0 ? $fmt($count, 0) : '--'; } if ((int) $count <= 0 && (float) $amount <= 0) { return '--'; } return $fmt($amount); }; $cnt = static function ($n) use ($fmt): string { return ((int) $n) > 0 ? $fmt($n, 0) : '--'; }; $amt = static function ($n) use ($fmt): string { return ((float) $n) > 0 ? $fmt($n, 0) : '--'; }; $acs = static function ($n) use ($fmt): string { return ((float) $n) > 0 ? $fmt($n, 0) : '--'; }; $pct = static function ($n): string { if ($n === null || $n === '') { return '--'; } return ((int) $n) . '%'; }; $ageBands = ['00-05', '06-18', '19-25', '26-35', '36-45', '46-55', '56-65', '66-75', 'Above 75']; $relations = ['Self', 'Parents', 'Spouse', 'Children', 'Siblings', 'In Laws', 'Others']; ?> ICICI Lombard - Portfolio Analysis Report

ICICI Lombard General Insurance Company

Portfolio Analysis of  

Policy Number :  

Policy Period :

Data upload date :

S.No. Contents Page No.
1Portfolio AnalysisPage 2
2Enrollment SummaryPage 3
3Age Wise AnalysisPage 4
4Relation ACSPage 5
5Amount Band-wise AnalysisPage 6
6SI Band-wise AnalysisPage 6
7IL Take CarePage 7
8Disease-AnalysisPage 8
9Claim Utilization reportPage 9
10Top HospitalsPage 10
11Top CitiesPage 11
12TAT AnalysisPage 12
Portfolio Analysis
Premium/LR_Details
PremiumEarned PremiumLoss Amount PaidLoss Amount O/S Hit (LOSS)Claim CostGross Incurred CostLoss RatioAs on
Claims Summary
Status Cashless Reimbursement Overall
  No of ClaimsClaims/OS AmountPaid/OS Amt No of ClaimsClaims/OS AmountPaid/OS Amt No of ClaimsClaims/OS AmountPaid/OS Amt
Total All
ILTC Summary
ILTC %RI IntimationsILTC IntimationsILTC %
Intimations
Notes:
  • No of Claims Based on Incidence.
  • AL Approved : Cashless requests approved, Documents pending
  • Claim / OS Amount - Claimed amount against settled cases. Claimed amount to the extent of SI against outstanding cases
  • Claims WIP : Claims under process.
 Key Takeaways:
Enrollment Summary
Enrolled LivesClaimsClaim Frequency
0 ? (int) round((($colT[$rel] ?? 0) / $grand) * 100) : 0; ?>
Age wise Enrollment Summary
Age Band Relationship Overall
   
Overall
Percentage (%) 0 ? esc($p . '%') : '--' ?> 100%
Key Takeaways:
Age Band CashlessReimbursementTotal
  No of ClaimsAmountACS No of ClaimsAmountACS No of ClaimsAmountACS
Overall
Key Takeaways:
Notes:
  • No of Claims Based on Incidence.
  • ACS- Average Claim Size. Amount/No. of Claims
Relation ACS
Relation CashlessReimbursementTotal
  No of ClaimsAmountACS No of ClaimsAmountACS No of ClaimsAmountACS
Overall
Key Takeaways:
    $maxAcs) { $maxAcs = $a; $maxRel = (string) ($rr['label'] ?? ''); } } if ($maxRel !== ''): ?>
  • The Average Claim size is more in which is
Notes:
  • No of Claims Based on Incidence.
  • ACS- Average Claim Size. Amount/No. of Claims
Amount Band-wise Analysis
Amount Band CashlessReimbursementTotalPercentage
  No of ClaimsAmount No of ClaimsAmount No of ClaimsAmount % Claims% Value
0 ? esc(($r['pct_claims'] ?? 0) . '%') : '--' ?> 0 ? esc(($r['pct_value'] ?? 0) . '%') : '--' ?>
Overall 100%100%
SI Band-wise Analysis
SI Band CashlessReimbursementTotalPercentage
  No of ClaimsAmountACS No of ClaimsAmountACS No of ClaimsAmountACS % Claims% Value
0 ? esc(($r['pct_claims'] ?? 0) . '%') : '--' ?> 0 ? esc(($r['pct_value'] ?? 0) . '%') : '--' ?>
Overall 100%100%
Notes:
IL Take Care
ILTC App Engagement
MonthNo. of Self LivesActive UsersIL Take Care App DownloadApp Download Ratio
ILTC App Feature Usage Report
MonthE Card Download %Face Scan Utilization %ILHealth Blog Utilization %Cross Sell Utilization %
ILTC Service Usage Report
MonthHAT RequestHAT FulfillmentILHD prescriptionExpertise utilizationHealth Claim Utilization
Utilization report for Employee
No of claims in current policyNo. of employeesValue (Rs)% Claims% Value
0 ? esc(($r['pct_claims'] ?? 0) . '%') : '--' ?> 0 ? esc(($r['pct_value'] ?? 0) . '%') : '--' ?>
Total 0 ? esc(number_format((int) $te['members'])) : '--' ?> 0 ? esc(number_format((float) $te['amount'])) : '--' ?> 100%100%
Utilization report for Dependents
No of claims in current policyNo. of employeesValue (Rs)% Claims% Value
0 ? esc(($r['pct_claims'] ?? 0) . '%') : '--' ?> 0 ? esc(($r['pct_value'] ?? 0) . '%') : '--' ?>
Total 100%100%
Key Takeaways:
Disease-Analysis
Disease Category CashlessReimbursementTotal
  No of ClaimsAmountACS No of ClaimsAmountACS No of ClaimsAmountACS
Overall
Key Takeaways:
Claim Utilization report
Utilization report for Employee
No of claims in current policyNo. of employeesValue (Rs)% Claims% Value
0 ? esc(($r['pct_claims'] ?? 0) . '%') : '--' ?> 0 ? esc(($r['pct_value'] ?? 0) . '%') : '--' ?>
Total 0 ? esc(number_format((int) $te['members'])) : '--' ?> 0 ? esc(number_format((float) $te['amount'])) : '--' ?> 100%100%
Utilization report for Dependents
No of claims in current policyNo. of employeesValue (Rs)% Claims% Value
0 ? esc(($r['pct_claims'] ?? 0) . '%') : '--' ?> 0 ? esc(($r['pct_value'] ?? 0) . '%') : '--' ?>
Total 100%100%
Top Hospitals
Hospital NameCity CashlessReimbursementTotal
   No of ClaimsAmountACS No of ClaimsAmountACS No of ClaimsAmountACS
Overall --
Notes:
Top Cities
City CashlessReimbursementTotal
  No of ClaimsAmountACS No of ClaimsAmountACS No of ClaimsAmountACS
Overall
Notes:
TAT Analysis
Month Reimbursement (in Days) Cashless (in Hrs)
    Fresh ALEnhancement
Key Takeaways: Notes: