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HCDB Exhibit Three

Dalam dokumen HCDB Standard Report 2020 2 (Halaman 52-60)

Claimants by Medical and Rehabilitation Expense Class Percentage of Claimants by Medical and Rehabilitation Expense Class Based on claim transactions between the Accident Date and December 31, 2020

97.4%

42.5% 41.5%

17.6% 20.1%

16.0%

Accidents between January 1 - December 31, 2013

23.6%

60.0% Treatment Types

Total Number of Claimants 60,039

97.7%

42.5% 41.1%

18.7% 20.0%

16.4%

Accidents between January 1 - December 31, 2014

22.4%

80.0% Treatment Types

Total Number of Claimants 60,842

97.9%

42.6% 40.6%

21.1% 20.0%

16.8%

Accidents between January 1 - December 31, 2015

Total Number of Claimants 66,380 21.7% 18.0%

58.2%

0.0%

20.0%

40.0%

60.0%

80.0% Treatment Type

98.1%

41.3% 41.2%

22.0%

Accidents between January 1 - December 31, 2016

Total Number of Claimants 70,537 21.8%

80.0% Treatment Types

Percentage of Claimants by Medical and Rehabilitation Expense Class Based on claim transactions between the Accident Date and December 31, 2020

98.3%

37.6% 38.5%

20.6%

Accidents between January 1 - December 31, 2017

Total Number of Claimants 72,306 23.2%

80.0% Treatment Types

98.7%

32.7% 37.3%

20.0%

Accidents between January 1 - December 31, 2018

Total Number of Claimants 71,699 23.8%

80.0% Treatment Types

98.9%

Accidents between January 1 - December 31, 2019

Total Number of Claimants 71,120 27.8%

60.0% Treatment Types

98.4%

Accidents between January 1 - December 31, 2020

Total Number of Claimants 28,919 41.9%

50.0% Treatment Types

Average Amount Paid per Claimant by Medical and Rehabilitation Expense Class Based on claim transactions between the Accident Date and December 31, 2020

5821 6400

1520

1,229 1380 3233

955

Accidents between January 1 - December 31, 2013

Treatment Subtotal 1493

14059

$16,000 Treatment Type

6164 6290

1438 1,279 1306 3139

893

Accidents between January 1 - December 31, 2014

Treatment Subtotal

1458

$18,000 Treatment Type

6337 6315

1335 1,285 1282 2701

Accidents between January 1 - December 31, 2015

Treatment Subtotal

1424

$12,000 Treatment Type

6137 6054

1267 1,287 1278 746

Accidents between January 1 - December 31, 2016

Treatment Subtotal 1417

13705

$16,000 Treatment Type

Average Amount Paid per Claimant by Medical and Rehabilitation Expense Class Based on claim transactions between the Accident Date and December 31, 2020

5454 5473

1177 1,151 1201

619

Accidents between January 1 - December 31, 2017

Treatment Subtotal

1391

$14,000 Treatment Type

4931 4815

1017 1,117 1143

341 390 1,881

Accidents between January 1 - December 31, 2018

Treatment Subtotal

1356

$12,000 Treatment Type

3826 3845

786 937 1013

476 297 1,374

Accidents between January 1 - December 31, 2019

Treatment Subtotal

1343

$12,000 Treatment Type

2205 2912

576 815 842

424 211

878

Accidents between January 1 - December 31, 2020

Treatm ent Subtota

1234 3080 2853

$12,000 Treatment Type

By Medical and Rehabilitation Expense Class and Accident Date Based on claim transactions between the Accident Date and December 31, 2020

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

58,475 97.4% 340,411,448 54.9% 5,821

14,166 23.6% 21,150,057 3.4% 1,493

10,841 18.1% 152,411,913 24.6% 14,059

33,468 55.7% 166,849,478 26.9% 4,985

25,491 42.5% 163,139,424 26.3% 6,400

24,927 41.5% 37,892,849 6.1% 1,520

10,567 17.6% 12,982,906 2.1% 1,229

12,038 20.1% 16,606,561 2.7% 1,380

9,617 16.0% 31,087,808 5.0% 3,233

3,732 6.2% 3,562,404 0.6% 955

14,146,008 2.3%

60,039 100.0% 619,829,407 100.0% 10,324

Treatment - MIG only Treatment - non MIG only

Others Unallocated Amount Total - All Expense Classes

Transportation

All Claimants Accident dates January 1 - December 31, 2013 Med / Rehab Expense Class

Treatment - Subtotal

Treatment - MIG and non MIG Insurer initiated exam Provider initiated exam Goods and supplies Missed/Canceled appointment

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

59,460 97.7% 366,530,168 56.9% 6,164

13,641 22.4% 19,893,833 3.1% 1,458

10,775 17.7% 164,192,665 25.5% 15,238

35,044 57.6% 182,443,670 28.3% 5,206

25,832 42.5% 162,475,391 25.2% 6,290

25,014 41.1% 35,963,836 5.6% 1,438

11,403 18.7% 14,587,926 2.3% 1,279

12,156 20.0% 15,878,304 2.5% 1,306

9,950 16.4% 31,234,033 4.8% 3,139

3,828 6.3% 3,418,228 0.5% 893

14,583,991 2.3%

60,842 100.0% 644,671,876 100.0% 10,596

Accident dates January 1 - December 31, 2014 Med / Rehab Expense Class

Treatment - non MIG only Treatment - MIG and non MIG

Insurer initiated exam Provider initiated exam Treatment - Subtotal

All Claimants

Treatment - MIG only

Unallocated Amount Total - All Expense Classes

Transportation Others Goods and supplies Missed/Canceled appointment

By Medical and Rehabilitation Expense Class and Accident Date Based on claim transactions between the Accident Date and December 31, 2020

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

65,015 97.9% 412,031,359 58.1% 6,337

14,418 21.7% 20,530,456 2.9% 1,424

11,936 18.0% 172,022,727 24.3% 14,412

38,661 58.2% 219,478,177 31.0% 5,677

28,269 42.6% 178,517,376 25.2% 6,315

26,947 40.6% 35,969,050 5.1% 1,335

13,981 21.1% 17,968,072 2.5% 1,285

13,259 20.0% 16,994,564 2.4% 1,282

11,133 16.8% 30,070,976 4.2% 2,701

4,158 6.3% 3,876,289 0.5% 932

13,431,479 1.9%

66,380 100.0% 708,859,164 100.0% 10,679

Goods and supplies

Transportation Others Unallocated Amount Total - All Expense Classes

All Claimants Accident dates January 1 - December 31, 2015 Med / Rehab Expense Class

Treatment - Subtotal Treatment - MIG only Treatment - non MIG only Treatment - MIG and non MIG

Insurer initiated exam Provider initiated exam Missed/Canceled appointment

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

69,176 98.1% 424,544,692 59.2% 6,137

15,398 21.8% 21,811,729 3.0% 1,417

12,566 17.8% 172,214,352 24.0% 13,705

41,212 58.4% 230,518,611 32.1% 5,593

29,137 41.3% 176,384,030 24.6% 6,054

29,030 41.2% 36,784,041 5.1% 1,267

15,530 22.0% 19,984,408 2.8% 1,287

13,482 19.1% 17,227,385 2.4% 1,278

203 0.3% 151,521 0.0% 746

4,304 6.1% 2,104,790 0.3% 489

8,633 12.2% 25,162,281 3.5% 2,915

4,261 6.0% 3,922,516 0.5% 921

11,216,061 1.6%

70,537 100.0% 717,481,725 100.0% 10,172

Transportation - IE Transportation - Treatment

Total - All Expense Classes Goods and supplies Missed/Canceled Appointments -IE Missed/Canceled Appointments - Treatment

Others Provider initiated exam

Accident dates January 1 - December 31, 2016

Med / Rehab Expense Class

Treatment - Subtotal Treatment - MIG only

All Claimants

Treatment - non MIG only Treatment - MIG and non MIG

Insurer initiated exam

Unallocated Amount

By Medical and Rehabilitation Expense Class and Accident Date Based on claim transactions between the Accident Date and December 31, 2020

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

71,066 98.3% 387,562,193 61.5% 5,454

16,741 23.2% 23,286,890 3.7% 1,391

11,151 15.4% 133,421,660 21.2% 11,965

43,174 59.7% 230,853,643 36.6% 5,347

27,220 37.6% 148,966,489 23.6% 5,473

27,820 38.5% 32,737,623 5.2% 1,177

14,864 20.6% 17,110,188 2.7% 1,151

12,380 17.1% 14,866,728 2.4% 1,201

169 0.2% 104,552 0.0% 619

3,854 5.3% 1,716,740 0.3% 445

7,969 11.0% 18,426,919 2.9% 2,312

3,917 5.4% 3,597,428 0.6% 918

5,053,914 0.8%

72,306 100.0% 630,142,774 100.0% 8,715

Transportation - IE Transportation - Treatment

Total - All Expense Classes Others Unallocated Amount

Goods and supplies Missed/Canceled Appointments -IE Missed/Canceled Appointments - Treatment

All Claimants Accident dates January 1 - December 31, 2017 Med / Rehab Expense Class

Treatment - Subtotal Treatment - MIG only Treatment - non MIG only Treatment - MIG and non MIG

Insurer initiated exam Provider initiated exam

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

70,764 98.7% 348,945,095 65.3% 4,931

17,079 23.8% 23,151,046 4.3% 1,356

10,629 14.8% 111,874,324 20.9% 10,525

43,056 60.1% 213,919,725 40.0% 4,968

23,466 32.7% 112,994,431 21.1% 4,815

26,766 37.3% 27,213,162 5.1% 1,017

14,355 20.0% 16,035,969 3.0% 1,117

10,677 14.9% 12,200,173 2.3% 1,143

124 0.2% 42,330 0.0% 341

2,852 4.0% 1,112,730 0.2% 390

7,307 10.2% 13,744,817 2.6% 1,881

3,585 5.0% 2,996,595 0.6% 836

-636,522 -0.1%

71,699 100.0% 534,648,782 100.0% 7,457

Total - All Expense Classes Transportation - IE Transportation - Treatment

All Claimants Accident dates January 1 - December 31, 2018

Med / Rehab Expense Class

Unallocated Amount Missed/Canceled Appointments -IE Missed/Canceled Appointments - Treatment

Others Treatment - Subtotal

Treatment - MIG only Treatment - non MIG only Treatment - MIG and non MIG

Insurer initiated exam Provider initiated exam Goods and supplies

By Medical and Rehabilitation Expense Class and Accident Date Based on claim transactions between the Accident Date and December 31, 2020

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

70,311 98.9% 268,993,592 71.2% 3,826

19,774 27.8% 26,563,905 7.0% 1,343

10,131 14.2% 77,056,411 20.4% 7,606

40,406 56.8% 165,373,277 43.8% 4,093

17,193 24.2% 66,101,114 17.5% 3,845

23,836 33.5% 18,724,876 5.0% 786

12,492 17.6% 11,700,319 3.1% 937

8,140 11.4% 8,245,755 2.2% 1,013

82 0.1% 39,006 0.0% 476

1,947 2.7% 578,667 0.2% 297

5,470 7.7% 7,516,261 2.0% 1,374

2,956 4.2% 2,131,589 0.6% 721

-6,139,879 -1.6%

71,120 100.0% 377,891,299 100.0% 5,313

Missed/Canceled Appointments - Treatment Transportation - Treatment

Unallocated Amount Others Goods and supplies Missed/Canceled Appointments -IE

Transportation - IE Treatment - Subtotal

Treatment - MIG only Treatment - non MIG only

All Claimants Accident dates January 1 - December 31, 2019

Total - All Expense Classes Med / Rehab Expense Class

Treatment - MIG and non MIG Insurer initiated exam Provider initiated exam

Number of Claimants

Percent of Total Claimants

Insurer Paid

Percent of Total Insurer

Paid

Average Insurer Paid per Claimant

28,442 98.4% 62,727,558 81.0% 2,205

12,106 41.9% 14,936,465 19.3% 1,234

5,234 18.1% 16,119,106 20.8% 3,080

11,102 38.4% 31,671,987 40.9% 2,853

2,509 8.7% 7,306,279 9.4% 2,912

7,221 25.0% 4,158,098 5.4% 576

3,799 13.1% 3,096,588 4.0% 815

1,364 4.7% 1,148,272 1.5% 842

14 0.0% 5,933 0.0% 424

275 1.0% 58,055 0.1% 211

1,642 5.7% 1,442,175 1.9% 878

687 2.4% 249,461 0.3% 363

-2,733,060 -3.5%

28,919 100.0% 77,459,361 100.0% 2,678

Total - All Expense Classes Med / Rehab Expense Class

Accident dates January 1 - December 31, 2020 All Claimants

Missed/Canceled Appointments - Treatment Transportation - IE

Insurer initiated exam Provider initiated exam Goods and supplies Treatment - MIG only Treatment - non MIG only Treatment - MIG and non MIG

Treatment - Subtotal

Missed/Canceled Appointments -IE

Transportation - Treatment Others Unallocated Amount

Dalam dokumen HCDB Standard Report 2020 2 (Halaman 52-60)

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