a Med-Advantage App

CLIENT CVO COUNTS

Active Fax Online

310 144 28


TOTAL ACTIVE PROVIDERS

Hospital7510

Health Plan325138

Clinic8282

PES2261

CLIENT PES COUNTS

Active Clients Active Setup Hold

86 2050 87 124


Queues Totals
Onboarding (142) PES Active (720) Maintenance (380)
Active 43 Admin Review3 Admin Review10
Hold 57 Commercial Follow Up552 CAQH106
Setup 42 Commercial New0 Commercial Follow-up174
Contact Provider6 Contact Provider9
Government138 Government70
Hospital20 Hospital8
Hospital: No Actions0 Hospital: No Actions3

PRODUCTION STATUS

TOTAL FILES In Process 3011

File Room Total Files Received Last Week

Data Entry Total Files Entered Last Week (PHMA / Regulars) 0 / 665

Scanning Number of Scanned (Apps/Docs) 929 / 6311

Verifications Total Outstanding / Completed 1815 / 2502

Miscellaneous Total Outstanding / Completed 1014 / 867

Comp / QA Total Outstanding 51 / 817

Comp / QA Total Approved (External / Internal) 115 / 535

Goal: 45 Business Days Average Processing Days (PHMA / Regulars) / 18

CORPORATE REVIEW

Total Initial 1392

Total Recredential 1619

Total Rush 158

Average Rush Processing Time - 90 days 12

Average Processing Time - 90 days 31

Over 60 Days 276

Avg. Processing Time (Hospital) 47

Avg. Processing Time (Health Plan) 24

Avg. Processing Time (Clinic) 59

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