CMS Workload Report

CROWD (3.2.2)
BLIST

MEDICARE PROGRAM CARRIER PERFORMANCE WORKLOAD REPORT
FISCAL YEAR: OCTOBER, 2010 THRU SEPTEMBER, 2011

CARRIER
RRB-SO CAR PGBA(RRB)
REPORTING

000882

TOTAL

ASSIGNED

UNASSIGNED

1,125,609
366,464
1,492,073

1,120,289
359,571
1,479,860

5,320
6,893
12,213

9,100,860
0
9,100,860
8,359,205

9,059,998
0
9,059,998
8,334,819

40,862
0
40,862
24,386

8,635,149
7,773,123
311,043
550,983
840,778
0
840,778
9,475,927
20,804

8,592,539
7,738,349
307,359
546,831
835,553
0
835,553
9,428,092

42,610
34,774
3,684
4,152
5,225
0
5,225
47,835

1,117,006

1,111,766

5,240

1,014,285
54,628
17,934
1,263
28,896

1,010,232
54,162
17,760
1,240
28,372

4,053
466
174
23
524

17,704

17,326

378

997,207
975,159
5
22,043

105,868
96,687
5
9,176

891,339
878,472
0
12,867

A: MONTHLY WORKLOAD OPERATIONS
OPENING PENDING
1. CLAIMS PENDING END OF LAST MONTH
2. ADJUSTMENTS
3. ADJUSTED OPENING PENDING
RECEIPTS
4. TOTAL CLAIMS RECEIVED DURING MONTH
5. TRANSFERRED TO OTHER CARRIER
6. NET NUMBER OF CLAIMS RECEIVED
7. ELECTRONIC MEDIA CLAIMS RECEIVED
CLAIMS PROCESSED
8. TOTAL CWF CLAIMS
9. CLAIMS PAID
10. CLAIMS APPLIED TO DEDUCTIBLE
11. CLAIMS DENIED
12. TOTAL NON-CWF CLAIMS
13. CLAIMS APPROVED
14. CLAIMS DENIED
15. TOTAL CLAIMS PROCESSED
16. REPLICATE CLAIMS PROCESSED
CLOSING PENDING
17. CLAIMS PENDING AT END OF MONTH
DISTRIBUTION BY DAYS ELAPSED SINCE RECEIPT
18.
1 - 15 DAYS
19.
16 - 30 DAYS
20.
31 - 60 DAYS
21.
61 - 90 DAYS
22.
OVER 90 DAYS
CLAIM INVESTIGATIONS
23. NUMBER CLAIMS INVESTIGATED DURING MONTH
B: INQUIRIES
24. TOTAL PROCESSED DURING MONTH
25.
TELEPHONE
26.
WALK-IN CONTACT
27.
WRITI'EN
C: MISCELLANEOUS CLAIMS DATA
MEDICAID CROSSOVER CLAIMS
28. NUMBER TRANSFERRED TO ST. AGENCIES
29. NUMBER TRANSFERRED ELECTRONICALLY
OPTICAL CHARACTER RECOGNITION CLAIMS
30. TOTAL CLAIMS
31. TOTAL MSNS MAILED

PAGE:
WORKING DAYS 252.00

NUMBER

ITEM

11:08 MAY 11 2012

0
0
1,045,578
74,646

1