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Reporting Last modified: 8/2/11

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1 Reporting Last modified: 8/2/11
Being part of UnitedHealthcare gives UMR more than just a network advantage. With the capital investment, we are also able offer state-of-the-art reporting capabilities so you can measure just how effective your plan is and where your money is going. With UMR’s customized, on-demand reporting, you can leverage industry and national benchmarks to measure your plan’s trend. But we also go beyond just measurement. UMR will provide you with in-depth plan analysis and recommendations to support continuous improvement and strategic decisions. We offer predictive technologies to support targeted, proactive health and wellness programs. And, our online resources are available 24/7 so you can access reports at your convenience. Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

2 Robust reporting capabilities
UMR offers integrated and detailed reporting through several tools. Our online reporting tool—InfoPort—provides daily, weekly, monthly or quarterly reports according to your preference. Thomson Reuters Advantage Suite© (formerly known as MedStat) is a Web-based analysis tool for medical, pharmacy (if available) and enrollment data. You have access to extended data analytics with slicer/drill capabilities and extended benchmark information. This tool offers 32 reports with ‘exploring’ capabilities and is easy to export. It offers condition and Major Diagnostic Category information and provides rolling 24-month data, paid and/or limited incurred. Benchmark data (called MarketScan®) is based on 31.5 million lives. Finally, our Data Services provides claim extract setup or FTP-Internet file transfers. We support one-time ad hoc reports, data requests and production reporting. Additional UMR custom support is available for: ASA-certified reserve/IBNR estimates Customized benchmarking Ad hoc reporting Stewardship Analysis Reports Predictive modeling Episode cost/quality profiling and, if you purchase our solution, care management reporting UMR will provide you with in-depth plan analysis and recommendations to support continuous improvement and strategic decisions. We offer predictive technologies to support targeted, proactive health and wellness programs. Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

3 InfoPortSM – online reporting tool
Let’s talk a little more about UMR’s on-demand reporting tool, InfoPort. Our online tool allows you to not only monitor plan performance but identify trends and outliers through analysis of three or more years of UMR data. You can access information on claims, benefit utilization, financial activities, network performance and enrollment. Transactional data is updated daily with only a 2 business day lag. InfoPort allows you to drill down by group, benefit level, benefit plan, class, coverage tier, location, member ID, patient relationship and more. We have report designs with multiple report layouts and you can customize report criteria, allowing you a myriad of reporting options. Even better, you can save your own customized templates. Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

4 InfoPortSM – available reports
You can run reports on incurred and paid timeframes. And, you can create, run and view your reports on demand. You can also schedule recurring reports with dynamic dates. Report data is available in PHI and non-PHI versions. Finally, you can easily export your reports to multiple formats, such as Excel, PDF, and Word Available reports include: Census: enrollment; summary Extracts: claim level, claim service level, enrollment census Claim: detail, lag, summary, summary by member/network/provider, summary service level Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

5 Claim summary by coverage tier
Hyperlinks located within reports provide PHI authorized end users with the ability to access drill down information. Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

6 Claim summary by provider
Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

7 Claim summary by network
Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

8 Claim summary by member
Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

9 Enrollment summary by coverage tier
Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

10 Advantage Suite® – online reporting tool
For an analytical overview of claims UMR also offers Advantage Suite®, an online reporting tool created and maintained by Thomson Reuters. While not a financial tool for reconciliation, Advantage Suite (formerly called Medstat) can help you analyze health care costs, utilization, quality and performance trends and measures. You can drill down to product line/plan, region, metropolitan statistical area, employee status, relationship, location and coverage tier. You can compare your costs and utilization to robust geographical and industry benchmarks. Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

11 Advantage Suite® – available reports
Advantage Suite, which is updated monthly, shows gross claims. It does not include stop loss information or administration fees. Reports are run based on paid dates or incurred dates and standard reports can be modified to conduct ad hoc analyses. You can see trends in medical and Rx data, compare against benchmarks, track preventive and chronic conditions and identify cost drivers.  Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

12 Cost & use key indicators
Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

13 Price & use benchmark comparison
Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

14 Cost driver analysis Last modified: 8/2/11
© 2011 United HealthCare Services, Inc.

15 Preventive screening rates
Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

16 Chronic conditions profile
Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.

17 Top 25 prescription drugs
Last modified: 8/2/11 © 2011 United HealthCare Services, Inc.


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