Getting Started| Running a Report| Working with Results

Report Help

This section of Online Help lists the interactive reports available within each report category, and provides links to support documentation for specific reports.

Custom reports are run interactively through the reporting application. The reports let you determine the population, dates, and other conditions you want to analyze. Learn more.

The support documentation includes:

• The report's definition
• A sample report
• The data the report includes/excludes by default
• Steps to run the report
• A list of the details you can add to the report (Report On; Drill*)
• A list of the items you can limit your results to (Filter On)
• Printing options

* The "Drill" feature is only available with Expanded services.

CATEGORY		Report Name	SEL	EXP
Financial		Claim Expenses by Size of Payment	•	•
		Claim Lag Study	•	•
		Detail Payment †	•	•
		Detail Payment – Non-Confidential	•	•
		Large Loss Claim Payments †	•	•
		Payments by Benefit Type	•	•
		Payments by Month	•	•
		Premium vs. Claims – Paid ‡	•	•
		Financial Managed Ad Hoc		•
		Premium Managed Ad Hoc ‡		•
Managed Pharmacy		Managed Pharmacy Cost and Utilization by Month	•	•
		Managed Pharmacy Plan Performance	•	•
		Key Generic Substitution Indicators by Month		•
		Managed Pharmacy Ad Hoc		•
		Managed Pharmacy Critical Indicators		•
		Managed Pharmacy Utilization by Age Group		•
		Top Drug Utilization Ranked by Net Paid		•
		Top Drug Utilization Ranked by Volume		•
		Top Therapeutic Class Utilization Ranked by Net Paid		•
		Top Therapeutic Class Utilization Ranked by Volume		•
Medical		Claim Experience	•	•
		Cost and Utilization by Procedure	•	•
		Cost and Utilization Summary	•	•
		Healthcare Cost Management Summary	•	•
		Inpatient Utilization and Costs by Admission Type	•	•
		Member Cost Sharing Detail Report – ASO Confidential †	•	•
		Member Cost Sharing Detail Report – Non-Confidential	•	•
		Network Utilization	•	•
		Utilization by Diagnosis	•	•
		Bill Count by Month		•
		Distribution of Discounts		•
		Distribution of Ineligible Charges		•
		Distribution of Other Savings		•
		Inpatient Event Ad Hoc		•
		Inpatient Utilization by Diagnosis		•
		Medical Dollar Ad Hoc		•
		Medical Utilization Ad Hoc		•
		Outpatient Utilization by Diagnosis		•
		Top Hospitals Ranked by Total Net Paid		•
		Top Physicians Ranked by Total Net Paid		•
		Utilization and Costs by Provider Type		•
		Utilization by Age Group		•
Membership		Membership by Month	•	•
		Membership by Market	•	•
		Membership with Demographic and Geographic Factors	•	•
		Membership Managed Ad Hoc		•
Key	= Report = Compound Report (i.e., multiple sections of output) SEL = Select services EXP = Expanded services • = Report is available at this service level. † = Report includes information for ASO funding only. ‡ = Report includes information for fully insured funding only.