001 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOEC | Optical-Examination | EGP | 3,150.00 | 3,150.00 | 8 | 8 | 0.00 | 0.00 | 630.00 | 0.00 | 2,520.00 | ||||||||||
| BOIN | Outpatient - Investigations | EGP | 8,547,861.31 | 5,946,732.39 | 3,533 | 17,809 | 0.00 | 0.00 | 6,534.50 | 522.50 | 5,939,675.39 | ||||||||||
| BOLC | Optical-Lenses | EGP | 6,500.00 | 6,500.00 | 2 | 2 | 0.00 | 0.00 | 1,300.00 | 0.00 | 5,200.00 | ||||||||||
| BOPT | Physiotherapy | EGP | 1,883,456.71 | 1,619,342.71 | 552 | 3,115 | 0.00 | 0.00 | 12,092.00 | 0.00 | 1,607,250.71 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 15,773,837.23 | 14,377,551.66 | 12,234 | 102,710 | 0.00 | 0.00 | 2,874,067.33 | 2,260.57 | 11,501,223.76 | ||||||||||
| BOSC | Optical-Spectacles (eye glasses full) | EGP | 248,743.80 | 242,868.80 | 52 | 52 | 0.00 | 0.00 | 48,573.76 | 14,367.04 | 179,928.00 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 1,065,653.19 | 789,948.35 | 380 | 694 | 0.00 | 0.00 | 2,576.00 | 0.00 | 787,372.35 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 1,956,337.65 | 1,689,820.59 | 1,275 | 10,122 | 0.00 | 0.00 | 11,400.32 | 246,651.79 | 1,431,768.48 | ||||||||||
| BOVF | Outpatient - Followup Dr Visit | EGP | 8,170.00 | 7,996.00 | 66 | 66 | 0.00 | 0.00 | 0.00 | 0.00 | 7,996.00 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 2,047,951.54 | 1,792,672.57 | 6,786 | 6,871 | 0.00 | 0.00 | 18,815.40 | 2,230.00 | 1,771,627.17 | ||||||||||
| BPOC | Optical-Contact Lenses | EGP | 26,000.00 | 19,500.00 | 3 | 3 | 0.00 | 0.00 | 3,900.00 | 5,800.00 | 9,800.00 | ||||||||||
| BPOE | Optical-Examination | EGP | 39,229.42 | 30,099.97 | 162 | 162 | 0.00 | 0.00 | 0.00 | 0.00 | 30,099.97 | ||||||||||
| BPOS | Optical-Spectacles | EGP | 1,378,359.84 | 1,064,320.20 | 172 | 170 | 0.00 | 0.00 | 212,864.04 | 79,663.76 | 771,792.40 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 32,985,250.69 | 27,590,503.24 | 25,225 | 141,784 | 0.00 | 0.00 | 3,192,753.35 | 351,495.66 | 24,046,254.23 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BIAN | Inpatient - Anesthetist | EGP | 650,007.70 | 477,837.87 | 103 | 166 | 0.00 | 0.00 | 0.00 | 0.00 | 477,837.87 | ||||||||||
| BICU | Inpatient - Intensive Care Unit | EGP | 403,714.00 | 237,867.95 | 28 | 62 | 0.00 | 0.00 | 0.00 | 0.00 | 237,867.95 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 1,154,041.20 | 820,081.67 | 130 | 180 | 0.00 | 0.00 | 0.00 | 0.00 | 820,081.67 | ||||||||||
| BIRB | Inpatient - Room & Board | EGP | 702,851.34 | 424,352.07 | 136 | 224 | 0.00 | 0.00 | 0.00 | 0.00 | 424,352.07 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 656,678.00 | 646,796.42 | 177 | 229 | 0.00 | 0.00 | 0.00 | 0.00 | 646,796.42 | ||||||||||
| BISP | Inpatient - Surgeries/Procedures | EGP | 5,480,842.05 | 4,192,435.19 | 156 | 401 | 0.00 | 0.00 | 0.00 | 0.00 | 4,192,435.19 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 6,659,207.14 | 6,076,413.84 | 198 | 1,219 | 0.00 | 0.00 | 0.00 | 21,670.54 | 6,054,743.30 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 586,504.61 | 419,652.37 | 157 | 528 | 0.00 | 0.00 | 0.00 | 0.00 | 419,652.37 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 16,293,846.04 | 13,295,437.38 | 1,085 | 3,008 | 0.00 | 0.00 | 0.00 | 21,670.54 | 13,273,766.84 | ||||||||||
| 3.Other Services | |||||||||||||||||||||
| BNCA | Checkup - Adult | EGP | 771.00 | 771.00 | 3 | 3 | 0.00 | 0.00 | 154.20 | 0.00 | 616.80 | ||||||||||
| BNCV | Checkup - Vaccination | EGP | 20,538.00 | 20,538.00 | 6 | 9 | 0.00 | 0.00 | 4,107.60 | 0.00 | 16,430.40 | ||||||||||
| BNNC | Not Covered Benefits | EGP | 23,024.79 | 23,024.79 | 29 | 0 | 0.00 | 0.00 | 0.00 | 23,024.79 | 0.00 | ||||||||||
| 3.Other Services | TOTALS : | EGP | 44,333.79 | 44,333.79 | 38 | 12 | 0.00 | 0.00 | 4,261.80 | 23,024.79 | 17,047.20 | ||||||||||
| 4.Maternity | |||||||||||||||||||||
| BMAC | Maternity-Abortion | EGP | 66,317.06 | 55,622.03 | 84 | 272 | 0.00 | 0.00 | 0.00 | 0.00 | 55,622.03 | ||||||||||
| BMDC | Maternity-Normal Delivery | EGP | 700.00 | 700.00 | 1 | 1 | 0.00 | 0.00 | 0.00 | 0.00 | 700.00 | ||||||||||
| Policy : | 4031201001 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| BMSC | Maternity-Caesarian Section | EGP | 226,295.08 | 202,823.40 | 8 | 53 | 0.00 | 0.00 | 0.00 | 29,472.00 | 173,351.40 | ||||||||||
| 4.Maternity | TOTALS : | EGP | 293,312.14 | 259,145.43 | 93 | 326 | 0.00 | 0.00 | 0.00 | 29,472.00 | 229,673.43 | ||||||||||
| 5.Dental | |||||||||||||||||||||
| BDCP | Dental-Crown-PPO | EGP | 927,571.80 | 889,200.80 | 314 | 624 | 0.00 | 0.00 | 0.00 | 77,117.19 | 812,083.61 | ||||||||||
| BDDP | Dental-Dentures & Bridges-PPO | EGP | 7,000.00 | 7,000.00 | 2 | 2 | 0.00 | 0.00 | 0.00 | 0.00 | 7,000.00 | ||||||||||
| BDEP | Dental-Extraction-PPO | EGP | 62,672.39 | 54,952.39 | 87 | 104 | 0.00 | 0.00 | 0.00 | 290.00 | 54,662.39 | ||||||||||
| BDFP | Dental-Filling-PPO | EGP | 400,159.00 | 372,355.00 | 435 | 785 | 0.00 | 0.00 | 0.00 | 11,320.00 | 361,035.00 | ||||||||||
| BDGP | Dental-Gum Treatment-Periodenti-PPO | EGP | 132,838.50 | 121,942.00 | 263 | 425 | 0.00 | 0.00 | 0.00 | 2,620.00 | 119,322.00 | ||||||||||
| BDMP | Dental-Medicine-PPO | EGP | 3,701.15 | 3,656.59 | 14 | 20 | 0.00 | 0.00 | 731.31 | 0.00 | 2,925.28 | ||||||||||
| BDNP | Dental-Endodontic-PPO | EGP | 360,710.00 | 335,648.00 | 269 | 387 | 0.00 | 0.00 | 0.00 | 28,062.00 | 307,586.00 | ||||||||||
| BDOP | Dental-Other Service-PPO | EGP | 2,548.00 | 2,548.00 | 1 | 0 | 0.00 | 0.00 | 0.00 | 2,548.00 | 0.00 | ||||||||||
| BDVP | Dental-Visit-Examination-PPO | EGP | 49,370.26 | 45,317.50 | 519 | 519 | 0.00 | 0.00 | 0.00 | 596.00 | 44,721.50 | ||||||||||
| BDXP | Dental-X-Ray-Panaramic-PPO | EGP | 50,509.33 | 46,207.56 | 311 | 727 | 0.00 | 0.00 | 0.00 | 1,778.00 | 44,429.56 | ||||||||||
| 5.Dental | TOTALS : | EGP | 1,997,080.43 | 1,878,827.84 | 2,215 | 3,593 | 0.00 | 0.00 | 731.31 | 124,331.19 | 1,753,765.34 | ||||||||||
| Policy : | 4031201001 | TOTALS : | EGP | 51,613,823.09 | 43,068,247.68 | 28,656 | 148,723 | 0.00 | 0.00 | 3,197,746.46 | 549,994.18 | 39,320,507.04 | |||||||||
| Policy : | 4031201002 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOEC | Optical-Examination | EGP | 6,000.00 | 6,000.00 | 17 | 17 | 0.00 | 0.00 | 1,200.00 | 0.00 | 4,800.00 | ||||||||||
| BOIN | Outpatient - Investigations | EGP | 12,998,638.33 | 9,026,937.64 | 6,458 | 29,638 | 0.00 | 0.00 | 15,500.89 | 17,133.73 | 8,994,303.02 | ||||||||||
| BOLC | Optical-Lenses | EGP | 6,252.00 | 6,252.00 | 3 | 3 | 0.00 | 0.00 | 1,250.40 | 0.00 | 5,001.60 | ||||||||||
| BOPT | Physiotherapy | EGP | 2,004,507.03 | 1,770,439.55 | 517 | 3,710 | 0.00 | 0.00 | 22,522.04 | 735.00 | 1,747,182.51 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 15,861,799.09 | 14,505,575.49 | 18,479 | 125,892 | 0.00 | 0.00 | 2,887,892.78 | 6,608.67 | 11,611,074.04 | ||||||||||
| BOSC | Optical-Spectacles (eye glasses full) | EGP | 370,454.80 | 364,405.80 | 92 | 89 | 0.00 | 0.00 | 72,881.16 | 15,465.44 | 276,059.20 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 1,022,049.13 | 698,418.65 | 447 | 1,093 | 0.00 | 0.00 | 18,239.20 | 0.00 | 680,179.45 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 3,067,787.47 | 2,646,481.14 | 2,619 | 18,106 | 0.00 | 0.00 | 16,905.50 | 657,214.68 | 1,972,360.96 | ||||||||||
| BOVF | Outpatient - Followup Dr Visit | EGP | 11,675.00 | 11,583.00 | 90 | 90 | 0.00 | 0.00 | 0.00 | 0.00 | 11,583.00 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 4,126,720.85 | 3,673,285.65 | 14,896 | 15,194 | 0.00 | 0.00 | 44,851.27 | 7,591.00 | 3,620,843.38 | ||||||||||
| BPOC | Optical-Contact Lenses | EGP | 3,000.00 | 2,250.00 | 1 | 1 | 0.00 | 0.00 | 450.00 | 0.00 | 1,800.00 | ||||||||||
| BPOE | Optical-Examination | EGP | 75,898.57 | 58,304.00 | 260 | 261 | 0.00 | 0.00 | 0.00 | 0.00 | 58,304.00 | ||||||||||
| BPOS | Optical-Spectacles | EGP | 2,550,767.91 | 1,973,954.35 | 341 | 337 | 0.00 | 0.00 | 394,790.87 | 80,388.68 | 1,498,774.80 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 42,105,550.18 | 34,743,887.27 | 44,220 | 194,431 | 0.00 | 0.00 | 3,476,484.11 | 785,137.20 | 30,482,265.96 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BIAN | Inpatient - Anesthetist | EGP | 851,022.37 | 644,487.18 | 167 | 204 | 0.00 | 0.00 | 0.00 | 0.00 | 644,487.18 | ||||||||||
| BICU | Inpatient - Intensive Care Unit | EGP | 817,556.57 | 536,109.04 | 57 | 209 | 0.00 | 0.00 | 0.00 | 4,192.65 | 531,916.39 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 2,663,455.72 | 1,878,901.35 | 306 | 502 | 0.00 | 0.00 | 0.00 | 0.00 | 1,878,901.35 | ||||||||||
| BIRB | Inpatient - Room & Board | EGP | 1,967,457.91 | 1,172,312.22 | 371 | 684 | 0.00 | 0.00 | 0.00 | 0.00 | 1,172,312.22 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 2,511,013.12 | 2,473,963.20 | 431 | 529 | 0.00 | 0.00 | 0.00 | 246.82 | 2,473,716.38 | ||||||||||
| BISP | Inpatient - Surgeries/Procedures | EGP | 5,921,259.07 | 4,722,997.39 | 268 | 489 | 0.00 | 0.00 | 0.00 | 0.00 | 4,722,997.39 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 8,660,808.63 | 8,010,647.93 | 498 | 2,758 | 0.00 | 0.00 | 0.00 | 50,442.72 | 7,960,205.21 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 1,421,035.50 | 1,126,864.94 | 408 | 1,658 | 0.00 | 0.00 | 0.00 | 0.00 | 1,126,864.94 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 24,813,608.89 | 20,566,283.25 | 2,506 | 7,033 | 0.00 | 0.00 | 0.00 | 54,882.19 | 20,511,401.06 | ||||||||||
| 3.Other Services | |||||||||||||||||||||
| BNCV | Checkup - Vaccination | EGP | 181,416.00 | 181,416.00 | 111 | 129 | 0.00 | 0.00 | 36,283.20 | 0.00 | 145,132.80 | ||||||||||
| BNNC | Not Covered Benefits | EGP | 95,238.16 | 95,238.16 | 62 | 0 | 0.00 | 0.00 | 0.00 | 95,238.16 | 0.00 | ||||||||||
| 3.Other Services | TOTALS : | EGP | 276,654.16 | 276,654.16 | 173 | 129 | 0.00 | 0.00 | 36,283.20 | 95,238.16 | 145,132.80 | ||||||||||
| 4.Maternity | |||||||||||||||||||||
| BMAC | Maternity-Abortion | EGP | 609,227.47 | 516,998.96 | 669 | 2,203 | 0.00 | 0.00 | 0.00 | 3,434.21 | 513,564.75 | ||||||||||
| BMCC | Maternity-Complications | EGP | 96,019.46 | 81,041.99 | 6 | 22 | 0.00 | 0.00 | 0.00 | 0.00 | 81,041.99 | ||||||||||
| BMDC | Maternity-Normal Delivery | EGP | 251,337.93 | 223,920.66 | 24 | 115 | 0.00 | 0.00 | 0.00 | 963.00 | 222,957.66 | ||||||||||
| Policy : | 4031201002 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| BMSC | Maternity-Caesarian Section | EGP | 1,057,164.49 | 885,638.66 | 41 | 304 | 0.00 | 0.00 | 0.00 | 28,576.00 | 857,062.66 | ||||||||||
| 4.Maternity | TOTALS : | EGP | 2,013,749.35 | 1,707,600.27 | 740 | 2,643 | 0.00 | 0.00 | 0.00 | 32,973.21 | 1,674,627.06 | ||||||||||
| 5.Dental | |||||||||||||||||||||
| BDCP | Dental-Crown-PPO | EGP | 1,478,070.80 | 1,418,310.80 | 496 | 1,056 | 0.00 | 0.00 | 0.00 | 143,551.00 | 1,274,759.80 | ||||||||||
| BDEP | Dental-Extraction-PPO | EGP | 178,014.55 | 167,149.63 | 277 | 541 | 0.00 | 0.00 | 0.00 | 18,273.36 | 148,876.27 | ||||||||||
| BDFP | Dental-Filling-PPO | EGP | 871,200.70 | 827,548.02 | 911 | 1,841 | 0.00 | 0.00 | 0.00 | 17,817.00 | 809,731.02 | ||||||||||
| BDGP | Dental-Gum Treatment-Periodenti-PPO | EGP | 188,330.70 | 177,212.02 | 386 | 745 | 0.00 | 0.00 | 0.00 | 4,330.00 | 172,882.02 | ||||||||||
| BDLP | Dental-Prophylaxis-PPO | EGP | 144.00 | 144.00 | 1 | 0 | 0.00 | 0.00 | 0.00 | 144.00 | 0.00 | ||||||||||
| BDMP | Dental-Medicine-PPO | EGP | 5,856.50 | 5,721.50 | 25 | 31 | 0.00 | 0.00 | 1,144.30 | 0.00 | 4,577.20 | ||||||||||
| BDNP | Dental-Endodontic-PPO | EGP | 737,616.33 | 693,039.00 | 606 | 1,053 | 0.00 | 0.00 | 0.00 | 60,861.01 | 632,177.99 | ||||||||||
| BDOP | Dental-Other Service-PPO | EGP | 4,300.00 | 4,300.00 | 4 | 0 | 0.00 | 0.00 | 0.00 | 4,300.00 | 0.00 | ||||||||||
| BDRP | Dental-Orthodontic-PPO | EGP | 1,411,415.00 | 1,311,442.00 | 72 | 90 | 0.00 | 0.00 | 0.00 | 14,700.00 | 1,296,742.00 | ||||||||||
| BDVC | Dental-Visit-Examination-Cash | EGP | 115.00 | 115.00 | 1 | 1 | 0.00 | 0.00 | 0.00 | 114.00 | 1.00 | ||||||||||
| BDVP | Dental-Visit-Examination-PPO | EGP | 103,839.00 | 98,533.65 | 1,167 | 1,321 | 0.00 | 0.00 | 0.00 | 792.00 | 97,741.65 | ||||||||||
| BDXC | Dental-X-Ray-Panaramic-Cash | EGP | 500.00 | 350.00 | 1 | 1 | 0.00 | 0.00 | 0.00 | 349.00 | 1.00 | ||||||||||
| BDXP | Dental-X-Ray-Panaramic-PPO | EGP | 116,726.66 | 102,300.51 | 673 | 1,548 | 0.00 | 0.00 | 0.00 | 2,924.92 | 99,375.59 | ||||||||||
| 5.Dental | TOTALS : | EGP | 5,096,129.24 | 4,806,166.13 | 4,620 | 8,228 | 0.00 | 0.00 | 1,144.30 | 268,156.29 | 4,536,865.54 | ||||||||||
| 7.Psychiatric | |||||||||||||||||||||
| BPMC | Maternity-Complications | EGP | 600.00 | 600.00 | 1 | 0 | 0.00 | 0.00 | 0.00 | 600.00 | 0.00 | ||||||||||
| BPVC | Psychiatric-Dr Visit | EGP | 1,100.00 | 1,100.00 | 1 | 0 | 0.00 | 0.00 | 0.00 | 1,100.00 | 0.00 | ||||||||||
| 7.Psychiatric | TOTALS : | EGP | 1,700.00 | 1,700.00 | 2 | 0 | 0.00 | 0.00 | 0.00 | 1,700.00 | 0.00 | ||||||||||
| Policy : | 4031201002 | TOTALS : | EGP | 74,307,391.82 | 62,102,291.08 | 52,261 | 212,463 | 0.00 | 0.00 | 3,513,911.61 | 1,238,087.05 | 57,350,292.42 | |||||||||
| Policy : | 4031201003 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOIN | Outpatient - Investigations | EGP | 132,390.20 | 81,874.82 | 32 | 233 | 0.00 | 0.00 | 441.00 | 0.00 | 81,433.82 | ||||||||||
| BOPT | Physiotherapy | EGP | 19,950.00 | 19,950.00 | 6 | 83 | 0.00 | 0.00 | 2,910.00 | 0.00 | 17,040.00 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 398,914.81 | 366,485.27 | 45 | 1,387 | 0.00 | 0.00 | 73,189.65 | 0.00 | 293,295.62 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 2,700.00 | 1,485.00 | 4 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 1,485.00 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 16,664.30 | 14,290.85 | 14 | 215 | 0.00 | 0.00 | 261.00 | 0.00 | 14,029.85 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 14,749.75 | 14,582.69 | 47 | 49 | 0.00 | 0.00 | 513.00 | 0.00 | 14,069.69 | ||||||||||
| BPOS | Optical-Spectacles | EGP | 8,150.00 | 6,520.00 | 1 | 1 | 0.00 | 0.00 | 1,304.00 | 216.00 | 5,000.00 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 593,519.06 | 505,188.63 | 149 | 1,972 | 0.00 | 0.00 | 78,618.65 | 216.00 | 426,353.98 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BIAN | Inpatient - Anesthetist | EGP | 53,730.75 | 40,617.81 | 8 | 12 | 0.00 | 0.00 | 0.00 | 0.00 | 40,617.81 | ||||||||||
| BICU | Inpatient - Intensive Care Unit | EGP | 320,075.20 | 204,506.18 | 10 | 56 | 0.00 | 0.00 | 0.00 | 0.00 | 204,506.18 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 605,409.87 | 427,084.52 | 20 | 57 | 0.00 | 0.00 | 0.00 | 0.00 | 427,084.52 | ||||||||||
| BIRB | Inpatient - Room & Board | EGP | 143,940.00 | 63,811.47 | 11 | 32 | 0.00 | 0.00 | 0.00 | 0.00 | 63,811.47 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 341,925.84 | 341,513.38 | 21 | 33 | 0.00 | 0.00 | 0.00 | 0.00 | 341,513.38 | ||||||||||
| BISP | Inpatient - Surgeries/Procedures | EGP | 657,061.71 | 555,136.53 | 13 | 34 | 0.00 | 0.00 | 0.00 | 0.00 | 555,136.53 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 2,374,966.82 | 2,286,762.46 | 24 | 198 | 0.00 | 0.00 | 0.00 | 64,274.02 | 2,222,488.44 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 255,782.11 | 185,872.99 | 20 | 211 | 0.00 | 0.00 | 0.00 | 0.00 | 185,872.99 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 4,752,892.30 | 4,105,305.34 | 127 | 633 | 0.00 | 0.00 | 0.00 | 64,274.02 | 4,041,031.32 | ||||||||||
| 3.Other Services | |||||||||||||||||||||
| BNNC | Not Covered Benefits | EGP | 104,400.00 | 104,400.00 | 1 | 0 | 0.00 | 0.00 | 0.00 | 104,400.00 | 0.00 | ||||||||||
| 3.Other Services | TOTALS : | EGP | 104,400.00 | 104,400.00 | 1 | 0 | 0.00 | 0.00 | 0.00 | 104,400.00 | 0.00 | ||||||||||
| Policy : | 4031201003 | TOTALS : | EGP | 5,450,811.36 | 4,714,893.97 | 277 | 2,605 | 0.00 | 0.00 | 78,618.65 | 168,890.02 | 4,467,385.30 | |||||||||
| Policy : | 4031202001 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOEC | Optical-Examination | EGP | 1,630.00 | 1,630.00 | 3 | 3 | 0.00 | 0.00 | 326.00 | 0.00 | 1,304.00 | ||||||||||
| BOIN | Outpatient - Investigations | EGP | 481,196.51 | 336,247.49 | 173 | 943 | 0.00 | 0.00 | 0.00 | 0.00 | 336,247.49 | ||||||||||
| BOLC | Optical-Lenses | EGP | 320.00 | 320.00 | 1 | 1 | 0.00 | 0.00 | 64.00 | 0.00 | 256.00 | ||||||||||
| BOPT | Physiotherapy | EGP | 29,190.00 | 25,230.00 | 10 | 32 | 0.00 | 0.00 | 0.00 | 0.00 | 25,230.00 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 789,789.32 | 711,203.76 | 531 | 4,987 | 0.00 | 0.00 | 142,115.19 | 0.00 | 569,088.57 | ||||||||||
| BOSC | Optical-Spectacles (eye glasses full) | EGP | 24,149.47 | 24,149.47 | 3 | 3 | 0.00 | 0.00 | 4,829.89 | 4,319.58 | 15,000.00 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 21,830.00 | 17,936.75 | 7 | 12 | 0.00 | 0.00 | 140.00 | 0.00 | 17,796.75 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 68,208.45 | 60,758.20 | 45 | 669 | 0.00 | 0.00 | 0.00 | 12,793.74 | 47,964.46 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 100,627.84 | 77,412.03 | 261 | 263 | 0.00 | 0.00 | 680.00 | 0.00 | 76,732.03 | ||||||||||
| BPOE | Optical-Examination | EGP | 1,070.00 | 1,070.00 | 2 | 2 | 0.00 | 0.00 | 0.00 | 0.00 | 1,070.00 | ||||||||||
| BPOS | Optical-Spectacles | EGP | 84,076.25 | 65,946.00 | 9 | 8 | 0.00 | 0.00 | 13,189.20 | 15,596.80 | 37,160.00 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 1,602,087.84 | 1,321,903.70 | 1,045 | 6,923 | 0.00 | 0.00 | 161,344.28 | 32,710.12 | 1,127,849.30 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BIAN | Inpatient - Anesthetist | EGP | 71,301.25 | 56,809.76 | 11 | 14 | 0.00 | 0.00 | 0.00 | 0.00 | 56,809.76 | ||||||||||
| BICU | Inpatient - Intensive Care Unit | EGP | 58,992.00 | 40,654.80 | 3 | 12 | 0.00 | 0.00 | 0.00 | 0.00 | 40,654.80 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 197,748.00 | 131,194.90 | 13 | 16 | 0.00 | 0.00 | 0.00 | 0.00 | 131,194.90 | ||||||||||
| BIRB | Inpatient - Room & Board | EGP | 39,927.75 | 27,955.58 | 11 | 12 | 0.00 | 0.00 | 0.00 | 0.00 | 27,955.58 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 110,661.41 | 110,645.37 | 15 | 16 | 0.00 | 0.00 | 0.00 | 0.00 | 110,645.37 | ||||||||||
| BISP | Inpatient - Surgeries/Procedures | EGP | 313,522.46 | 252,280.33 | 15 | 22 | 0.00 | 0.00 | 0.00 | 0.00 | 252,280.33 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 874,234.39 | 732,929.22 | 18 | 100 | 0.00 | 0.00 | 0.00 | 0.00 | 732,929.22 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 26,726.50 | 22,415.65 | 12 | 27 | 0.00 | 0.00 | 0.00 | 0.00 | 22,415.65 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 1,693,113.76 | 1,374,885.61 | 98 | 219 | 0.00 | 0.00 | 0.00 | 0.00 | 1,374,885.61 | ||||||||||
| 3.Other Services | |||||||||||||||||||||
| BNCA | Checkup - Adult | EGP | 277.00 | 277.00 | 1 | 1 | 0.00 | 0.00 | 55.40 | 0.00 | 221.60 | ||||||||||
| BNNC | Not Covered Benefits | EGP | 219.01 | 219.01 | 6 | 0 | 0.00 | 0.00 | 0.00 | 219.01 | 0.00 | ||||||||||
| 3.Other Services | TOTALS : | EGP | 496.01 | 496.01 | 7 | 1 | 0.00 | 0.00 | 55.40 | 219.01 | 221.60 | ||||||||||
| 5.Dental | |||||||||||||||||||||
| BDCP | Dental-Crown-PPO | EGP | 13,806.00 | 13,806.00 | 3 | 6 | 0.00 | 0.00 | 0.00 | 0.00 | 13,806.00 | ||||||||||
| BDEP | Dental-Extraction-PPO | EGP | 2,950.00 | 2,950.00 | 6 | 6 | 0.00 | 0.00 | 0.00 | 0.00 | 2,950.00 | ||||||||||
| BDFP | Dental-Filling-PPO | EGP | 5,550.00 | 5,450.00 | 9 | 13 | 0.00 | 0.00 | 0.00 | 0.00 | 5,450.00 | ||||||||||
| BDGP | Dental-Gum Treatment-Periodenti-PPO | EGP | 2,500.00 | 2,300.00 | 6 | 8 | 0.00 | 0.00 | 0.00 | 0.00 | 2,300.00 | ||||||||||
| BDMP | Dental-Medicine-PPO | EGP | 198.00 | 198.00 | 1 | 1 | 0.00 | 0.00 | 39.60 | 0.00 | 158.40 | ||||||||||
| Policy : | 4031202001 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| BDNP | Dental-Endodontic-PPO | EGP | 9,860.00 | 8,598.00 | 6 | 7 | 0.00 | 0.00 | 0.00 | 0.00 | 8,598.00 | ||||||||||
| BDVP | Dental-Visit-Examination-PPO | EGP | 1,490.00 | 1,330.00 | 13 | 13 | 0.00 | 0.00 | 0.00 | 0.00 | 1,330.00 | ||||||||||
| BDXP | Dental-X-Ray-Panaramic-PPO | EGP | 1,481.00 | 1,381.00 | 9 | 19 | 0.00 | 0.00 | 0.00 | 0.00 | 1,381.00 | ||||||||||
| 5.Dental | TOTALS : | EGP | 37,835.00 | 36,013.00 | 53 | 73 | 0.00 | 0.00 | 39.60 | 0.00 | 35,973.40 | ||||||||||
| Policy : | 4031202001 | TOTALS : | EGP | 3,333,532.61 | 2,733,298.32 | 1,203 | 7,216 | 0.00 | 0.00 | 161,439.28 | 32,929.13 | 2,538,929.91 | |||||||||
| Policy : | 4031202002 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOEC | Optical-Examination | EGP | 600.00 | 600.00 | 1 | 1 | 0.00 | 0.00 | 120.00 | 0.00 | 480.00 | ||||||||||
| BOIN | Outpatient - Investigations | EGP | 494,508.33 | 349,518.19 | 200 | 939 | 0.00 | 0.00 | 1,085.20 | 1,749.00 | 346,683.99 | ||||||||||
| BOLC | Optical-Lenses | EGP | 320.00 | 320.00 | 1 | 1 | 0.00 | 0.00 | 64.00 | 256.00 | 0.00 | ||||||||||
| BOPT | Physiotherapy | EGP | 42,465.00 | 39,644.25 | 17 | 59 | 0.00 | 0.00 | 0.00 | 0.00 | 39,644.25 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 677,645.90 | 614,662.84 | 516 | 4,589 | 0.00 | 0.00 | 122,888.13 | 0.00 | 491,774.71 | ||||||||||
| BOSC | Optical-Spectacles (eye glasses full) | EGP | 2,125.00 | 2,125.00 | 2 | 1 | 0.00 | 0.00 | 425.00 | 0.00 | 1,700.00 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 46,315.00 | 22,960.90 | 20 | 28 | 0.00 | 0.00 | 0.00 | 0.00 | 22,960.90 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 68,075.39 | 57,057.40 | 58 | 575 | 0.00 | 0.00 | 371.20 | 4,257.80 | 52,428.40 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 148,122.84 | 113,488.03 | 395 | 399 | 0.00 | 0.00 | 1,814.00 | 0.00 | 111,674.03 | ||||||||||
| BPOC | Optical-Contact Lenses | EGP | 4,125.00 | 3,093.75 | 1 | 1 | 0.00 | 0.00 | 618.75 | 2,275.00 | 200.00 | ||||||||||
| BPOE | Optical-Examination | EGP | 959.00 | 659.40 | 5 | 5 | 0.00 | 0.00 | 0.00 | 0.00 | 659.40 | ||||||||||
| BPOS | Optical-Spectacles | EGP | 65,100.00 | 49,233.00 | 10 | 8 | 0.00 | 0.00 | 9,846.60 | 382.40 | 39,004.00 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 1,550,361.46 | 1,253,362.76 | 1,226 | 6,606 | 0.00 | 0.00 | 137,232.88 | 8,920.20 | 1,107,209.68 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BIAN | Inpatient - Anesthetist | EGP | 65,371.58 | 50,746.47 | 10 | 12 | 0.00 | 0.00 | 0.00 | 0.00 | 50,746.47 | ||||||||||
| BICU | Inpatient - Intensive Care Unit | EGP | 25,410.00 | 12,577.95 | 1 | 3 | 0.00 | 0.00 | 0.00 | 0.00 | 12,577.95 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 149,071.48 | 108,066.87 | 11 | 20 | 0.00 | 0.00 | 0.00 | 0.00 | 108,066.87 | ||||||||||
| BIRB | Inpatient - Room & Board | EGP | 89,477.52 | 65,407.15 | 10 | 22 | 0.00 | 0.00 | 0.00 | 0.00 | 65,407.15 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 51,666.00 | 51,629.50 | 12 | 12 | 0.00 | 0.00 | 0.00 | 0.00 | 51,629.50 | ||||||||||
| BISP | Inpatient - Surgeries/Procedures | EGP | 483,669.85 | 393,827.50 | 14 | 25 | 0.00 | 0.00 | 0.00 | 0.00 | 393,827.50 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 456,357.72 | 404,369.52 | 12 | 85 | 0.00 | 0.00 | 0.00 | 0.00 | 404,369.52 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 32,981.67 | 30,602.63 | 9 | 27 | 0.00 | 0.00 | 0.00 | 0.00 | 30,602.63 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 1,354,005.82 | 1,117,227.59 | 79 | 206 | 0.00 | 0.00 | 0.00 | 0.00 | 1,117,227.59 | ||||||||||
| 3.Other Services | |||||||||||||||||||||
| BNNC | Not Covered Benefits | EGP | 227.00 | 227.00 | 4 | 0 | 0.00 | 0.00 | 0.00 | 227.00 | 0.00 | ||||||||||
| 3.Other Services | TOTALS : | EGP | 227.00 | 227.00 | 4 | 0 | 0.00 | 0.00 | 0.00 | 227.00 | 0.00 | ||||||||||
| 4.Maternity | |||||||||||||||||||||
| BMAC | Maternity-Abortion | EGP | 4,951.75 | 3,324.18 | 2 | 5 | 0.00 | 0.00 | 0.00 | 0.00 | 3,324.18 | ||||||||||
| 4.Maternity | TOTALS : | EGP | 4,951.75 | 3,324.18 | 2 | 5 | 0.00 | 0.00 | 0.00 | 0.00 | 3,324.18 | ||||||||||
| 5.Dental | |||||||||||||||||||||
| BDCP | Dental-Crown-PPO | EGP | 34,274.00 | 30,774.00 | 16 | 23 | 0.00 | 0.00 | 0.00 | 0.00 | 30,774.00 | ||||||||||
| Policy : | 4031202002 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| BDEP | Dental-Extraction-PPO | EGP | 7,400.00 | 6,400.00 | 8 | 13 | 0.00 | 0.00 | 0.00 | 0.00 | 6,400.00 | ||||||||||
| BDFP | Dental-Filling-PPO | EGP | 23,840.00 | 22,150.00 | 23 | 49 | 0.00 | 0.00 | 0.00 | 0.00 | 22,150.00 | ||||||||||
| BDGP | Dental-Gum Treatment-Periodenti-PPO | EGP | 7,400.00 | 6,860.00 | 14 | 24 | 0.00 | 0.00 | 0.00 | 0.00 | 6,860.00 | ||||||||||
| BDMP | Dental-Medicine-PPO | EGP | 695.00 | 695.00 | 3 | 3 | 0.00 | 0.00 | 139.00 | 0.00 | 556.00 | ||||||||||
| BDNP | Dental-Endodontic-PPO | EGP | 19,770.00 | 17,580.00 | 16 | 22 | 0.00 | 0.00 | 0.00 | 0.00 | 17,580.00 | ||||||||||
| BDVP | Dental-Visit-Examination-PPO | EGP | 2,670.00 | 2,390.00 | 28 | 29 | 0.00 | 0.00 | 0.00 | 0.00 | 2,390.00 | ||||||||||
| BDXP | Dental-X-Ray-Panaramic-PPO | EGP | 2,820.00 | 2,734.00 | 16 | 41 | 0.00 | 0.00 | 0.00 | 0.00 | 2,734.00 | ||||||||||
| 5.Dental | TOTALS : | EGP | 98,869.00 | 89,583.00 | 124 | 204 | 0.00 | 0.00 | 139.00 | 0.00 | 89,444.00 | ||||||||||
| Policy : | 4031202002 | TOTALS : | EGP | 3,008,415.03 | 2,463,724.53 | 1,435 | 7,021 | 0.00 | 0.00 | 137,371.88 | 9,147.20 | 2,317,205.45 | |||||||||
| Policy : | 4031203001 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOIN | Outpatient - Investigations | EGP | 80,351.10 | 51,524.52 | 32 | 155 | 0.00 | 0.00 | 1,006.00 | 0.00 | 50,518.52 | ||||||||||
| BOPT | Physiotherapy | EGP | 14,520.00 | 11,490.00 | 7 | 70 | 0.00 | 0.00 | 0.00 | 0.00 | 11,490.00 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 154,109.81 | 138,902.13 | 117 | 824 | 0.00 | 0.00 | 27,780.52 | 0.00 | 111,121.61 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 4,105.33 | 3,204.00 | 3 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 3,204.00 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 23,535.67 | 16,295.17 | 12 | 61 | 0.00 | 0.00 | 0.00 | 800.78 | 15,494.39 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 10,065.50 | 10,065.50 | 40 | 40 | 0.00 | 0.00 | 44.00 | 0.00 | 10,021.50 | ||||||||||
| BPOE | Optical-Examination | EGP | 120.00 | 120.00 | 2 | 2 | 0.00 | 0.00 | 0.00 | 0.00 | 120.00 | ||||||||||
| BPOS | Optical-Spectacles | EGP | 10,500.00 | 8,400.00 | 2 | 2 | 0.00 | 0.00 | 1,680.00 | 0.00 | 6,720.00 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 297,307.41 | 240,001.32 | 215 | 1,158 | 0.00 | 0.00 | 30,510.52 | 800.78 | 208,690.02 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BIAN | Inpatient - Anesthetist | EGP | 8,687.50 | 6,515.63 | 1 | 3 | 0.00 | 0.00 | 0.00 | 0.00 | 6,515.63 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 12,264.65 | 7,358.79 | 3 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 7,358.79 | ||||||||||
| BIRB | Inpatient - Room & Board | EGP | 12,825.00 | 5,698.83 | 3 | 3 | 0.00 | 0.00 | 0.00 | 0.00 | 5,698.83 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 5,645.23 | 5,645.23 | 3 | 3 | 0.00 | 0.00 | 0.00 | 0.00 | 5,645.23 | ||||||||||
| BISP | Inpatient - Surgeries/Procedures | EGP | 71,712.50 | 53,784.38 | 2 | 6 | 0.00 | 0.00 | 0.00 | 0.00 | 53,784.38 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 121,179.89 | 118,457.01 | 3 | 14 | 0.00 | 0.00 | 0.00 | 0.00 | 118,457.01 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 4,247.00 | 3,185.25 | 3 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 3,185.25 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 236,561.77 | 200,645.12 | 18 | 37 | 0.00 | 0.00 | 0.00 | 0.00 | 200,645.12 | ||||||||||
| Policy : | 4031203001 | TOTALS : | EGP | 533,869.18 | 440,646.44 | 233 | 1,195 | 0.00 | 0.00 | 30,510.52 | 800.78 | 409,335.14 | |||||||||
| Policy : | 4031203002 | Desc: | AMERICAN EMBASSY | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOIN | Outpatient - Investigations | EGP | 80,967.62 | 50,572.51 | 29 | 134 | 0.00 | 0.00 | 0.00 | 0.00 | 50,572.51 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 77,395.33 | 69,559.72 | 89 | 621 | 0.00 | 0.00 | 13,882.45 | 0.00 | 55,677.27 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 1,200.00 | 900.00 | 1 | 2 | 0.00 | 0.00 | 0.00 | 0.00 | 900.00 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 6,939.32 | 6,729.32 | 6 | 57 | 0.00 | 0.00 | 0.00 | 0.00 | 6,729.32 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 13,637.00 | 13,357.00 | 70 | 70 | 0.00 | 0.00 | 24.00 | 0.00 | 13,333.00 | ||||||||||
| BPOS | Optical-Spectacles | EGP | 10,800.00 | 8,640.00 | 2 | 2 | 0.00 | 0.00 | 1,728.00 | 0.00 | 6,912.00 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 190,939.27 | 149,758.55 | 197 | 886 | 0.00 | 0.00 | 15,634.45 | 0.00 | 134,124.10 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BICU | Inpatient - Intensive Care Unit | EGP | 47,500.00 | 38,000.00 | 2 | 19 | 0.00 | 0.00 | 0.00 | 0.00 | 38,000.00 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 23,185.00 | 18,548.00 | 2 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 18,548.00 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 106,860.13 | 106,860.13 | 1 | 10 | 0.00 | 0.00 | 0.00 | 0.00 | 106,860.13 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 115,328.16 | 109,452.66 | 2 | 34 | 0.00 | 0.00 | 0.00 | 0.00 | 109,452.66 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 32,375.00 | 25,660.00 | 2 | 54 | 0.00 | 0.00 | 0.00 | 0.00 | 25,660.00 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 325,248.29 | 298,520.79 | 9 | 121 | 0.00 | 0.00 | 0.00 | 0.00 | 298,520.79 | ||||||||||
| 4.Maternity | |||||||||||||||||||||
| BMAC | Maternity-Abortion | EGP | 700.58 | 532.58 | 1 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 532.58 | ||||||||||
| BMDC | Maternity-Normal Delivery | EGP | 34,888.51 | 23,950.11 | 2 | 17 | 0.00 | 0.00 | 0.00 | 0.00 | 23,950.11 | ||||||||||
| 4.Maternity | TOTALS : | EGP | 35,589.09 | 24,482.69 | 3 | 21 | 0.00 | 0.00 | 0.00 | 0.00 | 24,482.69 | ||||||||||
| 5.Dental | |||||||||||||||||||||
| BDEP | Dental-Extraction-PPO | EGP | 650.00 | 580.00 | 2 | 2 | 0.00 | 0.00 | 0.00 | 0.00 | 580.00 | ||||||||||
| BDGP | Dental-Gum Treatment-Periodenti-PPO | EGP | 850.00 | 850.00 | 1 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 850.00 | ||||||||||
| BDMP | Dental-Medicine-PPO | EGP | 128.00 | 128.00 | 1 | 1 | 0.00 | 0.00 | 25.60 | 0.00 | 102.40 | ||||||||||
| BDRP | Dental-Orthodontic-PPO | EGP | 18,000.00 | 18,000.00 | 1 | 2 | 0.00 | 0.00 | 0.00 | 0.00 | 18,000.00 | ||||||||||
| BDVP | Dental-Visit-Examination-PPO | EGP | 280.00 | 260.00 | 3 | 3 | 0.00 | 0.00 | 0.00 | 0.00 | 260.00 | ||||||||||
| 5.Dental | TOTALS : | EGP | 19,908.00 | 19,818.00 | 8 | 12 | 0.00 | 0.00 | 25.60 | 0.00 | 19,792.40 | ||||||||||
| Policy : | 4031203002 | TOTALS : | EGP | 571,684.65 | 492,580.03 | 217 | 1,040 | 0.00 | 0.00 | 15,660.05 | 0.00 | 476,919.98 | |||||||||
| Policy : | 4031204001 | Desc: | AMERICAN EMBASSY USAID | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOEC | Optical-Examination | EGP | 3,800.00 | 3,800.00 | 7 | 7 | 0.00 | 0.00 | 760.00 | 0.00 | 3,040.00 | ||||||||||
| BOIN | Outpatient - Investigations | EGP | 972,342.57 | 752,359.92 | 440 | 2,336 | 0.00 | 0.00 | 13,464.84 | 0.00 | 738,895.08 | ||||||||||
| BOLC | Optical-Lenses | EGP | 25,457.50 | 25,457.50 | 8 | 8 | 0.00 | 0.00 | 5,091.50 | 2,200.00 | 18,166.00 | ||||||||||
| BOPT | Physiotherapy | EGP | 264,952.00 | 239,031.50 | 77 | 569 | 0.00 | 0.00 | 17,000.00 | 0.00 | 222,031.50 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 1,617,236.36 | 1,489,011.07 | 1,105 | 7,484 | 0.00 | 0.00 | 297,802.19 | 0.00 | 1,191,208.88 | ||||||||||
| BOSC | Optical-Spectacles (eye glasses full) | EGP | 164,030.00 | 163,530.00 | 33 | 33 | 0.00 | 0.00 | 32,706.00 | 23,744.00 | 107,080.00 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 74,158.19 | 61,375.00 | 34 | 39 | 0.00 | 0.00 | 4,023.73 | 0.00 | 57,351.27 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 203,147.26 | 183,663.93 | 125 | 725 | 0.00 | 0.00 | 1,905.90 | 68,359.40 | 113,398.63 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 226,693.38 | 196,191.52 | 560 | 568 | 0.00 | 0.00 | 11,967.80 | 260.00 | 183,963.72 | ||||||||||
| BPOC | Optical-Contact Lenses | EGP | 4,100.00 | 3,075.00 | 1 | 1 | 0.00 | 0.00 | 615.00 | 0.00 | 2,460.00 | ||||||||||
| BPOE | Optical-Examination | EGP | 2,490.00 | 1,951.60 | 11 | 11 | 0.00 | 0.00 | 0.00 | 0.00 | 1,951.60 | ||||||||||
| BPOS | Optical-Spectacles | EGP | 174,417.00 | 134,499.85 | 20 | 20 | 0.00 | 0.00 | 26,899.97 | 21,259.12 | 86,340.76 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 3,732,824.26 | 3,253,946.89 | 2,421 | 11,801 | 0.00 | 0.00 | 412,236.93 | 115,822.52 | 2,725,887.44 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BIAN | Inpatient - Anesthetist | EGP | 66,551.59 | 53,959.36 | 14 | 17 | 0.00 | 0.00 | 0.00 | 0.00 | 53,959.36 | ||||||||||
| BICU | Inpatient - Intensive Care Unit | EGP | 46,750.00 | 25,245.00 | 2 | 6 | 0.00 | 0.00 | 0.00 | 0.00 | 25,245.00 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 193,724.67 | 134,072.10 | 17 | 30 | 0.00 | 0.00 | 0.00 | 0.00 | 134,072.10 | ||||||||||
| BIRB | Inpatient - Room & Board | EGP | 75,929.67 | 46,553.34 | 24 | 30 | 0.00 | 0.00 | 0.00 | 0.00 | 46,553.34 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 49,999.50 | 48,091.10 | 24 | 27 | 0.00 | 0.00 | 0.00 | 0.00 | 48,091.10 | ||||||||||
| BISP | Inpatient - Surgeries/Procedures | EGP | 463,301.00 | 360,642.83 | 23 | 41 | 0.00 | 0.00 | 0.00 | 0.00 | 360,642.83 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 596,251.82 | 553,914.80 | 33 | 165 | 0.00 | 0.00 | 0.00 | 2,200.20 | 551,714.60 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 56,396.47 | 47,675.46 | 22 | 59 | 0.00 | 0.00 | 0.00 | 0.00 | 47,675.46 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 1,548,904.72 | 1,270,153.99 | 159 | 374 | 0.00 | 0.00 | 0.00 | 2,200.20 | 1,267,953.79 | ||||||||||
| 3.Other Services | |||||||||||||||||||||
| BNNC | Not Covered Benefits | EGP | 16,445.02 | 16,445.02 | 6 | 0 | 0.00 | 0.00 | 0.00 | 16,445.02 | 0.00 | ||||||||||
| 3.Other Services | TOTALS : | EGP | 16,445.02 | 16,445.02 | 6 | 0 | 0.00 | 0.00 | 0.00 | 16,445.02 | 0.00 | ||||||||||
| 4.Maternity | |||||||||||||||||||||
| BMAC | Maternity-Abortion | EGP | 28,906.50 | 28,825.72 | 16 | 41 | 0.00 | 0.00 | 0.00 | 0.00 | 28,825.72 | ||||||||||
| BMCC | Maternity-Complications | EGP | 246.00 | 228.02 | 1 | 2 | 0.00 | 0.00 | 0.00 | 0.00 | 228.02 | ||||||||||
| BMDC | Maternity-Normal Delivery | EGP | 9,910.00 | 9,910.00 | 1 | 1 | 0.00 | 0.00 | 0.00 | 0.00 | 9,910.00 | ||||||||||
| BMSC | Maternity-Caesarian Section | EGP | 117,004.16 | 92,378.00 | 3 | 17 | 0.00 | 0.00 | 0.00 | 0.00 | 92,378.00 | ||||||||||
| Policy : | 4031204001 | Desc: | AMERICAN EMBASSY USAID | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 4.Maternity | TOTALS : | EGP | 156,066.66 | 131,341.74 | 21 | 61 | 0.00 | 0.00 | 0.00 | 0.00 | 131,341.74 | ||||||||||
| 5.Dental | |||||||||||||||||||||
| BDCP | Dental-Crown-PPO | EGP | 194,835.00 | 162,308.00 | 43 | 58 | 0.00 | 0.00 | 0.00 | 37,938.40 | 124,369.60 | ||||||||||
| BDEP | Dental-Extraction-PPO | EGP | 24,800.00 | 17,720.00 | 13 | 17 | 0.00 | 0.00 | 0.00 | 2,350.00 | 15,370.00 | ||||||||||
| BDFP | Dental-Filling-PPO | EGP | 194,590.00 | 156,092.00 | 77 | 132 | 0.00 | 0.00 | 0.00 | 42,360.00 | 113,732.00 | ||||||||||
| BDGP | Dental-Gum Treatment-Periodenti-PPO | EGP | 49,694.00 | 41,086.00 | 48 | 57 | 0.00 | 0.00 | 0.00 | 2,694.40 | 38,391.60 | ||||||||||
| BDMP | Dental-Medicine-PPO | EGP | 2,063.18 | 2,063.18 | 8 | 8 | 0.00 | 0.00 | 412.64 | 0.00 | 1,650.54 | ||||||||||
| BDNP | Dental-Endodontic-PPO | EGP | 112,375.00 | 89,702.00 | 35 | 48 | 0.00 | 0.00 | 0.00 | 12,996.00 | 76,706.00 | ||||||||||
| BDOP | Dental-Other Service-PPO | EGP | 9,800.00 | 9,800.00 | 4 | 0 | 0.00 | 0.00 | 0.00 | 9,800.00 | 0.00 | ||||||||||
| BDVP | Dental-Visit-Examination-PPO | EGP | 13,305.00 | 10,995.00 | 54 | 55 | 0.00 | 0.00 | 0.00 | 1,510.00 | 9,485.00 | ||||||||||
| BDXP | Dental-X-Ray-Panaramic-PPO | EGP | 13,511.00 | 11,384.00 | 42 | 85 | 0.00 | 0.00 | 0.00 | 1,050.00 | 10,334.00 | ||||||||||
| 5.Dental | TOTALS : | EGP | 614,973.18 | 501,150.18 | 324 | 460 | 0.00 | 0.00 | 412.64 | 110,698.80 | 390,038.74 | ||||||||||
| Policy : | 4031204001 | TOTALS : | EGP | 6,069,213.84 | 5,173,037.82 | 2,931 | 12,696 | 0.00 | 0.00 | 412,649.57 | 245,166.54 | 4,515,221.71 | |||||||||
| Policy : | 4031204002 | Desc: | AMERICAN EMBASSY USAID | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOEC | Optical-Examination | EGP | 5,050.00 | 5,050.00 | 10 | 10 | 0.00 | 0.00 | 1,010.00 | 0.00 | 4,040.00 | ||||||||||
| BOIN | Outpatient - Investigations | EGP | 866,011.83 | 644,332.82 | 456 | 2,352 | 0.00 | 0.00 | 3,883.41 | 0.00 | 640,449.41 | ||||||||||
| BOLC | Optical-Lenses | EGP | 14,835.00 | 14,835.00 | 7 | 7 | 0.00 | 0.00 | 2,967.00 | 140.00 | 11,728.00 | ||||||||||
| BOPT | Physiotherapy | EGP | 160,564.00 | 152,547.50 | 35 | 409 | 0.00 | 0.00 | 5,520.00 | 0.00 | 147,027.50 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 1,533,234.59 | 1,411,822.65 | 988 | 7,174 | 0.00 | 0.00 | 282,206.35 | 96.68 | 1,129,519.62 | ||||||||||
| BOSC | Optical-Spectacles (eye glasses full) | EGP | 197,877.51 | 197,877.51 | 39 | 39 | 0.00 | 0.00 | 39,575.50 | 28,500.00 | 129,802.01 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 73,232.33 | 50,747.21 | 34 | 68 | 0.00 | 0.00 | 0.00 | 0.00 | 50,747.21 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 271,894.68 | 200,528.38 | 147 | 844 | 0.00 | 0.00 | 2,229.56 | 57,696.30 | 140,602.52 | ||||||||||
| BOVF | Outpatient - Followup Dr Visit | EGP | 120.00 | 120.00 | 1 | 1 | 0.00 | 0.00 | 0.00 | 0.00 | 120.00 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 333,589.57 | 282,091.26 | 785 | 811 | 0.00 | 0.00 | 20,869.00 | 0.00 | 261,222.26 | ||||||||||
| BPOE | Optical-Examination | EGP | 2,520.00 | 2,345.60 | 19 | 19 | 0.00 | 0.00 | 0.00 | 0.00 | 2,345.60 | ||||||||||
| BPOS | Optical-Spectacles | EGP | 158,338.00 | 121,389.50 | 19 | 19 | 0.00 | 0.00 | 24,277.90 | 13,976.00 | 83,135.60 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 3,617,267.51 | 3,083,687.43 | 2,540 | 11,753 | 0.00 | 0.00 | 382,538.72 | 100,408.98 | 2,600,739.73 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BIAN | Inpatient - Anesthetist | EGP | 21,575.00 | 16,106.25 | 5 | 6 | 0.00 | 0.00 | 0.00 | 0.00 | 16,106.25 | ||||||||||
| BICU | Inpatient - Intensive Care Unit | EGP | 880.00 | 880.00 | 1 | 1 | 0.00 | 0.00 | 0.00 | 0.00 | 880.00 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 16,658.40 | 13,281.00 | 6 | 11 | 0.00 | 0.00 | 0.00 | 0.00 | 13,281.00 | ||||||||||
| BIRB | Inpatient - Room & Board | EGP | 31,025.57 | 22,660.62 | 12 | 14 | 0.00 | 0.00 | 0.00 | 0.00 | 22,660.62 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 58,587.43 | 58,097.25 | 17 | 20 | 0.00 | 0.00 | 0.00 | 0.00 | 58,097.25 | ||||||||||
| BISP | Inpatient - Surgeries/Procedures | EGP | 410,195.00 | 338,591.00 | 15 | 31 | 0.00 | 0.00 | 0.00 | 0.00 | 338,591.00 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 150,834.42 | 143,651.30 | 20 | 88 | 0.00 | 0.00 | 0.00 | 0.00 | 143,651.30 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 20,290.92 | 18,429.00 | 15 | 23 | 0.00 | 0.00 | 0.00 | 0.00 | 18,429.00 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 710,046.74 | 611,696.42 | 91 | 193 | 0.00 | 0.00 | 0.00 | 0.00 | 611,696.42 | ||||||||||
| 3.Other Services | |||||||||||||||||||||
| BNCV | Checkup - Vaccination | EGP | 35,594.00 | 35,594.00 | 21 | 30 | 0.00 | 0.00 | 7,118.80 | 0.00 | 28,475.20 | ||||||||||
| BNNC | Not Covered Benefits | EGP | 2,113.00 | 2,113.00 | 5 | 0 | 0.00 | 0.00 | 0.00 | 2,113.00 | 0.00 | ||||||||||
| 3.Other Services | TOTALS : | EGP | 37,707.00 | 37,707.00 | 26 | 30 | 0.00 | 0.00 | 7,118.80 | 2,113.00 | 28,475.20 | ||||||||||
| 4.Maternity | |||||||||||||||||||||
| BMAC | Maternity-Abortion | EGP | 9,470.00 | 9,375.60 | 14 | 33 | 0.00 | 0.00 | 0.00 | 0.00 | 9,375.60 | ||||||||||
| 4.Maternity | TOTALS : | EGP | 9,470.00 | 9,375.60 | 14 | 33 | 0.00 | 0.00 | 0.00 | 0.00 | 9,375.60 | ||||||||||
| 5.Dental | |||||||||||||||||||||
| Policy : | 4031204002 | Desc: | AMERICAN EMBASSY USAID | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| BDCP | Dental-Crown-PPO | EGP | 84,250.00 | 70,784.00 | 24 | 32 | 0.00 | 0.00 | 0.00 | 17,540.00 | 53,244.00 | ||||||||||
| BDEP | Dental-Extraction-PPO | EGP | 16,000.00 | 13,240.00 | 15 | 18 | 0.00 | 0.00 | 0.00 | 600.00 | 12,640.00 | ||||||||||
| BDFP | Dental-Filling-PPO | EGP | 176,326.00 | 147,312.80 | 99 | 163 | 0.00 | 0.00 | 0.00 | 17,830.00 | 129,482.80 | ||||||||||
| BDGP | Dental-Gum Treatment-Periodenti-PPO | EGP | 55,850.00 | 49,830.00 | 42 | 87 | 0.00 | 0.00 | 0.00 | 8,008.00 | 41,822.00 | ||||||||||
| BDMP | Dental-Medicine-PPO | EGP | 1,237.26 | 1,237.26 | 8 | 9 | 0.00 | 0.00 | 247.45 | 0.00 | 989.81 | ||||||||||
| BDNP | Dental-Endodontic-PPO | EGP | 105,570.00 | 92,096.00 | 48 | 72 | 0.00 | 0.00 | 0.00 | 16,614.00 | 75,482.00 | ||||||||||
| BDOP | Dental-Other Service-PPO | EGP | 3,020.00 | 3,020.00 | 2 | 0 | 0.00 | 0.00 | 0.00 | 3,020.00 | 0.00 | ||||||||||
| BDRP | Dental-Orthodontic-PPO | EGP | 224,475.00 | 189,180.00 | 17 | 19 | 0.00 | 0.00 | 0.00 | 17,600.00 | 171,580.00 | ||||||||||
| BDVP | Dental-Visit-Examination-PPO | EGP | 13,600.00 | 11,780.00 | 69 | 70 | 0.00 | 0.00 | 0.00 | 500.00 | 11,280.00 | ||||||||||
| BDXP | Dental-X-Ray-Panaramic-PPO | EGP | 12,070.00 | 10,206.00 | 42 | 76 | 0.00 | 0.00 | 0.00 | 200.00 | 10,006.00 | ||||||||||
| 5.Dental | TOTALS : | EGP | 692,398.26 | 588,686.06 | 366 | 546 | 0.00 | 0.00 | 247.45 | 81,912.00 | 506,526.61 | ||||||||||
| Policy : | 4031204002 | TOTALS : | EGP | 5,066,889.51 | 4,331,152.51 | 3,037 | 12,555 | 0.00 | 0.00 | 389,904.97 | 184,433.98 | 3,756,813.56 | |||||||||
| Policy : | 4031204003 | Desc: | AMERICAN EMBASSY USAID | Incurred date between 01/11/2024 and 31/10/2025 | |||||||||||||||||
| Benefit Type | Code | Benefit Description | Cur. | Claimed | Approved | Claim Cnt | Units | Deductible | Co-Payment | Co-Ins | Denied | Paid | |||||||||
| 1.Outpatient | |||||||||||||||||||||
| BOIN | Outpatient - Investigations | EGP | 88,746.00 | 52,426.30 | 19 | 129 | 0.00 | 0.00 | 190.00 | 3,473.30 | 48,763.00 | ||||||||||
| BOPT | Physiotherapy | EGP | 5,701.00 | 5,701.00 | 2 | 14 | 0.00 | 0.00 | 1,140.20 | 0.00 | 4,560.80 | ||||||||||
| BORX | Outpatient - Medicine | EGP | 48,744.95 | 48,724.70 | 19 | 57 | 0.00 | 0.00 | 9,744.92 | 0.00 | 38,979.78 | ||||||||||
| BOSP | Outpatient - Surgeries/Procedures | EGP | 25,970.00 | 18,715.00 | 4 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 18,715.00 | ||||||||||
| BOST | Outpatient - Services/Treatments | EGP | 268,741.34 | 267,935.34 | 63 | 123 | 0.00 | 0.00 | 1,574.29 | 37,388.06 | 228,972.99 | ||||||||||
| BOVI | Outpatient - Initial Dr Visit | EGP | 7,792.63 | 7,792.63 | 20 | 20 | 0.00 | 0.00 | 800.00 | 0.00 | 6,992.63 | ||||||||||
| 1.Outpatient | TOTALS : | EGP | 445,695.92 | 401,294.97 | 127 | 347 | 0.00 | 0.00 | 13,449.41 | 40,861.36 | 346,984.20 | ||||||||||
| 2.Inpatient | |||||||||||||||||||||
| BIAN | Inpatient - Anesthetist | EGP | 14,060.00 | 13,610.00 | 2 | 3 | 0.00 | 0.00 | 0.00 | 0.00 | 13,610.00 | ||||||||||
| BICU | Inpatient - Intensive Care Unit | EGP | 60,000.00 | 36,000.00 | 2 | 6 | 0.00 | 0.00 | 0.00 | 0.00 | 36,000.00 | ||||||||||
| BIIN | Inpatient - Investigations | EGP | 149,465.00 | 89,679.00 | 3 | 8 | 0.00 | 0.00 | 0.00 | 0.00 | 89,679.00 | ||||||||||
| BIRB | Inpatient - Room & Board | EGP | 15,700.00 | 6,012.72 | 4 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 6,012.72 | ||||||||||
| BIRX | Inpatient - Medicine | EGP | 11,123.52 | 11,123.52 | 4 | 4 | 0.00 | 0.00 | 0.00 | 0.00 | 11,123.52 | ||||||||||
| BISP | Inpatient - Surgeries/Procedures | EGP | 95,560.00 | 93,760.00 | 3 | 6 | 0.00 | 0.00 | 0.00 | 0.00 | 93,760.00 | ||||||||||
| BIST | Inpatient - Services/Treatments | EGP | 212,478.85 | 170,489.35 | 5 | 17 | 0.00 | 0.00 | 0.00 | 0.00 | 170,489.35 | ||||||||||
| BIVI | Inpatient - Initial Dr Visit | EGP | 42,000.00 | 32,341.21 | 5 | 25 | 0.00 | 0.00 | 0.00 | 0.00 | 32,341.21 | ||||||||||
| 2.Inpatient | TOTALS : | EGP | 600,387.37 | 453,015.80 | 28 | 73 | 0.00 | 0.00 | 0.00 | 0.00 | 453,015.80 | ||||||||||
| 3.Other Services | |||||||||||||||||||||
| BNNC | Not Covered Benefits | EGP | 34.00 | 34.00 | 1 | 0 | 0.00 | 0.00 | 0.00 | 34.00 | 0.00 | ||||||||||
| 3.Other Services | TOTALS : | EGP | 34.00 | 34.00 | 1 | 0 | 0.00 | 0.00 | 0.00 | 34.00 | 0.00 | ||||||||||
| Policy : | 4031204003 | TOTALS : | EGP | 1,046,117.29 | 854,344.77 | 156 | 420 | 0.00 | 0.00 | 13,449.41 | 40,895.36 | 800,000.00 | |||||||||
| Page: | 16 | / | 16 | Date: | 25/05/2026 | Userid: | MABDULLAH |
File details come from the government source that posted it. Updated .