Spreadsheets Combined

Current Network Net Patient Revenue (NPR) Estimated Value of Tax Exemption Estimated Tax Value as
a % of NPR System
Banner Health $ 587,776,161 $ 17,042,320 2.9% Median 2.9%
Centura Health Adventist $ 1,185,731,709 $ 36,643,423 3.1% Average 2.9%
Centura Health CHI $ 2,133,160,877 $ 96,315,871 4.5%
Childrens $ 1,239,589,034 $ 14,827,523 1.2%
SCL Health $ 1,777,957,925 $ 41,632,005 2.3%
UCHealth $ 4,595,594,495 $ 206,110,740 4.5%
Independent + San Luis Valley $ 2,687,312,519 $ 70,048,322 2.6%
Total $ 14,207,122,721 $ 482,620,203 3.4% Statewide 3.4%
Hospital DOI Region Current Network Hospital type Net Patient Revenue (NPR) Estimated Value of Tax Exemption Estimated Tax Value as
a % of NPR Hospital
University of Colorado Hospital Denver UCHealth General $ 2,075,781,958 $ 105,014,922 5.1% Median 3.5%
Delta Health West General $ 80,181,502 $ 307,005 0.4% Average 3.5%
Denver Health Medical Center Denver General $ 888,319,576 $ 30,615,166 3.4%
Memorial Hospital Central Colorado Springs UCHealth General $ 895,246,669 $ 17,988,481 2.0%
Montrose Memorial Hospital West General $ 116,354,406 $ 4,458,703 3.8%
North Colorado Medical Center Greeley Banner Health General $ 320,827,241 $ 4,964,321 1.5%
Poudre Valley Hospital Ft. Collins UCHealth General $ 632,944,898 $ 45,416,306 7.2%
Avista Adventist Hospital Boulder Centura Health Adventist
General $ 157,354,318 $ 6,238,204 4.0%
Boulder Community Health Boulder General $ 319,618,404 $ 13,002,413 4.1%
Castle Rock Adventist Hospital Denver Centura Health Adventist
General $ 121,483,707 $ 5,186,458 4.3%
Children's Hospital Colorado Denver Childrens Children $ 1,067,756,525 $ 11,290,195 1.1%
St. Joseph Hospital Denver SCL Health General $ 559,150,397 $ 11,511,402 2.1%
Community Hospital Grand Junction General $ 204,760,930 $ 8,431,497 4.1%
Good Samaritan Medical Center Boulder SCL Health General $ 308,121,882 $ 10,845,526 3.5%
Lutheran Medical Center Denver SCL Health General $ 355,945,107 $ 1,304,641 0.4%
Littleton Adventist Hospital Denver Centura Health Adventist
General $ 302,967,013 $ 6,267,417 2.1%
Longmont United Hospital Boulder Centura Health CHI
General $ 141,732,655 $ 3,363,707 2.4%
McKee Medical Center Ft. Collins Banner Health General $ 132,581,309 $ 5,088,514 3.8%
Medical Center of the Rockies Ft. Collins UCHealth General $ 499,093,092 $ 22,435,359 4.5%
Mercy Regional Medical Center West Centura Health CHI
General $ 245,358,934 $ 12,410,190 5.1%
National Jewish Health Denver General $ 102,840,743 $ 6,100,029 5.9%
Parker Adventist Hospital Denver Centura Health Adventist
General $ 332,683,006 $ 16,251,836 4.9%
Parkview Medical Center Pueblo General $ 454,371,541 $ 2,033,738 0.4%
Penrose-St. Francis Health Services Colorado Springs Centura Health CHI
General $ 783,211,517 $ 30,240,454 3.9%
Platte Valley Medical Center Denver SCL Health General $ 127,533,194 $ 3,098,788 2.4%
Porter Adventist Hospital Denver Centura Health Adventist
General $ 271,243,665 $ 2,699,507 1.0%
San Luis Valley Health Regional Medical Center
East San Luis Valley General $ 84,503,428 $ 199,167 0.2%
St. Anthony Hospital Denver Centura Health CHI
General $ 424,590,983 $ 14,764,640 3.5%
St. Anthony North Health Campus Denver Centura Health CHI
General $ 215,809,114 $ 17,644,833 8.2%
St. Anthony Summit Medical Center West Centura Health CHI
General $ 115,218,697 $ 10,773,981 9.4%
St. Mary-Corwin Medical Center Pueblo Centura Health CHI
General $ 125,688,562 $ 2,778,309 2.2%
St. Mary's Hospital & Medical Center, Inc.Grand Junction SCL Health General $ 427,207,345 $ 14,871,649 3.5%
Sterling Regional MedCenter East Banner Health General $ 59,381,627 $ 3,273,595 5.5%
Vail Health Hospital West General $ 189,697,380 $ 1,029,830 0.5%
Valley View Hospital West General $ 246,664,608 $ 3,870,774 1.6%
Yampa Valley Medical Center West UCHealth General $ 103,744,719 $ 4,030,891 3.9%
Banner Fort Collins Medical Center Ft. Collins Banner Health General $ 39,783,557 $ 2,531,792 6.4%
Broomfield Hospital Denver UCHealth General $ 37,914,600 $ 1,052,892 2.8%
Longs Peak Hospital Boulder UCHealth General $ 116,783,181 $ 2,663,849 2.3%
Grandview Hospital Colorado Springs UCHealth General $ 36,708,644 $ 385,158 1.0%
UCHealth Greeley Greeley UCHealth General $ 94,729,604 $ 2,484,952 2.6%
UCHealth Highlands Ranch Denver UCHealth General $ 102,647,132 $ 4,637,928 4.5%
Children's Hospital Colorado Springs Colorado Springs Childrens Children $ 171,832,509 $ 3,537,328 2.1%
East Morgan County Hospital East Banner Health CAH $ 35,202,426 $ 1,184,097 3.4%
Centura St. Thomas More Hospital East Centura Health CHI
CAH $ 81,550,415 $ 4,339,758 5.3%
Total $ 14,207,122,721 $ 482,620,203 3.4%
Data Discovery Log
Discussion Notes
Notes:
The Data Discovery Log documents data quality items identified following file submissions and processing, enhancement and
loading of data into the CO APCD. The log is divided into two lists – the first is a list of active items (Issues tab) and the second
is a list of resolved items (Resolved tab).
The purpose of the Data Discovery Log is to give CO APCD users information about known data quality problems or
observations, their impact and resolution status. The Log is also posted on the CIVHC website for review by other stakeholders.
The Issues Tab

A detailed description and impact analysis is documented for each issue appearing on the log. Other information captured for
each item include line of business, type of issue (Issue Category), file type affected, severity level, resolution status, and
anticipated resolution date. The severity of each active issue helps prioritize data remediation and is designated as high,
medium or low. High severity issues are defined as those that involve a large payer or large number of payers or affect a high
percentage of claims/members. Low severity issues primarily include discoveries that have a small impact on CO APCD data.
The Resolved Tab

All historic items where Resolution Status equals 'Issue Fixed' have been placed on the Resolved tab. However, if the
resolution occurred during the most recent Data Warehouse release, the items remain on the active Issues tab for reference
and review.
Note: not all columns on the Resolved tab are populated. If an item was resolved prior to the September 2019 Data Discovery
Log enhancements, they would not have contained these specific fields. It was determined to not perform the additional
analysis on the previously resolved items to support the enhanced Data Discovery Log structure.
Summary of September 2019 enhancements:

Added ‘Reference Number’
Added ‘Date Entered on Log’
Added 'File Types Affected'
Added ‘Severity Level’
Added ‘Resolution Status’
Added ‘Comments/Status Detail’
Removed and archived Closed/Resolved items
Ensured DDL is sortable and filterable
Created an ‘Issue Category’ picklist
Resolution Status: IssueCategory FileType
Issue Fixed Claim Amounts Eligibility
Issue to be fixed Claim Versioning Medical Claims
Research in progress Continuous Eligibility Pharmacy Claims
Workaround identified (no fix
Coverage Flag
anticipated) Dental Claims
Data observation (no fix Behavioral Health
anticipated) Data Discrepancy Claims
Minimal Impact (no fix
scheduled) Duplicate Data Other
Dx/ICD/Proc Codes
Resolved/Fix Implemented Groupers
Yes Insurance/IPT
Line of Business
No Assignment
N/A Member Composite ID
Member Match Rate
Severity Level Missing Data
High Null Values
Medium Par/NonPar
Low PMPM Calculations
Prescription Drug
Coverage Flag
Reversals
Self-Funded
Units
CO APCD Data Discovery Log
November 2022
Pharmacy
Eligibility
Medical
Dental
Reference Date Entered on Payer Line of Dates Severity Comments/ Anticipated Resolved/Fix
Issue Category Issue Description and Impact Resolution Status Identified By
BH
Number Log Business Affected Level Status Detail Resolution Date Implemented
CIVHC worked
Low medical claims-member match rate due to
with this submitter
November 2018 DW Member Match transition from Medicare HICN to MBI identifier. December 2017 - September 2019
2 Commercial X X Medium Issue Fixed to connect the link Yes CIVHC/HSRI
Release Rate This payer has approximately 140,000 medical July 2018 DW Release
across time using a
members per month.
crosswalk.
Low volume of pharmacy claims. This payer has

September 2019
3 July 2019 DW Release Commercial Claim Amounts approximately 100,000 pharmacy members per X X December 2018 Low Issue Fixed Yes CIVHC/HSRI
DW Release
month.
CIVHC is working
Pharmacy PMPM increase in December 2016 for
with this submitter
January 2019 DW just one month due to dip in membership to November 2019
127 Commercial PMPM Calculations X X X December 2016 Low Issue Fixed to improve the Yes CIVHC/HSRI
Release 120,000. This payer has approximately 270,000 DW Release
December 2016
members per month.
data.
Missing January - April 2019 medical claims. This

January - April November 2019
13 July 2019 DW Release Commercial Missing Data payer has approximately 4,000 medical members X Low Issue Fixed Low volume Yes CIVHC/HSRI
2019 DW Release
per month.
Drop in pharmacy members for Insurance Product

CIVHC is working
Type codes (ME003) HM, 12, 13, SF in December November 2019
5 May 2018 DW Release Commercial Missing Data X December 2016 Low Issue Fixed with the payer to Yes Client
2016. This payer has approximately 240,000 DW Release
resubmit.
pharmacy members per month.
CIVHC will make

An estimated 2-3.5% of claims are being excluded
adjustments to
September 2019 DW because of limitations in this payer's custom November 2019
42 Commercial Claim Versioning X 2012 - 2019 Medium Issue Fixed custom versioning Yes CIVHC/HSRI
Release versioning logic. This payer has approximately DW Release
logic used for this
35,000 members per month.
submitter.
CIVHC is
Increasing NULL Member IDs in member eligibility investigating to
starting in August 2018 with approximately 4k determine if
September 2019 DW NULL Member IDs and increasing steadily to 22k in August 2018 - changes need to January 2020 DW
43 Commercial Null Values X X X Medium Issue Fixed Yes CIVHC/HSRI
Release June 2019. In June 2019, it affects approximately Present be made to Release
10% of eligibility records for this payer. This payer custom Member
has approximately 230,000 members per month. ID logic for this
submitter.
November 2022
CIVHC is working
APCD users cannot rely on the PC003 Insurance with the submitter
Product Type code values being submitted and to determine if a
September 2019 DW November 2019
44 Commercial Insurance/IPT therefore also cannot rely on the Line of Business. X 2015 - 2019 High Issue Fixed data remediation Yes CIVHC/HSRI
Release DW Release
This payer has approximately 35,000 members per is possible or if
month. resubmissions will
be necessary.
CIVHC is working
APCD users cannot rely on the PC003 Insurance with the submitter
Product Type code values being submitted and to determine if a
45 Commercial Insurance/IPT therefore also cannot rely on the Line of Business. X 2015 - 2019 High Issue Fixed data remediation Yes CIVHC/HSRI
Release DW Release
This payer has approximately 20,000 members per is possible or if
month. resubmissions will
be necessary.
This issue did not

APCD users cannot rely on the PC003 Insurance impact this payer
Product Type code values being submitted and code. This was an
46 Commercial Insurance/IPT therefore also cannot rely on the Line of Business. X 2015 - 2019 High Issue Fixed administrative Yes CIVHC/HSRI
Release DW Release
This payer has approximately 6,000 members per error adding this
month. issue to the
discovery log.
This issue did not

Release DW Release
This payer has approximately 30 members per error adding this
month. issue to the
discovery log.
This issue did not

Release DW Release
This payer has approximately 6,000 members per error adding this
month. issue to the
discovery log.
Submitter will
September 2019 DW Missing some of their non-ERISA self-funded November 2019
49 Commercial Missing Data X X X 2016 - 2019 Medium Issue Fixed provide missing Yes Submitter
Release employer data. DW Release
data.
November 2022
CIVHC is working
with the submitter
Missing reporting or proper identification of to determine if a
51 Commercial Missing Data Medicaid CHP+ member data in Insurance Product X X X X 2012 - 2019 Medium Issue Fixed data remediation Yes CIVHC/HSRI
Release DW Release
Type code fields (ME003, MC003, PC003). is possible or if
resubmissions will
be necessary.
Missing medical claims and eligibility. This payer

March 2019 DW Missing data were July 2019 DW
52 Commercial Missing Data has approximately 2,600 medical members per X X December 2018 Low Issue Fixed Yes CIVHC/HSRI
Release submitted. Release
month.
Data were
resubmitted to
include the
identification of
Missing reporting or proper identification of CHP+ members.
September 2019 DW January 2020 DW
55 Commercial Missing Data Medicaid CHP+ member data in Insurance Product X X X X 2012 - 2019 Medium Issue Fixed Additionally, other Yes CIVHC/HSRI
Release Release
Type code fields (ME003, MC003, PC003). Insurance Product
Type codes were
recoded to better
align with CIVHC
expectations.
This payer is
November 2019 DW Medical and dental coverage flags were resubmitting the January 2020 DW
59 Commercial Coverage Flag X Jun-19 Low Issue Fixed Yes CIVHC/HSRI
Release transposed. affected month of Release
data.
This payer is
November 2019 DW Continuous resubmitting the January 2020 DW
60 Commercial Unexpected drop in eligibility. X Jul-19 Low Issue Fixed Yes CIVHC/HSRI
Release Eligibility affected month of Release
data.
CIVHC worked
The Insurance Product Type fields (ME003 & with this submitter
MC003) were incorrectly coded. This payer has to identify a data
October 2015 - July 2019 DW
19 May 2019 DW Release Commercial Insurance/IPT approximately 125,000 medical members per X X Medium Issue Fixed remediation Yes CIVHC/HSRI
February 2019 Release
month. Additional information is available from solution not
CIVHC. requiring
resubmission.
October 2016,
December 2016,
Missing medical claims. This payer has
January 2019 DW April - July 2017, Missing data were July 2019 DW
21 Commercial Missing Data approximately 300,000 medical members per X Medium Issue Fixed Yes CIVHC/HSRI
Release October 2017 - submitted. Release
month.
January 2018,
March 2018
November 2022
Missing January - February 2019 pharmacy claims

January - February July 2019 DW
21 May 2019 DW Release Commercial Missing Data and February 2019 medical claims. This payer has X X Low Issue Fixed Yes CIVHC/HSRI
2019 Release
approximately 8,500 members per month.
Missing February 2019 medical claims. This payer

July 2019 DW
22 May 2019 DW Release Commercial Missing Data has approximately 2,600 medical members per X February 2019 Low Issue Fixed Yes CIVHC/HSRI
Release
month.
November 2019
23 July 2019 DW Release Commercial Missing Data has approximately 2,500 medical members per X X March - April 2019 Low Issue Fixed Low volume Yes CIVHC/HSRI
DW Release
month.
The Provider Network Indicator (MC207) field is

not populated well. In 2017, 39% of claim lines
See Reference
have an "Unknown" status. Broken down by line of
January 2019 DW Number 31 for July 2019 DW
24 All Par/NonPar business: Commercial 44%, Medicare Advantage X 2016 - 2018 Medium Issue Fixed Yes CIVHC/HSRI
Release most recent Release
57%, Medicaid 4%, Medicare does not provide this
information
field. Additional information is available from
CIVHC.
Lack of inpatient and outpatient claims in the

January - October 2015 data. This payer has January - October
N/A N/A Commercial Missing Data Fall 2017 Y CIVHC/HSRI
approximately 35,000 medical members per 2015
month.
Missing March 2017 pharmacy claims. This payer
N/A N/A Commercial Missing Data has approximately 17,000 pharmacy members per March 2017 Spring 2018 Y CIVHC/HSRI
month.
Missing pharmacy claims. This payer has
N/A N/A Commercial Missing Data approximately 20,000 pharmacy members per October 2018 Spring 2019 Y CIVHC/HSRI
month.
Missing March 2016 - March 2017 pharmacy
claims due to lack of claim version number. This March 2016 -
N/A N/A Commercial Missing Data Summer 2017 Y CIVHC/HSRI
payer has approximately 90,000 pharmacy March 2017
members per month.
Missing March 2016 - March 2017 pharmacy
claims due to lack of claim version number. This March 2016 -
payer has approximately 1,000 pharmacy March 2017
members per month.
Missing 2014 - 2017 dental claims because
N/A N/A Commercial Missing Data Member ID is NULL. This payer has approximately 2014 - 2017 Spring 2018 Y CIVHC/HSRI
140,000 dental members.
February 2017 pharmacy claim counts are inflated
Inflated Claim due to an overlap in reporting from vendors. This
N/A N/A Medicaid February 2017 Fall 2018 Y CIVHC/HSRI
Counts payer has approximately 1,400,000 members per
month.
January 2017 medical claim counts are inflated
Inflated Claim due to an overlap in reporting from vendors. This
N/A N/A Medicaid January 2017 Fall 2018 Y CIVHC/HSRI
Counts payer has approximately 1,400,000 members per
month.
November 2022
High rate of reversals and resubmitted claims for

service dates from 2010 - 2018. Working with
payer to better understand what is happening.
N/A N/A Medicaid Reversals 2010 - 2018 Spring 2019 Y CIVHC/HSRI
This payer has approximately 1,400,000 members
per month currently. Additional information is
available from CIVHC.
Potential duplication of 5% of payer's claims, a

N/A N/A Medicaid Duplicate Claims 2009 - 2016 Summer 2017 Y CIVHC/HSRI
total of approximately 5,000,000 claims.

N/A N/A Medicaid Missing Data July - August 2018 Winter 2018 Y CIVHC/HSRI
approximately 1,400,000 members per month.
There are approximately 21 million medical claim

records with invalid (<1/1/1900) dates of birth.
Invalid Date of
N/A N/A Medicaid The issue was remediated by making use of the 2008 - 2016 Winter 2019 Y CIVHC/HSRI
Birth
information in the eligibility data. Additional
information is available from CIVHC.
The number of members with the primary

insurance indicator marked as "Yes" decreased
Primary Insurance
N/A N/A Commercial and "No" increased significantly. This payer has 2016 Fall 2018 Y CIVHC/HSRI
Indicator
approximately 26,000 medical members per
month.
Low medical and pharmacy member match rate
Low Medical &
due to inconsistent interfile identifiers. This payer October 2013 -
N/A N/A Commercial Pharmacy Member Spring 2019 Y CIVHC/HSRI
has approximately 26,000 medical and pharmacy December 2015
Match Rate
members.
Decrease in Medicare PMPM and increase in

N/A N/A Commercial PMPM Anomalies Medicare Advantage PMPM. This payer has March - May 2018 Spring 2019 Y CIVHC/HSRI
approximately 26,000 medical members.
Missing April 2012 medical claims data. This payer

N/A N/A Commercial Missing Data has approximately 80,000 medical members per April 2012 Summer 2017 Y CIVHC/HSRI
month in 2012.
Low medical member match rate due to
Low Medical
inconsistent interfile identifiers. This payer has
N/A N/A Commercial Member Match 2013 - 2018 Summer 2018 Y CIVHC/HSRI
Rate
month.
The number of members with the primary
insurance indicator marked as "Yes" decreased
Primary Insurance
N/A N/A Commercial and "No" increased significantly. This payer has 2016 Fall 2018 Y CIVHC/HSRI
Indicator
month.
Decrease in Medicare PMPM and increase in

N/A N/A Commercial PMPM Anomalies Medicare Advantage PMPM. This payer has March - May 2018 Spring 2019 Y CIVHC/HSRI
approximately 37,000 medical members.
November 2022
Low medical and pharmacy member match rate

Low Medical &
due to inconsistent interfile identifiers. This payer October 2013 -
N/A N/A Commercial Pharmacy Member Spring 2019 Y CIVHC/HSRI
has approximately 37,000 medical and pharmacy December 2015
Match Rate
members.
Low medical member match rate due to
Low Medical
inconsistent interfile identifiers. This payer has
N/A N/A Commercial Member Match 2013 - 2018 Summer 2018 Y CIVHC/HSRI
Rate
month.
Claims were incorrectly being identified as

reversals in some situations and under reported in
N/A N/A Commercial Reversals 2017 Spring 2018 Y CIVHC/HSRI
others. This payer has approximately 660,000
medical members per month.
High volume (over 50%) of inpatient claims have

an allowed amount greater than charge amount.
May 2019 DW
N/A N/A Commercial Claim Amounts This payer has approximately 660,000 medical 2017 - 2018 Yes CIVHC/HSRI
Release
members per month. Additional information is
available from CIVHC.
Missing January and February pharmacy claims

January - February
N/A N/A Commercial Missing Data data. This payer has approximately 1,000 Winter 2017 Y CIVHC/HSRI
2017
A large proportion of eligibility records have an

Insurance Product Type value of '99' which
translates to a Line of Business '0'. This
membership is tied to the payer's Regional Care
Line of Business January 2012 -
N/A N/A Commercial Collaborative Organizations (RCCO) population Fall 2018 Y CIVHC/HSRI
Assignment June 2018
and the IPT for these eligibility records should be
coded to 'MC' and a Line of Business of '2'
Medicaid. This payer has approximately 230,000
members per month.
Abnormal number of procedure claims 2014 -

2016. Slight drop in 2016 and a significant drop in
Drop in ICD 2017. This is due to CPT codes incorrectly being
N/A N/A Commercial 2014 - 2017 Spring 2018 Y Client
Procedures submitted in ICD procedure fields prior to 2017.
This payer has approximately 230,000 medical
members per month.
High proportion of records with NULL Member IDs.

N/A N/A Commercial NULL Member IDs This payer has approximately 230,000 medical 2017 Spring 2018 Y CIVHC/HSRI
members per month.
January - April 2018 member and claim counts are

low due to transitioning to a new PBM and not all
N/A N/A Commercial Missing Data lines of business are processing yet. This payer has 2018 Winter 2018 Y CIVHC/HSRI
approximately 215,000 pharmacy members per
month.
November 2022
Decrease in pharmacy PMPM from approximately

$200 a month to $20 a month. This payer has
N/A N/A Commercial PMPM Anomalies June - July 2018 Spring 2019 Y CIVHC/HSRI
approximately 900 pharmacy members per
month.
Large increase in January and February 2017

Inconsistent January - February
N/A N/A Commercial pharmacy member counts . This payer has Winter 2017 Y CIVHC/HSRI
Counts 2017
approximately 1,000 pharmacy members month.
High number of $0 allowed amounts. This payer

Zero Dollar Allowed
N/A N/A Commercial has approximately 120,00 medical members per 2014 - 2017 Fall 2018 Y CIVHC/HSRI
Amounts
month.
September 2017 medical member match rate

which represents the percentage of claims that
Low Member
N/A N/A Commercial have a matching eligibility record for the member September 2017 Spring 2018 Y CIVHC/HSRI
Match Rate
is less than 50%. This payer has approximately
120,000 medical members per month.
Missing self funded medical claims December

December 2015 -
N/A N/A Commercial Self-Funded Data 2015 - March 2017. This payer has approximately Winter 2017 Y CIVHC/HSRI
March 2017
Drop in self funded pharmacy claims December

December 2015 -
N/A N/A Commercial Self-Funded Data 2015 - March 2017. This payer has approximately Winter 2017 Y CIVHC/HSRI
March 2017
240,000 pharmacy members per month.
Missing December 2015 - February 2016 medical

December 2015 -
N/A N/A Commercial Missing data claims. This payer has approximately 20,000 Summer 2017 Y CIVHC/HSRI
February 2016
medical members per month.
Payer uses non-standard claim versioning and

therefore has a high rate of non-negative reversals
(claim status 22). Working with the payer to
N/A N/A Commercial Reversals All Years Spring 2019 Y CIVHC/HSRI
establish custom versioning logic. This payer has
month.
New dental coverage showing up in August 2017

data. Will be resubmitting earlier 2017 data with
N/A N/A Commercial New Coverage January - July 2017 Winter 2017 Y CIVHC/HSRI
this information. This payer has approximately
130,000 dental members per month.
January 2009-December 2015 missing pharmacy

flag in eligibility file. Pharmacy claims appear
Prescription Drug January 2009-
N/A N/A Commercial missing because they do not have matching Fall 2017 Y CIVHC/HSRI
Coverage Flag February 2017
eligibility. This payer has approximately 10,000
November 2022
January 2016-June 2017 missing pharmacy flag in

eligibility file. Pharmacy claims appear missing
Prescription Drug January 2016-June
N/A N/A Commercial because they do not have matching eligibility. This Winter 2017 Y CIVHC/HSRI
Coverage Flag 2017
payer has approximately 10,000 pharmacy
members per month.
September 2017 missing dental flag in eligibility

file. Dental claims appear missing because they do
not have matching eligibility. Submitter has
N/A N/A Commercial Missing Data September 2017 N/A Y CIVHC/HSRI
confirmed this is expected. This payer has
approximately 115,000 dental members per
month.
Low medical and dental member match rate. This
Low Member
N/A N/A Commercial payer has approximately 120,000 members per March - July 2018 Spring 2018 Y CIVHC/HSRI
Match Rate
month.
February-March
Missing February-March 2015, May-June 2015, 2015, May-June
August-September 2015, November-December 2015, August-
2015 eligibility. This payer has approximately 30 September 2015,
members per month. November-
December 2015
Missing January - April 2017 eligibility, medical and

pharmacy claims. This payer has approximately January - April
300,000 medical members per month and 250,000 2017
Missing January 2015 - March 2018 medical and

pharmacy data for approximately 8,500 members. January 2015 -
This payer has approximately 300,000 medical and March 2018
Dental membership dropped by approximately

October -
N/A N/A Commercial Missing Data 12k claims. This payer had approximately 58,000 Spring 2019 Y CIVHC/HSRI
December 2018
dental members per month.
High proportion of records have an Insurance

Product Type of Other “99”. This payer has
Line of Business January 2015 - July
N/A N/A Commercial approximately 300,000 medical members per Winter 2017 Y CIVHC/HSRI
Assignment 2017
month and 250,000 pharmacy members per
month.
November 2022
The submission of several member eligibility data

elements (ME029 & ME107) that can identify self-
funded members were found to be inconsistent.
Any record with ME029 = ASO/ASW have been
January 2014 -
N/A N/A Commercial Self-Funded Data changed to a value of “S” in ME107. Any record Winter 2019 Y CIVHC/HSRI
February 2019
with ME029 = UND have been changed to a value
of “F” in ME107. Approximately 15,000 - 20,000
members were impacted a year from 2014 - 2018.
Additional information is available from CIVHC.
2017 data contains Dental Coverage Flag set to 'N'

Dental Coverage
N/A N/A Commercial though there are dental claims. The number of 2017 Spring 2018 Y CIVHC/HSRI
Flag
dental members is unknown at this time.
Missing January - June 2013 eligibility, October January - June

2014 medical claims and all data February - April 2013, October
N/A N/A Commercial Missing Data Winter 2017 Y CIVHC/HSRI
2017. This payer has approximately 8,000 medical 2014, February -
members per month. April 2017
February and April 2017 missing behavioral health

coverage flag in eligibility files. Behavioral health
Behavioral Health February & April
N/A N/A Commercial claims appear missing because they do not have Fall 2018 Y CIVHC/HSRI
Coverage Flag 2017
matching eligibility. This payer has approximately
2,000 members per month.
Decrease in Medicare Advantage PMPM. This

payer has approximately 3,000 members per
month. This payer was found to be submitting the August 2017 - July
N/A N/A Commercial PMPM Anomalies Spring 2019 Y CIVHC/HSRI
same claim number unique claims. Therefore, the 2018
claims versioning logic is not able to accurately
report cost for this line item.
Starting January 2019, pharmacy claims

submission transferred to another submitter Payer
N/A N/A Commercial Missing Data January 2019 Spring 2019 Y Submitter
Code Alias 14. This payer has approximately 950
Missing January and March 2017 eligibility data.

January & March
N/A N/A Commercial Missing Data This payer has approximately 3,000 members per Winter 2018 Y CIVHC/HSRI
2017
month.
Missing September 2015 medical and pharmacy
claims. This payer has approximately 1,300
N/A N/A Commercial Missing Data September 2015 Fall 2017 Y CIVHC/HSRI
medical members and 3,000 pharmacy members
per month.
November 2022
January-February 2014, September 2014,

November 2014 missing pharmacy flag in eligibility January-February
Prescription Drug files. Claims appear missing because they do not 2014, September
N/A N/A Commercial Fall 2017 Y CIVHC/HSRI
Coverage Flag have matching eligibility. This payer has 2014, November
approximately 3,000 pharmacy members per 2014
month.
Missing September 2015 pharmacy claims. This
N/A N/A Commercial Missing Data payer has approximately 3,000 pharmacy September 2015 Fall 2017 Y CIVHC/HSRI
members per month.
Missing February and March 2018 pharmacy

N/A N/A Commercial Missing Data eligibility data. This payer has approximately 40 2018 Fall 2018 Y CIVHC/HSRI
Low pharmacy member allowed amounts under

50 in September 2013-March 2017 (missing Jan-
September 2013-
Aug 2013, December 2014, February-March 2015)
N/A N/A Commercial Self-Funded Data March 2017, Spring 2018 Y CIVHC/HSRI
and 0 claims in September 2015. This payer has
September 2015
month.
January-February 2014, September 2014,

November 2014 missing pharmacy flag in eligibility January-February
Prescription drug files. Claims appear missing because they do not 2014, September
N/A N/A Commercial Fall 2017 Y CIVHC/HSRI
coverage flag have matching eligibility. This payer has 2014, November
approximately 1,000 pharmacy members per 2014
month.
Low member
allowed amounts
Low pharmacy member allowed amounts under
under 50 in
50 in September 2013-November 2014 (missing
September 2013-
N/A N/A Commercial Self-Funded Data Jan-Aug 2013, December 2014). This payer has Spring 2018 Y CIVHC/HSRI
November 2014
(missing Jan-Aug
month.
2013, December
2014)
Missing medical eligibility when Insurance Type is
'13' Point of Service (POS) January - July 2016.
N/A N/A Commercial Missing Data January - July 2016 Spring 2018 Y Client
members.
June 2016 and 2017 there is a large jump in
N/A N/A Commercial Volume increase June 2016, 2017 Spring 2018 Y CIVHC/HSRI
Medicare Advantage volume.
N/A N/A Commercial Missing Data approximately 125,000 medical members per October 2018 Spring 2019 Y CIVHC/HSRI
month.
Missing June - July 2016, December 2016 - April June, July,

2017 eligibility, medical and pharmacy claims. Also October,
N/A N/A Commercial Missing Data missing October 2016 medical claims. This payer December 2016 Spring 2019 Y CIVHC/HSRI
has approximately 700,000 medical and 40,000 and January - April
pharmacy members per month. 2017
November 2022
High proportion of claims with out of network

Provider Network Indicator (MC207) values in
Provider Network
N/A N/A Commercial 2016 - 2018 medical claims data. This payer has 2016 - 2018 Spring 2019 Y CIVHC/HSRI
Indicator
month.
Missing medical and pharmacy claims. This payer
August 2013 - May 2019 DW
N/A N/A Commercial Missing Data has approximately 540,000 medical and pharmacy Yes CIVHC/HSRI
January 2014 Release
members per month.
High proportion of claims with out of network
Provider Network Indicator (MC207) values in
Provider Network
N/A N/A Commercial 2016 - 2018 medical claims data. This payer has 2016 - 2018 Spring 2019 Y CIVHC/HSRI
Indicator
month.
Missing January 2009-July 2013, July-August 2016 January 2009 - July

N/A N/A Commercial Missing Data eligibility. This payer has approximately 5,000 2013; July - August Summer 2017 Y CIVHC/HSRI
medical members per month. 2016
Missing January - April eligibility, pharmacy and

medical claims. This payer has approximately January - April
25,000 medical and pharmacy members per 2017
month.
Missing November 2017 medical claims. This payer
N/A N/A Commercial Missing Data has approximately 5,500 medical members per November 2017 Spring 2018 Y CIVHC/HSRI
month.
Missing 2015 and November 2016 pharmacy
2015, January -
claims, January - September 2016 eligibility. This
N/A N/A Commercial Missing Data September 2016, Fall 2017 Y CIVHC/HSRI
payer has approximately 6,000 pharmacy
November 2016
members per month.
Medical Coverage (ME018) incorrectly coded as 'Y'

Medical Coverage and Insurance Product Type fields incorrectly
January 2015 -
N/A N/A Commercial and Insurance coded as Medicare Advantage '16'. This payer has Spring 2019 Y CIVHC/HSRI
October 2018
Product Type approximately 5,500 pharmacy members per
month.
Missing February 2017 dental claims. This payer

N/A N/A Commercial Missing Data has approximately 4,500 dental members per February 2017 Winter 2017 Y CIVHC/HSRI
month.
Data from 2011 - 2015 have been refreshed in a

newly available version/format and resulted in an
N/A N/A Medicare New Version increase in data. The 2009 -2010 was mapped to 2009 -2010 Fall 2017 Y CIVHC/HSRI
the new format but did not see similar increases
in volume or quality.
Missing 2016 eligibility data for roughly 9,800

members who have pharmacy claims. This payer
N/A N/A Medicare Missing Data 2016 Fall 2018 Y CIVHC/HSRI
has approximately 880,000 pharmacy members
per month in 2016.
November 2022
The PMPM amount for claims incurred in June

2017 is much lower than previous months. The
count of members represented in the June claims
is in line with previous months, however, the total
allowed amount appears lower. Previous periods
N/A N/A Medicare Decrease in PMPM have had the benefit of reconciliation and runout. June 2017 Fall 2018 Y CIVHC/HSRI
We expect that the 2017 Q3 data will include
claims incurred in June 2017 that will bring the
allowed amount and PMPM into the expected
range. This payer has approximately 840,000
medical members per month in 2017.
Plan Paid amount for bill type 18x and 21x (Skilled
Nursing Facility) incorrectly duplicates total claim
plan paid amount over each line of the claim. This
information is not available at the medical claim
line level for plan paid amount. At the medical
claim header level, the plan paid amount is the
sum of the line level plan paid amount. Since this
N/A N/A Medicare Plan Paid Amount information is not available at the line level for 2009-2017 Spring 2018 Y CIVHC/HSRI
Skilled Nursing Facility payments, this has been set
to NULL. Information from the Skilled Nursing
Facility claim header file is available in the plan
covered amount field at the header level and
directly translates to CLM_PMT_AMT. This change
caused roughly $3.5 billion per year in the plan
paid amount field to be set to NULL.
In the Outpatient file, the deductible amount field

brought in at the line level is the sum of the
deductible and the coinsurance amount. Since
deductible amount field at the medical claim
header level is a sum of deductible amount field
from the medical claim line, the deductible
amount field at the header level is also affected.
N/A N/A Medicare Deductible Amount 2009-2017 Spring 2018 Y CIVHC/HSRI
The deductible field will be changed to reflect only
the deductible amount. The bill type codes
affected are ‘12x’, ‘13x’, ‘14x’, ‘22x’, ‘23x’, ‘34x’,
‘71x’, ‘72x’, ‘73x’, ‘74x’, ‘75x’, ‘76x’, ‘77x’, ‘83x’
and ’85x’. The fix will lead to an average $200
million dollar reduction per year in the deductible
field at the medical claim line and header level.
November 2022
In the medical claims header file, the allowed

amount is the plan covered amount plus the
member liability amount. An issue was identified
in the summing of the line level copay,
coinsurance, and deductible amounts to the claims
header level. Because no CMS FFS claim types
have copay and few have coinsurance or
deductible amount, NULL in these fields caused
N/A N/A Medicare Allowed Amount 2009-2017 Spring 2018 Y CIVHC/HSRI
the calculated member liability to come through as
$0. Thus, the allowed amount is understated,
because the member liability is $0 when it should
have been the sum of the deductible amount and
the coinsurance amount. The average impact per
year is an increase of approximately $540 million
to allowed amount and member liability amount
fields at the medical claim header level.

N/A N/A Commercial Missing Data has approximately 2,600 medical members per October 2018 Spring 2019 Y CIVHC/HSRI
month.
Missing intermittent months of 2015 and 2016

N/A N/A Commercial Missing Data medical eligibility. This payer has approximately 2015 - 2016 Winter 2017 Y CIVHC/HSRI
The dental member match rate which represents

Low Dental the percentage of claims that have a matching
N/A N/A Commercial Member Match eligibility record for the member is less than 50% 2017 Spring 2018 Y CIVHC/HSRI
Rate for these payers in 2017. This payer has
approximately 26,000 dental members per month.

N/A N/A Commercial Member Match eligibility record for the member is less than 50% 2017 Fall 2018 Y CIVHC/HSRI


November 2022
January 2015 - December 2017 missing dental

coverage flag in eligibility file. Dental claims appear
Dental Coverage January 2015 -
N/A N/A Commercial missing because they do not have matching Spring 2018 Y CIVHC/HSRI
Flag December 2017
eligibility. This payer has approximately 10,000
dental members per month.
Missing February 2015 - January 2017 pharmacy

February 2015 -
N/A N/A Commercial Missing Data eligibility . This payer has approximately 25,000 Winter 2017 Y CIVHC/HSRI
January 2017
Low rate of continuous eligibility from January

Continuous January 2016 -
N/A N/A Commercial 2016 - January 2017. This payer has approximately Spring 2019 Y CIVHC/HSRI
Eligibility January 2017
640,000 behavioral health members per month.
It was found that there were situations in the data

warehouse where one member composite
contained multiple individuals. In other cases, the
member composite logic split apart the same
individual into more than one member composite.
Enhancements to the member composite logic
Member have corrected a large portion of these cases January 2009 -
N/A N/A All Summer 2018 Y CIVHC/HSRI
Composite IDs where the data allowed. A small amount of claims May 2018
data from 2009 that were causing issues were also
removed from consideration in the creation of the
member composite id. Overall, in the data
warehouse, the number of member composite IDs
decreased by approximately 8 percent. Additional
Missing servicing or billing provider composite IDs

for cases where the provider NPI was deactivated
Provider
N/A N/A All or is not valid, and where the composite ID can be All Years Winter 2019 Y CIVHC/HSRI
Composite
assigned based on provider information from the
payer.
Adjustments were made to the criteria for births

and neonate birth weight APR DRGs (560 and 588
APR DRG thru 640). This resulted in approximately 100,000
N/A N/A All All Years Winter 2019 Y CIVHC/HSRI
"Ungroupables" additional APR DRGs being assigned to these
categories across the data warehouse. Additional
November 2022
In early 2019, CIVHC was notified by CMS that

they had discovered a total of 148,700
beneficiaries had been omitted from the 2017
data distributed across the country. As a result,
Medicare Missing Data they issued a "Final Mature 2017" data release to 2017 Spring 2019 Y Submitter
CIVHC. We identified 3,405 beneficiary IDs for
2017 that were not included in the previous
release of data. This payer has approximately
840,000 medical members per month in 2017.
This issue was

identified and
March 2020 DW Medicare Claim and Eligibility Mismatches Data
N/A Insurance/IPT X Feb-19 Issue Fixed resolved before it Y CIVHC/HSRI
Release Advantage Remediation.
was added to the
Issues tab
This issue was
identified and
March 2020 DW Medicare October 2014 -
N/A Insurance/IPT IPT 99 Data Remediation X Issue Fixed resolved before it Y
Release Advantage October 2019
was added to the
Issues tab CIVHC/HSRI
This issue was
identified and
March 2020 DW
N/A Commercial Quantity dispensed High Rx Unit Values – Data Remediation Issue Fixed resolved before it Y
Release
was added to the
X Issues tab CIVHC/HSRI
This issue was
identified and
March 2020 DW
N/A Commercial Quantity dispensed Data Remediation Issue Fixed resolved before it Y
Release
was added to the
X Issues tab CIVHC/HSRI
This issue was
identified and
March 2020 DW Incorrect Insurance Product type codes being
N/A Medicaid Insurance/IPT All Years Issue Fixed resolved before it Y CIVHC/HSRI
Release submitted.
was added to the
Issues tab
Not a data issue.

Internal issue with
March 2020 DW
N/A All Match Rate Low Claim to Member Match Rate X 2018-2020 Issue Fixed the dashboard Y CIVHC/HSRI
Release
which has since
been resolved.
Please contact
2,000 - 5,000 claims per year are coded as a
CIVHC for more
August 2017 DW reversal '22' in the Claim Status but have positive September 2019
3 Commercial Reversals X 2011 - 2016 Medium Issue Fixed information on the Yes CIVHC/HSRI
Release payment values. This payer has approximately DW Release
issue and
workaround.
CIVHC is
November 2019 DW This payer was previously populating Valid Paid May 2020 DW
61 Commercial Claim Amounts X 2016 - 2019 Medium Issue Fixed remediating these Yes Submitter
Release Amount incorrectly. Release
data internally.
November 2022
This is causing
unexpectedly low
allowed amounts
Claim status incorrectly populated resulting in
in claims because
November 2019 DW unexpectedly low allowed amounts in medical May 2020 DW
63 Commercial Data Discrepancy X 2015 - 2019 High Issue Fixed claim status is Yes CIVHC/HSRI
Release claims; i.e., submitted as primary as opposed to Release
being submitted
secondary payer
inaccurately as
primary, not
secondary
CIVHC is in the
In August 2019, payers submitting Self-Funded
initial stages of
data to the CO APCD attested that they were
outreach and
including their full population of non-ERISA
investigation with
March 2020 DW members. CIVHC validated their attestation lists May 2020 DW
141 Commercial Missing Data X X X X X All Years Medium Issue Fixed submitters to Yes CIVHC/HSRI
Release and discovered that some payers are not Release
determine the
submitting employers they attested to. The
impact of missing
volume of the missing members is still being
data as well as a
determined.
resolution plan.
CIVHC
Pharmacy data contains allowed amount and
implemented
March 2020 DW member liability amounts equal to zero at the May 2020 DW
143 Commercial Claim Amounts X All Years Medium Issue Fixed changes to Yes CIVHC/HSRI
Release header level. These claims have been determined Release
eliminate these
to be duplicates.
values.
Standard claim versioning logic produced CIVHC

March 2020 DW unexpected results due to non-standard implemented May 2020 DW
144 Commercial Claim Versioning X 2012 - 2016 Medium Issue Fixed Yes CIVHC/HSRI
Release submission values (i.e., submitting negative values custom versioning Release
in amount fields). logic for this payer.
Historic pharmacy data contains allowed amount CIVHC

and member liability amounts equal to zero at the implemented
March 2020 DW May 2020 DW
145 Medicaid Claim Amounts header level. These claims were found to be X 2012 - 2016 Medium Issue Fixed changes to Yes CIVHC/HSRI
Release Release
denied claims and are duplicates of other claims in eliminate these
the database. values.
RAE Claim
Submissions
Inaccurate IPT submissions - claims submitted with
should be
IPT = MC (Medicaid); submitter to provide more
November 2019 DW exclusively July 2020 DW
66 Commercial Missing Data detail for managed care claims (IPT = MM). X X X X 2016 - 2018 High Issue Fixed Yes CIVHC/HSRI
Release behavioral health; Release
Inaccurate medical coverage flag; Medical
working with
Coverage = Y for behavioral health claims.
payer to get
further details.
November 2022
CIVHC is working
Low paid pharmacy member match rate appears in
with the payer to
January 2020 DW Member Match 2019 due to pharmacy membership decreases. July 2020 DW
106 Commercial X X X 2019 Medium Issue Fixed investigate proper Yes CIVHC/HSRI
Release Rate Additionally, the behavioral health membership Release
coverage type
increases in 2019.
flags.
Prescription drug coverage field (ME019) CIVHC is working

March 2020 DW incorrectly populated with "Y". All members May 2018 - with the submitter July 2020 DW
113 Commercial Coverage Flag X Low Issue Fixed Yes CIVHC/HSRI
Release should have "N" in this field. This payer has less December 2019 to determine a Release
than 1,000 member per month. remediation plan.
All Insurance Product Type code values submitted CIVHC is working

March 2020 DW as MC (Medicaid) should be MM (Managed Care). with the submitter July 2020 DW
122 Commercial Insurance/IPT X All Years Medium Issue Fixed Yes CIVHC/HSRI
Release This issue affects approximately 500,000 to determine a Release
members. remediation plan.
CIVHC is
Pharmacy claims do not have an associated
investigating and
March 2020 DW Member Match member eligibility record 52 - 81% of the time. September 2020
118 Commercial X X 2016 Medium Issue Fixed will determine a Yes CIVHC/HSRI
Release Rate This payer has approximately 5,000 pharmacy DW Release
resolution plan as
claims a month.
needed.
Previously resubmitted pharmacy files use the

CIVHC is working
Insurance Product Type Code of '99'' (Other). This
March 2020 DW with the submitter September 2020
119 Commercial Insurance/IPT causes a mismatch between the IPT codes for X X 2015 - 2019 Medium Issue Fixed Yes CIVHC/HSRI
Release to determine a DW Release
claims and eligibility and an understatement of
resubmission plan.
payments PMPM.
CIVHC is working
March 2020 DW Missing one employer group from submissions. November 2019 - with the submitter September 2020
127 Commercial Missing Data X X Medium Issue Fixed Yes CIVHC/HSRI
Release Impact unknown at this time. January 2020 to determine a DW Release
resubmission plan.
Future
submissions will
only include MM,
Incorrect Insurance Product type (ME003 and
March 2020 DW 13, and MD. CIVHC November 2020
134 Commercial Insurance/IPT PC003) codes being submitted. Impact is currently X X 2017 - 2019 Medium Issue to be fixed Yes CIVHC/HSRI
Release is working with the DW Release
being assessed.
submitter to
determine a
resubmission plan.
November 2022
CIVHC is working
Submitter does not currently include claim
March 2020 DW with the submitter November 2020
137 Commercial Claim Versioning reversals in their submission. This leads to X All Years High Issue to be fixed Yes CIVHC/HSRI
artificially inflated payments and utilization.
resubmission plan.
All Insurance Product Type code values submitted CIVHC is working

March 2020 DW as MC (Medicaid) should be MM (Managed Care). with the submitter November 2020
139 Commercial Insurance/IPT X All Years Medium Issue to be fixed Yes CIVHC/HSRI
Release This issue affects approximately 2 million to determine a DW Release
members. remediation plan.
Submitter has
corrected their
coding for future
submissions so
previously
submitted "99"
values are
Change in Insurance Product Type codes from IPT
changed to an
MD (Medicare Part D) to IPT 99 (Other) for both March - December January 2021 DW
120 Commercial Insurance/IPT X X Medium Issue to be fixed appropriate value Yes CIVHC/HSRI
pharmacy claims and member eligibility. The issue 2019 Release
of HMO or PPO for
affects less than 500 members per month.
going forward and
CIVHC is working
with them to
determine a way
to remediate
previously
submitted data.
Missing Medicare Part D members/claims in

CIVHC is working
addition to Medicare Supplemental and Medicare
March 2020 DW with the submitter January 2021 DW
121 Commercial Missing Data Advantage members/claims. There are X X X 2015 - 2019 Medium Issue to be fixed Yes CIVHC/HSRI
Release to determine a Release
approximately 65,000 members missing in 2019
resubmission plan.
and lower numbers in previous years.
CIVHC is working
with the submitter
This submitter indicated on their non-ERISA
March 2020 DW November 2017 - to continue January 2021 DW
126 Commercial Missing Data attestation that they've been omitting two X X X X X Medium Issue to be fixed Yes CIVHC/HSRI
Release December 2019 ingesting Release
employer groups from their submissions.
supplemental file
submissions.
November 2022
CIVHC is in the
initial stages of
outreach and
Several submitters are submitting anesthesiology
March 2020 DW investigation with March 2021 DW
135 Commercial Units claims incorrectly hard coded to“1” in the unit X All Years High Issue to be fixed Yes CIVHC/HSRI
Release submitters to Release
value. Affects up to 40% of anesthesiology claims.
determine the
impact and next
steps.
CIVHC is working
All anesthesiology claims incorrectly hard coded
March 2020 DW with the submitter March 2021 DW
136 Commercial Units to“1” in the unit value. Affects 100% of each X 2019 High Issue to be fixed Yes CIVHC/HSRI
payer's anesthesiology claims.
resubmission plan.
Member eligibility data incorrectly indicates 'N' for CIVHC is working

Pharmacy Coverage (ME019). It should be 'Y' for with the submitter March 2021 DW
149 July 2020 DW Release Commercial Coverage Flag X Medium Issue to be fixed Yes CIVHC/HSRI
all records. This payer has approximately 10,000 to determine Release
members per month. resolution options.
Missing reporting or proper identification of

Medicaid CHP+ member data in Insurance Product
September 2019 DW Corrected for data May 2021 DW
56 Commercial Missing Data Type code fields (ME003, MC003, PC003). This X X X X 2012 - 2019 High Issue to be fixed Yes CIVHC/HSRI
Release 2016 - 2019. Release
payer has approximately 660,000 total members
per month.
CIVHC is working
Between 1-9% of eligibility and claim records have with the submitter
unusable Insurance Product Type code values and to determine if a
September 2019 DW May 2021 DW
57 Commercial Insurance/IPT therefore have an unknown line of business. This X X X X 2014 - 2019 Medium Issue to be fixed data remediation Yes CIVHC/HSRI
Release Release
payer has approximately 660,000 total members is possible or if
per month. resubmissions will
be necessary.
Submitter added two extra 0s for days supply field

CIVHC is working
(PC034). Their days supply per claim appear to be
March 2020 DW with the submitter May 2021 DW
140 Commercial Days Supply in the 300s but should be in the 30s. This payer X All Years Medium Issue to be fixed Yes CIVHC/HSRI
has approximately 9,000 pharmacy claims per
remediation plan.
month.
CIVHC is working
Missing reporting or proper identification of
with the submitter
Medicaid CHP+ member data in Insurance Product
September 2019 DW to continue July 2021 DW
50 Commercial Missing Data Type code fields (ME003, MC003, PC003). This X X X X 2012 - 2019 High Issue to be fixed Yes CIVHC/HSRI
Release ingesting Release
payer has approximately 8,500 total members per
supplemental file
month.
submissions.
November 2022
Medical PMPM drops slightly for November and

Awaiting updated
November 2020 DW December 2019. This pattern has occurred in November - July 2021 DW
152 Medicare PMPM Calculations X Low Issue to be fixed CMS Medicare Yes CIVHC/HSRI
Release previous years and we expect an increase once December 2019 Release
data.
2020 data is received.
Submitter is
March 2021 DW Payer did not include all claim lines in their January 2016 - working on July 2021 DW
158 Commercial Missing Data X High Issue to be fixed Yes CIVHC/HSRI
Release resubmission. January 2018 resubmitting these Release
data.
Business Rule
processing has
been modified to
Claims exist in the data warehouse that do not
minimize
have a valid APR-DRG assignment. This primarily
September 2020 DW Data observation ungroupable APR-
151 Medicaid Groupers impacts claims submitted in 2016; 0.12% of X 2016 Medium N/A Yes CIVHC/HSRI
Release (no fix anticipated) DRG assignments;
Medicaid claims from 2016 did not have a valid
the remaining
APR-DRG.
ungroupables
represent minimal
impact.
High rate of duplicate members. In this month, the

payer is submitting more than one value for
ME006 Insured group number (i.e., Null and valid),
ME028 Primary Insurance Indicator (Y on one
CIVHC is working
record, no on other records), and ME897 Plan
January 2019 DW Research in with the submitter September 2021
14 Commercial Duplicate Data Effective Date (different effective dates on each X March - June 2018 Medium Yes CIVHC/HSRI
Release progress to determine a DW Release
record) for a given Member ID This occurs for
resubmission plan.
approximately 1.6k to 2.8k Member IDs in March
and April and 35k Member IDs in May and June.
members per month.
CIVHC is working
Inaccurate IPT submissions - claims submitted with
November 2019 DW with the submitter September 2021
65 Commercial Missing Data IPT = MC (Medicaid); submitter to provide more X X X X 2016 - 2018 High Issue to be fixed Yes CIVHC/HSRI
detail for managed care claims (IPT = MM)
resubmission plan.
Payer does not submit the version number

correctly in their pharmacy claims. They submit
CIVHC is reviewing
the file year/month combination in the version
to determine if
number field. When an in-cycle issue and reversal
custom logic
March 2020 DW is submitted, the version number is identical. This September 2021
117 Commercial Claim Versioning X All Years Medium Issue to be fixed should be Yes CIVHC/HSRI
Release results in inaccurate claim versioning and does not DW Release
implemented to
allow for the appropriate application of claim
accommodate
reversals.
submissions.
This payer has approximately 11,000 pharmacy
claims a month.
November 2022
CIVHC is working
Prepaid Amount (MC064) is hard coded to '0' on with the payer to
March 2020 DW Research in September 2021
124 Commercial Payments capitated claims. This payer has approximately X All Years Medium investigate and Yes CIVHC/HSRI
Release progress DW Release
100,000 medical members per month. determine a
resolution.
CIVHC is working
Submitter does not currently include claim
with the payer to
March 2020 DW reversals in their submissions. This leads to Research in September 2021
125 Commercial Claim Versioning X All Years Medium investigate and Yes CIVHC/HSRI
Release artificially inflated payments and utilization. progress DW Release
determine a
Impact currently being assessed.
resolution.
CIVHC is working
Quantity (MC061) is hard coded to '0'. This payer
March 2020 DW Research in with the submitter September 2021
142 Commercial Units has approximately 100,000 medical members per X All Years Medium Yes CIVHC/HSRI
Release progress to determine a DW Release
month.
resubmission plan.
High rate of null member IDs due to claims having CIVHC is working
Member Match a relationship code of '21 UNKNOWN', while the with the submitter September 2021
148 May 2020 DW Release Commercial X X Medium Issue to be fixed Yes CIVHC/HSRI
Rate eligibility has '20 Self'. This payer has to determine a DW Release
approximately 100,000 members per month. resubmission plan.
CIVHC is
performing
January 2021 DW Medicare Advantage members and claims are January 2018 - Research in September 2021
156 Commercial Insurance/IPT X X Medium research to Yes CIVHC/HSRI
Release being incorrectly identified. October 2020 progress DW Release
determine
resolution options.
CIVHC is working
Low medical claims - member match rate due to
with the submitter
inconsistent identifiers being submitted in the
November 2018 DW Member Match January 2015 - to resubmit data May 2022 DW
101 Commercial Subscriber Contract Number fields (ME009 and X X Medium Issue to be fixed Yes CIVHC/HSRI
Release Rate December 2018 with matching Release
MC008). This payer has approximately 2,000
identifiers across
medical members.
file type.
CIVHC is working
January 2020 DW Missing medical claims for March 2019, June 2019 - March 2019, June with the submitter May 2022 DW
107 Commercial Missing Data X Low Issue to be fixed Yes CIVHC/HSRI
Release Present. 2019 - present to obtain missing Release
data.
The eligibility coverage type flags for pharmacy, CIVHC is working

March 2020 DW dental, and medical coverage were populated with the submitter May 2022 DW
115 Commercial Coverage Flag X 2017 - 2019 Medium Issue to be fixed Yes CIVHC/HSRI
Release incorrectly. This payer has approximately 72,000 to determine a Release
members per month. resubmission plan.
November 2022
CIVHC is
Submitter does not send the same value in the
investigating and
March 2020 DW Payer Claim Control Number (PC004) field for May 2022 DW
130 Commercial Claim Versioning X All Years Medium Issue to be fixed will determine a Yes CIVHC/HSRI
Release original claims, reversals, and replacement claims. Release
resolution plan as
Impact unknown at this time.
needed.
CIVHC is working
November 2020 DW Potential duplicate members after combination of Research in with the submitter May 2022 DW
153 Commercial Duplicate Data X July - August 2020 Medium Yes CIVHC/HSRI
Release payers. progress to determine Release
resolution options.
Payer was incorrectly identifying dental CIVHC is working

membership. This payer does not provide dental with the submitter July 2022 DW
111 July 2019 DW Release Commercial Coverage Flag X X 2015 - Present Medium Issue to be fixed Yes CIVHC/HSRI
benefits to their members. This affects to submit Release
approximately 8K members/month. corrected data.
Medicaid SUD claims were inadvertently CIVHC is

March 2020 DW Research in
146 Medicaid Claim Amounts submitted and caused a spike in the number of X 2016 Medium researching root TBD Yes CIVHC/HSRI
Release progress
claims in CY 2016 cause of data spike
CIVHC is working
March 2020 DW Missing Medicare Part D members from with the submitter September 2022
129 Commercial Missing Data X X 2017 - 2019 Medium Issue to be fixed No CIVHC/HSRI
Release submissions. Impact is currently being assessed. to determine a DW release
resubmission plan.
Erroneous reversals exist in the medical claims

CIVHC is
data set due to incorrect claims versioning.
performing
Reporting of Medicaid data indicates discrepancies Research in
150 July 2020 DW Release Medicaid Claim Versioning X 2012 - 2016 High research to TBD No CIVHC/HSRI
in claim counts, utilization, and dollars for the progress
determine
2012-2016 time period. This affects over 2M
resolution options.
Medicaid reversals in the APCD.
days cash on hand
Patient Service Net Patient Services Total
Hospital system city county 2019 2020 2021 Net Income
Income Profit Margin Margin
Grandview Hospital UCHealth Colorado Springs El Paso ($5,510,335) -12.80% ($5,715,406) -13.30%
Memorial Hospital Central UCHealth Colorado Springs El Paso $71,097,327 7.20% $123,800,841 11.80%
Children's Hospital Colorado Springs Children's Colorado Springs El Paso $8,824,604 4.60% $11,668,636 6.00%
Centura Penrose-St. Francis Hospital Centura Health CommonSpirit Colorado Springs El Paso $72,480,035 8.50% $91,741,087 10.50%
Centura St. Thomas More Hospital Centura Health CommonSpirit Canon City Fremont $20,740,095 22.00% $22,878,944 23.50%
Parkview Medical Center UCHealth (newly acquired) Pueblo Pueblo 195 201 205 $16,187,150 3.20% $49,408,278 9.00%
Centura St. Mary-Corwin Hospital Centura Health CommonSpirit Pueblo Pueblo ($11,964,994) -9.20% ($2,370,919) -1.70%
Pikes Peak Regional Hospital UCHealth Woodland Park Teller ($521,482) -2.00% ($470,413) -1.80%
system level
UCHealth System 340 430 469 $442,906,492 8.50% $1,694,878,340 26.10%
Centura Health CommonSpirit 153 224 245 $281,517,813 11.50% $379,039,503 14.80%
Children’s Hospital Colorado 321 333 358 ($14,020,281) -1.00% $105,749,674 6.60%
*This chart provides a high-level overview of programs in the Infrastructure Investment and Jobs Act. If you have interest in a specific program, we encourage you to reach out with questions.
Category Program Name Section Competitive/ New/ Eligible Entities Agency Minimum Maximum Federal Total FY 2022 FY 2023 FY 2024 FY 2025 FY 2026 Funding Deadlines Additional Information
Number Formula Existing Oversight Grant Size Grant Size Cost Funding
Share
Broadband State Digital Equity 60304 Competitive New States National Award to any $60 million $240 million $300 $300 $300 $300 Applications closed on July 12, Program Info Sheet Notice of Funding Funding Guide
Capacity Grant Program Telecommunications individual state million million million million 2022. Opportunity
and Information cannot be less than **The program has a budget of $60 million for
Administration; 0.5% of the total planning grants to be awarded to individual states
States Governors are amount made until expended.
directed to select an available for all
administering entity states.
within the state.
Broadband Middle Mile Grants 60401 Competitive New State, political subdivision of a National Up to 70% $1 billion for Applications closed on September Notice of Funding Opportunity Grant Application Program Info Sheet
State, Tribal government, Telecommunications FY22-FY26 30, 2022. Guidance
technology company, electric and Information
utility, utility cooperative, public Administration
utility district, telecommunications
company, telecommunications
cooperative, nonprofit foundation,
nonprofit corporation, nonprofit
institution, nonprofit, association,
regional planning counsel, Native
entity, or economic development
authority; or a partnership between
two eligible entities.
Broadband State Digital Equity 60305 Competitive New Local Education Agency; State National Up to $1.25 billion $250 million $250 $250 $250 $250 A NOFO was released on May 13, Program Info Sheet Notice of Funding Funding Guide
Competitive Grant Governments, including any Telecommunications 90%, with million million million million 2022. Applications are due on July Opportunity
Program political subdivisions of the State; and Information exceptions 12, 2022.
Tribal/Native American Administration at
Governments; Alaska Native discretion
Entities; and Native Hawaiian of
Organizations, Non-Profit Assistant
Organizations; Community Anchor Secretary
Institutions; and Work Force
Development Program.
Broadband State and Local Cyber 70612 Competitive New States and tribal governments Department of May not $1 billion $200 million $400 $300 $100 Applications will close November Notice of Funding Opportunity Fact Sheet FAQs
Security Grant Program Homeland Security exceed-- million million million 15, 2022.
for an
individual
entity:
for fiscal
year 2022,
90
percent;
for fiscal
year 2023,
80
percent;
for fiscal
year 2024,
70
percent;
and
for fiscal
year 2025,
60
percent;
and
For a multi-
entity
group--
for fiscal
Broadband Broadband Equity, Access, 60102 Formula New States, with additional details to National $100 million per year 2022, $42.45
75% A NOFO was released on May 13, Notice of Funding Opportunity Grant Application The National
and Deployment Program follow on eligible subgrants for Telecommunications state / territory billion 2022. Letters of Intent are due on Guidance Telecommunications and
unserved service projects and and Information July 18, 2022 and initial planning Information
underserved service projects; Administration funds applications are due August Administration (NTIA)
connecting eligible community 15, 2022. announced it expects to
anchor institutions; data collection, communicate Broadband
broadband mapping, and planning; Equity, Access, and
installing internet and Wi-Fi Deployment (BEAD)
infrastructure or providing reduced- allocation levels to
cost broadband within a multi- eligible entities by June
family residential building; 30.
broadband adoption, including
programs to provide affordable
internet-capable devices; and any
use determined necessary by the
Assistant Secretary to facilitate the
goals of the Program.
Broadband Broadband Deployment New Mapping Federal $10 million

Locations Map Communications
Commission
Broadband Denali Commission Existing States, Counties, Cities / Denali Commission $250,000 Funding Guide Program Website
Broadband Funding Townships, Special Districts, Tribal
Governments (federally
recognized), Public Higher-Ed
Institutions, Public Housing
Authorities, Indian Housing
Authorities, Nonprofits with
501(c)(3) status, Nonprofits -
without 501(c)(3) status
Broadband Distance Learning, Existing Corporation; Limited Liability Department of $74 million Estimated application opening date Program Website
Telemedicine, And Company; Cooperative or Mutual Agriculture is late Fall 2023.
Broadband Program: Organization; A State or Local Unit
Broadband Loans of Government; Indian Tribe or
Tribal Organization Individuals and
Partnerships Are Not Eligible.
Broadband Distance Learning, Existing Corporations; Limited Liability $1.926 The application closes on November ReConnect Program
Telemedicine, And Companies and Limited Liability billion 2, 2022.
Broadband Program: Partnerships; Cooperatives or
Reconnect Program Mutual Organizations; States or
Local governments, including any
agency, subdivision, instrumentality
of political subdivision thereof;
Territories or Possessions of The
United States; and Indian Tribes, as
defined in Section 4 Of the Indian
Self-Determination and Education
Assistance Act (25 U.S.C. 450B)
Broadband Affordable Connectivity 60502 Renamed Targets low-income households, Federal $14.2 billion Individuals who meet eligibility Unpublished notice Privacy Act of 1974; Proposed Rule, Wireline Unpublished Rule o The Federal Communications ACP Outreach grant program NOFO The Federal Communications
Program from including those that qualify for Communications requirements can enroll here System of Records Competition Bureau Commission (FCC) issued a notice Commission (FCC) issued a NOFO
Emergency reduced-cost school meal Commission Seeks Comment on the seeking comments on its proposed for outreach programs to promote
Broadband programs, certain Pell Grants, the Implementation of the rule for its annual collection of data the IIJA Affordable Connectivity
Benefit FCC Lifeline program, or others Affordable Connectivity relating to price and subscription Program (ACP). The NOFO makes
Program rates of internet service offerings available $60 million through the
received by households enrolled in National Competitive Outreach
the Affordable Connectivity Program and $10 million through
Program, mechanism for collecting the Tribal Competitive Outreach
such data, and format for the data's Program to award grants to
publication. Comments are due by community messengers to develop
July 25, 2022 and reply comments innovative outreach strategies to
are due by August 8, 2022. promote the ACP to historically
underserved and unserved
communities. Applications are due
on January 9. The NOFO, along
with additional information on the
outreach grant program, can be
found here. The FCC also
announced it will issue separate
NOFOs on November 21 for two
additional ACP outreach programs
Broadband Affordable Connectivity New TBD, Pending Rulemaking Federal TBD Program Announced August 8, 2022 - NOFO pending To help inform and FCC announced the Affordable
Program - Outreach Communications educate consumers about Connectivity Outreach Grant
Grants Commission the Affordable Program on August 5.
Connectivity Program,
the Commission may
provide grants to
outreach partners.
Clean School Clean School Bus Program 71101 Competitive New One or more local, State, or tribal Environmental The Of $5 billion $1 billion $1 billion $1 billion $1 billion $1 billion FY 2022 application closed August Program Website EPA announced the
Buses and Ferries governmental entities responsible Protection Agency Administrato available 19, 2022. FY 2023 application has award of $1 billion
for providing school bus service to r shall ensure funds, 50 not been opened through the FY 2022
public school systems; 1 or more that the percent Clean School Bus
contracting entities that provide amount for low- Program to 389 school
school bus service to 1 or more received by emission districts to purchase
public school systems; or a all eligible buses, 50 clean school buses. The
nonprofit school transportation entities in a percent full list of awards can be
association. State from for no- found here.
grants and emission
rebates buses.
under this Federal
section does funds can
not exceed be used
10 percent of for 100
the amounts percent of
made the
available to purchases
carry out this made
section under this
during a fiscal program.
year.
Clean School Electric or Low-Emitting 71102 Competitive New Will be defined in the Notice of Department of n/a n/a $250 million $50 million $50 million $50 million $50 million $50 million FY 2022 application closed FY 2022 NOFO Program Fact Sheet
Buses and Ferries Ferry Pilot Program Funding Opportunity (NOFO) Transportation September 6, 2022. FY 2023
application has not been opened.
Cyber Resiliency Cyber Response and 70602 Competitive New Funds to be used to support Cybersecurity and $100 million $20 million $20 million $20 million $20 million $20 million Funding is triggered by the
Recovery Fund (§ 70602) Secretary-declared critical attack on Infrastructure Secretary’s determination of a
private or public entities during Security significant incident.
response and recovery. Agency/Department
of Homeland Security
Cyber Resiliency Rural and municipal utility 40124 Competitive New A rural electric cooperative, a utility Department of $250 million RFI response period closes Program Website Request for Information
advanced cybersecurity owned by a political subdivision of Energy December 19, 2022
grant and technical a State, such as a municipally
assistance program (§ owned electric utility
40124)
Cyber Resiliency State and Local 70612 Formula New States, local governments, or tribal Department of $1 billion $200 million $400 $300 $100 FY 2022 application closes Program Website FY 2022 NOFO
Cybersecurity Grant governments. Homeland Security million million million November 15, 2022
Program (§ 70612)
To be eligible, entity must submit
an application to DHS Secretary
regarding information systems and
preparedness.
Drinking Water Rural and Low-Income 50109 Competitive New Municipality, tribal government, Environmental Grant
Water Assistance Pilot other entity that operates or owns Protection Agency funding will
Program a community water system or has be subject to
taken on an unsustainable level of availability
debt due to customer nonpayment, of
or a state exercising primary appropriatio
enforcement responsibility over a ns
rural water service.
Drinking Water Advanced Drinking Water 50112 Competitive New An owner of a public water system Environmental 90 percent $50 million $10 million $10 million $10 million $10 million $10 million
Technologies with a population of not more than Protection Agency but can be
100,000 people or a disadvantaged increased
community to 100 if
eligible
Drinking Water Operational Sustainability 50106 Competitive New A state; a unit of local government; Environmental 90 percent $250 million $50 million $50 million $50 million $50 million $50 million
of Small Public Water a public corporation established by Protection Agency (can be
Systems unit of local government to provide increased
water service; a nonprofit to 100
corporation, public trust, or percent
cooperative association that owns with a
or operates a public water system; waiver)
an Indian Tribe that owns or
operates a public water system; a
nonprofit organization that
provides technical assistance to
public water systems
Drinking Water Midsize and Large 50107 Competitive New Public water systems that serve Environmental $250 million $50 million $50 million $50 million $50 million $50 million
Drinking Water System communities with a population of Protection Agency ($125
Infrastructure Resilience 10,000 or more million for
and Sustainability entities
Program serving
populations
between
10,000 and
100,000 and
$125 million
for entities
serving
populations
over
100,000)
Drinking Water Drinking Water 50104 Competitive New Public water systems, water Environmental 90 percent $125 million $25 million $25 million $25 million $25 million $25 million Program Fact Sheet
Infrastructure Resiliency systems governed by an Indian Protection Agency (cost
and Sustainability grant Tribe, or states on behalf of share may
program underserved communities. Eligible be
entities must serve a disadvantaged increased
community, serve a community to 100
that is likely to become percent
disadvantaged, or serve a with a
community with fewer than 10,000 waiver)
individuals that the EPA
Administrator determines does not
have the financial capacity to
support these projects.
Drinking Water Connections to Public 50104 Competitive New An owner or operator of a public Environmental $100 million $20 million $20 million $20 million $20 million $20 million
Water Systems water systems and non-profit Protection Agency
entities assisting with connection.
Entities must use funding to
support households that have an
income less than 50 percent of the
median nonmetropolitan
household income for the state
Drinking Water State Competitive Grants 50104 Competitive New States (priority given to those states Environmental $250 million $50 million $50 million $50 million $50 million $50 million
for Underserved with a high proportion of Protection Agency
Communities underserved communities)
Drinking Water Lead Inventorying 50105 Competitive New Municipality that is served by a Environmental $10 million EPA seeks comments on its draft Strategy to Reduce Lead Exposures and Draft EPA Strategy To
Utilization Grant Pilot community water system or a Protection Agency Disparities in U.S. Communities. Comments are due 3/16/22. Reduce Lead Exposures
Program nontransient noncommunity water and Disparities in U.S.
system in which not less than 30 Communities; Comment
percent of the service lines are Request; Correction
known, or suspected, to contain
lead, based on available data,
information, or resources, including
existing lead inventorying
Drinking Water Indian Reservation 50111 Competitive Existing Tribal communities Environmental 100 $250 million $50 million $50 million $50 million $50 million $50 million
Drinking Water Program Protection Agency percent
Drinking Water Technical Assistance and 50101 Competitive Existing States or publicly owned water Environmental $250 million $35 million for grants; $15 million for technical $35 million $35 million $35 million $35 million
Grants for Emergencies systems are eligible for grants; Protection Agency assistance for grants; for grants; for grants; for grants;
Affecting Public Water small public water systems and $15 million $15 million $15 million $15 million
Systems state-based nonprofit organizations for for for for technical
are eligible for technical assistance. technical technical technical assistance
When receiving technical assistance assistance assistance
assistance, non-profit organizations
and small water systems must
consult with states before
undertaking any technical
assistance activities.
Drinking Water Source Water Petition 50103 Competitive Existing States Environmental Grants to $25 million $5 million $5 million $5 million $5 million $5 million Program Website
Program Protection Agency states cannot
exceed 50%
of the cost of
administering
the program.
Drinking Water Research, Investigations, 50201 Competitive Existing State water pollution control Environmental $375 million $75 million $75 million $75 million $75 million $75 million
Training, and Information agencies, interstate agencies, other Protection Agency
on Water Surveillance public or nonprofit private
agencies, institutions,
organizations, and individuals
carrying out applicable projects
Drinking Water Addressing Lead 50110 Competitive Existing Local or tribal education agencies Environmental $200 million $30 million $35 million $40 million $45 million $50 million EPA seeks comments on its draft Strategy to Reduce Lead Exposures and Draft EPA Strategy To
Contamination in School (LEA) that serve schools and Protection Agency Disparities in U.S. Communities. Comments are due 3/16/22. Reduce Lead Exposures
Drinking Water childcare agencies, non-profit and Disparities in U.S.
organizations, states, tribal Communities; Comment
consortia, and public water systems Request; Correction
that serve LEAs that are located in
states that do not receive grants
under this section (states and tribal
consortia will use funding to assist
LEAs, public water systems,
nonprofit organizations, and child
care programs)
Drinking Water Assistance for Small and 50104 Competitive Existing Public water systems, water Environmental 90 percent $510 million $70 million $80 million $100 $120 $140
Disadvantaged systems governed by an Indian Protection Agency million million million
Communities Tribe, or states on behalf of
underserved communities. Eligible
entities must serve a disadvantaged
community, serve a community
that is likely to become
disadvantaged, or serve a
community with fewer than 10,000
Drinking Water Assistance Grants for Division J Competitive Existing Public water systems, water Environmental $5 billion $1 billion $1 billion $1 billion $1 billion $1 billion State LOIs for FY22 funding were The Environmental Protection Agency (EPA) announced the availability Program Website
Small and Disadvantaged systems governed by an Indian Protection Agency due August 15, 2022. of $1 billion in FY 2022 from the IIJA to address PFAS contamination
Communities to address Tribe, or states on behalf of through the Emerging Contaminants in Small or Disadvantaged
PFAS underserved communities. Eligible Communities grant program.
entities must serve a disadvantaged
community, serve a community
that is likely to become
disadvantaged, or serve a
community with fewer than 10,000
Drinking Water Reducing Lead in Drinking 50105 Competitive Existing Community water systems, indian Environmental $500 million $100 million $100 $100 $100 $100 FY 2023 application has not been Program Website Draft EPA Strategy To
Water water systems, nonprofit Protection Agency million million million million opened. Reduce Lead Exposures
organizations with experience in and Disparities in U.S.
lead reduction, municipalities, Communities; Comment
states, or interstate and Request; Correction
intermunicipal agencies
Drinking Water Addressing Per- and Division J Formula Existing States Environmental $4 billion $800 million $800 $800 $800 $800 Water systems receive DWSRF
Polyfluoroalkyl Substances Protection Agency million million million million assistance directly from state
(PFAS) Drinking Water agencies. Each state has its own
State Revolving Loan Fund application procedure
Drinking Water Lead Service Lines Division J Formula Existing States Environmental $15 billion $3 billion $3 billion $3 billion $3 billion $3 billion Water systems receive DWSRF EPA seeks comments on its draft Strategy to Reduce Lead Exposures and Draft EPA Strategy To Guidance for Developing
Drinking Water State Protection Agency assistance directly from state Disparities in U.S. Communities. Comments are due 3/16/22. Reduce Lead Exposures and Maintaining a Service
Revolving Loan Fund agencies. Each state has its own and Disparities in U.S. Line Inventory
application procedure Communities; Comment
Request; Correction
Drinking Water Drinking Water State 50102 Formula Existing States Environmental $11.7 billion $1.9 billion $2.2 billion $2.4 billion $2.6 billion $2.6 billion Water systems receive DWSRF
Revolving Fund Protection Agency assistance directly from state
agencies. Each state has its own
application procedure
Wastewater Stormwater Control 50217 Competitive New states; tribes; local governments; Environmental $200,000 for 80 percent $50 million $10 million $10 million $10 million $10 million $10 million
Infrastructure Project and local, regional, or other public Protection Agency planning and
Grants entity that manages stormwater or $2 million for
wastewater resources implementati
on. One third
of the total
funding is
reserved for
Wastewater Centers of Excellence for 50217 Competitive New An institution of higher education, a Environmental $25 million $5 million $5 million $5 million $5 million $5 million
Stormwater Control research institution, or a nonprofit Protection Agency
Infrastructure organization
Technologies
Wastewater Water resources research 50221 Competitive Existing Institutions of higher education Department of the 50 percent $60 million $15 million $15 million $15 million $15 million
and technology institutes (one research center established in Interior ($3 million
each state) from each
fiscal year
reserved for
research
focused on
interstate
water
problems)
Wastewater Enhanced Aquifer Use and 50222 Competitive New research centers, states, local Environmental $25 million $5 million $5 million $5 million $5 million $5 million RFA closes November 9, 2022 Enhanced Aquifer Recharge Performance and Potential Risk in Different
Recharge governments, tribes Protection Agency (half will go Regional and Hydrogeologic Settings Request For Applications (RFA)
to states and
local
government
s grants, half
will go to
research
center
grants)
Drinking Water Water Infrastructure 50215 Competitive Existing Corporations; partnerships; joint Environmental $250 million $50 million $50 million $50 million $50 million $50 million
and Wastewater Financing Reauthorization ventures; trusts; federal, state, or Protection Agency
local government entities; tribal
governments; state infrastructure
financing authorities
Energy Battery Manufacturng 40207 Competitive New Institutions of higher education, Department of $50 million for $3 billion Application closed on 7/19/22 Program Notice of Intent Battery recycling RFI
and Recycling Grants National Laboratories, Nonprofit Energy demonstration
and for-profit private entities, State projects; $100
and local governments million for
constructing
facilities; and $50
million for retooling
or expanding
facilities
Energy Battery Material 40207 Competitive New Institutions of higher education, Department of $50 million for $3 billion $600 milllion $600 $600 $600 $600 Application closed on 7/01/22 Program Notice of Intent Funding Announcement
Processing Grant Program National Laboratories, Nonprofit Energy demonstration milllion milllion milllion milllion
and for-profit private entities, State projects; $100
and local governments. million for
constructing
facilities; and $50
million for retooling
or expanding
facilities
Energy Carbon Dioxide 40304 Competitive New Large capacity, common carrier Department of Up to 80 $2.1 billion Estimated application opening date: Potential applicants may request a pre-application consultation by CIFA Guidance Program Website
Transportation infrastructure projects, including Energy percent 4th quarter 2022 emailing [email protected] with the subject line “CIFIA Pre-application
Infrastructure Finance and pipeline, shipping, rail, or other Consultation.” Based on the Pre-Application Consultations, DOE may
Innovation Act (CIFIA) transportation infrastructure and invite potential Applicants with Projects deemed Ready to Proceed to
program associated equipment that will submit a Letter of Interest.
transport or handle carbon dioxide
captured from anthropogenic
sources or ambient air- project
costs should reach or exceed $100
million
Energy Clean Energy 40342 Competitive New Projects involving solar, micro- Deparment of Energy $500 million Estimated application opening date, Program Website Press Release Fall 2022 Workshops
Demonstration Program grids, geothermal, direct air CY 2023.
on Former Mine land capture, carbon capture, energy
storage, or nuclear technologies
Energy Clean Hydrogen 40314 Competitive New Funding will be dedicated to eligible Department of $500 million Application closed on 09/30/22
Manufacturing and clean hydrogen manufacturing Energy
Recycling Program equipment projects
Energy Energy Efficiency 40502 Competitive and New $250 million $250 million Applications opened in November Application Instructions
Revolving Loan Fund Formula (40 2022; Applications are due April 21,
Capitalization Grant percent of funding 2023.
Program will be distributed
to states through
the State Energy
program and the
rest will be
competitive)
Energy Consumer and Retailer 70402 Competitive New Retailers who sell batteries Department of $15 million Application closed on 7/19/22
Participation in Battery Energy
Recycling Grants
Energy State and Local Battery 40207 Competitive New States and local governments Department of 50 percent $50 million Application closed on 7/19/22
Recycling Programs Energy
Energy Electric Vehicle Battery 40112 Competitive Existing Institutions of higher education, Department of $200 million Application closed on 7/19/22 Press Release Blueprint Roundtable
Recycling National Laboratories, Nonprofit Energy
and for-profit private entities, State
and local governments
Energy Electricity Transmission 40106 Competitive New Eligible projects include those to Department of $50 million $10 million $10 million $10 million $10 million $10 million FY2023 NOFO released in FY 2023 NOFO
Facilitation Grant and construct or replace existing Energy in November 2022; Applications are
Loan Program transmission lines, increase administrati due on February 1.
transmission capacity of existing ve
lines, or connect an isolated allowance
microgrid in Alaska, Hawaii, or a and $2.5
territory billion in
loan
authority
Energy Energy Auditor Training 40503 Competitive New States (program will be established Department of $2 million $40 million Application open date TBA
Grants throughthe State Energy Program) Energy
Energy Energy Efficiency 40541 Competitive New Non-profit entitites Department of $200,000 $50 million Estimated Request for Information Energy Efficiency Materials Pilot Program Website
Improvements at Non- Energy to be released by end of 2022.
Profit Buildings
Estimated funding application
opening date is Q1 2023.
Energy Energy Efficiency 40541 Competitive New Local education agencies, nonprofit Department of $500 million FY 2023 NOFO announced in FY2023 Application and NOFO
Improvements at Schools and for-profit organizations, Energy November 2022; Applications due
schools, community partners April 21, 2023.
Energy Program Upgrading Our 40103 Competitive New State, combination of 2 or more Department of $5 billion Applications opened in November FY 2023 Funding Opportunity Announcement (FOA)
Electric Grid and Ensuring States; Indian Tribes; units of local Energy 2022; Concept papers are due on
Reliability and Resiliency government, and/or public utility December 16 and applications are
commissions. due on April 6.
Energy Energy Improvement in 40103 Competitive New Industry Partners, Utilities, National Department of $1 billion $200 million $200 $200 $200 $200 RFI responses must be submitted as OCED ERA Workshop Slides Request for Information
Rural and Remote Areas Laboratories, Universities, State Energy million million million million attachments to an email and sent
and Local Governments, electronically to [email protected]
Community Based Organizations, no later than 12 p.m., ET on Nov 28,
Tribal, and Environmental Groups 2022.
Energy Energy Infrastructure 40103 Competitive New States, tribes, local governments, Department of $6 billion Notice from EPA announcing a public meeting of the Environmental
Federal Financial public utility commission Energy ($1 reserved Financial Advisory Board (EFAB) on 3/29 and 3/30. During the meeting,
Assistance Program for billion EFAB will receive updates on EPA activities relating to IIJA.
for rural and
remote
areas)
Energy Activities Under 40125 New Utilities, National Labs, Department of $250 million Estimated application opening date,
Cybersecurity For The Manufacturers and Vendors Energy 2023.
Energy Sector Research,
Development, And
Demonstration Program
Energy Energy Sector Operational 40125 New Small Electric Utilities, National Department of $50 million Application open in Q1 of 2023
Support for Labs Energy
Cyberresilience Program
Energy Advanced Energy Security 40125 New Utilities, National Labs, Bulk Power Department of $50 million Estimated application opening date,
Program System Vendors Energy 4th quarter 2022.
Energy Grant Program for 40512 Competitive New Institutions of higher education Department of $10 million Estimated application opening date,
Building and Training Energy 4th quarter 2022
Assessment Centers
Energy Building Codes 40511 Competitive New State agencies and partnerships Department of $225 million Applications for funding are
Implementation for between agencies and industry Energy expected to be open by the end of
Efficiency and Resilience 2022.
Energy Clean Hydrogen 40314 Competitive New Eligibility shall be determined by Department of $1 billion Estimated application opening date, Request for Information Webinar for RFI
Electrolysis the Secretary Energy 4th quarter 2022
Demonstration,
Commercialization and
Deployment Competitive
Grants Program
Energy Industrial Research and 40521 Competitive New A small- or medium-sized Department of $150 million Estimated application opening date Map of Industrial Assessment Centers
Assessment Centers manufacturer that has had an Energy for the for Centers for Excellence restricted
energy assessment completed by-- centers and eligibility opportunity for current
an industrial research and $400 million IHE IACs, 4th Quarter 2022.
assessment center; a Department in Estimated application opening date
of Energy Combined Heat and implementat for IAC expansion to community
Power Technical Assistance ion grants colleges, trade schools, and union
Partnership jointly with an training programs, 4th Quarter
industrial research and assessment 2022.
center; or a third-party assessor
that provides an assessment
equivalent to an assessment
described above, as determined by
the Secretary. Institutions of higher
education will be eligible for
funding for the establishment of
the centers
Energy Pumped Storage 40334 Competitive New An electric utility, including-- a Department of $10 million $2 million $2 million $2 million $2 million $2 million FOA Open in Q3 2022
Hydropower political subdivision of a State, such Energy
Demonstration Grant as a municipally owned electric
Program utility; or an instrumentality of a
State composed of municipally
owned electric utilities; an electric
cooperative; or an investor-owned
utility; an Indian Tribe or Tribal
organization; a State energy office;
an institution of higher education;
or a consortium of the entities
described above
Energy Rare Earth Elements Division J Competitive New Institution of higher education Department of $140 million $140 million Estimated application opening date, Request for Information
Demonstration Facility Energy 4th quarter 2022.
Energy Regional Clean Hydrogen Division J Competitive New This program will support the Department of $7 billion Applications are due 4/07/23 Request for Information Webinar for RFI Press Release
Hubs development of 4 clean hydrogen Energy
hubs, and while eligible entities are
not specified funding will be tied to
these hubs
Energy Regional Direct Air 40308 Competitive New Eligible projects include those to Department of $3.5 billion Estimated application opening date Press Release Draft FOA link NOI
Capture Hubs create direct air capture hubs Energy is Q4 of 2022.
Energy Rural and Municipal Division J Competitive New Rural electric cooperatives; utilities Department of $250 million Estimated application opening date Press Release First listening session
Utility Advanced owned by a political subdivision of Energy is Q4 of 2022. occurred on August 18,
Cybersecurity Grant and a State, such as a municipally 2022
Technical Assistance owned electric utility; utilities
Program owned by any agency, authority,
corporation, or instrumentality of 1
or more political subdivisions of a
State; not-for-profit entities that
are in a partnership with not fewer
than 6 entities described above;
and investor-owned electric utilities
that sell less than 4,000,000
megawatt hours of electricity per
year
Energy Career Skills Training 40513 Competitive New Nonprofit partnerships that include Department of $10 million $10 million Estimated application opening date
Program Partnerships the equal participation of industry, Energy is Q1 of 2023
including public or private
employers, and labor organizations,
such as joint labor-management
training programs. These
partnerships may also include
workforce investment boards,
community-based organizations,
qualified service and conservation
corps, educational institutions,
small businesses, cooperatives,
State and local veterans agencies,
and veterans service organizations.
Energy Smart Manufacturing 40534 Competitive New States Department of $2 million $50 million Estimated application opening date,
Grants Energy 4th quarter 2022.
Energy Natural Gas Distribution Division J Competitive New Municipality or community owned Pipeline and $1 billion $200 million $200 $200 $200 $200 Application closed 08/08/22 Notice of Funding Opportunity
Infrastructure Safety and utilities (not including for-profit Hazardous Materials million million million million
Modernization Grant entities) Safety Administration
Program
Energy Carbon Utilization 40302 Competitive New State and local governments, public Department of $310 million $41 million $65.25 $66.56 $67.94 $69.39 Estimated application opening date Deployment and Demonstration Opportunities for Carbon Reduction
Program utilities Energy million million million million 4th quarter 2022 and Removal Technologies
Energy Maintaining and 40333 Competitive New Hydroelectric facilities Department of $5 million $553.6 $553.6 million Estimated application opening date Request for Information Press Release
enhancing hydroelectricity Energy (cannot million 2nd quarter 2023
incentives exceed 30
percent of
project costs)
Energy Energy Storage 41001 Competitive Existing Technology Developers, Industry, Department of $355 million Estimated application opening date,
Demonstration Pilot Grant (passed as State and Local Governments, Energy 3rd quarter 2023.
Program part of the Tribal Organizations, Community
Energy Act Based Organizations, National
of 2020) Laboratories, Universities, and
Utilities.
Energy Long-Duration Energy 41001 Competitive Existing Technology Developers, Industry, Department of $150 million Additional funding anticipated Lab Call Announcement ($30m) for Long Duration Energy Storage Lab Call Announcement
Storage Demonstration (passed as State and Local Governments, Energy application opening date is Q4 of CY Demonstrations Letters of Intent are due by Nov 2, 2022 at 5 p.m., ET.
Initiative and Joint part of the Tribal Organizations, Community 2022.
Program Energy Act Based Organizations, National
of 2020) Laboratories, Universities, and
Utilities.
Energy Advanced Reactor 41002 Competitive Existing Funding will be granted to Department of $2.47 billion TBA ARD Funding Opportunity Announcement
Demonstration Program (passed as advanced nuclear reactor research Energy
part of the and demonstration projects
Energy Act
of 2020)
Energy National Geological and 41003 Competitive Existing State Geological Surveys, State Department of the $23.7 $8.668 million $5 million $5 million $5 million
Geophysical Data (passed as Universities Housing State Interior million
Preservation Program part of the Geological Surveys, Private
Energy Act Contractors, U.S. Geological Survey
of 2020) Science Centers And Other
Department of Interior Bureaus
Energy Rare Earth Security 41003 Competitive Existing Industry Partner Department of $127 million $23 million $24.2 $25.4 $26.6 $27.8 Estimated application opening date, Funding Opportunity Press Release
Activities (passed as Energy million million million million 1st quarter 2023
part of the
Energy Act
of 2020)
Energy Critical Material 41003 Competitive Existing Industry Partner Department of $600 million $230 million $100 $135 $135 Application opening at the end of Request for Information
Innovation, Efficiency, and (passed as Energy million million million year 2022
Alternatives part of the
Energy Act
of 2020)
Energy Critical Material Supply 41003 Competitive Existing Industry Partner Department of $75 million $40 million $35 million Estimated application opening date, Request for Information
Chain Research Facility (passed as Energy 4th quarter 2022
part of the
Energy Act
of 2020)
Energy Carbon Capture 41004 Competitive Existing Industry stakeholders, including Department of $2.9 billion $1.3 billion $700 $700 $750 Estimated application opening date, Request for Information Deployment and
Demonstration Pilot (passed as private entities, national Energy million million million CY 2023. Demonstration
Programs part of the laboratories, and institutions of Opportunities for
Energy Act higher education Carbon Reduction and
of 2020) Removal Technologies
Energy Direct Air Capture 41005 Competitive Existing Funding will go to any eligible Department of $115 million $115 million Commercial Direct Air Capture Commercial Direct Air Capture Technology Prize Competition Program Deployment and
Technologies Prize (passed as project, specific entities not details Energy Technology Prize Competition Website Demonstration
Competitions part of the application estimated opening date Opportunities for
Energy Act Q4 2022 Carbon Reduction and
Energy National Marine Energy 41006 Existing Institutions of higher education, Department of $40 million Estimated application opening date
Centers (passed as industry partners (more details on Energy is Q3 of 2023.
part of the eligibility to be provided by the
Energy Act Secretary)
of 2020)
Energy Marine Energy Research, 41006 Existing Industry Partner and National Labs Department of $70.4 Estimated application opening date
Development, and (passed as Energy million is Q1 of 2023.
Demonstration part of the
Energy Act
of 2020)
Energy Hydropower Research, 41006 Existing Industry partners and National Labs Department of $36 million Estimated application opening date
Development, and (passed as Energy is Q4 of 2022.
Demonstration part of the
Energy Act
of 2020)
Energy Geothermal Research & 41007 Competitive Existing National Labs, Institutes of Higher Department of $84 million Estimated application opening date Enhanced Geothermal Systems Pilot Demonstrations Program Website
Development (passed as Education, Multi-institutional Energy is Q1 of 2023.
part of the Collaborations
Energy Act
of 2020)
Energy Wind Energy Technology 41007 Competitive Existing (A) An Institution of Higher Department of $60 million Estimated application opening date,
Program (passed as Education, (B) A National Energy 4th quarter 2022.
part of the Laboratory;(C) A Federal Research
Energy Act Agency;(D) A State Research
of 2020) Agency;(E) A Research Agency
Associated with A Territory or
Freely Associated State;(F) aTribal
energy development
organization;(G) anIndian Tribe;(H)
aTribal organization;(I) aNative
Hawaiian community-based
organization;(J) a nonprofit
research organization;(K) an
industrial entity;(L) any other
entity, as determined by
theSecretary; and(M) a consortium
of 2 or more entities described in
subparagraphs (A) through (L).
Energy Wind Energy Tech 41007 Competitive Existing (A) An institution of higher Department of $40 million Estimated application opening date
Recycling Research & (passed as education, (B) a National Energy is Q1 of 2023.
Development part of the Laboratory;(C) a Federal research
Energy Act agency;(D) a State research
of 2020) agency;(E) a research agency
associated with a territory or freely
associated state;(F) aTribal energy
development organization;(G)
anIndian Tribe;(H) aTribal
organization;(I) aNative Hawaiian
community-based organization;(J) a
nonprofit research organization;(K)
an industrial entity;(L) any other
Energy Solar Improvement 41007 Competitive Existing (A) An Institution of Higher Department of $40 million Estimated application opening date,
Research & Development (passed as Education, (B) A National Energy 3rd quarter 2022.
part of the Laboratory;(C) A Federal Research
Energy Act Agency;(D) A State Research
of 2020) Agency;(E) A Research Agency
Associated with A Territory or
Freely Associated State;(F) aTribal
energy development
organization;(G) anIndian Tribe;(H)
aTribal organization;(I) aNative
Hawaiian community-based
organization;(J) a nonprofit
research organization;(K) an
industrial entity;(L) any other
Energy New Solar Research & 41007 Competitive Existing (A) An institution of higher Department of $20 million Estimated application opening date,
Development (passed as education,(B) a National Energy 2nd quarter 2023
part of the Laboratory;(C) a Federal research
Energy Solar Recycling Research 41007 Competitive Existing (A) An institution of higher Department of $20 million Estimated application opening date,
& Development (passed as education,(B) a National Energy 3rd quarter 2022.
part of the Laboratory;(C) a Federal research
Energy Industrial Emissions 41008 Competitive Existing Institutions of higher education, Department of $500 million $100 million $100 $150 $150 Estimated application opening date,
Demonstration Projects (passed as nongovernmental organizations, Energy million million million CY 2023.
part of the national laboratories, private
Energy Act entities
of 2020)
Energy Incentive Funding for 40331 Competitive Existing Non-federally owned hydroelectric Department of $125 million $125 million Comment period ended 9/6/22 Notice of Availability of Guidance and Application for Hydroelectric NOI Released in Q4
Production Hydroelectric facilities Energy Incentive Program 2022
Facilities
Energy Smart Grid Investment 40107 Competitive Existing Private industry Department of $3 billion $3 billion FOA Open in Q4 2022 An unpublished notice
Matching Grant Program Energy (scheduled for 1/19
publication) by the
Department of Energy
unveils its new Building
a Better Grid Initiative
focused on catalyzing
nationwide
development of new
and upgraded high-
capacity transmission
lines.
Energy Hydroelectric efficiency 40332 Competitive Existing Operators of hydroelectric facilities Department of $5 million $75 million $75 million Application opening date TBD Notice of Availability of Guidance and Application for Hydroelectric Request for Information Press Release
improvement incentive at existing dams Energy (cannot Incentive Program
exceed 30
percent of
project costs)
Energy Preventing outages and 40101 Formula New Electric grid operators; electricity Department of Grant cannot 50 percent $5 billion Application closed on 09/30/22 Press Release Funding available for Application forms and Request for Information
enhancing the resilience storage operators; electricity Energy exceed the (entities (half is States, Tribal nations instructions are available
of the electric grid generators; transmission owners or amount that are reserved for and Territories can be at Section 40101(d)
operators; distribution providers; the entity has required states and found here. Formula Grants to States
fuel suppliers; and any other spent on to match territories & Indian Tribes.
relevant entity, as determined by resiliency in 100 and half for
the Secretary; states; territories; the past percent of electric
tribes three years the grant, utility
except for operators)
small
utilities)
Energy Orphaned well site 40601 Formula New States Department of $4.7 billion Applications closed 5/13/22. Memo Final guidance for states
plugging, remediation, Interior Estimated date for publication of to apply for the $775
and restoration state application guidance, March million in initial grant
2022. funding for plugging
orphaned oil and gas
wells provided through
the IIJA
Energy Energy Efficiency and 40552 Formula Existing Local governments, states, Department of $550 million $550 million FY 2023 NOFO is due on July 31. Notice of Intent to issue NOFO in January 2023.
Conservation Block Grant territories Energy
Energy Carbon Utilization 40302 Competitive New State and local governments, public Department of Energy $310 million $41 million $65.25 million
$66.56 million
$67.94 million
$69.39 Estimated application opening date, Request for Information
Program utilities million 4th quarter 2022
Energy Hydroelectric efficiency 40332 Competitive Existing Operators of hydroelectric facilities Department of Energy $5 million $75 million $75 million Application opne date TBD Request for Information Press Release
improvement incentive at existing dams (cannot
exceed 30
percent of
project costs)
Energy Maintaining and 40333 Competitive New Hydroelectric facilities Department of Energy $5 million $553.6 $553.6 million Estimated application opening date Program Website
enhancing hydroelectricity (cannot million is Q2 of 2023.
incentives exceed 30
percent of
project costs)
Energy Critical Minerals Mining 40210 Competitive New Institutions of higher education, Department of Energy $156 million Application closed on 11/21/2022 Press Release Full FOA
and Recycling Research National Laboratories, nonprofit
organizations
Energy Grant Program for 40210 Competitive New Eligibility is not specified Department of Energy $10 million $400 million $100 million ($100 million also included for $100 million $100 million FOA expected in January 2023 Notice of Intent Press Release
Processing of Critical FY2021)
Minerals
Energy Energy Storage 41001 Competitive Existing State energy offices, tribes, Department of Energy $2.02 billion $505 million ($355 million for demonstration $505 $505 $505 The Secretary will enter into
Demonstration Program (passed as institutions of higher education, programs; $150 million for long-duration million million million agreements by September 30, 2023
part of the electric utilities, private energy demonstrations) ($355 ($355 ($355
Energy Act storage companies million for million for million for
of 2020) demonstrat demonstrat demonstrat
ion ion ion
programs; programs; programs;
$150 $150 $150
million for million for million for
long- long- long-
duration duration duration
demonstrat demonstrat demonstrat
ions) ions) ions)
Energy Advanced Reactor 41002 Competitive Existing Funding will be granted to Department of Energy $3.2 billion ARD Funding Opportunity Announcement
Demonstration Program (passed as advanced nuclear reactor research
part of the and demonstration projects
Energy Act
of 2020)
Energy Mineral Security Projects 41003 Competitive Existing States, tribes, institutions of higher Department of the Interior $825.7 $301.7 million $164 million $165.4 million
$166.6 million
$27 million
(passed as education million
part of the
Energy Act
of 2020)
Energy Carbon Capture 41004 Competitive Existing Industry stakeholders, including Department of Energy $2.9 billion $1.3 billion $700 million $700 million $750 million Estimated application opening date, Press Release Request for Information
Demonstration Pilot (passed as private entities, national CY 2023.
Programs part of the laboratories, and institutions of
Energy Act higher education
of 2020)
Energy Direct Air Capture 41005 Competitive Existing Funding will go to any eligible Department of Energy $115 million $115 million Commercial Direct Air Capture Commercial Direct Air Capture Technology Prize Competition Program Deployment and
Technologies Prize (passed as project, specific entities not details Technology Prize Competition Website Demonstration
Competitions part of the application estimated opening date Opportunities for
Energy Act Q4 2022 Carbon Reduction and
Energy Water Power Projects 41006 Competitive Existing Institutions of higher education, Department of Energy $146.4 Current Funding Opportunities
(passed as industry partners (more details on million
part of the eligibility to be provided by the
Energy Act Secretary)
of 2020)
Energy Renewable Energy 41007 Competitive Existing No eligibility detailed in legislation Department of Energy $264 million
Projects (passed as
part of the
Energy Act
of 2020)
Energy Industrial Emissions 41008 Competitive Existing Institutions of higher education, Department of Energy $500 million $100 million $100 million $150 million $150 million Estimated application opening date,
Demonstration Projects (passed as nongovernmental organizations, CY 2023.
part of the national laboratories, private
Energy Act entities
of 2020)
Energy Low Income Home Energy Division J Block Grant New States, tribes, territories Department of Energy $500 million $100 million $100 $100 $100 $100 Application closed 09/01/22 LIHEAP Grant Recipient Resources Fact Sheet The Department of
Assistance Program million million million million Health and Human
(LIHEAP) Services (HHS) announced
the availability of $4.5
billion of Low Income
Home Energy Assistance
Program (LIHEAP)
funding. This
announcement includes
approximately $3.4
billion of FY 2023 regular
block grant funding and
$1 billion in emergency
supplemental funding. Of
the total funding, $100
million was made
available through the
IIJA.
Energy Advanced Energy 40209 Competitive New Manufacturing facilities Department of Energy $750 million Applications oepned on February DOE issued an RFI seeking public input on the Advanced Energy Press Release If you have questions
Manufacturing and 13. Concept papers are due March Manufacturing and Recycling Grant Program. please contact us
Recycling Grant Program 14. Full applications are due on at [email protected]
June 8. e.gov.
Energy State Energy Program 40109 Formula Existing States, territories, Department of $500 million Application due 11/04/22 Application Instructions SEP IIJA Administrative
and the District of Columbia Energy and Legal Requirements
Document
Environmental Brownfields Program Division J Competitive Existing Local governments, states, tribes, Environmental $10 million $1.5 billion $300 million $300 $300 $300 $300 Open FY 2023 brownfields grant EPA announced they will be awarding Brownfields Job Training Grants to The Environmental
related non-profit entities Protection Agency for grants for million million million million applications 19 organizations across the country, each receiving an award of Protection Agency (EPA)
revolving $200,000. The EPA will be using $30 million from the $1.5 billion announced a Request
loan funds; allotted to the Brownfields program through the IIJA f for Applications for $57
$10 million million in IIJA funds for
for clean-up two new Brownfield
grants; $10 technical assistance
million for opportunities.
assessment Applications are due on
grants; $1 February 14.
million for
job training
grants
Environmental Superfund Program Division J Competitive Existing Funding will be granted to states Environmental $5 billion EPA announced the Local Government Advisory Committee (LGAC) and Superfund Sites with
and localities for clean-up activities Protection Agency the Small Communities Advisory Subcommittee (SCAS) will meet New Construction
at federal superfund sites. virtually on February 17th to discuss agency implementation of the IIJA. Projects to Receive
Bipartisan Infrastructure
Law Funding
Federal Building Resilient Division J Competitive Existing States, territories, the District of FEMA Applicants Generally, $1 billion $200 million $200 $200 $200 $200 FY 2022 application closes January Program Website
Emergency Infrastructure and Columbia, and federally recognized may submit the million million million million 27, 2023.
Management Communities (BRIC) Grant tribal governments funding for an unlimited federal
Agency (FEMA) Program hazard mitigation projects to number of cost share
Funding reduce risks faced from disasters mitigation for this
and natural hazards. project program is
subapplicatio 75
ns each percent;
valued up to however,
$50,000,000 economic
federal share ally
to the disadvant
national aged rural
competition communiti
es may be
eligible for
up to a 90
percent
federal
share
Federal Flood Mitigation Division J Competitive Existing Funding for states, local FEMA Federal $3.5 billion FY 2022 application closes January Program Website
Emergency Assistance (FMA) communities, tribes, and territories funding is 27, 2023.
Management Competitive Grant to reduce or eliminate risk of available
Agency (FEMA) Program repetitive flood damage to for up to
Funding buildings and structures. Applicants 75% of
must have a FEMA-approved State eligible
or Tribal Hazard Mitigation Plan by costs,
the application deadline and at the however,
time of obligation of grant funds for FEMA can
project, Project Scoping, and contribute
Technical Assistance up to
subapplications. 100% for
those that
fall under
severe
repetitive
loss, and
up to 90%
for those
that
qualify for
repetitive
loss.
$700 $700 $700 $700
$700 million million million million million
Secure Rural Secure Rural Schools and 41202 Formula Existing Department of Extends the Program Website
Schools and Security Determination Energy program
Security through
Determination 2023 at its
2017
funding
levels.
Transportation National Infrastructure 21201 Competitive New A State or a group of States; a Department of Federal $1 billion FY 2022 application closed on May Safe Driver Apprenticeship Pilot Program: Allow Persons Ages 18, 19, U.S. DOT Strategic Plan 2022 MPDG NOFO
Project Assistance territory; a metropolitan planning Transportation cost share 23, 2022. FY 2023 application has and 20 to Operate Commercial Motor Vehicles in Interstate Commerce
(MEGA Projects) organization; a unit of local is limited not been opened. Part of the FY22
government; a political subdivision to 80 Multimodal Project Discretionary
of a State; a special purpose district percent, Grant Opportunity (MPDG).
or public authority with a with 50
transportation function, including a percent of
port authority; a Tribal government funding
or a consortium of Tribal reserved
governments; a partnership for
between Amtrak and 1 or more projects
entities described above; and a over $500
group of entities described above million
and 50
percent
reserved
for
projects
between
$100 and
$500
million
Transportation Stopping Threats on 11502 Competitive New State department of transportation Federal Highway Up to 100 $25 million $5 million $5 million $5 million $5 million $5 million Not yet announced.
Pedestrians (Bollard or local government entity Administration (DOT) percent
Installation Projects)
Transportation Active Transportation 11529 Competitive New Local or regional governmental Federal Highway 80 $1 billion $200 million $200 $200 $200 $200 Not yet announced.
Infrastructure Program organization, multicounty special Administration (DOT) percent, million million million million
district, a State, or tribe unless the
project
serves
communiti
es with a
poverty
rate of
over 40
percent
based on
the
majority
of census
tracts
served by
the
eligible
project, in
which
case the
Secretary
may
increase
the
Federal
share of
thepercent
cost of $5 billion
Transportation Airport Terminal Division J Competitive New Any airport that is eligible to Federal Aviation 80 $1 billion $1 billion $1 billion $1 billion $1 billion FY 2023 application is due October FY 2023 NOFO Program Website
Program receive a grant from the Administration (DOT) for large 24, 2022.
discretionary fund under section and
47115(a) of title 49 (USC) medium
hub
airports
and 95
percent
for small
hub,
nonhub,
and
nonprimar
y airports
Transportation All Stations Accessibility Division J Competitive New State or local government authority Federal Transit 80 percent $1.75 billion $350 million $350 $350 $350 $350 FY 2022 application closed on FY 2022 NOFO FY2022 NOFO Webinar FY2022 NOFO Webinar Program Website
Program Administration (DOT) million million million million October 7, 2022. FY 2023 Presentation 1 Presentation 2
Transportation Grants for Charging and 11401 Competitive New A State or political subdivision of a Federal Highway $15 million 80 percent $2.5 billion $300 million $400 $500 $600 $700 On February 16, 2023, DOT FHWA seeks public input on the implementation of the IIJA. There is not FHWA seeks public input DOT and DOE seek Deployment of Guidance for Electric
Fueling Infrastructure State; a metropolitan planning Administration (DOT) (Community (with 50 million million million million announced it will open applications current deadline for comments. on EV charging comments on EV charger Vehicle Charging Infrastructure
(includes both organization; a unit of local Grants) percent soon. implementation. availability. Comments Deployment
Alternative Fuel government; a special purpose reserved for Comments are due are due 1/10/21.
Corridors and district or public authority with a Community 1/28/22.
transportation function, including a Grants)
Community Grants)
port authority; an Indian tribe (as
defined in section 4 of the Indian
Self-Determination and Education
Assistance Act (25 U.S.C. 5304)); a
territory of the United States; an
authority, agency, or
instrumentality of, or an entity
owned by, 1 or more entities
described above; a group of entities
described above; a State or local
authority with ownership of
publicly accessible transportation
facilities
Transportation Ferry Service For Rural 71103 Competitive New States Federal Transit $1 billion $200 million $200 $200 $200 $200 FY 2022 application closed Notice of Funding Opportunity Program Fact Sheet
Communities Administration (DOT) million million million million September 6, 2022. FY 2023
Transportation Bridge Investment 11118 Competitive New A State or a group of States; a Federal Highway Creates a minimum 50 percent $12.5 billion FY 2022 application closed FHWA seeks public input on the implementation of the IIJA. There is not Notice of Funding Program Website Program Fact Sheet FAQs
Program metropolitan planning organization Administration (DOT) grant size of $50 for large September 8, 2022. FY 2023 current deadline for comments. Opportunity
that serves an urbanized area (as million for large projects application has not been opened.
designated by the Bureau of the projects and $2.5 (total cost
Census) with a population of over million for small more that
200,000; a unit of local government projects $100
or a group of local governments; a million);
political subdivision of a State or 80 percent
local government; a special for any
purpose district or public authority other
with a transportation function; a eligible
Federal land management agency; project
a Tribal government or a
consortium of Tribal governments;
a multistate or multijurisdictional
group of entities described above
Transportation Congestion Relief 11404 Competitive New A State, for the purpose of carrying Federal Highway $10 million 80 percent $250 million $50 million $50 million $50 million $50 million $50 million Not yet announced.
Program out a project in an urbanized area Administration (DOT)
with a population of more than
1,000,000 or a metropolitan
planning organization, city, or
municipality, for the purpose of
carrying out a project in an
urbanized area with a population of
more than 1,000,000
Transportation Healthy Streets 11406 Competitive New A State, a metropolitan planning Federal Highway $500 million $100 million $100 $100 $100 $100 Not yet announced.
Program organization, a unit of local Administration (DOT) million million million million
government, a tribal government,
or a nonprofit organization
Transportation Interstate Rail 22306 Competitive New Entities implementing interstate rail Department of Maximum Federal RFI comment period closed Program Website Program Fact Sheet RFI
Compacts compacts pursuant to section 410 Transportation grant size is cost share September 19, 2022. FY 2022
of the Amtrak Reform and $1 million per is 50 application has not been opened.
Accountability Act of 1997 (49 year percent
U.S.C. 24101 note)
Transportation Railroad Crossing 22305 Competitive New A State, including the District of Federal Railroad $1 million for 80 percent $3 billion $500 million authorized funding; $600 million in $500 $500 $500 $500 FY 2022 application closed October FY 2022 NOFO Program Website
Elimination Columbia, Puerto Rico, and other Administration (DOT) general projects, advanced appropriations million million million million 4, 2022. FY 2023 appplication has
United States territories and although planning authorized authorized authorized authorized not been opened.
possessions; a political subdivision grants can be Funding Available for Award Under FY 2022 funding; funding; funding; funding;
of a State; a federally recognized smaller NOFO: $573,264,000 $600 $600 $600 $600
Indian Tribe; a unit of local million in million in million in million in
government or a group of local advanced advanced advanced advanced
governments; a public port appropriati appropriati appropriati appropriati
authority; a metropolitan planning ons ons ons ons
organization; a group of entities
described above
Transportation Reconnecting 11509 Competitive New Planning Grant: a State, unit of Federal Highway $2 million for 80 percent $1 billion FY 2022 application closed October FY 2022 NOFO Program Website
Communities Pilot local government; a tribal Administration (DOT) planning for 13, 2022. FY 2023 application has
Program government; a metropolitan grants and $5 planning not been opened.
planning organization; a nonprofit million for grants and
organization capital 50 percent
construction for capital
Capital Construction Grant: owner grants constructi
of a highway or other on grants
transportation facility that creates a
barrier to community connectivity,
including barriers to mobility,
access, or economic development;
including a limited access highway;
a viaduct; and any other principal
arterial facility, who can pair with a
State, unit of local government; a
tribal government; a metropolitan
planning organization; a nonprofit
organization
Transportation Reduction of Emissions 11402 Competitive New Federal Highway tr 80 percent $150 million Not yet announced. Press Release
at Port Facilities Administration (DOT)
Transportation Rural Surface 11132 Competitive New A State, regional transportation Federal Highway $25 million 80 $2 billion $300 million $350 $400 $450 $500 FY 2022 application closed on May 2022 MPDG NOFO Program Website
Transportation Grant planning organization, a unit of Administration (DOT) percent, million million million million 23, 2022. FY 2023 application has
Program local government, a unless the not been opened. Part of the FY22
multijurisdictional group of entities, project Multimodal Project Discretionary
or tribal government furthers Grant Opportunity (MPDG).
the
completio
n of a
designate
d segment
of the
Appalachi
an
Developm
ent
Highway
System
under
section
14501 of
title 40, or
addresses
a surface
transporta
tion
infrastruct
ure need
identified
for the
Transportation Safe Streets and Roads 24112 Competitive New A metropolitan planning Department of 80 percent $5 billion $1 billion $1 billion $1 billion $1 billion $1 billion The next funding opportunity FY 2022 NOFO Program Website How to Apply How to Apply Webinar
for All Grant Program organization, political subdivision of Transportation through the program is expected to
a state, a federally recognized tribal be released in April 2023.
government, or a
multijurisdictional group of entities
Transportation Competitive Grants for 30016 Competitive New State and local governmental Federal Transit 80 percent $300 million $300 $300 $300 $300 FY 2022 and FY 2023 application is FY 2022 & FY 2023 NOFO Program Website
Rail Vehicle authorities Administration (DOT) million million million million due January 5, 2023.
Replacement
Transportation Strengthening Mobility 25005 Competitive New A State; a political subdivision of a Department of $500 million $100 million $100 $100 $100 $100 FY 2022 application is due FY 2022 NOFO Program Website How to Apply
and Revolutionizing State; a Tribal government; a public Transportation million million million million November 18, 2022.
Transportation transit agency or authority; a public
(SMART) Grant toll authority; a metropolitan
Program planning organization; and a group
of 2 or more eligible entities
described above applying through a
single lead applicant
Transportation Transportation Access 13010 Competitive New A State; metropolitan planning Federal Highway Not funded Not yet announced.
Pilot Program organization; regional Administration (DOT) in the IIJA
transportation planning
organizations
Transportation Local and Regional Project 21202 Competitive Existing A State; the District of Columbia; Department of Minimum grant size Maximum 80%, $15 billion DOT released the FY23 NOFO on FY 2023 NOFO Program Website How to Apply FAQs
Assistance (RAISE) any territory or possession of the Transportation is $1 million and $5 grant size is unless the December 15. Applications are due
United States; a unit of local million for rural and $25 million project is February 28.
government; a public agency or urban areas located in
publicly chartered authority respectively a rural
established by 1 or more States; a area, a
special purpose district or public historically
authority with a transportation disadvant
function, including a port authority; aged
a federally recognized Indian Tribe communit
or a consortium of such Indian y, or an
Tribes; a transit agency; and a multi- area of
State or multijurisdictional group of persistent
entities described above poverty, in
which
case the
federal
share may
exceed
80% at the
discretion
of the
Secretary
Transportation Pilot Program for 30009 Competitive Existing A proposer must either be the Federal Transit $13 million $13 million $13 million $13 million $13 million FY 2022 application closed July 25, FY 2022 NOFO Program Website
Transit-Oriented project sponsor of an eligible Administration (DOT) 2022. FY 2023 application has not
Development Planning transit capital project as defined been opened.
above or an entity with land use
planning authority in an eligible
transit capital project corridor.
Evidence of a partnership
between these two types of
entities will be required unless
the applicant has both
responsibilities.
Transportation Public Transportation 30007 Competitive Existing Eligible recipients are determined Federal Transit $37 million $38 million $39 million $39 million $40 million Not yet announced. Program Website
Innovation for each competition, and may Administration (DOT)
include: universities, public
transportation systems, state DOTs,
non-profit and for-profit entities,
amongst others.
Transportation ICAM Pilot Program 30017 Competitive Existing Eligible applicants are designated Federal Transit $5 million $5 million $5 million $5 million $5 million FY 2021 application closed FY 2021 NOFO Program Website
or direct recipients of FTA’s Administration (DOT) December 6, 2021. FY 2023
Enhanced Mobility of Seniors and application has not been
Individuals with Disability Formula announced.
Program.
Transportation Capital Investment Grants 30005 Competitive Existing State and local government Federal Transit Varies by $15 billion in $3 billion in regular authorization; $1.6 billion in $3 billion in $3 billion in $3 billion in $3 billion in Not yet announced. Program Website
agencies, including transit agencies Administration (DOT) project regular advanced appropriations regular regular regular regular
type, with reauthorizati authorizati authorizati authorizati authorizatio
New Start on over on; $1.6 on; $1.6 on; $1.6 n; $1.6
projects: FY22-FY26, billion in billion in billion in billion in
60 additional advanced advanced advanced advanced
percent; $8 billion in appropriati appropriati appropriati appropriati
Small Start funding over ons ons ons ons
projects: FY22-FY26
80
percent;
and, Core
Capacity
projects:
80
percent.
Total
federal
funds for
any
project
type may
not
exceed 80
percent.
Transportation Consolidated Rail 22907 Competitive Existing A State, including D.C.; a group of Federal Railroad $5 billion $1 billion $1 billion $1 billion $1 billion $1 billion FY 2022 application is due FY 2022 NOFO Program Website
Infrastructure and Safety States; an Interstate Compact; a Administration (DOT) December 1, 2022.
Improvements (CRISI) public agency or publicly chartered
Grants authority established by one or
more States; a political subdivision
of a State; Amtrak and other rail
carriers providing intercity rail
passenger transportation; Class
II/III railroads and associations that
represent a Class II/III railroad; rail
carriers and equipment
manufacturers, in partnership with
at least one of the first five entities
shown above; a federally
recognized Indian tribe; the
Transportation Research Board;
University Transportation Centers
engaged in rail-related research;
non-profit labor organizations
representing rail employees
Transportation Federal-State Partnership 24911 Competitive Existing A State, including D.C.; a group of Federal Railroad $7.5 billion $1.5 billion authorized funding; $7.2 billion in $1.5 billion $1.5 billion $1.5 billion $1.5 billion FY 2022 applications are due March FY 2022 NOFO Program Website FY 2022 and FY 2022 NCE
for Intercity Passenger States; an Interstate Compact; a Administration (DOT) authorized advanced appropriations authorized authorized authorized authorized 7, 2023. FSP NOFO
Rail Grants public agency or publicly chartered funding; $36 funding; funding; funding; funding;
authority established by one or billion in $7.2 billion $7.2 billion $7.2 billion $7.2 billion
more States; a political subdivision advanced in in in in advanced
of a State; Amtrak, acting on its appropriatio advanced advanced advanced appropriati
own behalf or under a cooperative ns appropriati appropriati appropriati ons
agreement with one or more ons ons ons
States; a federally recognized
Indian tribe; any combination of the
entities above
Transportation Nationally Significant 11110 Competitive Existing A State or a group of States. Federal Highway $11.2 billion FY 2022 application closed on May Program Website 2022 MPDG NOFO
Multimodal Freight and A metropolitan planning Administration (DOT) 23, 2022. FY 2023 application has
Highway Programs organization that serves an not been opened. Part of the FY22
(INFRA) urbanized area (as defined by the Multimodal Project Discretionary
Bureau of the Census) with a Grant Opportunity (MPDG).
population of more than 200,000
individuals.
A unit of local government or a
group of local governments.
A political subdivision of a State or
local government.
A special purpose district or public
authority with a transportation
function, including a port authority.
A Federal land management agency
that applies jointly with a State or
group of States.
A Tribal government or a
consortium of Tribal governments.
A multistate corridor organization.
A multistate or multijurisdictional
group of entities described in this
paragraph.
Transportation Passenger Ferry Boat 5307 Competitive Existing Designated recipients who are Federal Transit $150 million $30 million $30 million $30 million $30 million $30 million FY 2022 application closed FY 2022 NOFO Program Website
Program public bodies with the legal Administration (DOT) September 6, 2022. FY 2023
authority to receive and dispense application has not been opened.
federal funds. Governors,
responsible local officials, and
publicly owned operators of transit
services are required to designate a
recipient for, receive, and dispense
funds for urbanized areas pursuant
to 49 U.S.C. Section 5307. The
governor or governor's designee is
the designated recipient for
urbanized areas between 50,000
and 200,000.
Transportation Restoration and 22304 Competitive Existing (1) a State (including the District of Federal Railroad Not yet announced Program Website Program Fact Sheet
Enhancements Grant Columbia); Administration (DOT)
Program (2) a group of States;
(3) an Interstate Compact;
(4) a public agency or publicly
chartered authority established by
one or more States;
(5) a political subdivision of a State;
(6) Amtrak or another Rail Carrier
that provides Intercity Rail
Passenger Transportation;
(7) any Rail Carrier in partnership
with at least one of the entities
described above
Transportation Grants for Bus and Bus 30018 Competitive Existing Designated recipients that operate Federal Transit $2 billion $376 million $384 $394 $402 $412 FY 2022 application closed May 31, FY 2022 NOFO Program Website
Facilities (§ 5339(b)) fixed route bus service or that Administration (DOT) million million million million 2022. FY 2023 application has not
allocate funding to fixed route bus been opened.
operators; state or local
governmental entities that operate
fixed route bus service that are
eligible to receive direct grants
under the Urbanized Area
Formulate (Section 5307) and Rural
Formulate (Section 5311)
programs; public agencies or
private nonprofit organizations
engaged in public transportation
may be eligible as subrecipients
and receive funding from an eligible
recipient
Transportation Low or No Emission 30017 Competitive Existing Designated recipients that operate Federal Transit $5.6 billion $1.122 billion $1.123 $1.125 $1.127 $1.128 FY 2023 NOFO deadline is April 13. Program Website
Vehicle Grants (§ 5339(c)) fixed route bus service or that Administration (DOT) billion billion billion billion
allocate funding to fixed route bus
programs; public agencies engaged
in public transportation may be
eligible as subrecipients and receive
funding from an eligible recipient
Transportation Promoting Resilient 11405 Competitive/Form New For the competitive grants: a State Federal Highway 80 percent $7.3 billion Not yet announced. Program Fact Sheet July 29, 2022 Press
Operations for ula or political subdivision of a State; a Administration (DOT) in formula Release
Transformative, metropolitan planning funding and
Efficient, and Cost- organization; a unit of local $1.4 billion
Saving Transportation government; a special purpose in
district or public authority with a competitive
(PROTECT) Grant
transportation function, including a funding
Program
port authority; an Indian tribe; a
Federal land management agency
that applies jointly with a State or
group of States; a multi-State or
multijurisdictional group of entities
described above
Transportation Electric Vehicle Formula Division J Formula New States Federal Highway 80 percent $5 billion States will have until August 1 to Program Website February 10, 2022 NEVI Program Minimym NEVI Buy America Requirements
Program Administration (DOT) submit plans for how they will use Memo Standards
the funding, with FHWA and Joint
Office of Energy and Transportation
planning to approve state plans by
September 30
Transportation Airport Infrastructure Division J Formula Existing Any airport that is eligible to Federal Aviation $15 billion $3 billion $3 billion $3 billion $3 billion $3 billion FAA announced the first year Airport Infrastructure Grant funding FAA released an The Federal Aviation
Grants receive a grant from the Administration (DOT) amounts, totaling $2.89 billion for FY22 unpublished notice Administration (FAA)
discretionary fund under section announcing the announced the
47115(a) of title 49 (USC) opportunity to apply for opportunity to apply for
$20 million in FY 2022 $20 million in FY 2023
Airport Infrastructure Airport Infrastructure
Grant funds for the Grant funds for the FAA
newly established FAA Contract Tower (FCT)
Contract Tower (FCT) Competitive Grant
Competitive Grant Program, made available
Program under the IIJA. The
purpose of the program is
to support airport-owned
airport traffic control
tower (ATCT) projects
that address the aging
infrastructure of the
nation's airports.
Applications are due
December 6. More
information on the FCT
program can be found
here.
Transportation Enhanced Mobility of Division J Formula Existing States and designated recipients Federal Transit $2.2 billion $421 million $429 $439 $447 $457 Program Website Program Fact Sheet
Seniors and Individual are direct recipients; eligible Administration (DOT) million million million million
with Disabilities (§ 5310) subrecipients include private
nonprofit organizations, states or
local government authorities, or
operators of public transportation.
Transportation Formula Grants for Rural 30006 Formula Existing States and federally recognized Federal Transit $4.6 billion Section 5311 Rural Formula: $781 million; Public Section Section Section Section Program Website Program Fact Sheet
Areas (§ 5311) Indian tribes; subrecipients may Administration (DOT) Transportation on Indian Reservations (Formula): 5311 Rural 5311 Rural 5311 Rural 5311 Rural
include state or local government $35 million; Public Transportation on Indian Formula: Formula: Formula: Formula:
authorities, nonprofit Reservations (Competitive): $9 million; $797 $818 $835 $856
organizations, or operators of Appalachian Development Public Transportation million; million; million; million;
public transportation or intercity Assistance Program: $26 million; Rural Transit Public Public Public Public
bus service that receive funds Assistance Program: $17 million; Section 5340 Transportat Transportat Transportat Transportati
indirectly through a recipient Growing States: $112 million ion on ion on ion on on on
Indian Indian Indian Indian
Reservation Reservation Reservation Reservation
s s s s (Formula):
(Formula): (Formula): (Formula): $38 million;
$36 million; $37 million; $37 million; Public
Public Public Public Transportati
Transportat Transportat Transportat on on
ion on ion on ion on Indian
Indian Indian Indian Reservation
Reservation Reservation Reservation s
s s s (Competitiv
(Competitiv (Competitiv (Competitiv e): $10
e): $9 e): $9 e): $9 million;
million; million; million; Appalachian
Appalachia Appalachia Appalachia Developme
n n n nt Public
Developme Developme Developme Transportati
nt Public nt Public nt Public on
Transportat Transportat Transportat Assistance
ion ion ion Program:
Transportation Grants for Bus and Bus 30018 Formula Existing Designated recipients that operate Federal Transit $3.2 billion $604 million Assistance
$617 Assistance
$633 Assistance
$646 $29 million; FY 2022 application closed May 31, FY 2022 NOFO
$662 Program Website
Facilities (§ 5339(a)) fixed route bus service or that Administration (DOT) million million million million 2022. FY 2023 application has not
allocate funding to fixed route bus been opened.
programs; public agencies or
private nonprofit organizations
engaged in public transportation
may be eligible as subrecipients
and receive funding from an eligible
recipient
Transportation Planning Grants (§ 30017 Formula Existing Federal Transit $966 billion
5305) Administration (DOT)
Transportation State of Good Repair 30017 Formula Existing State and local governmental Federal Transit $22.86 $4.411 billion $4,483 $4.575 $4.649 $4.743 FY 2022 and FY 2023 application is FY 2021 NOFO Program Fact Sheet FY 2022 & FY 2023 NOFO Program Website
Grants (§ 5337) authorities in urbanized areas with Administration (DOT) billion billion billion billion billion due January 5, 2023.
fixed guideway and high intensity
motorbus systems that have been
in operation for at least seven
years.
Transportation Urbanized Area Grants (§ 5307 Formula Existing Designated recipients who are Federal Transit $33.139 $6.330 billion $6.463 $6.633 $6.770 $6.943 Not yet announced. Program Website Program Fact Sheet
5307) public bodies with the legal Administration (DOT) billion billion billion billion billion
authority to receive and dispense
federal funds. Governors,
responsible local officials, and
publicly owned operators of transit
services are required to designate a
recipient for, receive, and dispense
funds for urbanized areas pursuant
to 49 U.S.C. Section 5307. The
governor or governor's designee is
the designated recipient for
urbanized areas between 50,000
and 200,000.
Transportation Federal-aid highway 11101 Formula Existing Federal Highway $273 billion FHWA seeks public input on the implementation of the IIJA. There is not FHWA announced its
formula programs Administration (DOT) current deadline for comments. FY22 apportionments
(including the National for federal-aid highway
Highway Performance programs, totaling
program, the Surface $52.5 billion.
Transportation Block
Grant program, the
Highway Safety
Improvement program,
the Congestion
Mitigation and Air
Quality Improvement,
the National Highway
Freight program, and
others)
Transportation Federal-aid highway 11101 Formula Existing Federal Highway $273 billion FHWA seeks public input on the implementation of the IIJA. There is not FHWA announced its
formula programs Administration (DOT) current deadline for comments. FY22 apportionments
(including the National for federal-aid highway
Highway Performance programs, totaling
program, the Surface $52.5 billion.
Transportation Block
Grant program, the
Highway Safety
Improvement program,
the Congestion
Mitigation and Air
Quality Improvement,
the National Highway
Freight program, and
others)
USACE U.S. Army Corps of Division J Decided by USACE Existing Authorized projects $3.2 billion On January 19, the Army Corps of Engineers announced the studies,
Engineers Projects projects, and programs they will be carrying out in 2022 with funding
from the IIJA. Of the $17 billion provided to the Corps in the bill:
Wastewater Clean Water 50205 Competitive New A municipality or an intermunicipal, Environmental no more $125 million $25 million $25 million $25 million $25 million $25 million $5 billion will be used for community resilience projects in response to
Infrastructure Resiliency interstate, or State agency Protection Agency than 75 climate change;
and Sustainability percent
Program (full cost
share with
a waiver)
Wastewater Wastewater Efficiency 50202 Competitive New Owners or operators of publicly Environmental $4 million $100 million $20 million $20 million $20 million $20 million $20 million Not yet announced. $3.9 billion will be for navigation improvements at ports and inland
Grant Pilot Program owned treatment works Protection Agency waterways;
Wastewater Grant Program for 50208 Competitive New Nonprofit organizations who serve Environmental $250 million $50 million $50 million $50 million $50 million $50 million $130 million will support pilot programs from the Water Resources and
Construction and low-income or moderate-income Protection Agency Development Act; and
Refurbishing of Individual households (defined as having no
Household Decentralized more than 50 percent of the
Wastewater Systems median nonmetropolitan
household income for the State)
Wastewater Grants to Assist Low- or 50209 Competitive New An owner or operator of a publicly Environmental $200 million $40 million $40 million $40 million $40 million $40 million $1 billion will go to projects in the Everglades in Florida.
Moderate-income owned treatment works that assists Protection Agency
Individuals with or is seeking to assist low-income
Connecting Households to or moderate-income individuals
Publicly Owned with connecting the household of
Treatment Works the individual to the publicly owned
treatment works, or a nonprofit
entity that assists low-income or
moderate-income individuals with
the costs associated with
connecting the household of the
individual to a publicly owned
treatment works
Wastewater Small and Medium 50206 Competitive New Nonprofit entities Environmental $75,000 $10 million The program will be established Circuit Rider Program - Technical Assistance for Rural Water Systems
Publicly Owned Protection Agency within 180 days.
Treatment Works Circuit
Rider Program
Wastewater Small Publicly Owned 50207 Competitive New An owner or operator of a small Environmental 15 percent No funding included in the bill. The program will be established
Treatment Works publicly owned treatment works Protection Agency of funding within 180 days.
Efficiency Grant Program that serves: (A) a population of not shall be used
more than 10,000 people; ‘(B) a for grants
disadvantaged community; or a for publicly
nonprofit organization that seeks to owned
assist a small publicly owned treatment
treatment works described in works that
paragraph (1) serve fewer
than 3,300
people
Wastewater Water Data Sharing Pilot 50213 Competitive New A state, county, or other unit of Environmental $75 million $15 million $15 million $15 million $15 million $15 million
Program local government that— (A) has a Protection Agency (only 35
coastal watershed with significant percent of
pollution levels; (B) has a water funds will go
system with significant pollution to regional
levels; or consortia)
(C) has significant individual water
infrastructure deficits, and regional
consortia of these states.
Wastewater Stormwater Control 50217 Competitive New States; tribes; local governments; Environmental $200,000 for 80 percent $50 million $10 million $10 million $10 million $10 million $10 million FEMA plans to issue a NOFO for the
Infrastructure Project and local, regional, or other public Protection Agency planning and STORM Act in December 2022.
Grants entity that manages stormwater or $2 million for
wastewater resources implementati
on. One third
of the total
funding is
reserved for
Wastewater Centers of Excellence for 50217 Competitive New An institution of higher education, a Environmental $25 million $5 million $5 million $5 million $5 million $5 million
Stormwater Control research institution, or a nonprofit Protection Agency
Infrastructure organization
Technologies
Wastewater Enhanced Aquifer Use and 50222 Competitive New Research centers, states, local Environmental $25 million $5 million $5 million $5 million $5 million $5 million RFA closes November 9, 2022 Enhanced Aquifer Recharge Performance and Potential Risk in Different
Recharge governments, tribes Protection Agency (half will go Regional and Hydrogeologic Settings Request For Applications (RFA)
to states and
local
government
s grants, half
will go to
research
center
grants)
Wastewater Grant Program for 50203 Competitive Existing State, interstate, and intrastate Environmental $125 million $25 million $25 million $25 million $25 million $25 million
Alternative Water Source water resource development Protection Agency
Projects agencies (including water
management districts and water
supply authorities), local
government agencies, private
utilities, and nonprofit entities
Wastewater Sewer Overflow and 50204 Competitive Existing Municipalities and states Environmental At least 55 $1.4 billion $280 million $280 $280 $280 $280 Application forms must be Program Website
Stormwater Reuse Protection Agency percent million million million million submitted according to dates
Municipal Grants established by the Regional
Administrator.
Wastewater Water Infrastructure and 50211 Competitive Existing Nonprofit professional or service Environmental $25 million $5 million $5 million $5 million $5 million $5 million Innovative Water Infrastructure Workforce Development Program
Workforce Investment organizations, labor organizations, Protection Agency Wesbite
community colleges, institutions of
higher education, public works
departments and agencies, or other
training and educational
institutions
Wastewater Grants to Alaska to 50212 Competitive Existing Alaska (to benefit rural and Native Environmental 75 percent $230 million $40 million $40 million $40 million $50 million $60 million Program Website
Improve Sanitation in villages in the state) Protection Agency
Rural and Native Villages
Wastewater Connection to Publicly 50209 Competitive Existing An owner or operator of a publicly Environmental $200 million $40 million $40 million $40 million $40 million $40 million
Owned Treatment Works owned treatment works or a Protection Agency (15 percent
nonprofit entity that assist low- reserved for
income or moderate-income small
individuals with the costs systems who
associated with connecting the serve fewer
household of the individual to a than 3,300
publicly owned treatment works. people)
Wastewater Water resources research 50221 Competitive Existing Institutions of higher education Department of the 50 percent $60 million $15 million $15 million $15 million $15 million Water Resources Research Act Program
and technology institutes (one research center established in Interior ($3 million
each state) from each
fiscal year
reserved for
research
focused on
interstate
water
problems)
Wastewater Clean Water State Division J Formula Existing States Environmental $1 billion $225 million $225 $225 $225 $225 CWSRF Website
Revolving Loan Fund to Protection Agency million million million million
address PFAS
Wastewater Clean Water State 50210 Formula Existing States Environmental $11.7 billion $1.9 billion $2.2 billion $2.4 billion $2.6 billion $2.6 billion CWSRF Website
Revolving Loan Fund Protection Agency
Wastewater Grants in Alaska to 50212 Funding is only for Existing The state of Alaska Environmental $230 million $40 million $40 million $40 million $50 million $60 million Program Website
Improve Sanitation in Alaska Protection Agency
Rural and Native Villages
Western Water Aging Infrastructure Division J Competitive Existing Eligibility is limited to water Bureau of Funds provided under this section for an authorized Bureau of
Infrastructure Account (Created recycling, reuse, wastewater, and Reclamation Reclamation project may be used for purposes of satisfying any non-
Dec. 2020) related projects $3.2 billion Federal matching requirement required for the project.
Western Water Title XVI Projects Division J Competitive Existing Bureau of Funds provided under this section for an authorized Bureau of
Infrastructure Reclamation Reclamation project may be used for purposes of satisfying any non-
Federal matching requirement required for the project.
Western Water Water Desalination 40901 Competitive Existing Applicants eligible to receive an Department of the $250 million Already existing WaterSMART: Desalination Construction Projects under the WIIN Act-
Infrastructure Projects and Studies award under this NOFO include Interior $30,000,000 award ceiling
sponsors of seawater and brackish
water desalination projects located
in the Western United State of
United States Territiories as
identified in the Reclamation Act of
June 17, 1902 that have submitted
a Feasibility Study to Reclamation
for review by the date this NOFO is
posted Eligibility does not entitle an
applicant to any future Federal
funding or create a new project
authorization.
Western Water Water Recycling and 40901 Competitive Existing A State, Indian Tribe, municipality, Department of the $450 million No information given WaterSMART: Title XVI WIIN Act Water Reclamation and Reuse Projects-
Infrastructure Reuse Projects irrigation district, Interior $30,000,000 award ceiling
water district, wastewater district,
or other organization
with water or power delivery
authority
Western Water Water Storage, Ground 40901 Competitive Existing Projects must be approved through Department of the $1.15 billion The Department will hold its final
Infrastructure Water Storage, and an act of Congress Interior stakeholder sessions this month and
Conveyance Projects open applications later this spring.
Western Water WaterSMART 40901 Competitive Existing Irrigation and water districts, Bureau of $400 million Already existing grants program WaterSMART: Title XVI Congressionally Authorized Water Reclamation Funds provided under Program Website
Infrastructure tribes, states and other entities Reclamation and Reuse Projects- $20,000,000 award ceiling this section for an
with water or power delivery authorized Bureau of
authority. Reclamation project
may be used for
purposes of satisfying
any non-Federal
matching requirement
required for the project.
Wildfire Community Wildfire 40803 Competitive New Department of Agriculture to work Department of $500 million FY 2022 application closed October Program Website FY22 NOFO
Management Defense Grants to At-Risk with states to award grants to Agriculture 7, 2022
Communities develop community wildfire plans
and carry out projects.
Wildfire Forest Service Legacy 40801 Competitive New Funding eligibility is limited to Department of $250 million No information on timing An unpublished notice (scheduled for 1/20 publication) by the Program Website
Management Road and Trail projects on National Forest System Agriculture Department of Agriculture announced a report published by the
Remediation Program roads Department identifying the Federal financial assistance programs for
infrastructure administered by the Department that are subject
Wildfire Funding for Reverse-911 40803 Competitive New States, local governments, and Department of $30 million No information on timing An unpublished notice (scheduled for 1/20 publication) by the
Management Systems tribes Agriculture Department of Agriculture announced a report published by the
Department identifying the Federal financial assistance programs for
Wildfire Pilot Program for Local 40803 Competitive New Local Governments Department of the $50 million No information on timing
Management Governments to Purchase Interior
Slip-On Tanker Units
Wildfire Burned Area Division J Competitive Existing Eligible projects are those that Department of the $225 million $45 million $45 million $45 million $45 million $45 million Already existing program Program Website
Management Rehabilitation Grants rehabilitate federal land after Interior
Program wildfires
Wildfire Collaborative Forest 40803 Competitive Existing Funding eligibility is limited to Department of $100 million FY 2022 request for proposals Program Website
Management Landscape Restoration forest restoration projects on Agriculture closes December 15, 2022
Program National Forest Service lands
Wildfire Volunteer Fire Assistance Division J Competitive Existing Rural communities with a Department of $20 million Already existing annual grants An unpublished notice (scheduled for 1/20 publication) by the
Management Grants Program population of less than 10,000 Agriculture program Department of Agriculture announced a report published by the
Department identifying the Federal financial assistance programs for
Wildfire State Fire Assistance Division J Formula Existing States Department of $88 million No information on timing Program Website FY 2021 NOFO
Management Grants Program Agriculture
Multi-Benefit Projects to 40907 Competitive New A State, tribal or local government, Department of $100 million Not later than 1 year after the date
Improve Watershed an organization with power or Energy of enactment of this Act, the
Health water delivery authority, a regional Secretary, in consultation with the
authority, or a nonprofit heads of relevant agencies, shall
conservation organization establish a competitive grant
program under which the Secretary
shall award grants to eligible
applicants for the design,
implementation, and monitoring of
conservation outcomes of habitat
restoration projects that improve
watershed health in a river basin
that is adversely impacted by a
Bureau of Reclamation water
project by accomplishing 1 or more
of the following
Cumulative Claim % by Paid Month Claim Counts by Paid Month
Fill Month Total Claims 2020 - 08 2020 - 09 2020 - 10 2020 - 11 2020 - 12 2021 - 01 2021 - 02 2021 - 03 2021 - 04 2021 - 05 2021 - 06 2021 - 07 2021 - 08 2021 - 09 2021 - 10 2021 - 11 2021 - 12 2022 - 01 2022 - 02 2022 - 03 2022 - 04 2022 - 05 2022 - 06 2022 - 07 2022 - 08 Fill Month Total Claims 2020 - 08 2020 - 09 2020 - 10 2020 - 11 2020 - 12 2021 - 01 2021 - 02 2021 - 03 2021 - 04 2021 - 05 2021 - 06 2021 - 07 2021 - 08 2021 - 09 2021 - 10 2021 - 11 2021 - 12 2022 - 01 2022 - 02 2022 - 03 2022 - 04 2022 - 05 2022 - 06 2022 - 07 2022 - 08
2020 - 08 3,400,090 80% 96% 97% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 3,400,090 2,733,720 532,679 45,839 42,803 13,517 5,397 7,042 3,190 3,377 3,400 2,296 2,521 1,429 193 306 621 294 327 67 89 173 167 65 482 92
2020 - 09 3,511,258 78% 96% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 3,511,258 0 2,755,790 624,305 52,361 41,627 6,331 6,853 4,500 3,819 3,851 2,875 2,928 2,341 908 351 610 309 317 65 169 181 183 55 421 99
2020 - 10 3,617,944 82% 97% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 3,617,944 0 0 2,976,254 521,475 46,786 33,247 6,281 5,093 6,013 4,636 2,902 3,760 2,749 1,783 1,157 969 348 335 112 3,066 184 150 77 466 95
2020 - 11 3,356,706 80% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 3,356,706 0 0 0 2,683,817 594,374 17,673 13,591 6,856 13,861 5,766 3,105 3,607 3,452 2,039 2,024 1,652 380 383 90 2,162 194 132 83 1,367 94
2020 - 12 3,564,902 82% 96% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 3,564,902 0 0 0 1 2,920,100 510,676 67,365 12,810 20,144 6,801 4,954 4,120 3,535 2,931 2,916 2,637 1,210 449 92 2,309 228 171 84 1,264 94
2021 - 01 3,087,707 75% 95% 98% 98% 98% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 3,087,707 0 0 0 0 0 2,329,392 618,421 63,324 21,080 8,925 6,488 5,501 5,826 3,502 4,467 3,325 4,761 5,392 223 3,465 1,311 810 155 1,134 200
2021 - 02 2,924,462 75% 96% 98% 98% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 2,924,462 0 0 0 0 0 0 2,185,417 630,722 43,043 14,146 8,509 5,353 6,804 3,549 4,254 3,867 4,806 6,280 1,065 3,235 1,228 873 156 963 187
2021 - 03 3,396,137 72% 96% 97% 98% 98% 98% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 3,396,137 0 0 0 0 0 0 0 2,445,945 800,311 57,371 15,415 8,397 8,094 12,797 10,481 4,155 6,362 7,331 1,928 12,212 1,601 895 174 2,475 192
2021 - 04 3,421,594 75% 95% 97% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 04 3,421,594 0 0 0 0 0 0 0 1 2,554,224 705,918 56,501 15,529 10,019 25,309 15,692 4,215 5,971 7,790 2,428 11,560 3,524 978 178 1,529 223
2021 - 05 3,419,829 76% 97% 98% 98% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 05 3,419,829 0 0 0 0 0 0 0 0 0 2,607,024 702,467 39,357 15,223 7,335 7,698 5,311 5,748 7,573 2,715 11,258 3,102 2692 187 1,912 218
2021 - 06 3,539,111 74% 97% 97% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 06 3,539,111 0 0 0 0 0 0 0 0 0 1 2,619,485 799,261 31,167 32,071 8,428 6,219 7,829 8,176 2,985 14,336 3,439 2377 975 2,128 229
2021 - 07 3,468,220 78% 96% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 07 3,468,220 0 0 0 0 0 0 0 0 0 0 0 2,698,421 643,787 59,334 13,030 8,259 7,948 9,390 3,187 14,134 4,010 2661 1,585 2,262 204
2021 - 08 3,612,885 75% 96% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 08 3,612,885 0 0 0 0 0 0 0 0 0 0 0 0 2,727,402 736,570 79,258 14,061 9,694 9,996 4,831 14,260 4,014 3567 2,196 5,964 1,059
2021 - 09 3,569,324 73% 96% 97% 98% 98% 98% 98% 98% 99% 99% 100% 100% 2021 - 09 3,569,324 0 0 0 0 0 0 0 0 0 0 0 0 0 2,611,289 801,416 53,595 15,031 10,654 4,641 13,240 4,117 26606 2,704 24,275 1,752
2021 - 10 3,676,490 76% 96% 98% 98% 98% 98% 99% 99% 99% 100% 100% 2021 - 10 3,676,490 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2,796,920 742,959 46,583 15,491 6,297 11,588 5,509 18135 2,494 28,235 2,272
2021 - 11 3,691,675 74% 97% 97% 98% 99% 99% 100% 100% 100% 100% 2021 - 11 3,691,675 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,720,885 845,380 27,980 29,268 17,323 5,615 28458 2,907 10,700 3,151
2021 - 12 3,670,027 79% 96% 98% 98% 98% 99% 99% 100% 100% 2021 - 12 3,670,027 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2,892,692 623,288 65,853 18,572 7,336 25186 4,506 29,695 2,882
2022 - 01 3,529,240 76% 96% 98% 98% 99% 99% 100% 100% 2022 - 01 3,529,240 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,665,101 710,621 66,878 12,833 25163 21,819 22,868 3,420
2022 - 02 3,201,234 75% 96% 98% 99% 99% 100% 100% 2022 - 02 3,201,234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,406,122 682,000 43,518 28172 8,197 27,361 5,253
2022 - 03 3,629,201 75% 97% 98% 99% 100% 100% 2022 - 03 3,629,201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,719,038 795,053 48,541 27,819 32,416 5,570
2022 - 04 3,092,968 89% 98% 99% 100% 100% 2022 - 04 3,092,968 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,753,051 276,963 31,381 23,984 6,744
2022 - 05 2,595,351 83% 97% 99% 100% 2022 - 05 2,595,351 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,162,652 363,510 55,631 12,615
2022 - 06 2,659,289 82% 98% 100% 2022 - 06 2,659,289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,174,051 422,310 61,858
2022 - 07 2,810,759 Medicare FFS Paid Through 12/31/2019 76% 100% 2022 - 07 2,810,759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,138,885 670,488
2022 - 08 2,505,701 Svc. Month 3mo Runout 6mo Runout 100% 2022 - 08 2,505,701 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,501,944
Medicare FFS Paid Through 12/31/2019
Commercial Cumulative Claim % by Paid Month Commercial Claim Counts by Paid Month
2020 - 08 1,334,453 68% 96% 97% 98% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 1,334,453 907,800 367,787 17,654 9,167 6,587 4,909 3,974 2,776 2,556 3,268 2,198 2,492 1,165 147 277 557 245 310 55 55 171 19 61 190 29
2020 - 09 1,402,756 66% 95% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 1,402,756 0 932,065 405,317 23,244 11,471 5,516 4,111 3,974 2,947 3,617 2,709 2,903 2,026 882 325 534 244 293 55 48 179 14 50 187 36
2020 - 10 1,488,093 69% 96% 97% 98% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 1,488,093 0 0 1,032,206 391,754 23,128 8,309 5,448 4,467 4,684 4,145 2,780 3,721 2,446 1,747 1,113 852 283 303 96 55 180 18 75 238 39
2020 - 11 1,374,053 67% 96% 97% 98% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 1,374,053 0 0 0 923,973 392,363 13,036 11,812 5,855 5,332 5,155 2,978 3,577 3,139 1,992 1,982 1,517 291 354 76 45 186 21 71 255 39
2020 - 12 1,420,282 68% 94% 97% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 1,420,282 0 0 0 1 967,651 366,206 37,057 11,537 9,018 6,091 4,800 4,066 3,227 2,861 2,853 2,505 1,156 423 76 53 224 29 75 316 46
2021 - 01 1,605,798 64% 94% 96% 97% 98% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 1,605,798 0 0 0 0 0 1,022,570 483,788 39,538 12,481 8,172 6,375 5,423 4,967 3,409 4,422 3,245 4,579 5,210 167 100 989 30 103 66 159
2021 - 02 1,533,142 63% 95% 96% 97% 98% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 1,533,142 0 0 0 0 0 0 958,400 501,751 15,521 13,173 8,237 5,247 6,039 3,443 4,198 3,785 4,623 6,130 986 264 930 35 94 127 154
2021 - 03 1,826,616 63% 94% 96% 97% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 03 1,826,616 0 0 0 0 0 0 0 1,143,199 574,714 33,480 14,819 8,121 7,188 12,644 10,421 4,039 6,161 7,132 1,813 1,162 1,211 29 87 231 164
2021 - 04 1,892,408 63% 93% 95% 96% 96% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 04 1,892,408 0 0 0 0 0 0 0 1 1,187,110 580,952 34,026 14,914 8,846 25,138 15,605 4,102 5,733 7,620 2,304 2,277 3,145 66 97 273 194
2021 - 05 1,952,055 68% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 05 1,952,055 0 0 0 0 0 0 0 0 0 1,321,360 558,164 17,437 13,467 7,076 7,544 5,189 5,550 7,338 2,588 2,224 2,734 779 111 305 180
2021 - 06 1,979,136 68% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 06 1,979,136 0 0 0 0 0 0 0 0 0 1 1,341,920 556,536 28,447 10,819 8,091 6,133 7,612 7,892 2,800 2,897 3,021 1488 940 330 204
2021 - 07 1,947,477 70% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 07 1,947,477 0 0 0 0 0 0 0 0 0 0 0 1,358,459 519,599 18,981 12,362 7,981 7,687 8,961 2,991 2,428 3,573 1777 1,543 960 167
2021 - 08 2,034,576 68% 96% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 08 2,034,576 0 0 0 0 0 0 0 0 0 0 0 0 1,393,144 553,591 36,629 13,597 9,314 9,610 4,590 2,997 3,608 2498 2,149 1,817 1,019
2021 - 09 1,973,423 69% 96% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 09 1,973,423 0 0 0 0 0 0 0 0 0 0 0 0 0 1,357,555 537,226 33,576 13,835 10,134 4,392 4,144 3,708 2292 2,662 2,184 1,711
2021 - 10 2,080,691 68% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 2021 - 10 2,080,691 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1,407,186 606,937 26,555 14,395 5,879 4,263 5,067 2740 2,444 2,999 2,219
2021 - 11 2,130,977 67% 97% 98% 99% 99% 99% 100% 100% 100% 100% 2021 - 11 2,130,977 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,437,493 632,826 26,279 10,458 5,878 5,181 4177 2,850 2,771 3,056
2021 - 12 2,074,677 72% 97% 98% 99% 99% 99% 100% 100% 100% 2021 - 12 2,074,677 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1,491,695 527,277 23,838 10,517 6,749 4154 4,401 3,242 2,787
2022 - 01 1,838,825 66% 96% 98% 99% 99% 100% 100% 100% 2022 - 01 1,838,825 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,221,509 540,823 45,418 12,170 5948 4,540 4,585 3,295
2022 - 02 1,648,382 65% 97% 98% 99% 99% 100% 100% 2022 - 02 1,648,382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,071,431 521,243 25,846 12180 5,970 5,950 5,151
2022 - 03 1,840,125 69% 98% 99% 99% 100% 100% 2022 - 03 1,840,125 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,272,608 534,954 10,531 9,953 5,957 5,358
2022 - 04 1,342,762 89% 98% 99% 99% 100% 2022 - 04 1,342,762 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,192,812 123,274 10,043 9,386 6,410
2022 - 05 862,329 81% 98% 99% 100% 2022 - 05 862,329 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 697,422 143,645 9,156 11,166
2022 - 06 928,256 85% 95% 100% 2022 - 06 928,256 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 786,038 99,747 41,401
2022 - 07 1,178,628 60% 100% 2022 - 07 1,178,628 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709,043 468,229
2022 - 08 1,005,375 Svc. Month 3mo Runout 6mo Runout 100% 2022 - 08 1,005,375 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,001,727
Medicaid Cumulative Claim % by Paid Month Medicaid Claim Counts by Paid Month
2020 - 08 791,778 76% 91% 95% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 791,778 604,821 117,447 27,032 33080 6169 18 2763 0 1 0 1 2 0 0 0 0 0 0 0 19 0 134 1 290 0
2020 - 09 800,066 70% 92% 96% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 800,066 0 562,786 176,643 28015 29,385 200 2347 2 0 97 77 6 0 0 0 20 0 0 0 106 0 150 0 232 0
2020 - 10 805,046 83% 94% 96% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 805,046 0 0 666,812 87,406 22,395 23,999 240 12 442 324 3 7 7 0 0 64 0 0 1 2995 0 112 1 225 1
2020 - 11 739,321 77% 98% 98% 98% 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 739,321 0 0 0 569,000 154,215 3,576 915 160 7637 389 2 10 27 0 0 72 0 0 1 2102 2 97 6 1110 0
2020 - 12 833,291 82% 95% 98% 98% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 833,291 0 0 0 0 682,282 108,243 28,658 370 9930 383 3 13 29 0 12 60 0 0 0 2237 0 124 0 947 0
2021 - 01 817,803 81% 96% 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 817,803 0 0 0 0 0 666,382 116,284 22,726 8,003 504 6 12 67 0 7 62 0 0 0 2580 1 112 0 1057 0
2021 - 02 779,853 82% 96% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 779,853 0 0 0 0 0 0 638,328 111,072 26,457 638 56 1 74 0 1 49 0 0 0 2248 0 124 0 805 0
2021 - 03 877,212 73% 96% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 877,212 0 0 0 0 0 0 0 636,199 204,835 23,124 282 63 79 5 6 93 0 0 1 10241 0 115 2 2166 1
2021 - 04 847,791 84% 96% 99% 99% 99% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 04 847,791 0 0 0 0 0 0 0 0 710,757 105,015 21,859 197 177 10 24 66 0 4 0 8382 0 158 0 1142 0
2021 - 05 810,483 80% 96% 99% 99% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 05 810,483 0 0 0 0 0 0 0 0 0 651,432 126,383 21,152 405 61 42 45 2 6 5 8225 0 1239 3 1483 0
2021 - 06 864,446 71% 96% 96% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 06 864,446 0 0 0 0 0 0 0 0 0 0 611,863 218,004 1,090 20,942 139 5 1 8 0 10562 1 167 0 1663 1
2021 - 07 832,641 82% 94% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 07 832,641 0 0 0 0 0 0 0 0 0 0 0 680,237 99,960 39,792 402 61 5 6 4 10847 0 161 2 1164 0
2021 - 08 869,042 76% 94% 98% 98% 98% 98% 98% 100% 100% 100% 100% 100% 100% 2021 - 08 869,042 0 0 0 0 0 0 0 0 0 0 0 0 659,005 154,118 41,873 146 51 5 3 10445 0 364 1 3031 0
2021 - 09 879,606 64% 92% 94% 94% 94% 94% 95% 95% 98% 98% 100% 100% 2021 - 09 879,606 0 0 0 0 0 0 0 0 0 0 0 0 0 566,977 238,833 19,447 581 86 3 8195 1 23599 0 21881 3
2021 - 10 860,435 79% 92% 95% 95% 95% 95% 95% 97% 97% 100% 100% 2021 - 10 860,435 0 0 0 0 0 0 0 0 0 0 0 0 0 0 681,811 113,322 18,971 257 64 6311 3 14693 0 25003 0
2021 - 11 860,062 71% 93% 93% 95% 96% 96% 99% 99% 100% 100% 2021 - 11 860,062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 614,857 184,435 680 18385 10469 27 23585 4 7619 1
2021 - 12 888,561 81% 89% 94% 95% 95% 97% 97% 100% 100% 2021 - 12 888,561 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 717,485 76,374 41,255 7026 111 20239 10 26061 0
2022 - 01 877,786 75% 91% 94% 94% 96% 98% 100% 100% 2022 - 01 877,786 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 659,110 143,358 20,570 369 19080 17087 18211 1
2022 - 02 818,624 77% 93% 95% 97% 97% 100% 100% 2022 - 02 818,624 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 627,179 136,039 16,975 15,692 2027 20712 0
2022 - 03 954,405 67% 92% 95% 97% 100% 100% 2022 - 03 954,405 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 637,981 236,102 37,288 17544 25489 1
2022 - 04 912,967 82% 96% 98% 100% 100% 2022 - 04 912,967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 747,359 131,344 20,560 13611 87
2022 - 05 899,918 74% 95% 100% 100% 2022 - 05 899,918 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 662,657 190,844 45,432 984
2022 - 06 892,206 65% 98% 100% 2022 - 06 892,206 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 575,575 297,255 19,376
2022 - 07 828,797 78% 100% 2022 - 07 828,797 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 648,478 180,314
2022 - 08 691,826 Svc. Month 3mo Runout 6mo Runout 100% 2022 - 08 691,826 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 691,808
Medicare Advantage Cumulative Claim % by Paid Month Medicare Advantage Claim Counts by Paid Month
2020 - 08 634,661 96% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 634,661 607,494 22,451 974 535 673 360 303 392 792 73 7 27 264 46 29 64 49 17 12 15 2 14 3 2 63
2020 - 09 664,590 96% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 664,590 0 637,247 22,755 1,023 613 505 392 490 831 80 7 19 315 26 26 56 65 24 10 15 2 19 5 2 63
2020 - 10 670,654 96% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 670,654 0 0 645,965 20,114 985 854 593 587 800 61 23 32 296 36 44 53 65 32 15 16 4 20 1 3 55
2020 - 11 614,248 96% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 614,248 0 0 0 586,877 23,168 953 812 824 812 86 30 19 286 47 42 63 89 29 13 15 6 14 6 2 55
2020 - 12 641,370 97% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 641,370 0 0 0 0 621,074 15,963 1,508 852 1,081 160 24 41 279 70 51 72 54 26 16 19 4 18 9 1 48
2021 - 01 664,106 96% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 664,106 0 0 0 0 0 640,440 18,349 1,060 596 249 107 66 792 93 38 18 182 182 56 785 321 668 52 11 41
2021 - 02 611,467 96% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 611,467 0 0 0 0 0 0 588,689 17,899 1,065 335 216 105 691 106 55 33 183 150 79 723 298 714 62 31 33
2021 - 03 692,309 96% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 03 692,309 0 0 0 0 0 0 0 666,547 20,762 767 314 213 827 148 54 23 201 199 114 809 390 751 85 78 27
2021 - 04 681,395 96% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 04 681,395 0 0 0 0 0 0 0 0 656,357 19,951 616 418 996 161 63 47 238 166 124 901 379 754 81 114 29
2021 - 05 657,291 96% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 05 657,291 0 0 0 0 0 0 0 0 0 634,232 17,920 768 1,351 198 112 77 196 229 122 809 368 674 73 124 38
2021 - 06 695,529 96% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 06 695,529 0 0 0 0 0 0 0 0 0 0 665,702 24,721 1,630 310 198 81 216 276 185 877 417 722 35 135 24
2021 - 07 688,102 96% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 07 688,102 0 0 0 0 0 0 0 0 0 0 0 659,725 24,228 561 266 217 256 423 192 859 437 723 40 138 37
2021 - 08 709,267 95% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 08 709,267 0 0 0 0 0 0 0 0 0 0 0 0 675,253 28,861 756 318 329 381 238 818 406 705 46 1,116 40
2021 - 09 716,295 96% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 09 716,295 0 0 0 0 0 0 0 0 0 0 0 0 0 686,757 25,357 572 615 434 246 901 408 715 42 210 38
2021 - 10 735,364 96% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 10 735,364 0 0 0 0 0 0 0 0 0 0 0 0 0 0 707,923 22,700 1,057 839 354 1,014 439 702 50 233 53
2021 - 11 700,636 95% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 11 700,636 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 668,535 28,119 1,021 425 976 407 696 53 310 94
2021 - 12 706,789 97% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 12 706,789 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 683,512 19,637 760 1,029 476 793 95 392 95
2022 - 01 812,629 97% 100% 100% 100% 100% 100% 100% 100% 2022 - 01 812,629 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 784,482 26,440 890 294 135 192 72 124
2022 - 02 734,228 96% 100% 100% 100% 100% 100% 100% 2022 - 02 734,228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 707,512 24,718 697 300 200 699 102
2022 - 03 834,671 97% 100% 100% 100% 100% 100% 2022 - 03 834,671 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 808,449 23,997 722 322 970 211
2022 - 04 837,239 97% 100% 100% 100% 100% 2022 - 04 837,239 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 812,880 22,345 778 987 247
2022 - 05 833,104 96% 100% 100% 100% 2022 - 05 833,104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 802,573 29,021 1,043 465
2022 - 06 838,827 97% 100% 100% 2022 - 06 838,827 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 812,438 25,308 1,081
2022 - 07 803,334 97% 100% 2022 - 07 803,334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 781,364 21,945
Medicare FFS Cumulative Claim % by Paid Month Medicare FFS Claim Counts by Paid Month
Fill Month Total Claims 2019 - 06 2019 - 07 2019 - 08 2019 - 09 2019 - 10 2019 - 11 2019 - 12 Fill Month Total Claims 2019 - 06 2019 - 07 2019 - 08 2019 - 09 2019 - 10 2019 - 11 2019 - 12
2019 - 06 642,265 98% 100% 100% 100% 100% 100% 100% 2019 - 06 642,265 626,670 14,324 62 391 351 30 57
2019 - 07 700,603 98% 100% 100% 100% 100% 100% 2019 - 07 700,603 0 685,795 13,490 308 446 56 104
2019 - 08 684,332 98% 100% 100% 100% 100% 2019 - 08 684,332 0 0 669,016 14,227 342 73 121
2019 - 09 658,941 98% 100% 100% 100% 2019 - 09 658,941 0 0 0 643,986 14,140 76 102
2019 - 10 705,108 98% 100% 100% 2019 - 10 705,108 0 0 0 0 690,368 13,796 133
2019 - 11 643,767 98% 100% 2019 - 11 643,767 0 0 0 0 0 629,322 13,613
2019 - 12 704,772 98% 2019 - 12 704,772 0 0 0 0 0 0 692,056
Medical Upcoming Refreshes
Runout Required for Runout Required for Paid Dates Available (not
Release Date
95% Completion 99% Completion incl. Medicare FFS)
Commercial 2 months 6 months March 2021 Through 12/31/2020
Inpatient 5 months 11 months May 2021 Through 2/28/2021
Outpatient 2 months 7 months July 2021 Through 4/30/2021
Professional 2 months 5 months September 2021 Through 6/30/2021
Medicaid 4 months 8 months November 2021 Through 8/31/2021
Inpatient 4 months 9 months
Outpatient 4 months 9 months
Professional 4 months 6 months
Medicare Advantage 2 months 6 months
Outpatient 2 months 6 months
Professional 2 months 5 months
Medicare FFS 1 month 2 months
Outpatient 1 month 2 months
Professional 1 month 1 month
Pharmacy
Runout Required for Runout Required for
95% Completion 99% Completion
Commercial 1 month 1 months
Medicaid 2 months 7 months
Medicare Advantage 1 month 1 month
Medicare FFS 1 month 1 month
Cumulative Claim % by Paid Month Claim Counts by Paid Month
Service Month Total Claims 2020 - 08 2020 - 09 2020 - 10 2020 - 11 2020 - 12 2021 - 01 2021 - 02 2021 - 03 2021 - 04 2021 - 05 2021 - 06 2021 - 07 2021 - 08 2021 - 09 2021 - 10 2021 - 11 2021 - 12 2022 - 01 2022 - 02 2022 - 03 2022 - 04 2022 - 05 2022 - 06 2022 - 07 2022 - 08 Service Month Total Claims 2020 - 08 2020 - 09 2020 - 10 2020 - 11 2020 - 12 2021 - 01 2021 - 02 2021 - 03 2021 - 04 2021 - 05 2021 - 06 2021 - 07 2021 - 08 2021 - 09 2021 - 10 2021 - 11 2021 - 12 2022 - 01 2022 - 02 2022 - 03 2022 - 04 2022 - 05 2022 - 06 2022 - 07 2022 - 08
2020 - 08 4,998,977 53% 81% 86% 88% 90% 90% 93% 94% 95% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 4,998,977 2,645,941 1,390,064 259,721 116,603 64,310 36,269 125,890 45,225 62,259 165,494 8,925 14,953 20,327 17,878 12,653 1,489 3,375 737 1,961 972 1,059 563 408 1,256 311
2020 - 09 5,277,055 54% 82% 87% 89% 90% 93% 94% 95% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 5,277,055 282 2,843,227 1,498,812 231,410 117,463 55,104 137,937 51,916 60,748 172,185 19,391 15,885 23,083 22,234 13,601 1,979 4,049 867 2,201 1,060 990 390 522 1,337 304
2020 - 10 5,604,996 57% 81% 87% 89% 92% 93% 95% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 5,604,996 40 287 3,184,993 1,365,927 339,324 112,230 164,594 65,901 73,511 166,990 22,035 27,877 25,321 22,684 17,324 2,908 4,198 1,072 2,674 1,039 922 526 737 1,489 356
2020 - 11 4,977,420 54% 84% 89% 93% 95% 96% 97% 98% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 4,977,420 14 40 182 2,678,883 1,513,071 249,479 194,202 72,747 82,453 48,569 24,080 31,761 24,946 17,089 18,627 5,572 4,932 1,877 3,156 1,302 947 642 789 1,630 415
2020 - 12 4,982,652 59% 85% 91% 94% 95% 97% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 4,982,652 0 8 19 158 2,936,959 1,306,454 311,982 108,963 91,197 70,402 28,912 35,918 28,552 16,078 19,653 6,429 8,274 2,342 3,554 1,430 1,116 724 1,003 2,083 428
2021 - 01 5,210,429 52% 82% 89% 92% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 5,210,429 0 1 4 23 179 2,705,596 1,567,408 356,411 174,642 149,279 52,106 48,470 43,769 24,277 31,160 10,803 11,883 7,641 4,793 3,645 10,878 1849 1,451 3,156 891
2021 - 02 5,208,254 55% 85% 91% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 5,208,254 0 0 0 2 30 231 2,865,924 1,540,881 335,053 166,832 78,633 53,828 42,563 23,910 33,971 13,296 12,768 8,669 8,318 4,670 10,551 1938 1,660 3,344 1,076
2021 - 03 5,888,403 54% 87% 92% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 5,888,403 0 1 2 1 6 47 236 3,207,054 1,903,656 305,795 146,271 85,461 63,152 35,612 48,647 19,250 17,226 12,499 10,091 10,545 12,334 2773 2,258 4,066 1,287
2021 - 04 5,953,779 57% 85% 91% 93% 95% 96% 97% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 04 5,953,779 0 0 0 2 11 10 27 248 3,377,918 1,695,496 321,387 154,123 106,531 40,551 57,864 44,057 36,533 36,674 24,759 20,409 24,350 3825 2,768 4,653 1,448
2021 - 05 5,489,847 56% 85% 91% 93% 94% 95% 96% 97% 97% 98% 99% 100% 100% 100% 100% 100% 2021 - 05 5,489,847 0 0 0 0 0 3 3 32 287 3,047,805 1,618,179 309,570 132,055 58,133 66,342 43,987 33,376 28,691 63,404 39,954 28,012 9502 3,456 5,159 1,779
2021 - 06 5,709,032 54% 86% 91% 93% 95% 96% 96% 97% 98% 99% 99% 100% 100% 100% 100% 2021 - 06 5,709,032 0 0 0 2 1 0 0 3 54 274 3,105,577 1,812,961 301,869 104,220 87,399 48,629 37,386 31,233 71,014 39,232 38,350 13679 8,263 6,583 2,176
2021 - 07 5,514,024 54% 82% 87% 90% 92% 95% 96% 97% 98% 99% 99% 100% 100% 100% 2021 - 07 5,514,024 0 0 0 0 0 0 0 0 7 30 158 2,979,984 1,545,715 297,403 147,990 93,084 159,367 51,836 84,948 46,653 44,667 20689 20,127 17,200 3,996
2021 - 08 5,865,247 53% 82% 88% 91% 94% 95% 97% 98% 99% 99% 99% 100% 100% 2021 - 08 5,865,247 0 0 0 0 0 0 0 0 0 0 0 0 3,089,361 1,705,048 387,189 146,861 196,457 63,989 100,207 58,043 43,524 17364 17,674 29,699 9,617
2021 - 09 5,888,345 50% 83% 89% 93% 95% 97% 98% 99% 99% 99% 100% 100% 2021 - 09 5,888,345 0 0 0 0 0 0 0 0 0 0 0 0 0 2,948,201 1,963,032 311,097 272,694 101,730 109,913 63,948 44,678 20053 20,314 20,496 11,839
2021 - 10 6,012,170 55% 83% 92% 95% 97% 98% 99% 99% 99% 100% 100% 2021 - 10 6,012,170 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3,282,690 1,732,068 494,530 174,799 124,836 73,919 49,558 21340 25,978 20,507 11,529
2021 - 11 5,857,327 54% 87% 93% 95% 97% 98% 98% 99% 100% 100% 2021 - 11 5,857,327 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3,145,762 1,925,578 350,769 165,516 92,770 58,751 27376 50,554 28,038 11,612
2021 - 12 5,592,222 59% 87% 93% 96% 97% 98% 99% 100% 100% 2021 - 12 5,592,222 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3,280,259 1,607,961 330,109 142,863 85,249 34887 42,949 52,660 14,600
2022 - 01 4,644,227 41% 80% 89% 93% 94% 95% 97% 100% 2022 - 01 4,644,227 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,892,859 1,836,752 401,793 169,334 74389 44,441 89,887 133,778
2022 - 02 4,237,059 40% 83% 91% 94% 95% 97% 100% 2022 - 02 4,237,059 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,697,163 1,800,887 362,124 104790 57,692 92,559 120,777
2022 - 03 4,871,899 43% 85% 92% 94% 97% 100% 2022 - 03 4,871,899 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,080,194 2,083,933 304,975 117,023 134,214 150,154
2022 - 04 4,631,265 46% 85% 93% 96% 100% 2022 - 04 4,631,265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,144,223 1,815,167 327,061 175,183 168,037
2022 - 05 4,571,557 45% 87% 95% 100% 2022 - 05 4,571,557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,068,228 1,893,423 375,410 231,758
2022 - 06 4,399,052 43% 90% 100% 2022 - 06 4,399,052 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,903,311 2,062,510 427,891
2022 - 07 3,762,036 53% 100% 2022 - 07 3,762,036 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,996,227 1,753,251
2022 - 08 2,272,325 97% 2022 - 08 2,272,325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 - 2,197,041
Inpatient Cumulative Claim % by Paid Month Inpatient Claim Counts by Paid Month
2020 - 08 61,307 41% 74% 80% 82% 83% 95% 96% 97% 97% 98% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 61,307 25,135 20,150 3,754 1,158 571 7,672 524 383 256 355 505 200 124 59 72 36 68 47 29 130 17 30 4 14 14
2020 - 09 59,542 40% 74% 79% 81% 94% 95% 96% 97% 97% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 59,542 0 23,728 20,586 2,894 1,279 7,607 677 566 313 388 531 210 150 118 80 50 92 38 36 84 61 15 13 14 12
2020 - 10 65,712 44% 74% 80% 92% 94% 95% 96% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 65,712 0 0 28,847 19,698 3,836 8,142 1,322 825 597 450 626 313 209 141 156 92 125 38 80 35 97 20 25 20 18
2020 - 11 62,923 42% 73% 88% 92% 94% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 62,923 0 0 0 26,352 19,853 9,091 2,766 1,233 671 576 645 374 292 128 151 249 202 74 73 95 24 23 13 27 11
2020 - 12 60,704 43% 81% 90% 93% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 60,704 0 0 0 0 25,859 23,364 5,296 2,007 1,075 773 628 374 304 137 154 168 229 59 60 112 27 22 20 13 23
2021 - 01 60,821 42% 78% 88% 91% 93% 95% 96% 97% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 01 60,821 0 0 0 0 0 25,453 22,081 5,790 2,242 1,256 890 660 492 372 355 295 275 179 95 165 72 45 38 39 26
2021 - 02 56,855 42% 81% 89% 93% 94% 96% 97% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 02 56,855 0 0 0 0 0 0 23,671 22,293 4,902 1,802 953 819 569 390 378 214 237 163 129 106 73 58 23 34 41
2021 - 03 60,991 42% 83% 90% 93% 95% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 60,991 0 0 0 0 0 0 0 25,417 25,252 4,268 1,883 1,183 722 464 413 242 300 191 187 218 80 51 43 37 40
2021 - 04 61,369 46% 82% 90% 93% 96% 97% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 04 61,369 0 0 0 0 0 0 0 0 28,020 22,338 4,770 2,166 1,406 594 532 343 296 180 157 164 137 116 49 53 48
2021 - 05 60,587 45% 83% 91% 94% 96% 97% 98% 98% 98% 99% 99% 99% 100% 100% 100% 100% 2021 - 05 60,587 0 0 0 0 0 0 0 0 0 27,074 23,502 4,657 1,985 853 640 392 310 259 170 176 175 213 99 49 33
2021 - 06 59,416 42% 83% 90% 92% 96% 97% 97% 98% 98% 99% 99% 100% 100% 100% 100% 2021 - 06 59,416 0 0 0 0 0 0 0 0 0 0 24,850 24,284 4,109 1,511 2,171 537 361 312 245 249 339 198 111 78 58
2021 - 07 61,005 34% 71% 78% 93% 94% 95% 97% 98% 98% 99% 99% 99% 100% 100% 2021 - 07 61,005 0 0 0 0 0 0 0 0 0 0 0 21,000 22,521 3,782 9,282 809 706 828 575 339 366 252 156 304 84
2021 - 08 60,287 38% 70% 89% 92% 94% 95% 97% 98% 98% 99% 99% 100% 100% 2021 - 08 60,287 0 0 0 0 0 0 0 0 0 0 0 0 22,898 19,034 11,942 1,658 1,009 1,019 871 372 477 312 216 301 172
2021 - 09 60,263 37% 82% 90% 93% 95% 96% 97% 98% 99% 99% 100% 100% 2021 - 09 60,263 0 0 0 0 0 0 0 0 0 0 0 0 0 22,130 27,514 4,307 1,954 1,213 944 565 491 371 266 214 281
2021 - 10 63,141 45% 79% 90% 93% 96% 97% 98% 99% 99% 100% 100% 2021 - 10 63,141 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28,265 21,341 6,952 2,352 1,581 729 696 413 311 298 196
2021 - 11 60,175 40% 81% 90% 94% 96% 98% 98% 99% 100% 100% 2021 - 11 60,175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24,016 24,987 5,065 2,621 1,103 902 484 475 335 184
2021 - 12 59,965 48% 83% 91% 95% 97% 98% 99% 100% 100% 2021 - 12 59,965 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28,501 21,324 4,936 2,020 1,241 647 492 545 251
2022 - 01 48,475 28% 73% 87% 93% 96% 97% 99% 100% 2022 - 01 48,475 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13,683 21,651 6,806 2,812 1,394 760 901 442
2022 - 02 45,073 29% 79% 91% 95% 97% 99% 100% 2022 - 02 45,073 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12,926 22,864 5,002 2,045 922 833 463
2022 - 03 51,201 31% 80% 92% 96% 99% 100% 2022 - 03 51,201 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15,901 25,024 6,280 1,912 1,330 733
2022 - 04 49,228 32% 83% 93% 98% 100% 2022 - 04 49,228 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15,948 24,747 5,235 2,154 1,120
2022 - 05 47,438 35% 85% 96% 100% 2022 - 05 47,438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16,615 23,610 5,101 2,079
2022 - 06 45,921 33% 89% 100% 2022 - 06 45,921 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15,023 26,021 4,834
2022 - 07 41,058 45% 100% 2022 - 07 41,058 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18,392 22,541
2022 - 08 17,943 Svc. Month 3mo Runout 6mo Runout Medicare FFS Paid Through 9/2020 97% 2022 - 08 17,943 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17,395
Outpatient Cumulative Claim % by Paid Month Outpatient Claim Counts by Paid Month
2020 - 08 792,478 40% 62% 66% 68% 71% 71% 85% 89% 94% 95% 95% 95% 97% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 792,478 320,475 174,320 26,794 20,244 17,021 6,270 110,569 32,822 32,801 9,109 1,725 2,030 12,643 12,415 7,484 492 2016 98 1,572 255 185 161 206 712 57
2020 - 09 797,935 41% 64% 67% 69% 70% 85% 89% 93% 94% 95% 95% 97% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 797,935 0 324,915 184,426 27,203 16,560 7,876 114,571 33,621 30,636 13,509 1,767 2,359 13,207 13,422 7,743 516 2204 145 1,638 282 182 82 253 742 76
2020 - 10 827,538 42% 62% 67% 69% 84% 88% 92% 94% 94% 95% 97% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 827,538 0 0 348,577 164,951 42,766 13,649 121,398 37,028 35,938 9,549 2,511 11,331 13,354 11,344 8,276 824 2474 188 1,705 260 175 114 278 766 81
2020 - 11 754,853 40% 64% 68% 83% 87% 92% 93% 93% 95% 97% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 754,853 0 0 0 302,436 184,135 25,131 113,833 31,608 34,609 9,111 3,176 15,024 12,918 6,692 8,720 1,425 2373 289 1,596 273 220 82 333 769 100
2020 - 12 755,112 45% 66% 81% 83% 88% 92% 93% 95% 97% 97% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 755,112 0 0 0 0 343,110 156,808 111,594 17,778 36,910 30,236 3,481 15,447 14,754 5,314 10,384 1,643 3,362 502 1,513 307 248 112 408 1,097 102
2021 - 01 802,087 42% 71% 77% 83% 91% 92% 94% 96% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 802,087 0 0 0 0 0 340,068 229,137 49,829 47,035 65,580 6,073 17,068 16,705 6,331 10,676 2,219 2,922 2616 1,879 786 550 368 494 1,553 166
2021 - 02 809,549 50% 79% 86% 91% 92% 94% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 02 809,549 0 0 0 0 0 0 402,106 235,816 60,600 37,988 8,287 18,169 15,410 4,294 11,739 2,654 2,569 2,331 3,082 1073 602 329 588 1,587 303
2021 - 03 899,602 51% 84% 89% 91% 94% 96% 96% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 899,602 0 0 0 0 0 0 0 456,830 301,283 43,251 17,378 23,296 18,135 4,718 14,779 4,284 3,601 2,341 2,798 2,448 1,075 554 683 1,757 370
2021 - 04 938,303 55% 83% 88% 92% 95% 96% 97% 97% 98% 98% 99% 99% 100% 100% 100% 100% 100% 2021 - 04 938,303 0 0 0 0 0 0 0 0 520,568 257,252 47,528 35,118 31,467 5,979 9,916 5,333 6,138 3,557 4,727 4,530 2,570 807 747 1,728 307
2021 - 05 850,992 51% 80% 86% 89% 90% 91% 91% 92% 92% 96% 99% 99% 100% 100% 100% 100% 2021 - 05 850,992 0 0 0 0 0 0 0 0 0 430,307 246,370 51,872 26,308 7,770 10,506 3,298 4,263 2,813 37,382 20,597 3,913 2,624 828 1,831 277
2021 - 06 869,898 48% 80% 86% 88% 90% 90% 91% 91% 96% 99% 99% 100% 100% 100% 100% 2021 - 06 869,898 0 0 0 0 0 0 0 0 0 0 419,100 273,988 59,318 13,765 15,182 3,623 4,140 3,034 46,071 19,984 4,345 3,325 1,503 2,097 388
2021 - 07 842,528 40% 62% 66% 68% 71% 85% 87% 94% 97% 99% 99% 99% 100% 100% 2021 - 07 842,528 0 0 0 0 0 0 0 0 0 0 0 340,994 183,123 33,523 14,120 30,406 114,921 18,433 58,334 25,981 11,917 3,925 1,634 4,560 608
2021 - 08 898,668 38% 60% 65% 70% 84% 87% 93% 97% 98% 99% 99% 100% 100% 2021 - 08 898,668 0 0 0 0 0 0 0 0 0 0 0 0 340,960 197,278 49,966 39,232 128,435 21,504 61,537 32,006 14,209 3,827 2,259 5,223 2195
2021 - 09 883,899 36% 61% 68% 83% 86% 93% 97% 98% 99% 99% 100% 100% 2021 - 09 883,899 0 0 0 0 0 0 0 0 0 0 0 0 0 320,188 214,866 63,226 134,307 23,594 62,825 35,405 15,660 4,986 2,495 4,726 1,572
2021 - 10 908,014 38% 64% 82% 85% 92% 96% 98% 99% 99% 100% 100% 2021 - 10 908,014 0 0 0 0 0 0 0 0 0 0 0 0 0 0 349,452 228,477 166,182 29,217 65,430 36,686 16,239 5,705 3,795 5,017 1,734
2021 - 11 874,581 44% 77% 83% 90% 95% 97% 98% 99% 100% 100% 2021 - 11 874,581 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 385,352 289,048 48,014 68,201 40,139 19,638 8,163 8,380 5,715 1,871
2021 - 12 841,913 53% 79% 89% 94% 96% 98% 98% 100% 100% 2021 - 12 841,913 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 443,054 222,849 81,166 43,297 21,901 8,864 6,489 11,596 2,619
2022 - 01 681,109 25% 62% 71% 76% 79% 80% 83% 100% 2022 - 01 681,109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 172,070 253,155 61,640 29,918 19,301 5,407 23,976 115,499
2022 - 02 623,590 29% 67% 76% 79% 80% 84% 100% 2022 - 02 623,590 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 177,990 241,799 54,098 20,580 6,517 21,804 100,650
2022 - 03 724,513 31% 71% 78% 80% 83% 100% 2022 - 03 724,513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 224,810 292,005 45,688 13,508 27,733 120,607
2022 - 04 690,324 33% 71% 77% 82% 100% 2022 - 04 690,324 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 230,276 256,764 46,349 33,449 123,275
2022 - 05 678,295 32% 72% 80% 100% 2022 - 05 678,295 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 218,175 268,868 57,495 133,322
2022 - 06 630,260 32% 74% 100% 2022 - 06 630,260 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 202,421 262,558 164,536
2022 - 07 528,967 51% 100% 2022 - 07 528,967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 268,823 258,912
2022 - 08 294,918 Svc. Month 3mo Runout 6mo Runout Medicare FFS Paid Through 12/31/2019 97% 2022 - 08 294,918 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 286,167
Professional Cumulative Claim % by Paid Month Professional Claim Counts by Paid Month
2020 - 08 4,145,192 55% 84% 90% 92% 93% 94% 94% 94% 95% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 4,145,192 2,300,331 1,195,594 229,173 95,201 46,718 22,327 14,797 12,020 29,202 156,030 6,695 12,723 7,560 5,404 5,097 961 1,291 592 360 587 857 372 198 530 240
2020 - 09 4,419,578 56% 86% 90% 93% 93% 94% 94% 95% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 4,419,578 282 2,494,584 1,293,800 201,313 99,624 39,621 22,689 17,729 29,799 158,288 17,093 13,316 9,726 8,694 5,778 1,413 1,753 684 527 694 747 293 256 581 216
2020 - 10 4,711,746 60% 85% 91% 93% 94% 94% 95% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 4,711,746 40 287 2,807,569 1,181,278 292,722 90,439 41,874 28,048 36,976 156,991 18,898 16,233 11,758 11,199 8,892 1,992 1,599 846 889 744 650 392 434 703 257
2020 - 11 4,159,644 57% 88% 93% 95% 96% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 4,159,644 14 40 182 2,350,095 1,309,083 215,257 77,603 39,906 47,173 38,882 20,259 16,363 11,736 10,269 9,756 3,898 2,357 1,514 1,487 934 703 537 443 834 304
2020 - 12 4,166,836 62% 89% 93% 95% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 4,166,836 0 8 19 158 2,567,990 1,126,282 195,092 89,178 53,212 39,393 24,803 20,097 13,494 10,627 9,115 4,618 4,683 1,781 1,981 1,011 841 590 575 973 303
2021 - 01 4,347,521 54% 84% 91% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 4,347,521 0 1 4 23 179 2,340,075 1,316,190 300,792 125,365 82,443 45,143 30,742 26,572 17,574 20,129 8,289 8,686 4,846 2,819 2,694 10,256 1,436 919 1,564 699
2021 - 02 4,341,850 56% 86% 92% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 4,341,850 0 0 0 2 30 231 2,440,147 1,282,772 269,551 127,042 69,393 34,840 26,584 19,226 21,854 10,428 9,962 6,175 5,107 3,491 9,876 1,551 1,049 1,723 732
2021 - 03 4,927,810 55% 87% 93% 95% 96% 97% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 4,927,810 0 1 2 1 6 47 236 2,724,807 1,577,121 258,276 127,010 60,982 44,295 30,430 33,455 14,724 13,325 9,967 7,106 7,879 11,179 2,168 1,532 2,272 877
2021 - 04 4,954,107 57% 86% 91% 93% 95% 96% 97% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 04 4,954,107 0 0 0 2 11 10 27 248 2,829,330 1,415,906 269,089 116,839 73,658 33,978 47,416 38,381 30,099 32,937 19,875 15,715 21,643 2,902 1,972 2,872 1,093
2021 - 05 4,578,268 57% 86% 92% 94% 95% 96% 97% 98% 98% 99% 99% 100% 100% 100% 100% 100% 2021 - 05 4,578,268 0 0 0 0 0 3 3 32 287 2,590,424 1,348,307 253,041 103,762 49,510 55,196 40,297 28,803 25,619 25,852 19,181 23,924 6,665 2,529 3,279 1,469
2021 - 06 4,779,718 56% 87% 92% 94% 96% 97% 97% 98% 98% 99% 100% 100% 100% 100% 100% 2021 - 06 4,779,718 0 0 0 2 1 0 0 3 54 274 2,661,627 1,514,689 238,442 88,944 70,046 44,469 32,885 27,887 24,698 18,999 33,666 10,156 6,649 4,408 1,730
2021 - 07 4,610,491 57% 86% 91% 94% 96% 96% 97% 98% 98% 99% 99% 100% 100% 100% 2021 - 07 4,610,491 0 0 0 0 0 0 0 0 7 30 158 2,617,990 1,340,071 260,098 124,588 61,869 43,740 32,575 26,039 20,333 32,384 16,512 18,337 12,336 3,304
2021 - 08 4,906,292 56% 86% 93% 95% 96% 97% 98% 98% 99% 99% 99% 100% 100% 2021 - 08 4,906,292 0 0 0 0 0 0 0 0 0 0 0 0 2,725,503 1,488,736 325,281 105,971 67,013 41,466 37,799 25,665 28,838 13,225 15,199 24,175 7,250
2021 - 09 4,944,183 53% 88% 92% 95% 97% 98% 98% 99% 99% 99% 100% 100% 2021 - 09 4,944,183 0 0 0 0 0 0 0 0 0 0 0 0 0 2,605,883 1,720,652 243,564 136,433 76,923 46,144 27,978 28,527 14,696 17,553 15,556 9,986
2021 - 10 5,041,015 58% 87% 93% 96% 97% 98% 99% 99% 100% 100% 100% 2021 - 10 5,041,015 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,904,973 1,482,250 321,396 143,230 57,825 36,504 32,623 15,222 21,872 15,192 9,599
2021 - 11 4,922,571 56% 88% 94% 96% 97% 98% 99% 99% 100% 100% 2021 - 11 4,922,571 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,736,394 1,611,543 297,690 94,694 51,528 38,211 18,729 41,699 21,988 9,557
2021 - 12 4,690,344 60% 89% 94% 96% 98% 98% 99% 100% 100% 2021 - 12 4,690,344 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,808,704 1,363,788 244,007 97,546 62,107 25,376 35,968 40,519 11,730
2022 - 01 3,914,643 44% 84% 92% 96% 97% 98% 100% 100% 2022 - 01 3,914,643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,707,106 1,561,946 333,347 136,604 53,694 38,274 65,010 17,837
2022 - 02 3,568,396 42% 85% 94% 96% 97% 99% 100% 2022 - 02 3,568,396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,506,247 1,536,224 303,024 82,165 50,253 69,922 19,664
2022 - 03 4,096,185 45% 88% 94% 97% 99% 100% 2022 - 03 4,096,185 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,839,483 1,766,904 253,007 101,603 105,151 28,814
2022 - 04 3,891,713 49% 88% 95% 99% 100% 2022 - 04 3,891,713 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,897,999 1,533,656 275,477 139,580 43,642
2022 - 05 3,845,824 48% 89% 97% 100% 2022 - 05 3,845,824 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,833,438 1,600,945 312,814 96,357
2022 - 06 3,722,871 45% 93% 100% 2022 - 06 3,722,871 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,685,867 1,773,931 258,521
2022 - 07 3,192,011 54% 100% 2022 - 07 3,192,011 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,709,012 1,471,798
2022 - 08 1,959,464 Svc. Month 3mo Runout 6mo Runout Medicare FFS Paid Through 9/2020 97% 2022 - 08 1,959,464 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,893,479
Commercial Cumulative Claim % by Paid Month Commercial Claim Counts by Paid Month
2020 - 08 1,081,391 50% 89% 94% 96% 97% 98% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 1,081,391 541,873 425,345 53,657 18,074 10,162 6,378 5,314 4,166 3,199 2,115 2,059 2,342 1,852 1412 759 499 486 285 189 223 316 144 110 239 187
2020 - 09 1,182,812 55% 91% 94% 96% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 1,182,812 0 646,325 425,283 45,775 21,401 9,456 7,346 5,869 4,292 2,828 2,678 3,042 2,167 2,018 957 668 505 439 277 301 380 182 187 241 186
2020 - 10 1,349,035 56% 90% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 1,349,035 0 0 758,519 451,830 64,533 22,981 12,664 9,703 6,424 3,800 3,471 3,827 3,016 2,595 1528 949 750 482 443 361 287 255 191 230 182
2020 - 11 1,164,408 53% 89% 94% 96% 97% 98% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 1,164,408 0 0 0 612,751 422,986 59,875 22,092 12,729 7,707 4,473 4,140 3,575 3,339 3,103 1,873 1,447 1040 762 695 488 337 265 211 277 236
2020 - 12 1,166,965 54% 89% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 1,166,965 0 0 0 0 629,965 412,565 53,335 27,662 11,294 6,642 5,359 4,107 3,626 3,461 2,229 1,540 1,459 835 765 573 401 319 289 295 236
2021 - 01 1,130,994 46% 85% 92% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 1,130,994 0 0 0 0 0 524,639 432,898 78,550 26,370 23,745 9,597 8,101 6,377 4,082 4,773 2,476 2,236 1675 1227 1206 839 689 566 434 409
2021 - 02 1,160,220 48% 86% 92% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 1,160,220 0 0 0 0 0 0 556,750 437,249 75,317 32,870 13,730 10,390 8,804 5,352 4,615 3,640 2,684 2,050 1,544 1652 1129 765 552 574 454
2021 - 03 1,353,876 50% 86% 92% 94% 95% 97% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 1,353,876 0 0 0 0 0 0 0 676,319 493,482 72,043 32,415 18,672 14,066 11,408 9,738 7,242 4,611 3,803 2,379 3,021 1,506 1088 734 676 550
2021 - 04 1,431,097 51% 86% 91% 94% 95% 96% 97% 98% 98% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 04 1,431,097 0 0 0 0 0 0 0 0 729,546 502,379 75,673 36,006 21,749 10,342 14,374 9,482 7,982 6,617 4,397 5,692 2,650 1376 983 1134 587
2021 - 05 1,228,353 52% 88% 93% 95% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 05 1,228,353 0 0 0 0 0 0 0 0 0 635,053 446,271 59,656 28,020 13,510 12,084 7,634 6,478 4,952 3,260 4,231 2,772 1604 1110 937 673
2021 - 06 1,252,082 54% 89% 94% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 06 1,252,082 0 0 0 0 0 0 0 0 0 0 675,062 438,242 64,596 24,091 14,811 9,171 6,415 4,461 3,081 3,930 2,788 1,917 1496 1072 825
2021 - 07 1,190,595 52% 89% 94% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 2021 - 07 1,190,595 0 0 0 0 0 0 0 0 0 0 0 613,665 447,938 55,679 29,661 11,734 7,965 5,494 3,672 4,351 3,323 2,277 1936 1611 1122
2021 - 08 1,295,912 54% 89% 95% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 2021 - 08 1,295,912 0 0 0 0 0 0 0 0 0 0 0 0 695,125 457,662 73,914 24,524 13,099 7,693 4,947 6,335 3,406 2,720 2,441 2,037 1,796
2021 - 09 1,309,897 51% 89% 95% 97% 98% 98% 99% 99% 99% 100% 100% 100% 2021 - 09 1,309,897 0 0 0 0 0 0 0 0 0 0 0 0 0 663,324 507,418 68,513 26,910 12,398 7,017 8,242 4,168 3,156 2,896 2,910 2,596
2021 - 10 1,367,316 51% 89% 95% 97% 98% 99% 99% 99% 99% 100% 100% 2021 - 10 1,367,316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 702,479 515,790 78,739 27,772 11,321 10,868 5,795 4,099 3,406 3,942 2,689
2021 - 11 1,368,175 51% 89% 95% 97% 98% 99% 99% 99% 100% 100% 2021 - 11 1,368,175 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 694,715 524,063 81,698 23,614 16,440 8,521 5,809 4,630 4,513 3,571
2021 - 12 1,304,021 53% 90% 95% 97% 98% 99% 99% 100% 100% 2021 - 12 1,304,021 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 693,733 477,671 62,427 30,849 13,949 8,364 6,107 5,676 4,561
2022 - 01 1,271,567 48% 87% 94% 97% 98% 99% 99% 100% 2022 - 01 1,271,567 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 613,933 487,907 94,677 32,007 16,439 10,000 9,664 5,948
2022 - 02 1,137,814 47% 90% 95% 97% 99% 99% 100% 2022 - 02 1,137,814 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 529,670 494,344 58,951 24,619 13,322 9,818 6,024
2022 - 03 1,307,063 54% 91% 96% 98% 99% 100% 2022 - 03 1,307,063 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 709,740 475,724 68,395 27,240 16,132 8,426
2022 - 04 1,235,027 52% 91% 97% 99% 100% 2022 - 04 1,235,027 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 643,581 475,998 72,683 28,448 12,725
2022 - 05 1,221,285 53% 92% 98% 100% 2022 - 05 1,221,285 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 647,275 478,322 67,071 25,884
2022 - 06 1,216,205 54% 94% 100% 2022 - 06 1,216,205 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 655,382 486,750 68,743
2022 - 07 1,074,881 54% 99% 2022 - 07 1,074,881 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 576,928 485,440
Medicaid Cumulative Claim % by Paid Month Medicaid Claim Counts by Paid Month
2020 - 08 1,915,130 34% 61% 69% 73% 76% 77% 83% 85% 88% 96% 97% 97% 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 1,915,130 647,754 525,315 154,633 76,389 44,127 25,201 117,350 37,268 56,738 161,445 5,374 11,421 17,322 15,836 11,510 726 2707 284 1602 541 599 289 225 410 64
2020 - 09 1,939,000 30% 63% 70% 74% 76% 82% 84% 87% 96% 96% 97% 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 1,939,000 0 588,152 633,280 136,579 71,798 38,254 125,730 40,227 53,221 166,862 14,813 11,268 19,593 19,251 12,073 941 3250 186 1710 522 439 84 245 449 73
2020 - 10 2,028,193 36% 61% 71% 75% 82% 84% 87% 95% 96% 97% 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 2,028,193 0 0 738,410 497,158 207,318 71,624 141,982 48,725 62,541 159,797 15,649 22,223 20,650 18,822 14,625 1,376 2977 293 1,964 404 458 95 418 608 76
2020 - 11 1,886,544 35% 70% 78% 86% 89% 93% 95% 95% 97% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 1,886,544 0 0 0 666,625 658,958 147,589 153,328 49,612 69,421 39,554 16,274 25,836 19,750 12,768 15,360 3,185 3178 685 2,169 547 410 196 367 656 76
2020 - 12 1,907,133 43% 73% 84% 87% 91% 94% 95% 97% 98% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 1,907,133 0 0 0 0 822,949 575,300 209,392 57,734 71,237 58,572 19,251 27,660 22,659 11,113 16,059 3,916 5,609 774 2,359 533 470 164 413 882 86
2021 - 01 1,989,898 38% 72% 81% 87% 92% 94% 95% 97% 97% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 01 1,989,898 0 0 0 0 0 756,538 675,342 178,608 111,321 107,199 33,430 30,784 27,398 12,970 23,488 5,920 7,184 4,095 2,487 1,297 9,580 347 396 1346 165
2021 - 02 1,971,407 42% 76% 85% 90% 93% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 02 1,971,407 0 0 0 0 0 0 833,666 659,302 183,405 102,490 50,697 35,649 28,452 14,102 26,020 7,344 7,678 4,631 5,049 1,640 8,817 345 605 1343 171
2021 - 03 2,235,281 39% 81% 88% 91% 94% 95% 96% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 03 2,235,281 0 0 0 0 0 0 0 865,860 938,805 156,414 80,671 52,779 39,816 17,898 34,674 8,992 9,592 6,343 5,673 5,191 9,381 514 792 1689 196
2021 - 04 2,266,846 46% 77% 84% 88% 91% 92% 94% 95% 96% 98% 98% 99% 100% 100% 100% 100% 100% 2021 - 04 2,266,846 0 0 0 0 0 0 0 0 1,039,558 708,070 162,143 88,937 72,179 22,921 38,353 30,341 24,510 27,465 17,950 12,006 18,336 1,065 870 1762 380
2021 - 05 2,136,218 43% 75% 83% 87% 89% 91% 92% 93% 94% 97% 99% 100% 100% 100% 100% 100% 2021 - 05 2,136,218 0 0 0 0 0 0 0 0 0 912,051 689,246 178,683 76,501 34,200 47,796 31,381 22,649 20,833 57,995 32,866 21,986 5,928 1,183 2,323 597
2021 - 06 2,197,383 37% 77% 84% 87% 90% 91% 92% 93% 96% 98% 99% 100% 100% 100% 100% 2021 - 06 2,197,383 0 0 0 0 0 0 0 0 0 0 820,461 864,990 168,151 53,760 60,905 32,715 25,130 23,340 64,982 32,186 32,022 9,620 5,133 3415 573
2021 - 07 2,171,100 38% 67% 75% 79% 82% 89% 91% 94% 96% 98% 99% 99% 100% 100% 2021 - 07 2,171,100 0 0 0 0 0 0 0 0 0 0 0 829,451 617,933 177,642 89,257 69,956 143,878 41,938 77,905 39,119 37,056 15,790 16,593 12,635 1,947
2021 - 08 2,308,651 34% 66% 77% 81% 88% 90% 94% 96% 98% 98% 99% 100% 100% 2021 - 08 2,308,651 0 0 0 0 0 0 0 0 0 0 0 0 792,566 741,912 232,284 93,435 170,366 49,786 90,304 47,532 35,105 11,444 13,159 24,478 6,279
2021 - 09 2,289,887 30% 70% 77% 86% 90% 94% 96% 98% 98% 99% 100% 100% 2021 - 09 2,289,887 0 0 0 0 0 0 0 0 0 0 0 0 0 683,074 916,175 166,659 212,315 79,175 96,866 50,144 36,048 12,658 15,145 14,159 7,468
2021 - 10 2,276,275 39% 70% 84% 89% 94% 96% 98% 98% 99% 100% 100% 2021 - 10 2,276,275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 883,054 699,950 326,137 122,300 102,341 52,149 38,313 12,555 19,700 13,043 6,733
2021 - 11 2,271,080 39% 78% 86% 92% 94% 96% 97% 99% 100% 100% 2021 - 11 2,271,080 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 875,130 885,258 203,261 118,937 61,638 42,878 15,456 42,388 20,417 5,717
2021 - 12 2,243,660 47% 80% 89% 93% 95% 96% 98% 100% 100% 2021 - 12 2,243,660 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,047,115 742,212 207,369 85,213 60,053 18,871 32,577 43,125 7,124
2022 - 01 2,295,466 39% 76% 84% 89% 90% 92% 95% 100% 2022 - 01 2,295,466 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 906,573 833,485 199,160 98,144 39,371 24,546 72,371 121,814
2022 - 02 2,092,114 39% 76% 87% 90% 91% 95% 100% 2022 - 02 2,092,114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 819,502 776,964 226,968 54,129 31,249 74,944 108,357
2022 - 03 2,390,753 37% 81% 88% 90% 94% 100% 2022 - 03 2,390,753 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 880,715 1,063,625 153,336 58,873 102,468 131,736
2022 - 04 2,256,643 47% 81% 89% 94% 100% 2022 - 04 2,256,643 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,053,528 777,212 168,587 116,464 140,850
2022 - 05 2,226,743 44% 82% 92% 100% 2022 - 05 2,226,743 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 975,340 846,010 228,531 176,857
2022 - 06 2,065,047 39% 87% 100% 2022 - 06 2,065,047 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 799,346 1,002,442 263,249
2022 - 07 1,734,396 58% 100% 2022 - 07 1,734,396 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,009,304 725,047
Medicare Advantage Cumulative Claim % by Paid Month Medicare Advantage Claim Counts by Paid Month
2020 - 08 915,434 42% 89% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 915,434 386,360 426,718 49,805 19,508 9,909 4,685 3,223 3,789 2,320 1,934 1,492 1,190 1,153 630 384 264 182 168 170 208 144 130 73 607 60
2020 - 09 977,776 46% 90% 94% 97% 97% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 977,776 282 448,424 427,694 47,356 21,399 7,380 4,860 5,819 3,235 2,495 1,899 1,575 1,321 963 571 370 294 242 214 237 171 124 90 647 45
2020 - 10 1,014,916 49% 88% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 1,014,916 40 287 492,470 404,287 63,499 17,045 9,938 7,466 4,540 3,387 2,911 1,823 1,654 1259 1,168 582 469 297 267 274 177 176 128 651 98
2020 - 11 875,391 42% 89% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 875,391 14 40 182 365,100 415,714 41,493 18,085 10,394 5,319 4,542 3,654 2,348 1,854 1,216 1,394 939 714 430 292 267 200 181 211 697 103
2020 - 12 837,040 51% 88% 94% 96% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 837,040 0 8 19 158 425,011 309,749 48,058 21,165 8,658 5,184 4,295 4,150 2,252 1,501 1,365 972 1204 733 430 324 245 241 301 906 106
2021 - 01 965,606 33% 79% 89% 93% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 965,606 0 1 4 23 179 319,370 445,675 97,218 34,070 18,176 8,967 9,505 9,946 7,193 2,873 2,397 2,457 1,871 1079 1,142 459 813 489 1376 317
2021 - 02 950,382 39% 84% 92% 95% 96% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 02 950,382 0 0 0 2 30 231 365,921 431,870 75,099 28,793 14,069 7,730 5,255 4,446 3,329 2,305 2,391 1,988 1725 1,378 605 828 503 1427 451
2021 - 03 1,061,134 42% 85% 92% 95% 96% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 03 1,061,134 0 1 2 1 6 47 236 444,003 458,599 75,739 30,550 13,905 9,208 6,282 4,221 3,007 3,001 2,353 2,039 2,333 1447 1171 732 1701 541
2021 - 04 1,064,159 41% 85% 93% 95% 97% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 04 1,064,159 0 0 0 2 11 10 27 248 434,158 472,437 81,993 26,547 12,536 7,225 5,105 4,220 4,017 2,592 2,412 2,711 3364 1384 915 1757 481
2021 - 05 1,011,543 40% 86% 93% 96% 97% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 2021 - 05 1,011,543 0 0 0 0 0 3 3 32 287 403,304 470,586 69,657 25,000 10,361 6,431 4,940 4,222 2,906 2,149 2,857 3,254 1970 1163 1899 509
2021 - 06 1,078,583 41% 87% 94% 96% 97% 98% 98% 98% 99% 99% 99% 100% 100% 100% 100% 2021 - 06 1,078,583 0 0 0 2 1 0 0 3 54 274 445,412 497,551 67,591 23,918 11,594 6,708 5,783 3,432 2,951 3,116 3,540 2,142 1,634 2096 778
2021 - 07 1,041,102 42% 87% 93% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 2021 - 07 1,041,102 0 0 0 0 0 0 0 0 7 30 158 441,910 467,833 62,491 26,550 11,326 7,447 4,404 3,371 3,183 4,288 2,622 1,598 2,954 927
2021 - 08 1,087,358 41% 86% 94% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 2021 - 08 1,087,358 0 0 0 0 0 0 0 0 0 0 0 0 444,719 493,287 79,514 26,327 12,856 6,510 4,956 4,176 5,013 3,200 2,074 3,184 1,542
2021 - 09 1,092,878 39% 87% 94% 97% 97% 98% 99% 99% 99% 100% 100% 100% 2021 - 09 1,092,878 0 0 0 0 0 0 0 0 0 0 0 0 0 421,445 527,904 74,493 31,111 10,157 6,030 5,562 4,462 4,239 2,273 3,427 1,775
2021 - 10 1,094,154 40% 86% 94% 96% 97% 98% 99% 99% 99% 100% 100% 2021 - 10 1,094,154 0 0 0 0 0 0 0 0 0 0 0 0 0 0 437,751 504,673 86,290 24,727 11,174 10,902 5,450 4,686 2,872 3,522 2,107
2021 - 11 1,032,321 39% 88% 94% 96% 98% 99% 99% 99% 100% 100% 2021 - 11 1,032,321 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 404,792 501,631 65,810 22,965 14,692 7,352 6,111 3,536 3,108 2,324
2021 - 12 929,787 46% 87% 94% 97% 98% 99% 99% 100% 100% 2021 - 12 929,787 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 424,657 388,078 60,313 26,801 11,247 7,652 4,265 3,859 2,915
2022 - 01 1,077,194 35% 82% 92% 96% 98% 99% 99% 100% 2022 - 01 1,077,194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 372,353 515,360 107,956 39,183 18,579 9,895 7,852 6,016
2022 - 02 1,007,131 35% 87% 95% 97% 99% 99% 100% 2022 - 02 1,007,131 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 347,991 529,579 76,205 26,042 13,121 7,797 6,396
2022 - 03 1,174,083 42% 88% 95% 98% 99% 100% 2022 - 03 1,174,083 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 489,739 544,584 83,244 30,910 15,614 9,992
2022 - 04 1,139,595 39% 89% 96% 99% 100% 2022 - 04 1,139,595 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 447,114 561,957 85,791 30,271 14,462
2022 - 05 1,123,529 40% 90% 97% 100% 2022 - 05 1,123,529 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 445,613 569,091 79,808 29,017
2022 - 06 1,117,800 40% 91% 100% 2022 - 06 1,117,800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 448,583 573,318 95,899
2022 - 07 952,759 43% 100% 2022 - 07 952,759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409,995 542,764
Medicare FFS Cumulative Claim % by Paid Month Medicare FFS Claim Counts by Paid Month
Service Month Total Claims 2020 - 06 2020 - 07 2020 - 08 2020 - 09 2020 - 10 2020 - 11 2020 - 12 2021 - 01 2021 - 02 2021 - 03 2021 - 04 2021 - 05 2021 - 06 2021 - 07 2021 - 08 2021 - 09 2021 - 10 2021 - 11 2021 - 12 Service Month Total Claims 2020 - 06 2020 - 07 2020 - 08 2020 - 09 2020 - 10 2020 - 11 2020 - 12 2021 - 01 2021 - 02 2021 - 03 2021 - 04 2021 - 05 2021 - 06 2021 - 07 2021 - 08 2021 - 09 2021 - 10 2021 - 11 2021 - 12
2019 - 06 1,145,946 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 02 1,145,946 1,127,325 10,470 4,278 3,468 146 98 135 3 0 2 3 2 1 4 0 11 0 0 0
2019 - 07 1,164,483 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 03 1,164,483 0 1,145,713 10,953 4,008 3,482 134 182 3 3 0 0 0 2 0 0 3 0 0 0
2019 - 08 1,166,883 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 04 1,166,883 0 0 1,149,984 9,524 4,041 3,108 219 3 1 1 1 1 0 0 0 0 0 0 0
2019 - 09 1,155,214 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 05 1,155,214 0 0 0 1,139,458 9,158 3,423 3,165 2 1 5 0 0 0 0 0 1 0 0 1
2019 - 10 1,288,810 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 06 1,288,810 0 0 0 0 1,272,283 9,447 6,752 200 30 13 18 13 14 3 0 28 3 0 6
2019 - 11 1,085,115 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 07 1,085,115 0 0 0 0 0 1,069,563 13,276 1,961 297 5 4 2 2 0 0 1 0 2 2
2019 - 12 1,115,369 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 1,115,369 0 0 0 0 0 0 1,105,569 5,285 2,654 1,843 12 1 1 0 0 1 0 0 3
2020 - 01 1,241,007 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 1,241,007 0 0 0 0 0 0 0 1,222,577 12,138 2,477 3232 213 131 79 52 51 28 15 14
2020 - 02 1,095,715 98% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 1,095,715 0 0 0 0 0 0 0 0 1,078,092 12,878 1,574 2923 91 47 57 18 18 8 9
2020 - 03 932,871 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 932,871 0 0 0 0 0 0 0 0 0 916,603 11,073 1,888 3,078 86 42 37 21 10 33
2020 - 04 692,331 98% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 692,331 0 0 0 0 0 0 0 0 0 0 676,226 11,195 1,847 2,877 51 36 35 13 51
2020 - 05 915,166 98% 99% 100% 100% 100% 100% 100% 100% 2021 - 01 915,166 0 0 0 0 0 0 0 0 0 0 0 898,422 12,094 1,693 2,769 65 44 32 47
2020 - 06 1,119,690 98% 100% 100% 100% 100% 100% 100% 2021 - 02 1,119,690 0 0 0 0 0 0 0 0 0 0 0 0 1,102,277 12,861 1,756 2,635 67 32 62
2020 - 07 1,104,414 98% 100% 100% 100% 100% 100% 2021 - 03 1,104,414 0 0 0 0 0 0 0 0 0 0 0 0 0 1,086,962 12,716 1,777 2,802 66 91
2020 - 08 1,087,010 98% 100% 100% 100% 100% 2021 - 04 1,087,010 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,069,954 12,686 1,626 2,632 112
2020 - 09 1,177,446 99% 100% 100% 100% 2021 - 05 1,177,446 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,160,326 12,555 1,700 2,865
2020 - 10 1,212,220 99% 100% 100% 2021 - 06 1,212,220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,195,594 12,652 3,974
2020 - 11 1,049,820 99% 100% 2021 - 07 1,049,820 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,034,407 15,413
2020 - 12 1,059,034 100% 2021 - 08 1,059,034 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,059,034
Commercial Inpatient Cumulative Claim % by Paid Month Commercial Inpatient Claim Counts by Paid Month
Service Month Total Claims 2020 - 08 2020 - 09 2020 - 10 2020 - 11 2020 - 12 2021 - 01 2021 - 02 2021 - 03 2021 - 04 2021 - 05 2021 - 06 2021 - 07 2021 - 08 2021 - 09 2021 - 10 2021 - 11 2021 - 12 2022 - 01 2022 - 02 2022 - 03 2022 - 04 2022 - 05 2022 - 06 2022 - 07 2022 - 08 Service Month Total Claims 2020 - 08 2020 - 09 2020 - 10 2020 - 11 2020 - 12 2021 - 01 2021 - 02 2021 - 03 2021 - 04 2021 - 05 2021 - 06 2021 - 07 2021 - 08 2021 - 09 2021 - 10 2021 - 11 2021 - 12 2022 - 01 2022 - 02
2020 - 08 6,104 25% 70% 84% 89% 91% 93% 94% 95% 96% 97% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 6,104 1,510 2,769 829 302 148 119 69 68 54 36 39 27 31 33 26 11 8 7 5
2020 - 09 6,115 25% 72% 82% 88% 90% 92% 94% 95% 96% 97% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 6,115 0 1,541 2,874 629 332 148 109 119 57 50 56 33 40 42 27 14 8 10 2
2020 - 10 6,295 25% 69% 83% 87% 90% 92% 94% 95% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 6,295 0 0 1,594 2,777 835 298 150 155 91 81 71 67 39 32 46 16 11 6 6
2020 - 11 6,194 24% 71% 83% 88% 91% 93% 94% 96% 97% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 6,194 0 0 0 1,504 2,879 762 293 225 91 97 89 55 44 32 29 22 19 16 8
2020 - 12 5,994 28% 68% 81% 87% 91% 93% 94% 96% 97% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2020 - 12 5,994 0 0 0 0 1,659 2,443 767 372 224 104 82 75 78 29 44 28 29 13 4
2021 - 01 6,319 20% 64% 80% 86% 89% 91% 93% 94% 96% 97% 98% 98% 98% 99% 99% 99% 100% 100% 100% 100% 2021 - 01 6,319 0 0 0 0 0 1,237 2,777 1,053 348 183 147 135 70 87 65 61 29 29 17
2021 - 02 6,043 21% 71% 81% 86% 89% 91% 93% 94% 95% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 2021 - 02 6,043 0 0 0 0 0 0 1,293 2,993 628 268 200 142 94 58 90 58 55 33 18
2021 - 03 6,739 25% 69% 80% 86% 90% 92% 94% 95% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 2021 - 03 6,739 0 0 0 0 0 0 0 1,681 2,950 770 428 232 142 104 101 80 63 32 25
2021 - 04 6,892 24% 67% 81% 87% 90% 93% 95% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 2021 - 04 6,892 0 0 0 0 0 0 0 0 1,650 2,997 937 425 220 175 129 72 81 48 29
2021 - 05 6,521 23% 69% 82% 88% 91% 93% 95% 96% 97% 98% 98% 99% 99% 100% 100% 100% 2021 - 05 6,521 0 0 0 0 0 0 0 0 0 1,492 3,030 806 400 223 136 96 82 84 27
2021 - 06 6,471 24% 71% 83% 89% 92% 94% 96% 97% 98% 98% 99% 99% 100% 100% 100% 2021 - 06 6,471 0 0 0 0 0 0 0 0 0 0 1,574 2,995 832 371 206 123 103 64 50
2021 - 07 6,534 27% 73% 84% 90% 93% 95% 96% 97% 98% 98% 99% 99% 100% 100% 2021 - 07 6,534 0 0 0 0 0 0 0 0 0 0 0 1,755 3,006 706 409 168 167 74 38
2021 - 08 6,782 24% 70% 84% 89% 92% 94% 95% 97% 97% 98% 99% 99% 100% 2021 - 08 6,782 0 0 0 0 0 0 0 0 0 0 0 0 1,661 3,071 967 329 232 110 103
2021 - 09 6,671 24% 72% 85% 90% 93% 94% 96% 97% 97% 98% 99% 100% 2021 - 09 6,671 0 0 0 0 0 0 0 0 0 0 0 0 0 1,583 3,204 893 343 154 92
2021 - 10 6,521 23% 67% 84% 90% 92% 95% 96% 97% 98% 99% 100% 2021 - 10 6,521 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,516 2,838 1,134 352 186
2021 - 11 6,534 18% 68% 84% 89% 93% 95% 97% 98% 99% 100% 2021 - 11 6,534 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,184 3,227 1,077 350
2021 - 12 5,944 22% 70% 82% 89% 93% 95% 97% 99% 100% 2021 - 12 5,944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,318 2,850 719
2022 - 01 6,181 17% 62% 81% 88% 92% 95% 98% 100% 2022 - 01 6,181 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,028 2,830
2022 - 02 5,518 16% 74% 87% 93% 96% 98% 100% 2022 - 02 5,518 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 884
2022 - 03 6,419 24% 74% 88% 94% 98% 100% 2022 - 03 6,419 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 04 5,932 24% 75% 90% 96% 100% 2022 - 04 5,932 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 05 6,090 27% 79% 93% 99% 2022 - 05 6,090 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 06 5,464 27% 83% 99% 2022 - 06 5,464 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 07 4,990 34% 98% 2022 - 07 4,990 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 08 2,516 Svc. Month 3mo Runout 6mo Runout 78% 2022 - 08 2,516 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Commercial Outpatient Cumulative Claim % by Paid Month Commercial Outpatient Claim Counts by Paid Month
2020 - 08 98,183 35% 83% 90% 93% 94% 95% 96% 96% 97% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 98,183 34,270 47,194 7,346 2,329 1,309 918 619 664 565 509 431 620 393 456 118 97 66 55 43
2020 - 09 98,632 40% 85% 90% 93% 94% 95% 96% 96% 97% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 98,632 0 39,434 44,368 5,245 2,426 1,206 912 791 699 552 490 784 401 576 166 114 98 85 54
2020 - 10 107,656 40% 84% 90% 93% 94% 95% 96% 97% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 107,656 0 0 42,660 47,504 7,198 2,512 1,377 1,201 837 642 592 1,037 513 627 267 137 136 68 75
2020 - 11 101,765 38% 84% 90% 92% 94% 95% 96% 96% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 101,765 0 0 0 38,895 46,187 6,482 2,290 1,630 1,094 731 653 965 955 676 324 238 150 128 84
2020 - 12 105,221 39% 84% 90% 93% 94% 95% 96% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 105,221 0 0 0 0 40,723 48,136 6,163 2,966 1,416 919 844 879 1,066 699 338 245 232 153 110
2021 - 01 101,427 31% 79% 88% 92% 93% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 01 101,427 0 0 0 0 0 31,654 48,428 9,539 3,276 1,831 1,447 1,101 1,370 699 445 334 317 218 171
2021 - 02 108,306 32% 82% 89% 92% 94% 95% 96% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 02 108,306 0 0 0 0 0 0 34,455 54,294 7,515 2,993 2,068 1,688 1,455 840 660 723 370 290 252
2021 - 03 130,256 37% 80% 87% 91% 93% 95% 95% 96% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 03 130,256 0 0 0 0 0 0 0 48,692 55,669 8,789 5,520 2,680 1,865 1,079 1,028 1,919 756 632 406
2021 - 04 167,067 37% 77% 85% 90% 91% 92% 93% 95% 97% 98% 98% 99% 100% 100% 100% 100% 100% 2021 - 04 167,067 0 0 0 0 0 0 0 0 61,523 67,615 12,536 8,090 2,702 1,476 1,578 3,308 2,609 1,783 1,203
2021 - 05 129,913 37% 81% 89% 92% 93% 94% 96% 97% 98% 98% 99% 99% 100% 100% 100% 100% 2021 - 05 129,913 0 0 0 0 0 0 0 0 0 47,535 58,107 9,959 3,878 1,859 1,336 1,704 1,709 1,075 698
2021 - 06 118,593 40% 83% 91% 94% 95% 96% 97% 98% 98% 99% 99% 100% 100% 100% 100% 2021 - 06 118,593 0 0 0 0 0 0 0 0 0 0 47,188 51,784 9,029 3,349 1,672 1,368 1,114 746 490
2021 - 07 108,465 36% 84% 91% 94% 96% 97% 98% 98% 98% 99% 99% 100% 100% 100% 2021 - 07 108,465 0 0 0 0 0 0 0 0 0 0 0 39,437 51,697 8,018 3,294 1,656 1,030 704 459
2021 - 08 113,990 39% 84% 92% 95% 96% 97% 98% 98% 99% 99% 99% 100% 100% 2021 - 08 113,990 0 0 0 0 0 0 0 0 0 0 0 0 44,687 51,200 8,637 3,239 1,750 1,021 677
2021 - 09 112,657 35% 84% 92% 95% 96% 97% 98% 99% 99% 99% 100% 100% 2021 - 09 112,657 0 0 0 0 0 0 0 0 0 0 0 0 0 39,542 54,610 9,118 3,453 1,841 960
2021 - 10 120,045 33% 82% 93% 95% 97% 98% 98% 99% 99% 100% 100% 2021 - 10 120,045 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39,063 59,735 12,563 3,070 1,539
2021 - 11 123,653 34% 84% 93% 95% 97% 98% 99% 99% 100% 100% 2021 - 11 123,653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41,780 61,953 10,931 3,423
2021 - 12 123,888 37% 86% 92% 95% 97% 98% 98% 99% 100% 2021 - 12 123,888 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45,273 61,587 7,583
2022 - 01 110,265 33% 81% 90% 94% 96% 97% 99% 100% 2022 - 01 110,265 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36,809 52,255
2022 - 02 101,872 32% 85% 93% 95% 97% 99% 100% 2022 - 02 101,872 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32,559
2022 - 03 116,878 41% 86% 93% 96% 99% 100% 2022 - 03 116,878 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 04 112,653 38% 86% 94% 98% 100% 2022 - 04 112,653 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 05 111,194 37% 89% 96% 100% 2022 - 05 111,194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 06 109,458 41% 92% 99% 2022 - 06 109,458 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 07 95,912 40% 99% 2022 - 07 95,912 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Commercial Professional Cumulative Claim % by Paid Month Commercial Professional Claim Counts by Paid Month
2020 - 08 977,104 52% 90% 95% 96% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 977,104 506,093 375,382 45,482 15,443 8,705 5,341 4,626 3,434 2,580 1,570 1,589 1,695 1,428 923 615 391 412 223 141
2020 - 09 1,078,065 56% 91% 95% 97% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 1,078,065 0 605,350 378,041 39,901 18,643 8,102 6,325 4,959 3,536 2,226 2,132 2,225 1,726 1,400 764 540 399 344 221
2020 - 10 1,235,084 58% 90% 95% 97% 97% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 1,235,084 0 0 714,265 401,549 56,500 20,171 11,137 8,347 5,496 3,077 2,808 2,723 2,464 1,936 1,215 796 603 408 362
2020 - 11 1,056,449 54% 90% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 1,056,449 0 0 0 572,352 373,920 52,631 19,509 10,874 6,522 3,645 3,398 2,555 2,340 2,395 1,520 1,187 871 618 603
2020 - 12 1,055,750 56% 90% 94% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 1,055,750 0 0 0 0 587,583 361,986 46,405 24,324 9,654 5,619 4,433 3,153 2,482 2,733 1,847 1,267 1,198 669 651
2021 - 01 1,023,248 48% 85% 92% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 1,023,248 0 0 0 0 0 491,748 381,693 67,958 22,746 21,731 8,003 6,865 4,937 3,296 4,263 2,081 1,890 1,428 1,039
2021 - 02 1,045,871 50% 86% 93% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 1,045,871 0 0 0 0 0 0 521,002 379,962 67,174 29,609 11,462 8,560 7,255 4,454 3,865 2,859 2,259 1,727 1,274
2021 - 03 1,216,881 51% 87% 92% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 1,216,881 0 0 0 0 0 0 0 625,946 434,863 62,484 26,467 15,760 12,059 10,225 8,609 5,243 3,792 3,139 1,948
2021 - 04 1,257,138 53% 87% 92% 94% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 04 1,257,138 0 0 0 0 0 0 0 0 666,373 431,767 62,200 27,491 18,827 8,691 12,667 6,102 5,292 4,786 3,165
2021 - 05 1,091,919 54% 89% 93% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 05 1,091,919 0 0 0 0 0 0 0 0 0 586,026 385,134 48,891 23,742 11,428 10,612 5,834 4,687 3,793 2,535
2021 - 06 1,127,018 56% 90% 94% 96% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 06 1,127,018 0 0 0 0 0 0 0 0 0 0 626,300 383,463 54,735 20,371 12,933 7,680 5,198 3,651 2,541
2021 - 07 1,075,596 53% 90% 94% 97% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 2021 - 07 1,075,596 0 0 0 0 0 0 0 0 0 0 0 572,473 393,235 46,955 25,958 9,910 6,768 4,716 3,175
2021 - 08 1,175,140 55% 90% 95% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 2021 - 08 1,175,140 0 0 0 0 0 0 0 0 0 0 0 0 648,777 403,391 64,310 20,956 11,117 6,562 4,167
2021 - 09 1,190,569 52% 90% 95% 97% 98% 98% 99% 99% 99% 100% 100% 100% 2021 - 09 1,190,569 0 0 0 0 0 0 0 0 0 0 0 0 0 622,199 449,604 58,502 23,114 10,403 5,965
2021 - 10 1,240,750 53% 90% 95% 97% 98% 99% 99% 99% 100% 100% 100% 2021 - 10 1,240,750 0 0 0 0 0 0 0 0 0 0 0 0 0 0 661,900 453,217 65,042 24,350 9,596
2021 - 11 1,237,988 53% 90% 95% 97% 98% 99% 99% 99% 100% 100% 2021 - 11 1,237,988 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 651,751 458,883 69,690 19,841
2021 - 12 1,174,189 55% 90% 95% 97% 98% 99% 99% 100% 100% 2021 - 12 1,174,189 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 647,142 413,234 54,125
2022 - 01 1,155,121 50% 87% 95% 97% 98% 99% 100% 100% 2022 - 01 1,155,121 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 576,096 432,822
2022 - 02 1,030,424 48% 91% 95% 98% 99% 99% 100% 2022 - 02 1,030,424 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 496,227
2022 - 03 1,183,766 56% 91% 96% 98% 99% 100% 2022 - 03 1,183,766 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 04 1,116,442 54% 91% 97% 99% 100% 2022 - 04 1,116,442 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 05 1,104,001 55% 93% 98% 100% 2022 - 05 1,104,001 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 06 1,101,283 55% 94% 100% 2022 - 06 1,101,283 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 07 973,979 55% 99% 2022 - 07 973,979 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicaid Inpatient Cumulative Claim % by Paid Month Medicaid Inpatient Claim Counts by Paid Month
2020 - 08 32,732 33% 65% 70% 71% 72% 94% 95% 96% 96% 97% 98% 99% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 32,732 10,664 10,665 1,503 445 256 7,274 352 227 143 275 423 131 62 9 24 10 53 35 20
2020 - 09 30,797 29% 66% 68% 70% 93% 94% 95% 96% 97% 98% 99% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 30,797 0 8,988 11,191 897 448 7,144 402 322 174 282 416 130 66 30 28 15 71 24 31
2020 - 10 33,029 35% 67% 70% 92% 94% 95% 96% 97% 98% 99% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 33,029 0 0 11,424 10,604 1,127 7,161 703 407 283 250 441 151 81 50 46 15 85 16 63
2020 - 11 31,055 33% 67% 88% 92% 94% 95% 96% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 31,055 0 0 0 10,162 10,491 6,724 1,319 560 344 303 437 183 154 45 48 31 65 42 50
2020 - 12 30,642 33% 81% 90% 93% 95% 96% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 30,642 0 0 0 0 10,019 14,951 2,587 905 588 470 388 197 128 50 61 34 105 25 29
2021 - 01 30,662 35% 78% 86% 90% 93% 94% 96% 97% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 01 30,662 0 0 0 0 0 10,835 12,944 2,450 1,332 824 559 357 312 189 209 108 194 118 54
2021 - 02 28,190 36% 80% 89% 92% 94% 96% 97% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 28,190 0 0 0 0 0 0 10,064 12,606 2,311 975 514 462 340 211 221 85 123 97 75
2021 - 03 31,073 34% 84% 90% 93% 95% 97% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 31,073 0 0 0 0 0 0 0 10,595 15,440 1,873 932 733 430 222 202 76 164 118 119
2021 - 04 31,712 43% 83% 89% 93% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 04 31,712 0 0 0 0 0 0 0 0 13,653 12,821 1,852 1,195 959 268 293 149 120 88 74
2021 - 05 31,413 41% 84% 91% 95% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 2021 - 05 31,413 0 0 0 0 0 0 0 0 0 12,973 13,371 2,310 1,119 400 374 179 133 91 90
2021 - 06 30,687 35% 82% 88% 90% 96% 97% 97% 98% 98% 99% 99% 100% 100% 100% 100% 2021 - 06 30,687 0 0 0 0 0 0 0 0 0 0 10,665 14,431 1,867 684 1,732 271 170 188 118
2021 - 07 32,339 21% 60% 65% 91% 92% 94% 96% 97% 98% 98% 99% 99% 100% 100% 2021 - 07 32,339 0 0 0 0 0 0 0 0 0 0 0 6,799 12,706 1,657 8,227 460 410 667 469
2021 - 08 31,117 29% 59% 89% 91% 93% 95% 97% 97% 98% 99% 99% 100% 100% 2021 - 08 31,117 0 0 0 0 0 0 0 0 0 0 0 0 8,889 9,390 9,319 789 502 698 486
2021 - 09 31,794 27% 83% 88% 91% 94% 96% 97% 98% 99% 99% 99% 100% 2021 - 09 31,794 0 0 0 0 0 0 0 0 0 0 0 0 0 8,428 17,921 1,691 1,008 843 685
2021 - 10 32,118 40% 79% 88% 92% 96% 97% 98% 99% 99% 100% 100% 2021 - 10 32,118 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12,810 12,548 2,878 1,440 1,034
2021 - 11 30,480 33% 82% 89% 94% 95% 97% 98% 99% 100% 100% 2021 - 11 30,480 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10,080 14,945 2,110 1,411
2021 - 12 32,988 44% 84% 92% 95% 97% 98% 99% 100% 100% 2021 - 12 32,988 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14,373 13,449 2,403
2022 - 01 32,220 37% 79% 89% 94% 97% 98% 99% 100% 2022 - 01 32,220 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11,943 13,527
2022 - 02 30,641 37% 82% 92% 96% 98% 99% 100% 2022 - 02 30,641 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11,419
2022 - 03 35,333 38% 84% 94% 97% 99% 100% 2022 - 03 35,333 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 04 34,132 40% 88% 95% 98% 100% 2022 - 04 34,132 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 05 32,292 44% 88% 96% 100% 2022 - 05 32,292 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 06 32,297 39% 93% 100% 2022 - 06 32,297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 07 29,951 52% 100% 2022 - 07 29,951 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicaid Outpatient Cumulative Claim % by Paid Month Medicaid Outpatient Claim Counts by Paid Month
2020 - 08 410,508 20% 35% 38% 42% 46% 47% 73% 81% 89% 91% 91% 91% 94% 97% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 410,508 82,245 63,174 11,873 15,568 14,399 4,777 109,503 31,091 31,733 8,207 1,016 1164 12,120 11,872 7,318 360 1,920 18 1484
2020 - 09 410,508 18% 37% 41% 43% 45% 72% 80% 87% 90% 91% 91% 94% 97% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 410,508 0 72,627 79,201 15,407 11,174 5,805 113,085 31,595 29,395 12,444 969 1275 12,674 12,742 7,498 362 2,083 27 1523
2020 - 10 423,335 20% 34% 40% 42% 70% 79% 87% 89% 89% 91% 94% 97% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 423,335 0 0 86,250 57,458 26,481 9,025 119,044 34,247 34,464 8,363 1,550 10049 12,689 10,589 7,903 611 2,278 87 1563
2020 - 11 385,974 18% 38% 42% 70% 77% 86% 88% 88% 92% 95% 96% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 385,974 0 0 0 69,827 78,009 13,868 109,351 27,997 32,720 7,319 1,749 13,731 11,796 5,866 8,282 1,089 2,140 111 1,442
2020 - 12 388,328 26% 42% 68% 71% 80% 87% 87% 91% 95% 96% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 388,328 0 0 0 0 100,339 63,918 99,213 11,463 34,278 28,426 2,024 14,202 13,507 4,429 9,864 1,294 2,942 257 1,315
2021 - 01 410,600 28% 56% 62% 72% 86% 87% 91% 94% 96% 98% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 410,600 0 0 0 0 0 115,636 113,677 26,421 38,348 60,001 3,154 15,041 14,737 5,297 9,919 1,563 2,190 1,787 1,360
2021 - 02 404,819 39% 69% 79% 86% 87% 91% 94% 95% 98% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 404,819 0 0 0 0 0 0 159,171 120,167 40,698 29,209 4,246 15,468 13,306 3,019 10,730 1,648 1,933 1,595 2,158
2021 - 03 447,528 39% 79% 85% 87% 91% 94% 95% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 447,528 0 0 0 0 0 0 0 173,959 180,433 25,472 7,370 18,414 15,288 3,097 13,320 1,996 2,530 1,308 1,677
2021 - 04 455,652 51% 78% 83% 88% 94% 95% 97% 97% 98% 98% 99% 99% 100% 100% 100% 100% 100% 2021 - 04 455,652 0 0 0 0 0 0 0 0 232,263 123,886 23,875 23,113 27,202 3,724 7,874 1,583 3,155 1,359 2,989
2021 - 05 424,650 41% 70% 77% 82% 83% 85% 85% 85% 86% 94% 99% 99% 100% 100% 100% 100% 2021 - 05 424,650 0 0 0 0 0 0 0 0 0 175,095 120,175 32,546 18,415 4,721 8,471 1,070 2,131 1,124 36,289
2021 - 06 435,775 34% 69% 78% 80% 82% 83% 83% 84% 94% 98% 99% 100% 100% 100% 100% 2021 - 06 435,775 0 0 0 0 0 0 0 0 0 0 147,849 151,642 40,595 7,032 12,144 1,628 2,393 1,675 44,947
2021 - 07 431,121 21% 35% 39% 40% 47% 73% 77% 90% 96% 98% 99% 99% 100% 100% 2021 - 07 431,121 0 0 0 0 0 0 0 0 0 0 0 89,132 61,364 16,292 7,708 27,493 113,053 17,022 57,086
2021 - 08 471,951 16% 32% 39% 46% 72% 76% 89% 95% 98% 99% 99% 100% 100% 2021 - 08 471,951 0 0 0 0 0 0 0 0 0 0 0 0 77,055 75,262 30,473 32,771 125,453 19,512 59,813
2021 - 09 464,232 14% 34% 43% 70% 75% 88% 95% 98% 99% 99% 100% 100% 2021 - 09 464,232 0 0 0 0 0 0 0 0 0 0 0 0 0 66,633 89,405 43,632 127,278 20,274 61,005
2021 - 10 468,683 18% 39% 69% 74% 87% 95% 98% 99% 99% 100% 100% 2021 - 10 468,683 0 0 0 0 0 0 0 0 0 0 0 0 0 0 86,428 95,239 141,985 23,183 62,445
2021 - 11 450,450 29% 64% 70% 84% 92% 96% 97% 99% 100% 100% 2021 - 11 450,450 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 130,614 155,914 28,778 61,938
2021 - 12 439,718 42% 67% 82% 91% 95% 96% 98% 100% 100% 2021 - 12 439,718 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 185,490 110,213 65,952
2022 - 01 454,619 25% 55% 62% 66% 70% 70% 75% 100% 2022 - 01 454,619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114,830 133,520
2022 - 02 411,198 30% 58% 67% 71% 72% 76% 100% 2022 - 02 411,198 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122,500
2022 - 03 477,919 29% 64% 69% 71% 75% 100% 2022 - 03 477,919 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 04 451,611 36% 63% 69% 74% 100% 2022 - 04 451,611 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 05 442,872 33% 63% 72% 100% 2022 - 05 442,872 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 06 397,678 31% 64% 100% 2022 - 06 397,678 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 07 337,458 60% 100% 2022 - 07 337,458 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicaid Professional Cumulative Claim % by Paid Month Medicaid Professional Claim Counts by Paid Month
2020 - 08 1,471,890 38% 68% 78% 82% 84% 85% 85% 86% 88% 98% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 1,471,890 554,845 451,476 141,257 60,376 29,472 13,150 7,495 5,950 24,862 152,963 3,935 10,126 5,140 3,955 4,168 356 734 231 98
2020 - 09 1,497,695 34% 70% 78% 82% 84% 85% 85% 87% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 1,497,695 0 506,537 542,888 120,275 60,176 25,305 12,243 8,310 23,652 154,136 13,428 9,863 6,853 6,479 4,547 564 1,096 135 156
2020 - 10 1,571,829 41% 68% 79% 83% 84% 85% 87% 97% 98% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 1,571,829 0 0 640,736 429,096 179,710 55,438 22,235 14,071 27,794 151,184 13,658 12,023 7,880 8,183 6,676 750 614 190 338
2020 - 11 1,469,515 40% 79% 87% 90% 92% 94% 96% 97% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 1,469,515 0 0 0 586,636 570,458 126,997 42,658 21,055 36,357 31,932 14,088 11,922 7,800 6,857 7,030 2,065 973 532 677
2020 - 12 1,488,163 48% 81% 88% 92% 94% 96% 97% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 1,488,163 0 0 0 0 712,591 496,431 107,592 45,366 36,371 29,676 16,839 13,261 9,024 6,634 6,134 2,588 2,562 492 1015
2021 - 01 1,548,636 41% 76% 86% 90% 93% 95% 96% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 01 1,548,636 0 0 0 0 0 630,067 548,721 149,737 71,641 46,374 29,717 15,386 12,349 7,484 13,360 4,249 4,800 2,190 1073
2021 - 02 1,538,398 43% 77% 87% 91% 94% 96% 96% 97% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 02 1,538,398 0 0 0 0 0 0 664,431 526,529 140,396 72,306 45,937 19,719 14,806 10,872 15,069 5,611 5,622 2,939 2,816
2021 - 03 1,756,680 39% 81% 88% 93% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 03 1,756,680 0 0 0 0 0 0 0 681,306 742,932 129,069 72,369 33,632 24,098 14,579 21,152 6,920 6,898 4,917 3,877
2021 - 04 1,779,482 45% 77% 84% 88% 90% 92% 93% 95% 96% 98% 98% 99% 100% 100% 100% 100% 100% 2021 - 04 1,779,482 0 0 0 0 0 0 0 0 793,642 571,363 136,416 64,629 44,018 18,929 30,186 28,609 21,235 26,018 14,887
2021 - 05 1,680,155 43% 76% 85% 88% 90% 92% 94% 95% 96% 98% 98% 100% 100% 100% 100% 100% 2021 - 05 1,680,155 0 0 0 0 0 0 0 0 0 723,983 555,700 143,827 56,967 29,079 38,951 30,132 20,385 19,618 21,616
2021 - 06 1,730,921 38% 79% 86% 89% 91% 93% 94% 96% 97% 98% 99% 100% 100% 100% 100% 2021 - 06 1,730,921 0 0 0 0 0 0 0 0 0 0 661,947 698,917 125,689 46,044 47,029 30,816 22,567 21,477 19,917
2021 - 07 1,707,640 43% 75% 84% 88% 91% 93% 94% 95% 96% 98% 98% 99% 100% 100% 2021 - 07 1,707,640 0 0 0 0 0 0 0 0 0 0 0 733,520 543,863 159,693 73,322 42,003 30,415 24,249 20,350
2021 - 08 1,805,583 39% 76% 86% 90% 92% 94% 95% 96% 97% 98% 99% 100% 100% 2021 - 08 1,805,583 0 0 0 0 0 0 0 0 0 0 0 0 706,622 657,260 192,492 59,875 44,411 29,576 30,005
2021 - 09 1,793,861 34% 79% 86% 90% 94% 96% 97% 98% 98% 99% 100% 100% 2021 - 09 1,793,861 0 0 0 0 0 0 0 0 0 0 0 0 0 608,013 808,849 121,336 84,029 58,058 35,176
2021 - 10 1,775,474 44% 77% 88% 93% 95% 96% 98% 98% 99% 100% 100% 2021 - 10 1,775,474 0 0 0 0 0 0 0 0 0 0 0 0 0 0 783,816 592,163 181,274 97,677 38,862
2021 - 11 1,790,150 41% 81% 91% 94% 95% 96% 97% 99% 100% 100% 2021 - 11 1,790,150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 734,436 714,399 172,373 55,588
2021 - 12 1,770,954 48% 83% 91% 93% 96% 96% 98% 100% 100% 2021 - 12 1,770,954 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 847,252 618,550 139,014
2022 - 01 1,808,627 43% 81% 90% 94% 96% 97% 100% 100% 2022 - 01 1,808,627 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 779,800 686,438
2022 - 02 1,650,275 42% 81% 92% 94% 96% 99% 100% 2022 - 02 1,650,275 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 685,583
2022 - 03 1,877,501 39% 86% 92% 95% 99% 100% 2022 - 03 1,877,501 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 04 1,770,900 50% 86% 94% 99% 100% 2022 - 04 1,770,900 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 05 1,751,579 47% 86% 97% 100% 2022 - 05 1,751,579 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 06 1,635,072 41% 93% 100% 2022 - 06 1,635,072 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 07 1,366,987 58% 100% 2022 - 07 1,366,987 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicare Advantage Inpatient Cumulative Claim % by Paid Month Medicare Advantage Inpatient Claim Counts by Paid Month
2020 - 08 9,019 11% 70% 85% 90% 91% 94% 95% 96% 97% 98% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 9,019 985 5,317 1,373 401 160 274 101 86 57 44 43 42 31 17 22 15 7 5 4
2020 - 09 9,184 13% 69% 84% 89% 92% 94% 95% 96% 97% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 9,184 0 1170 5,175 1,331 484 301 165 125 82 56 58 47 42 45 25 21 13 4 3
2020 - 10 9,879 9% 59% 77% 83% 88% 91% 93% 94% 95% 96% 97% 97% 98% 99% 99% 99% 99% 99% 99% 100% 100% 100% 100% 2020 - 10 9,879 0 0 916 4,870 1,802 655 459 257 217 113 110 91 88 51 63 60 27 16 11
2020 - 11 10,155 9% 57% 72% 83% 87% 90% 91% 93% 94% 95% 95% 96% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2020 - 11 10,155 0 0 0 901 4,851 1,551 1142 438 230 176 107 134 91 49 74 195 118 16 15
2020 - 12 9,603 12% 60% 80% 87% 90% 92% 94% 95% 96% 96% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2020 - 12 9,603 0 0 0 0 1112 4,680 1,891 714 257 195 151 101 83 55 49 105 93 21 27
2021 - 01 9,681 9% 59% 82% 88% 90% 92% 94% 95% 95% 96% 98% 98% 98% 99% 99% 99% 99% 100% 100% 100% 2021 - 01 9,681 0 0 0 0 0 844 4,916 2,199 542 239 149 163 106 87 77 124 51 32 24
2021 - 02 9,697 9% 64% 84% 89% 91% 94% 95% 96% 97% 98% 98% 98% 99% 99% 99% 100% 100% 100% 100% 2021 - 02 9,697 0 0 0 0 0 0 891 5,343 1,889 537 212 199 128 119 67 70 57 33 36
2021 - 03 9,556 11% 68% 84% 90% 92% 93% 95% 96% 97% 97% 98% 98% 99% 99% 99% 100% 100% 100% 2021 - 03 9,556 0 0 0 0 0 0 0 1016 5,460 1,584 496 211 137 135 109 84 71 41 43
2021 - 04 9,534 10% 64% 84% 90% 92% 94% 95% 96% 97% 97% 98% 98% 99% 99% 99% 100% 100% 2021 - 04 9,534 0 0 0 0 0 0 0 0 943 5,157 1,928 535 224 129 108 120 94 44 54
2021 - 05 9,537 9% 70% 86% 90% 93% 94% 95% 96% 97% 98% 98% 99% 99% 100% 100% 100% 2021 - 05 9,537 0 0 0 0 0 0 0 0 0 862 5,795 1,503 456 218 128 116 95 84 53
2021 - 06 9,229 11% 70% 85% 90% 93% 94% 95% 96% 97% 97% 98% 99% 99% 100% 100% 2021 - 06 9,229 0 0 0 0 0 0 0 0 0 0 970 5,529 1,372 440 231 142 86 60 77
2021 - 07 9,233 10% 70% 85% 91% 93% 95% 96% 96% 97% 98% 99% 99% 100% 100% 2021 - 07 9,233 0 0 0 0 0 0 0 0 0 0 0 923 5,575 1,304 633 172 124 87 68
2021 - 08 9,323 9% 63% 81% 86% 89% 92% 95% 96% 97% 98% 99% 99% 100% 2021 - 08 9,323 0 0 0 0 0 0 0 0 0 0 0 0 831 5,074 1,622 530 270 211 282
2021 - 09 9,091 9% 65% 83% 89% 92% 94% 95% 96% 98% 99% 100% 100% 2021 - 09 9,091 0 0 0 0 0 0 0 0 0 0 0 0 0 790 5,075 1,673 589 216 167
2021 - 10 9,637 7% 54% 83% 89% 92% 95% 96% 97% 98% 99% 100% 2021 - 10 9,637 0 0 0 0 0 0 0 0 0 0 0 0 0 0 691 4,475 2,803 560 361
2021 - 11 9,499 6% 62% 82% 91% 94% 96% 97% 98% 99% 100% 2021 - 11 9,499 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 609 5,296 1,878 860
2021 - 12 9,020 9% 65% 85% 91% 94% 96% 97% 99% 100% 2021 - 12 9,020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 797 5,025 1,814
2022 - 01 10,074 7% 60% 84% 92% 95% 97% 99% 100% 2022 - 01 10,074 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 712 5,294
2022 - 02 8,914 7% 74% 88% 94% 96% 98% 100% 2022 - 02 8,914 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 623
2022 - 03 9,449 11% 68% 88% 94% 97% 100% 2022 - 03 9,449 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 04 9,164 8% 67% 91% 97% 100% 2022 - 04 9,164 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 05 9,056 10% 76% 94% 100% 2022 - 05 9,056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 06 8,160 13% 79% 100% 2022 - 06 8,160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 07 6,117 17% 100% 2022 - 07 6,117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicare Advantage Outpatient Cumulative Claim % by Paid Month Medicare Advantage Outpatient Claim Counts by Paid Month
2020 - 08 102,644 28% 85% 92% 94% 95% 96% 96% 98% 98% 98% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 100% 100% 2020 - 08 102,644 29,223 57,560 7,563 2,346 1,312 575 447 1067 503 393 278 246 130 87 48 35 30 25 45
2020 - 09 102,397 32% 85% 92% 95% 95% 96% 97% 98% 98% 98% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 100% 100% 2020 - 09 102,397 0 32,764 54,559 6,543 2,958 865 574 1235 542 513 308 300 132 104 79 40 23 33 61
2020 - 10 104,904 33% 84% 93% 95% 96% 97% 98% 98% 98% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 100% 100% 2020 - 10 104,904 0 0 34,239 53,783 9,080 2,111 977 1579 637 544 369 245 152 128 106 76 60 33 67
2020 - 11 93,317 28% 86% 91% 93% 95% 96% 97% 98% 98% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 99% 100% 100% 2020 - 11 93,317 0 0 0 26,080 53,777 4,780 2,192 1981 795 1,061 774 328 167 150 114 98 83 50 70
2020 - 12 86,405 37% 83% 90% 94% 95% 96% 97% 98% 98% 98% 98% 98% 99% 99% 99% 99% 99% 99% 99% 100% 100% 2020 - 12 86,405 0 0 0 0 32,287 39,361 6,216 3,347 1216 891 613 366 181 186 182 104 188 92 88
2021 - 01 103,611 13% 71% 84% 89% 93% 94% 95% 96% 96% 97% 97% 97% 98% 98% 98% 99% 99% 99% 100% 100% 2021 - 01 103,611 0 0 0 0 0 12,962 60,523 13,747 5,410 3,747 1472 926 598 335 312 322 415 611 348
2021 - 02 107,458 24% 75% 87% 92% 94% 95% 96% 96% 96% 97% 97% 97% 98% 98% 98% 98% 99% 100% 100% 2021 - 02 107,458 0 0 0 0 0 0 25,868 55,008 12,381 5,786 1,973 1013 648 435 349 283 266 446 672
2021 - 03 116,170 30% 81% 88% 92% 94% 95% 95% 96% 96% 96% 97% 97% 98% 98% 98% 99% 100% 100% 2021 - 03 116,170 0 0 0 0 0 0 0 35,018 58,706 8,982 4,485 2,202 982 542 431 368 315 401 715
2021 - 04 114,688 28% 80% 90% 93% 94% 95% 95% 96% 96% 97% 97% 98% 98% 98% 99% 100% 100% 2021 - 04 114,688 0 0 0 0 0 0 0 0 32,345 59,306 11,109 3,913 1,562 779 462 442 373 415 535
2021 - 05 110,694 26% 81% 90% 93% 94% 95% 96% 96% 97% 97% 98% 98% 98% 99% 100% 100% 2021 - 05 110,694 0 0 0 0 0 0 0 0 0 28,272 61,772 9,358 4,011 1,190 698 524 423 614 395
2021 - 06 119,676 29% 83% 91% 93% 95% 95% 96% 96% 97% 97% 98% 98% 99% 100% 100% 2021 - 06 119,676 0 0 0 0 0 0 0 0 0 0 34,385 64,401 9,688 3,379 1,364 627 631 613 634
2021 - 07 116,007 27% 82% 90% 93% 94% 95% 95% 96% 97% 98% 98% 98% 100% 100% 2021 - 07 116,007 0 0 0 0 0 0 0 0 0 0 0 31,658 63,912 9,199 3,114 1,257 838 707 789
2021 - 08 119,385 27% 81% 90% 93% 94% 95% 96% 96% 97% 98% 98% 100% 100% 2021 - 08 119,385 0 0 0 0 0 0 0 0 0 0 0 0 32,004 64,713 10,837 3,218 1,230 971 1047
2021 - 09 116,371 25% 81% 90% 93% 94% 95% 96% 97% 98% 98% 100% 100% 2021 - 09 116,371 0 0 0 0 0 0 0 0 0 0 0 0 0 29,245 64,987 10,471 3,574 1,479 860
2021 - 10 116,944 24% 81% 91% 94% 95% 96% 97% 98% 98% 100% 100% 2021 - 10 116,944 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27,612 67,526 11,618 2,964 1,446
2021 - 11 109,744 26% 85% 93% 95% 97% 98% 98% 99% 100% 100% 2021 - 11 109,744 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28,222 65,183 8,305 2,840
2021 - 12 97,911 33% 85% 93% 96% 97% 98% 98% 100% 100% 2021 - 12 97,911 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31,895 51,049 7,631
2022 - 01 116,225 18% 76% 90% 95% 97% 98% 99% 100% 2022 - 01 116,225 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20,431 67,380
2022 - 02 110,520 21% 84% 94% 96% 98% 99% 100% 2022 - 02 110,520 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22,931
2022 - 03 129,716 30% 86% 94% 97% 99% 100% 2022 - 03 129,716 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 04 126,060 22% 82% 93% 98% 100% 2022 - 04 126,060 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 05 124,229 26% 86% 97% 100% 2022 - 05 124,229 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 06 123,124 29% 89% 100% 2022 - 06 123,124 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 07 95,597 31% 100% 2022 - 07 95,597 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicare Advantage Professional Cumulative Claim % by Paid Month Medicare Advantage Professional Claim Counts by Paid Month
2020 - 08 803,771 44% 90% 95% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 08 803,771 356,152 363,841 40,869 16,761 8,437 3,836 2,675 2,636 1,760 1,497 1,171 902 992 526 314 214 145 138 121
2020 - 09 866,195 48% 90% 95% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 09 866,195 282 414,490 367,960 39,482 17,957 6,214 4,121 4,459 2,611 1,926 1,533 1,228 1147 814 467 309 258 205 150
2020 - 10 900,133 51% 89% 95% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 10 900,133 40 287 457,315 345,634 52,617 14,279 8,502 5,630 3,686 2,730 2,432 1,487 1,414 1080 999 446 382 248 189
2020 - 11 771,919 44% 90% 95% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 11 771,919 14 40 182 338,119 357,086 35,162 14,751 7,975 4,294 3,305 2,773 1,886 1,596 1,017 1,206 646 513 364 207
2020 - 12 741,032 53% 89% 94% 96% 97% 98% 98% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 12 741,032 0 8 19 158 391,612 265,708 39,951 17,104 7,185 4,098 3,531 3,683 1,988 1,260 1,134 763 923 620 315
2021 - 01 852,314 36% 80% 90% 93% 95% 96% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 01 852,314 0 1 4 23 179 305,564 380,236 81,272 28,118 14,190 7,346 8,416 9,242 6,771 2,484 1,951 1,991 1228 707
2021 - 02 833,227 41% 85% 93% 95% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2021 - 02 833,227 0 0 0 2 30 231 339,162 371,519 60,829 22,470 11,884 6,518 4,479 3,892 2,913 1,952 2,068 1509 1017
2021 - 03 935,408 44% 86% 93% 96% 97% 98% 98% 99% 99% 99% 99% 99% 100% 100% 100% 100% 100% 100% 2021 - 03 935,408 0 1 2 1 6 47 236 407,969 394,433 65,173 25,569 11,492 8,089 5,605 3,681 2,555 2,615 1,911 1,281
2021 - 04 939,937 43% 86% 93% 96% 97% 98% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 04 939,937 0 0 0 2 11 10 27 248 400,870 407,974 68,956 22,099 10,750 6,317 4,535 3,658 3,550 2,133 1,823
2021 - 05 891,312 42% 87% 94% 96% 97% 98% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 05 891,312 0 0 0 0 0 3 3 32 287 374,170 403,019 58,796 20,533 8,953 5,605 4,300 3,704 2,208 1,701
2021 - 06 949,678 43% 88% 94% 96% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 100% 2021 - 06 949,678 0 0 0 2 1 0 0 3 54 274 410,057 427,621 56,531 20,099 9,999 5,939 5,066 2,759 2,240
2021 - 07 915,862 45% 88% 94% 96% 97% 98% 99% 99% 99% 99% 100% 100% 100% 100% 2021 - 07 915,862 0 0 0 0 0 0 0 0 7 30 158 409,329 398,346 51,988 22,803 9,897 6,485 3,610 2,514
2021 - 08 958,650 43% 87% 94% 96% 98% 98% 99% 99% 99% 100% 100% 100% 100% 2021 - 08 958,650 0 0 0 0 0 0 0 0 0 0 0 0 411,884 423,500 67,055 22,579 11,356 5,328 3,627
2021 - 09 967,416 40% 88% 94% 97% 98% 98% 99% 99% 100% 100% 100% 100% 2021 - 09 967,416 0 0 0 0 0 0 0 0 0 0 0 0 0 391,410 457,842 62,349 26,948 8,462 5,003
2021 - 10 967,573 42% 87% 94% 97% 98% 99% 99% 99% 100% 100% 100% 2021 - 10 967,573 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409,448 432,672 71,869 21,203 9,367
2021 - 11 913,078 41% 88% 94% 97% 98% 99% 99% 100% 100% 100% 2021 - 11 913,078 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375,961 431,152 55,627 19,265
2021 - 12 822,856 48% 88% 94% 97% 98% 99% 99% 100% 100% 2021 - 12 822,856 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 391,965 332,004 50,868
2022 - 01 950,895 37% 83% 93% 96% 98% 99% 99% 100% 2022 - 01 950,895 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351,210 442,686
2022 - 02 887,697 37% 88% 95% 97% 99% 99% 100% 2022 - 02 887,697 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324,437
2022 - 03 1,034,918 43% 89% 95% 98% 99% 100% 2022 - 03 1,034,918 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 04 1,004,371 42% 90% 97% 99% 100% 2022 - 04 1,004,371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 05 990,244 42% 91% 98% 100% 2022 - 05 990,244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 06 986,516 42% 92% 100% 2022 - 06 986,516 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2022 - 07 851,045 45% 100% 2022 - 07 851,045 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Medicare FFS Inpatient Cumulative Claim % by Paid Month Medicare FFS Inpatient Claim Counts by Paid Month
2019 - 06 19,729 91% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 06 19,729 18,027 1,588 41 32 8 3 4 3 0 2 3 2 1 4 0 11 0 0 0
2019 - 07 20,051 91% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 07 20,051 0 18,157 1,762 96 14 6 5 3 3 0 0 0 2 0 0 3 0 0 0
2019 - 08 19,088 91% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 08 19,088 0 0 17,446 1,588 38 9 2 3 0 1 0 1 0 0 0 0 0 0 0
2019 - 09 19,162 92% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 09 19,162 0 0 0 17,558 1,568 22 8 2 1 2 0 0 0 0 0 1 0 0 0
2019 - 10 22,914 91% 98% 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 10 22,914 0 0 0 0 20,926 1,628 184 49 30 13 18 13 14 3 0 28 3 0 5
2019 - 11 19,582 92% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 11 19,582 0 0 0 0 0 18,082 1,434 40 10 4 4 2 2 0 0 1 0 2 1
2019 - 12 19,219 91% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 12 19,219 0 0 0 0 0 0 17,509 1,644 38 12 11 1 1 0 0 1 0 0 2
2020 - 01 20,906 91% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 01 20,906 0 0 0 0 0 0 0 19,048 1,695 79 47 12 8 3 3 3 2 2 4
2020 - 02 19,279 91% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 02 19,279 0 0 0 0 0 0 0 0 17,583 1,624 46 14 7 0 0 2 1 1 1
2020 - 03 17,917 93% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 03 17,917 0 0 0 0 0 0 0 0 0 16,618 1,194 39 28 12 15 1 1 1 8
2020 - 04 16,076 91% 99% 100% 100% 100% 100% 100% 100% 100% 2020 - 04 16,076 0 0 0 0 0 0 0 0 0 0 14,605 1,347 84 21 10 5 3 1 0
2020 - 05 17,145 92% 99% 100% 100% 100% 100% 100% 100% 2020 - 05 17,145 0 0 0 0 0 0 0 0 0 0 0 15,695 1,362 48 20 16 3 1 0
2020 - 06 17,844 91% 99% 100% 100% 100% 100% 100% 2020 - 06 17,844 0 0 0 0 0 0 0 0 0 0 0 0 16,263 1,490 53 18 7 12 1
2020 - 07 17,746 92% 99% 100% 100% 100% 100% 2020 - 07 17,746 0 0 0 0 0 0 0 0 0 0 0 0 0 16,245 1,401 72 15 8 5
2020 - 08 17,654 91% 100% 100% 100% 100% 2020 - 08 17,654 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16,053 1,532 52 10 7
2020 - 09 17,513 91% 100% 100% 100% 2020 - 09 17,513 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15,976 1,485 37 15
2020 - 10 20,715 92% 100% 100% 2020 - 10 20,715 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19,047 1,596 72
2020 - 11 19,617 91% 100% 2020 - 11 19,617 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17,839 1,778
2020 - 12 17,144 100% 2020 - 12 17,144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17,144
Medicare FFS Outpatient Cumulative Claim % by Paid Month Medicare FFS Outpatient Claim Counts by Paid Month
2019 - 06 183,472 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 06 183,472 179,060 2,274 2,135 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2019 - 07 184,157 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 07 184,157 0 179,740 2,490 1,925 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2019 - 08 186,897 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 08 186,897 0 0 182,668 2,231 1,994 1 3 0 0 0 0 0 0 0 0 0 0 0 0
2019 - 09 178,189 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 09 178,189 0 0 0 174,137 2,254 1,795 3 0 0 0 0 0 0 0 0 0 0 0 0
2019 - 10 193,600 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 10 193,600 0 0 0 0 189,381 2,371 1,848 0 0 0 0 0 0 0 0 0 0 0 0
2019 - 11 168,602 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 11 168,602 0 0 0 0 0 164,425 2,359 1,818 0 0 0 0 0 0 0 0 0 0 0
2019 - 12 175,131 98% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 12 175,131 0 0 0 0 0 0 171,614 1,803 1,714 0 0 0 0 0 0 0 0 0 0
2020 - 01 194,548 98% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 01 194,548 0 0 0 0 0 0 0 190,366 4,126 54 0 0 0 1 0 0 1 0 0
2020 - 02 174,382 97% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 02 174,382 0 0 0 0 0 0 0 0 168,497 5,874 5 5 0 0 0 0 0 0 1
2020 - 03 143,215 97% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 03 143,215 0 0 0 0 0 0 0 0 0 138,310 4,891 11 2 0 0 0 0 0 1
2020 - 04 100,876 95% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 04 100,876 0 0 0 0 0 0 0 0 0 0 96,042 4,828 5 1 0 0 0 0 0
2020 - 05 146,169 96% 100% 100% 100% 100% 100% 100% 100% 2020 - 05 146,169 0 0 0 0 0 0 0 0 0 0 0 140,563 5,596 7 2 0 0 0 1
2020 - 06 185,983 97% 100% 100% 100% 100% 100% 100% 2020 - 06 185,983 0 0 0 0 0 0 0 0 0 0 0 0 179,979 5,985 15 3 1 0 0
2020 - 07 184,397 97% 100% 100% 100% 100% 100% 2020 - 07 184,397 0 0 0 0 0 0 0 0 0 0 0 0 0 178,354 6,034 7 2 0 0
2020 - 08 176,930 96% 100% 100% 100% 100% 2020 - 08 176,930 0 0 0 0 0 0 0 0 0 0 0 0 0 0 170,660 6,259 9 1 1
2020 - 09 182,312 97% 100% 100% 100% 2020 - 09 182,312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 176,143 6,159 8 2
2020 - 10 187,358 97% 100% 100% 2020 - 10 187,358 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 181,294 6,057 7
2020 - 11 169,596 96% 100% 2020 - 11 169,596 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 163,580 6,016
2020 - 12 165,686 100% 2020 - 12 165,686 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 165,686
Medicare FFS Professional Cumulative Claim % by Paid Month Medicare FFS Professional Claim Counts by Paid Month
2019 - 06 942,745 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 06 942,745 930,238 6,608 2,102 3,435 136 95 131 0 0 0 0 0 0 0 0 0 0 0 0
2019 - 07 960,275 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 07 960,275 0 947,816 6,701 1,987 3,466 128 177 0 0 0 0 0 0 0 0 0 0 0 0
2019 - 08 960,898 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 08 960,898 0 0 949,870 5,705 2,009 3,098 214 0 1 0 1 0 0 0 0 0 0 0 0
2019 - 09 957,863 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 09 957,863 0 0 0 947,763 5,336 1,606 3,154 0 0 3 0 0 0 0 0 0 0 0 1
2019 - 10 1,072,296 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 10 1,072,296 0 0 0 0 1,061,976 5,448 4,720 151 0 0 0 0 0 0 0 0 0 0 1
2019 - 11 896,931 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 11 896,931 0 0 0 0 0 887,056 9,483 103 287 1 0 0 0 0 0 0 0 0 1
2019 - 12 921,019 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2019 - 12 921,019 0 0 0 0 0 0 916,446 1,838 902 1,831 1 0 0 0 0 0 0 0 1
2020 - 01 1,025,553 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 01 1,025,553 0 0 0 0 0 0 0 1,013,163 6,317 2,344 3,185 201 123 75 49 48 25 13 10
2020 - 02 902,054 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 02 902,054 0 0 0 0 0 0 0 0 892,012 5,380 1,523 2,904 84 47 57 16 17 7 7
2020 - 03 771,739 99% 99% 100% 100% 100% 100% 100% 100% 100% 100% 2020 - 03 771,739 0 0 0 0 0 0 0 0 0 761,675 4,988 1,838 3,048 74 27 36 20 9 24
2020 - 04 575,379 98% 99% 99% 100% 100% 100% 100% 100% 100% 2020 - 04 575,379 0 0 0 0 0 0 0 0 0 0 565,579 5,020 1,758 2,855 41 31 32 12 51
2020 - 05 751,852 99% 99% 100% 100% 100% 100% 100% 100% 2020 - 05 751,852 0 0 0 0 0 0 0 0 0 0 0 742,164 5,136 1,638 2,747 49 41 31 46
2020 - 06 915,863 99% 100% 100% 100% 100% 100% 100% 2020 - 06 915,863 0 0 0 0 0 0 0 0 0 0 0 0 906,035 5,386 1,688 2,614 59 20 61
2020 - 07 902,271 99% 99% 100% 100% 100% 100% 2020 - 07 902,271 0 0 0 0 0 0 0 0 0 0 0 0 0 892,363 5,281 1,698 2,785 58 86
2020 - 08 892,426 99% 100% 100% 100% 100% 2020 - 08 892,426 0 0 0 0 0 0 0 0 0 0 0 0 0 0 883,241 4,895 1,565 2,621 104
2020 - 09 977,621 99% 100% 100% 100% 2020 - 09 977,621 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 968,207 4,911 1,655 2,848
2020 - 10 1,004,147 99% 100% 100% 2020 - 10 1,004,147 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 995,253 4,999 3,895
2020 - 11 860,607 99% 100% 2020 - 11 860,607 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 852,988 7,619
2020 - 12 876,204 100% 2020 - 12 876,204 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 876,204
LOB Claim_Type SVC_MONTH TTL_CLAIMS PD_202008 PD_202009 PD_202010 PD_202011 PD_202012 PD_202101 PD_202102 PD_202103 PD_202104 PD_202105 PD_202106 PD_202107 PD_202108 PD_202109 PD_202110 PD_202111 PD_202112 PD_202201 PD_202202 PD_202203 PD_202204 PD_202205 PD_202206 PD_202207 PD_202208
Medicare Advantage Professional 2020 - 08 803,771 356,152 363,841 40,869 16,761 8,437 3,836 2,675 2,636 1,760 1,497 1,171 902 992 526 314 214 145 138 121 105 121 111 52 28 39
Medicare Advantage Professional 2020 - 09 866,195 282 414,490 367,960 39,482 17,957 6,214 4,121 4,459 2,611 1,926 1,533 1,228 1,147 814 467 309 258 205 150 142 143 93 65 46 24
Medicare Advantage Professional 2020 - 10 900,133 40 287 457,315 345,634 52,617 14,279 8,502 5,630 3,686 2,730 2,432 1,487 1,414 1,080 999 446 382 248 189 221 131 148 89 52 72
Medicare Advantage Professional 2020 - 11 771,919 14 40 182 338,119 357,086 35,162 14,751 7,975 4,294 3,305 2,773 1,886 1,596 1,017 1,206 646 513 364 207 211 145 149 149 55 66
Medicare Advantage Professional 2020 - 12 741,032 0 8 19 158 391,612 265,708 39,951 17,104 7,185 4,098 3,531 3,683 1,988 1,260 1,134 763 923 620 315 249 183 204 217 47 67
Medicare Advantage Professional 2021 - 01 852,314 0 1 4 23 179 305,564 380,236 81,272 28,118 14,190 7,346 8,416 9,242 6,771 2,484 1,951 1,991 1,228 707 828 353 671 281 205 247
Medicare Advantage Professional 2021 - 02 833,227 0 0 0 2 30 231 339,162 371,519 60,829 22,470 11,884 6,518 4,479 3,892 2,913 1,952 2,068 1,509 1,017 913 479 704 253 173 224
Medicare Advantage Professional 2021 - 03 935,408 0 1 2 1 6 47 236 407,969 394,433 65,173 25,569 11,492 8,089 5,605 3,681 2,555 2,615 1,911 1,281 1,622 1,174 924 465 276 272
Medicare Advantage Professional 2021 - 04 939,937 0 0 0 2 11 10 27 248 400,870 407,974 68,956 22,099 10,750 6,317 4,535 3,658 3,550 2,133 1,823 1,667 2,916 1,049 636 387 312
Medicare Advantage Professional 2021 - 05 891,312 0 0 0 0 0 3 3 32 287 374,170 403,019 58,796 20,533 8,953 5,605 4,300 3,704 2,208 1,701 1,878 2,865 1,455 854 551 385
Medicare Advantage Professional 2021 - 06 949,678 0 0 0 2 1 0 0 3 54 274 410,057 427,621 56,531 20,099 9,999 5,939 5,066 2,759 2,240 2,077 3,046 1,548 1,210 589 560
Medicare Advantage Professional 2021 - 07 915,862 0 0 0 0 0 0 0 0 7 30 158 409,329 398,346 51,988 22,803 9,897 6,485 3,610 2,514 2,352 3,267 1,955 1,273 1,124 721
Medicare Advantage Professional 2021 - 08 958,650 0 0 0 0 0 0 0 0 0 0 0 0 411,884 423,500 67,055 22,579 11,356 5,328 3,627 3,047 3,685 2,399 1,634 1,371 1,185
Medicare Advantage Professional 2021 - 09 967,416 0 0 0 0 0 0 0 0 0 0 0 0 0 391,410 457,842 62,349 26,948 8,462 5,003 4,346 3,562 2,922 1,790 1,361 1,421
Medicare Advantage Professional 2021 - 10 967,573 0 0 0 0 0 0 0 0 0 0 0 0 0 0 409,448 432,672 71,869 21,203 9,367 9,350 4,565 3,411 2,307 1,671 1,710
Medicare Advantage Professional 2021 - 11 913,078 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 375,961 431,152 55,627 19,265 12,673 6,317 5,294 2,848 2,107 1,834
Medicare Advantage Professional 2021 - 12 822,856 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 391,965 332,004 50,868 23,228 9,556 6,732 3,488 2,667 2,348
Medicare Advantage Professional 2022 - 01 950,895 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 351,210 442,686 88,821 32,029 16,466 8,455 6,284 4,944
Medicare Advantage Professional 2022 - 02 887,697 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 324,437 453,860 64,060 22,688 11,401 6,147 5,104
Medicare Advantage Professional 2022 - 03 1,034,918 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 450,031 466,424 71,061 26,569 12,641 8,192
Medicare Advantage Professional 2022 - 04 1,004,371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 418,877 480,310 70,136 22,975 12,073
Medicare Advantage Professional 2022 - 05 990,244 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 412,449 488,169 64,908 24,718
Medicare Advantage Professional 2022 - 06 986,516 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 411,727 493,712 81,077
Medicare Advantage Professional 2022 - 07 851,045 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 379,186 471,859
Medicare Advantage Professional 2022 - 08 451,054 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 451,053

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Current Network Net Patient Revenue (NPR) Estimated Value of Tax Exemption Estimated Tax Value as

The Issues Tab

The Resolved Tab

Summary of September 2019 enhancements:

Low volume of pharmacy claims. This payer has

Missing January - April 2019 medical claims. This

Drop in pharmacy members for Insurance Product

CIVHC will make

This issue did not

This issue did not

This issue did not

Missing medical claims and eligibility. This payer

Missing January - February 2019 pharmacy claims

Missing February 2019 medical claims. This payer

The Provider Network Indicator (MC207) field is

Lack of inpatient and outpatient claims in the

High rate of reversals and resubmitted claims for

Potential duplication of 5% of payer's claims, a

Missing medical claims. This payer has

There are approximately 21 million medical claim

The number of members with the primary

Decrease in Medicare PMPM and increase in

Missing April 2012 medical claims data. This payer

Decrease in Medicare PMPM and increase in

Low medical and pharmacy member match rate

Claims were incorrectly being identified as

High volume (over 50%) of inpatient claims have

Missing January and February pharmacy claims

A large proportion of eligibility records have an

Abnormal number of procedure claims 2014 -

High proportion of records with NULL Member IDs.

January - April 2018 member and claim counts are

Decrease in pharmacy PMPM from approximately

Large increase in January and February 2017

High number of $0 allowed amounts. This payer

September 2017 medical member match rate

Missing self funded medical claims December

Drop in self funded pharmacy claims December

Missing December 2015 - February 2016 medical

Payer uses non-standard claim versioning and

New dental coverage showing up in August 2017

January 2009-December 2015 missing pharmacy

January 2016-June 2017 missing pharmacy flag in

September 2017 missing dental flag in eligibility

Missing January - April 2017 eligibility, medical and

Missing January 2015 - March 2018 medical and

Dental membership dropped by approximately

High proportion of records have an Insurance

The submission of several member eligibility data

2017 data contains Dental Coverage Flag set to 'N'

Missing January - June 2013 eligibility, October January - June

February and April 2017 missing behavioral health

Decrease in Medicare Advantage PMPM. This

Starting January 2019, pharmacy claims

Missing January and March 2017 eligibility data.

January-February 2014, September 2014,

Missing February and March 2018 pharmacy

Low pharmacy member allowed amounts under

January-February 2014, September 2014,

Missing June - July 2016, December 2016 - April June, July,

High proportion of claims with out of network

Missing January 2009-July 2013, July-August 2016 January 2009 - July

Missing January - April eligibility, pharmacy and