Claims Management Indicators

The core indicators used for creating Primary operational indicators - Claims Report are:

Code

Primary indicators

Dimension

Description

Code

Primary indicators

Dimension

Description

P10

Number of claims

Time, Health facility, Insurance product

The number of claims for given insurance product that emerged during a respective period (Start date of a claim is within the respective period)

P11

Amount remunerated

Time, Health facility, Insurance product

Amount remunerated for claims for given insurance product that emerged during a respective period (Start date of a claim is within the respective period)

P12

Number of rejected claims

Time, Health facility, Insurance product

The number of claims for given insurance product that emerged during a respective period and were rejected (Start date of a claim is within the respective period and the Status approval of the claim is Rejected)