I3 Online Employer Reporting Tool - High Claimants

I3 Online Employer Reporting Tool - High Claimants

View Transcript

Topic: Details on high claimants

I3 includes details on high claimants with trends and comparisons to benchmark groups. Today, we will be working directly from the Dashboard, but all of the information we cover is also accessible on the Splash Page.

The high-cost claims report summarizes group members claims that are over $100,000.

Click the “details” button in the upper right corner of the graph for additional supporting data.

This report shows details on the group’s high claims. The default threshold is $100,000 per member. Self-Funded groups can change the threshold to $25,000, $50,000 or $75,000.

Other details include high claimants as a percent of total claims paid, the number of members with high claims and the percentage of high claimants total members … for the current and prior periods.

This report also provides member type ... breaking down the cost by medical and pharmacy for the current period.

We hope you found this video helpful. If you should have additional questions about the I3 tool, please refer to the User Guide or contact your Optima Health Representative.