a Med-Advantage App

CLIENT CVO COUNTS

Active Fax Online

309 144 28


TOTAL ACTIVE PROVIDERS

Hospital7437

Health Plan325454

Clinic8289

PES2449

CLIENT PES COUNTS

Active Clients Active Setup Hold

87 2220 85 144


Queues Totals
Onboarding (248) PES Active (870) Maintenance (608)
Active 48 Admin Review3 Admin Review10
Hold 125 Commercial Follow Up776 CAQH381
Setup 75 Commercial New0 Commercial Follow-up203
Contact Provider3 Contact Provider1
Government61 Government1
Hospital26 Hospital10
Hospital: No Actions0 Hospital: No Actions2

PRODUCTION STATUS

TOTAL FILES In Process 3556

File Room Total Files Received Last Week

Data Entry Total Files Entered Last Week (PHMA / Regulars) 0 / 897

Scanning Number of Scanned (Apps/Docs) 705 / 5437

Verifications Total Outstanding / Completed 2624 / 3107

Miscellaneous Total Outstanding / Completed 1141 / 1196

Comp / QA Total Outstanding 153 / 544

Comp / QA Total Approved (External / Internal) 33 / 507

Goal: 45 Business Days Average Processing Days (PHMA / Regulars) / 25

CORPORATE REVIEW

Total Initial 1867

Total Recredential 1678

Total Rush 132

Average Rush Processing Time - 90 days 15

Average Processing Time - 90 days 31

Over 60 Days 264

Avg. Processing Time (Hospital) 49

Avg. Processing Time (Health Plan) 26

Avg. Processing Time (Clinic) 64

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