Claims Management Indicators
The core indicators used for creating Primary operational indicators - Claims Report are:
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) |
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