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Health Management Reports

Information is power. And information that can help you manage your employee health and pharmacy benefit costs is exactly what you need. Our comprehensive employer reports provide that information and more. The reports, for our customers with more than 100 enrolled employees, provide you the essential information you need to identify the utilization trends and claim patterns of your group. Reports vary for groups of 101-249 and for groups with 250 or more enrolled employees.

As an added benefit, your group specific information is at your fingertips. By registering for the BlueConnection® online tools, you can have convenient, secure access to your reports online in the employer section of www.wellmark.com.

Comprehensive reports, easily accessible, and essential to your business. That’s the value of Wellmark Blue Cross and Blue Shield’s Custom Blue employer reports.

For Groups of 101-249 Enrolled Employees
Reports that you will receive include:

  For groups with 101-249 enrolled employees
Monthly
  • Enrollment and cost data*
Quarterly
  • Large claims
  • Health and pharmacy use and cost reports
  • Top prescription therapeutic classes used and generic versus brand name use
  • Lag report**
  • Coinsurance and deductible report
  • Employee/dependent split report
  • Case listing*
Semi-annual N/A
Annual
  • Health care and pharmacy use and financial information
  • IBNR estimate**
  • Schedule A information

* For fully-insured groups only
** For self-funded groups only

For Groups with More Than 250 Enrolled Employees
Groups with more than 250 enrolled employees will not only receive comprehensive reports, but the consultative services of Wellmark professionals to help you analyze the data and interpret the results. Among the reports you’ll receive include:

  • Large claims
  • Utilization and cost trends
  • Pharmacy
  • Provider savings
  • Hospital and physician data

Reports are pulled from Blue Diamond, our robust information warehouse. You’ll be able to:

  • Compare your average claims per employee for medical care against a prior year
  • Analyze the types of services that accounted for the largest portion of your group’s health care dollars
  • See the savings your group experienced from using network providers
  • Compare the trends of other groups just like yours

 


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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota. Blue Cross®, Blue Shield®, and the Cross® and Shield® symbols are registered marks of the Blue Cross and Blue Shield Association, an Association of Independent Blue Cross and Blue Shield Plans.


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