Common use of Management Information Reports Clause in Contracts

Management Information Reports. Contractor shall: 1. Prepare and submit to the County not later than the 20th day of each month a Medical Paid Claims analysis by the enrollment categories including, but not limited to: a. Employees and Dependents by Plan b. Retirees and Dependents by Plan c. Retirees with no Medicare, Spouse with Medicare by Plan d. Retirees with Medicare, Spouse with Medicare by Plan e. Retirees with Medicare, Spouse with no Medicare by Plan f. Total Retirees and Dependents all Plans g. Total Employees and Dependents, all Plans h. Total all categories, all Plans combined County will provide designation of enrollment in the reporting groups for the Claims reporting. Account structure may be modified during the 2020 implementation process or during the term of this Contract, as needed. 2. Prepare and submit a variety of Management Reports to be agreed upon by the Contractor and the County, which may include, but are not limited to the types of reports listed below and may include breakdown between active and retiree: a. Executive Summary b. Monthly Claims Lag Analysis by Plan c. Monthly Pended Claims by Plan d. Standardized Large Claim Report, Claims Exceeding $100,000 e. PPO Savings Report

Management Information Reports. Contractor shall: 1. Prepare and submit to the County not later than the 20th day of each month a Medical Paid Claims analysis by the enrollment categories including, but not limited to: a. Employees and Dependents by Plan b. Retirees and Dependents by Plan c. Retirees with no Medicare, Spouse with Medicare by Plan d. Retirees with Medicare, Spouse with Medicare by Plan e. Retirees with Medicare, Spouse with no Medicare by Plan f. Total Retirees and Dependents all Plans g. Total Employees and Dependents, all Plans h. Total all categories, all Plans combined County will provide designation of enrollment in the reporting groups for the Claims reporting. Account structure may be modified during the 2020 2014 implementation process or during the term of this Contract, as needed. 2. Prepare and submit a variety of Management Reports to be agreed upon by the Contractor and the County, which may include, but are not limited to the types of reports listed below and may include breakdown between active and retiree: a. Executive Summary b. Monthly Claims Lag Analysis by Plan Plan c. Monthly Pended Claims by Plan d. Standardized Large Claim Report, Claims Exceeding $100,000 e. PPO Savings Report

Management Information Reports. Contractor shall: 1. Prepare and submit to the County not later than the 20th day of each month a Medical Paid Claims analysis by the enrollment categories including, but not limited to: a. Employees and Dependents by Plan b. Retirees and Dependents by Plan c. Retirees with no Medicare, Spouse with Medicare by Plan d. Retirees with Medicare, Spouse with Medicare by Plan e. Retirees with Medicare, Spouse with no Medicare by Plan f. Total Retirees and Dependents all Plans g. Total Employees and Dependents, all Plans h. Total all categories, all Plans combined County will provide designation of enrollment in the reporting groups for the Claims reporting. Account structure may be modified during the 2020 2014 implementation process or during the term of this Contract, as needed. 2. Prepare and submit a variety of Management Reports to be agreed upon by the Contractor and the County, which may include, but are not limited to the types of reports listed below and may include breakdown between active and retiree: a. Executive Summary b. Monthly Claims Lag Analysis by Plan c. Monthly Pended Claims by Plan d. Standardized Large Claim Report, Claims Exceeding $100,000 e. PPO Savings Report